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The EUNOMIA project on coercion in psychiatry: study design and preliminary data.

Previous national research has shown significant variation in several aspects of coercive treatment measures in psychiatry. The EUNOMIA project, an international study funded by the European Commission, aims to assess the clinical practice of these measures and their outcomes. Its naturalistic and epidemiological design is being implemented at 13 centres in 12 European countries. This article describes the design of the study and provides preliminary data on the catchment areas, staff, available facilities and modalities of care at the participating centres.

Journal Article↗

The ethics of statutory coercion in the treatment of chemical substance abuse/dependence (addiction).

Many countries, including the Republic of South Africa, have introduced legislation providing for statutory treatment in cases of chemical substance dependence (addiction). Many more countries, including Canada and the United States of America, have made various attempts at the introduction of similar legislation in the face of an escalating drug abuse problem, only to have such legislation successfully challenged by various civil rights groups protesting about the "infringement of individual rights." This paper will examine some of the practical implications of coercive treatment of chemical addiction against the background of the principles of the rights of the individual. It will examine the feasibility of legal protection for such individual rights with simultaneous insistence on constructive treatment intervention. It will also raise many topics for discussion in terms of the role of the "helping professions", the well-worn tenet of "Am I my brother's keeper?" and the sociological poser of "the benefit of the community."

Behavior Control↗

Persuasion and coercion for health: ethical issues in government efforts to change life-styles.

What should be government's role in promoting the kinds of personal behavior that lead to long life and good health! Mild measures of education and exhortation may be ineffective; imposition of stronger coercive actions may be unacceptable. Philosophical and social principles involved are complex, and threats to freedom can be averted through an understanding of moral justification for any intrusion.

Ethics↗