Coercion in psychiatry refers to the use of force
or pressure to compel individuals to undergo psychiatric treatment, including
medication, therapy, or hospitalization, against their will. This can occur in
various forms, such as involuntary hospitalization, involuntary medication, or
involuntary outpatient treatment. Coercive measures are typically employed when
individuals are deemed to pose a risk to themselves or others due to severe
mental illness or acute psychological distress. While coercion may be necessary
in certain situations to protect the individual or others from harm, it raises
ethical and human rights concerns. Critics argue that coercion can undermine
autonomy, dignity, and trust in the therapeutic relationship, and may lead to
trauma or worsen the individual's mental health outcomes. Mental health
professionals strive to minimize the use of coercion, preferring to engage in
collaborative decision-making and explore less restrictive alternatives
whenever possible, while still prioritizing the safety and well-being of all
involved.
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