Impact of coercive measures on life stories: qualitative study
Open accessAbstract
Background: How people integrate the experience of involuntary hospital admission and treatment into their life narrative has not been explored systematically. Aims: To establish a typology of coercion perspectives and styles of integration into life stories. Method: Transcripts of recorded interviews with 15 persons who had previously been involuntarily admitted to hospital were coded and analysed thematically using a modified grounded theory approach. Results: With hindsight, people viewed the experience of involuntary hospital admission as a ‘necessary emergency brake’, an ‘unnecessary overreaction’ or a ‘practice in need of improvement’. With respect to how they integrated the experience into their life narratives, participants viewed it as ‘over and not to be recalled’, a ‘life-changing experience’ or a ‘motivation for political engagement’. Conclusions: The participants' diverse and differentiated perspectives on coercive measures and their different styles of integration suggest that people may come to accept coercive measures as necessary when confronted with danger to self or others. However, the implementation of coercion needs to be improved substantially to counteract possible long-term adverse effects.
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El régimen de internaciones forzosas transmite un mensaje social que establece o refuerza un estereotipo negativo fundado en un supuesto vínculo entre la discapacidad mental y un comportamiento peligroso, tanto en términos sociales como personales.
“Todavía más, transmite un mensaje social que establece o refuerza un estereotipo negativo fundado en un supuesto vínculo entre la discapacidad mental y un comportamiento peligroso, tanto en términos sociales como personales 70 .”
From El derecho a la vivienda adecuada de las personas con discapacidad mental en Chile (2023) · cites this paper as Sibitz et al. (2011), pp.239-244.
The section “Styles of integration and effects of admission” (page unavailable) reports stigma and discrimination after involuntary admission, including being treated as less credible or reliable. It does not say that forced admission conveys a social message linking mental disability with dangerous behavior, so the specific stereotype asserted in the claim is unsupported. (LLM, conf=0.84)
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El derecho a la vivienda adecuada de las personas con discapacidad mental en Chile
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- Authors
- Sibitz, I., Scheutz, A., Lakeman, R., Schrank, B., Schaffer, M., & Amering, M.
- Affiliations
- Medical University of Vienna (AT)
- Dublin City University (IE)
- Corresponding author
- Sibitz, Ingrid
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2011-09
- Volume
- 199
- Issue
- 3
- Pages
- 239-244
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2128138729
- Cited by
- 91
- References
- 2
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 9 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 7 · 2019: 11 · 2018: 6 · 2017: 5 · 2016: 4 · 2015: 8 · 2014: 8 · 2013: 9 · 2012: 4
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Cross Connect (Southern Cross University) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- coercive measures, involuntary admission, life stories, lived experience, mental health law, political participation
- MeSH terms
- Adult, Aged, Mental Disorders, Coercion, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Dangerous Behavior, Female, Humans, Life Change Events, Male, Middle Aged, Professional-Patient Relations, Restraint, Physical, Self Concept, Patient Satisfaction, Trust, Qualitative Research
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