Attitudes of patients with anorexia nervosa to compulsory treatment and coercion
Open accessAbstract
BACKGROUND: The compulsory treatment of anorexia nervosa is a contentious issue. Research suggests that patients are often subject to compulsion and coercion even without formal compulsory treatment orders. Research also suggests that patients suffering from anorexia nervosa can change their minds in retrospect about compulsion. METHODS: Qualitative interviewing methods were used to explore the views of 29 young women concerning compulsion and coercion in the treatment of anorexia nervosa. The participants were aged between 15 to 26years old, and were suffering or had recently suffered from anorexia nervosa at the time of interview. RESULTS: Compulsion and formal compulsory treatment of anorexia nervosa were considered appropriate where the condition was life-threatening. The perception of coercion was moderated by relationships. What mattered most to participants was not whether they had experienced restriction of freedom or choice, but the nature of their relationships with parents and mental health professionals. CONCLUSIONS: People with anorexia nervosa appear to agree with the necessity of compulsory treatment in order to save life. The perception of coercion is complex and not necessarily related to the degree of restriction of freedom.
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In severe anorexia nervosa, when a patient's life is at risk, involuntary treatment provided by a behavioral inpatient specialty program can be lifesaving.
“In severe AN, when a patient’s life is at risk, involuntary treatment provided by a behavioral inpatient specialty program, can be lifesaving”
From Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined (2022) · cites this paper as [17]
When involuntary treatment is effective, it is often met with gratitude by patients.
“and when effective is often met with gratitude by patients [17–20].”
From Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined (2022) · cites this paper as [17]
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- Authors
- Tan, J. O. A., Stewart, A., Fitzpatrick, R., & Hope, T.
- Affiliations
- University of Oxford (GB)
- National Health Service (GB)
- Corresponding author
- Tan, Jacinta O.A.
- Venue
- International Journal of Law and Psychiatry
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 33
- Issue
- 1
- Pages
- 13-19
- ISSN
- 0160-2527 (ISSN-L)
- PMC
- PMC2808473
- OpenAlex
- W2135096682
- Cited by
- 146
- References
- 34
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 17 · 2023: 12 · 2022: 10 · 2021: 8 · 2020: 11 · 2019: 6 · 2018: 8 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 12 · 2013: 13 · 2012: 3
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Law and Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Oxford University Research Archive (ORA) (University of Oxford) (submittedVersion)
- Funders
- Wellcome Trust
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- anorexia nervosa, involuntary treatment, patient attitudes, young women, parent-adolescent relationships, professional-patient relationship, restriction of liberty, mental health law
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Attitude, Coercion, Commitment of Persons with Psychiatric Disorders, Female, United Kingdom, Humans, Interviews as Topic, Patients, Psychotherapy, Young Adult
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