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Results for “Coercion”

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PubMed1995

Managing violence without coercion.

Managing violence has become a priority for nurses working in health care settings (AAN Expert Panel, 1993; Editorial, 1992; Lipscomb & Love, 1992). Although psychiatric nurses have a long history of dealing with and managing violent situations, very little attention has been given to a critical analysis of our traditional methods of managing violence. The purpose of this paper is: (a) to present an interactional theory of aggression and violence that argues for the coercive nature of violence in persons with a mental illness (Morrison, 1990b, 1992b, 1993b), and (b) to propose a different approach to managing violent situations that emphasizes negotiation and collaboration, rather than control. Vignettes of violent situations provided by a clinical nurse specialist are used to highlight the presence of this coercive interactional style in patients, as well as to critically examine interventions for managing violence. It is hoped that an honest examination will assist nurses to re-evaluate current practices for managing potentially difficult situations.

Adult↗
PubMed2002

Autonomy versus coercion: reconciling competing perspectives in community mental health.

Clinicians working in community mental health must currently attempt to reconcile competing practice perspectives: on the one hand consumer-driven approaches, and on the other hand a move to more paternalistic practices, advocated by family support groups, and reflected in assertive treatment programs and legislative initiatives such as community treatment orders. This article reviews these different perspectives, and offers some comments on practice guidelines for those working in this clinically and politically complex environment.

Civil Rights↗
PubMed2003

Narcissism, sexual refusal, and aggression: testing a narcissistic reactance model of sexual coercion.

Laboratory analog studies investigated the theory that narcissism and reactance contribute to causing rape. In Study 1, narcissism correlated positively with rape-supportive beliefs and negatively with empathy for rape victims. In Study 2, narcissists reported more enjoyment than other men of film depictions that presented consensual, affectionate activity followed by rape (but not in response to either affection or rape alone). In Study 3, narcissists were more punitive than other men toward a female confederate who refused to read a sexually arousing passage aloud to them.

Adult↗
PubMed2002

Challenging contemporary mental health policy: time to assuage the coercion?

BACKGROUND: In the United Kingdom (UK) and elsewhere throughout the world, the policy and legal frameworks that surround the provision of mental health care are becoming increasingly coercive. For example, emerging mental health policy in the UK includes a commitment to the introduction of compulsory treatment in the community. AIMS: In this paper, our aims are: to explore the context in which this more coercive mental health policy has arisen in the UK; to challenge the assumptions and the evidence that lie behind the introduction of proposed new mental health policies; and to consider the impact that a more coercive policy is likely to have on the practice of mental health nursing. DISCUSSION: In the UK, representatives of central government have declared that 'care in the community has failed'. This view has been reinforced by media representations of mental health issues. Policy documents have drawn attention to the risks posed by people with mental illnesses. Correspondingly, proposed initiatives emphasize the need to more closely 'manage' people with mental health problems, and set out a new legislative and policy framework to achieve this. We question the assumptions and evidence that underlie these planned new developments. We argue that, contrary to government assertions, there is no unequivocal evidence that 'community care' has failed. We observe, too, that people with mental health difficulties are often amongst the most vulnerable members of society. Finally, we consider the impact that a more coercive policy framework will have on the work of mental health nurses, and argue that the shift towards a more 'controlling' role is likely to run counter to what many nurses see as the 'core' of their work.

Attitude of Health Personnel↗
PubMed2004

[Voluntariness and coercion in patients with schizophrenia].

OBJECTIVE: Associations between voluntariness of treatment, success of treatment, and number of hospital admissions should be examined. PATIENTS: 88 consecutive admissions with ICD-10 F2 disorders were assessed using the PANSS and the GAF at admission and discharge. Voluntariness was assessed regarding admission, hospital stay, medication, time of discharge, and treatment continuation in four degrees for each category. RESULTS: Voluntariness increased significantly with the number of hospital admissions in women. Outcome measures (PANSS and GAF differences admission/discharge and the respective differences divided by number of inpatient days) were not significantly related to any aspect of voluntariness. Voluntariness was negatively associated with PANSS-scores at admission, but not at discharge. Aggressive behaviour and coercive measures were observed more frequently in patients with aspects of involuntariness. CONCLUSION: The short-term success of treatment in acute schizophrenic episodes seems not to be affected by measures of compulsive treatment. There is some evidence that experiences with former inpatient treatment increase the degree of voluntariness in women.

Adolescent↗
PubMed2003

Tactics of sexual coercion: when men and women won't take no for an answer.

We investigated women's and men's reports of experiencing and using tactics of postrefusal sexual persistence, defined as persistent attempts to have sexual contact with someone who has already refused. Participants were 275 men and 381 women at Midwestern and Southern universities. More women (78%) than men (58%) reported having been subjected to such tactics since age 16; this difference was significant for the categories of sexual arousal, emotional manipulation and lies, and intoxication, and for two tactics within the physical force category (physical restraint and threats of harm). More men (40%) than women (26%) reported having used such tactics; this difference was significant for the sexual arousal, emotional manipulation and lies, and intoxication categories. We present participants' written descriptions of their experiences.

Adult↗