Coercion and the Critical Psychiatrist
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Psychiatrists play a role in society not only in defining what it means to have a mental illness but also in determining the fate of those so afflicted. This authority can have profound effects on people; psychiatrists have authority to compel hospital admissions, seclusion and restraint within hospital, and administration of psychoactive drugs. Psychiatrists are called upon to offer opinions regarding people’s capacities to make financial and medical decisions and to determine who should be sent to a hospital rather than a jail. The many concerns explored in this book raise urgent questions for critical psychiatrists regarding the underlying justification and wisdom for the assumption of these responsibilities. First, is force ever necessary? Second, if one concludes that force might sometimes be necessary, is there a role for the medical profession in this process? Third, if one accepts that there is a role for physicians, how does one accept this responsibility in an ethical and intellectually coherent manner? This chapter examines these questions in more detail.
KeywordsCoercion Involuntary treatment Civil commitment Capacity Informed consent Violence and mental illness
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