Therapeutic relationships and i nvoluntary t reatment o rders: Service users' interactions with health‐care professionals on the ward
Abstract
There is increasing evidence that an involuntary hospital admission and treatment can undermine the therapeutic relationship. While good relationships with staff are important factors influencing long‐term recovery, there is little information on how people experience their relationships with staff while under an i nvoluntary t reatment o rder (ITO). Twenty‐five involuntary inpatients were interviewed about their experiences of an ITO. The interviews were analysed by a general inductive approach. Participants described the following themes: (i) the ITO admission was a daunting and frightening experience; (ii) staff behaviours and attitudes shaped their experiences in hospital; (iii) importance of staff listening to their concerns; (iv) importance of having a space to make sense of their experiences; (v) importance of staff ability to look beyond their illness and diagnosis; and (vi) importance of staff working in partnership. These findings highlight that when using recovery principles, such as an empathic engagement with the patients' lived experience, forging partnerships with patients in treatment decision‐making to enhance agency, an involuntary treatment order does not have to limit the ability to establish positive relationships.
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Basic principles of recovery-oriented practice or person-centred care also apply in cases of involuntary treatment.
“These basic principles of what has been called recovery-oriented practice or person-centred care [23] also apply in cases of involuntary treatment [24].”
From "It's not a life of war and conflict": experienced therapists' views on negotiating a therapeutic alliance in involuntary treatment (2019) · cites this paper as [24]
Patients in involuntary treatment might perceive coercive admission as a terrifying experience.
“might perceive coercive admission as a terrifying experience [24].”
From "It's not a life of war and conflict": experienced therapists' views on negotiating a therapeutic alliance in involuntary treatment (2019) · cites this paper as [24]
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- Authors
- Wyder, M., Bland, R., Blythe, A., Matarasso, B., & Crompton, D.
- Affiliations
- The University of Queensland (AU)
- Metro South Health (AU)
- Corresponding author
- Wyder, Marianne
- Venue
- International Journal of Mental Health Nursing
- Publisher
- Wiley
- Published
- 2015-01-28
- Volume
- 24
- Issue
- 2
- Pages
- 181-189
- ISSN
- 1445-8330 (ISSN-L)
- 1447-0349
- OpenAlex
- W2141219178
- Cited by
- 71
- References
- 3
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 13 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 10 · 2019: 10 · 2018: 7 · 2017: 7 · 2016: 2
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Funders
- University of Queensland
- 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 › Psychotherapy Techniques and Applications
- Keywords
- involuntary admission, therapeutic relationship, service user experiences, staff-patient relationship, recovery-oriented care, patient agency, treatment decision-making, psychiatric inpatients
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Female, Humans, Interview, Psychological, Male, Middle Aged, Nurse-Patient Relations, Psychiatric Department, Hospital, Psychiatric Nursing, Patient Satisfaction, Qualitative Research
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