A plea for respect: Involuntarily hospitalized psychiatric patients’ narratives about being subjected to coercion
Abstract
Eighteen involuntarily hospitalized psychiatric patients narrated their experiences of being subjected to coercion and their thoughts on how to prevent the coercion. A qualitative content analysis identified recurring themes, which were incorporated in two core themes describing the participants' experience. The core theme Not being respected as a human being included most of their narrated experiences, described in the themes Not being involved in one's own care, Receiving care perceived as meaningless and not good, and Being an inferior kind of human being. The core theme Being respected as a human being included a minor part of the narrated experiences and how the participants wanted things to be, described in the themes Being involved in one's own care, Receiving good care, and Being a human being like other people. The participants' plea for respect is discussed in relation to the ongoing deinstitutionalization of psychiatric care and the need for attitude changes in care and community, leading to the treating of mentally disordered people with more respect.
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Additional concerns included inadequate information about treatment and rights, lack of involvement in decision-making, and limited choices and options.
“Additional concerns included inadequate information about treatment and rights, lack of involvement in decision-making, and limited choices and options [49,89,149,153,161].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [49]
Factors that mitigated perceptions of coercion included perceiving professionals as well-qualified.
“perceiving professionals as well-qualified [33,49]”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [49]
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“…involuntary care as a positive experience to maintain their safety and the safety of others (Holmes et al., 2004; Sibitz et al., 2011), whereas others viewed forced psychiatric treatment as a negative experience that was traumatic and dehumanizing (Olofsson & Jacobsson, 2001; Sibitz et al., 2011).”
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“However, force can violate patients’ integrity (Johnson, 1998; Olofsson & Jacobsson, 2001) and damage the Address correspondence to Lene Lauge Berring, Faelledvej 6, 4200 Slagelse, Denmark.”
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“Giving correct and relevant information has also been identified as a key clinical skill with service users associating respectful treatment with being given relevant information particularly regarding their treatment or legal rights [38,42].”
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“Using content analysis with thematic and domain identification, they found the majority had negative feelings about their involuntary treatment.(24) The experience of involuntary treatment exacerbated service users’ feelings of stigma and powerlessness.”
MethodSebergsen, K., Norberg, A., & Talseth, A. (2016) · BMC Nursing · doi:10.1186/s12912-016-0126-x · Cited by 21 · see citing works
“felt they were humiliated and disrespected [40].”
BackgroundBrooks, H. L., Rushton, K., Lovell, K., McNaughton, R., & Rogers, A. E. (2019) · Medical Humanities · doi:10.1136/medhum-2018-011633 · Cited by 21 · see citing works
“Often this has involved exploring relationships with antipsychotic medication, 33 coercion 34 and whether specific events like compulsory admission impact on these relationships 35 centred around acceptance and compliance with the therapeutic regimen.”
Backgrounddi Giacomo, E., Iozzino, L., Ferrari, C., Strozza, C., Large, M. M. B., Nielssen, O. B., & de Girolamo, G. (2019) · Comprehensive approach to psychiatry · doi:10.1007/978-3-030-33188-7_10 · Cited by 21 · see citing works
Anestis, A., Daffern, M., Thomas, S. D. M., Podubinski, T., Hollander, Y., Lee, S., Foley, F., de Castella, A., & Kulkarni, J. (2013) · Psychiatry Psychology and Law · doi:10.1080/13218719.2012.712833 · Cited by 20 · see citing works
“Coercive actions are controversial because they compete with staff and service requirements to respect patients’ autonomy and dignity (Kjellin, Andersson, Candefjord, Palmstierna, & Wallsten, 1997 ) and because they impinge upon human rights (Landeweer, et al, 2010 ; Olofsson & Jacobsson, 2001 ; Prinsen & Van Delden,…”
BackgroundMental Health, Legal Capacity, and Human Rights
(2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016 · Cited by 21 · see citing works
Effects of a Regulatory Protocol for Mechanical Restraint and Coercion in a Spanish Psychiatric Ward
Parra, J. G., García-Sánchez, J. A., Pino-Benítez, I., Alba-Vallejo, M., & Mayoral, F. (2014) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12090 · Cited by 19 · see citing works
Non-Consensual Treatment is (Nearly Always) Morally Impermissible
Cherry, M. J. (2010) · The Journal of Law Medicine & Ethics · doi:10.1111/j.1748-720x.2010.00532.x · Cited by 15 · see citing works
Berring, L. L., Georgaca, E., Hirsch, S., Bilgin, H., Akik, B. K., Aydın, M., Verbeke, E., Galeazzi, G. M., Vanheule, S., & Bertani, D. E. (2024) · Healthcare · doi:10.3390/healthcare12060628 · Cited by 13 · see citing works
van Daalen-Smith, C. L., Adam, S., Hassim, F., & Santerre, F. (2019) · Issues in Mental Health Nursing · doi:10.1080/01612840.2019.1661047 · Cited by 13 · see citing works
“These findings appear to parallel those of Olofsson and Jacobsson (2001), who reported that coercion was centrally the practice of the mental health practitioners who were charged with the care of the patients they had interviewed.”
ResultRecovery in involuntary psychiatric care: Is there a gender difference?
Schön, U. (2013) · Journal of Mental Health · doi:10.3109/09638237.2013.815335 · Cited by 13 · see citing works
“When patients experience compulsory care as frightening (Olofsson & Jacobsson, 2001) and as undermining their autonomy and self-esteem, this can traumatise them and hinder their recovery (Bonner et al., 2002; Frueh et al., 2005; Mueser, Lu, Rosenberg, & Wolfe, 2010; Tarrier, Khan, Cater, & Picken,…”
BackgroundContextual factors influencing the use of coercive measures in Portuguese mental health care.
Aluh, D., Santos-Dias, M., Silva, M., Pedrosa, B., Grigaitė, U., Silva, R. C., Mousinho, M. F. D. A., Antunes, J. P., Remelhe, M., Cardoso, G., et al. (2023) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2023.101918 · Cited by 9 · see citing works
Lincoln, T. M., Heumann, K., & Teichert, M. (2013) · Verhaltenstherapie · doi:10.1159/000357649 · Cited by 16 · see citing works
Özcan, N. K., Bilgin, H., Boyacıoğlu, N. E., & Kaya, F. (2013) · International Journal of Nursing Practice · doi:10.1111/ijn.12157 · Cited by 10 · see citing works
Mesquita, C. D. S., & Maia, Â. (2016) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12300 · Cited by 10 · see citing works
Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
Lessard-Deschênes, C., Pariseau-Legault, P., Billé, V., Sergerie-Richard, S., Hudson, E., Silva, B., Drouin, J.-S., Désilets, M., & Goulet, M.-H. (2025) · Healthcare · doi:10.3390/healthcare13151868 · Cited by 10 · see citing works
Wang, X.-Q., Wang, Y., Yu, K., Ma, R., Zhang, J.-Y., & Zhou, Y.-Q. (2023) · International Journal of Social Psychiatry · doi:10.1177/00207640231164010 · Cited by 9 · see citing works
Toma de decisiones compartidas en salud mental: una propuesta novedosa
Buedo, P., & Luna, F. (2021) · Medicina y Ética · doi:10.36105/mye.2021v32n4.05 · Cited by 8 · see citing works
Stepanow, C., Stepanow, J., Walter, M., Borgwardt, S., Lang, U., & Huber, C. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00096 · Cited by 7 · see citing works
van den Hooff, S., & Buijsen, M. (2014) · Medicine Health Care and Philosophy · doi:10.1007/s11019-014-9564-y · Cited by 8 · see citing works
Die „subjektive Seite” von Zwang und Gewalt in der Psychiatrie
Meise, U., & Frajo-Apor, B. (2011) · Psychiatrische Praxis · doi:10.1055/s-0030-1266104 · Cited by 8 · see citing works
Pelto‐Piri, V., Kjellin, L., Backman, G., Carlsson, K., & Björkdahl, A. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-11326-z · Cited by 7 · see citing works
“Several studies indicate that many patients have similar thoughts [6, 47–50].”
BackgroundCoercion and the Mentally Ill: Ethical Perspectives
Zolnierek, C. D. (2007) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390307303110 · Cited by 7 · see citing works
“Olofsson and Jacobsson (2001) found that patients’ experiences of the involuntary process produced three themes: not being involved in one’s care, receiving care that is perceived as meaningless and not good, and being an inferior kind of human being.”
BackgroundNursing Management of Patients with Psychiatric Emergencies
Gnanapragasam, A., Paul, D. D., Sebastian, J., & Sathiyaseelan, M. (2021) · Indian Journal of Continuing Nursing Education · doi:10.4103/ijcn.ijcn_40_21 · Cited by 7 · see citing works
“[25] When an individual is restrained, ensure their hydration and nutritional status is kept to optimal status.”
Coercion and trust in psychiatry: the ultimate contradiction
Donskoy, A. (2015) · International Journal of Human Rights in Healthcare · doi:10.1108/ijhrh-09-2014-0019 · Cited by 7 · see citing works
Mind the Gap: Researching ‘Alternatives to Coercion’ in Mental Health Care
Gooding, P. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.021 · Cited by 8 · see citing works
Adame, A. L. (2006) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 6 · see citing works
Czernin, K., Bermpohl, F., Wullschleger, A., & Mahler, L. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.789822 · Cited by 6 · see citing works
“This principle also corresponds to the patient’s desire for holistic treatment, including psychotherapy and a lower focus on medication (19, 25).”
BackgroundBenson, W. D., & Briscoe, L. (2003) · Journal of the American Psychiatric Nurses Association · doi:10.1016/s1078-3903(03)00160-5 · Cited by 6 · see citing works
“Investigators (Hummelvoll & Severinsson, 2001; Olofsson & Jacobsson, 2001) have identified common needs of psychiatric inpatients whether they were admitted voluntarily or involuntarily.”
BackgroundStrategies to Achieve a Rights-Based Approach through WHO QualityRights
Funk, M., Drew, N., Ansong, J., Chisholm, D., Murko, M., Nato, J., Ohene, S.-A., Vergara, J., & Zoghbi, E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.019 · Cited by 5 · see citing works
As I See It: The Cry of the Community Psychiatric Nurse in Ghana
Opare, F. Y., Adatara, P., Kuug, A. K., Nyande, F. K., Achaliwie, F., & Ninnoni, J. P. (2016) · Cited by 5 · see citing works
Coercion: The Only Constant In Psychiatric Practice?
Gomory, T., Cohen, D., & Kirk, S. A. (2013) · Springer eBooks · doi:10.1007/978-3-531-18784-6_12 · Cited by 5 · see citing works
Hallett, N., Dickinson, R., Eneje, E., & Dickens, G. L. (2023) · medRxiv · doi:10.1101/2023.10.20.23297217 · Cited by 5 · see citing works
Pathways to experienced coercion during psychiatric admission: a network analysis
Silva, B., Morandi, S., Bachelard, M., Bonsack, C., & Golay, P. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05968-w · Cited by 4 · see citing works
Reparation for Psychiatric Violence: A Call to Justice
Minkowitz, T. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.006 · Cited by 4 · see citing works
Shafer, M. S., Staples, V., & George, L. S. (2016) · Evidence-based practices in behavioral health · doi:10.1007/978-3-319-40537-7_14 · Cited by 4 · see citing works
The ‘Fusion Law’ Proposals and the CRPD
Dawson, J., & SZMUKLER, G. I. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.009 · Cited by 4 · see citing works
Dagenhardt, D. M. R., Heideman, A. J., Knoche, V. A., & Freiburger, T. L. (2021) · International Journal of Conflict Management · doi:10.1108/ijcma-03-2021-0039 · Cited by 4 · see citing works
Zetterström, L., Linde, M., Blomqvist, M., & Jormfeldt, H. (2023) · Issues in Mental Health Nursing · doi:10.1080/01612840.2023.2251058 · Cited by 4 · see citing works
- Authors
- Olofsson, B., & Jacobsson, L.
- Affiliations
- Umeå University (SE)
- Venue
- Journal of Psychiatric and Mental Health Nursing
- Publisher
- Wiley
- Published
- 2001-08
- Volume
- 8
- Issue
- 4
- Pages
- 357-366
- ISSN
- 1351-0126 (ISSN-L)
- 1365-2850
- OpenAlex
- W2141180776
- Cited by
- 165
- References
- 32
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 9 · 2023: 8 · 2022: 4 · 2021: 35 · 2020: 3 · 2019: 8 · 2018: 2 · 2017: 7 · 2016: 9 · 2015: 8 · 2014: 6 · 2013: 12 · 2012: 5
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric and Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- involuntary psychiatric hospitalization, coercion in psychiatric care, patient narratives, respect for human dignity, patient involvement in care, deinstitutionalization, mental health stigma
- MeSH terms
- Adult, Coercion, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Female, Humans, Male, Middle Aged, Value of Life, Persons with Psychiatric Disorders, Mentally Ill Persons
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