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The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

Influences of mental health characteristics and admission experiences on perceived coercion

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2011, v.16 no.1, pp.1-14
https://doi.org/10.17315/kjhp.2011.16.1.001









Abstract

Coercive treatment in mental health has undergone an immense period of philosophical and clinical debate and yet it remains as a highly important issue in which ideology and practice contradict each other. this study focused on the perceived coercion of the persons with mental disorder and analyzed how the characteristics of mental disorder(psychiatric symptoms, psycho-social functions, insight, and the degree of awareness on the need for treatment) and experiences in the process of hospitalization (legal status, coercive measures, and procedural justice) can predict perceived coercion. The participants of this study were 302 patients that has been hospitalized in the psychiatric ward within the period of 4 weeks. 195 participants(64.6%) were male and 106(35.1%) participants were female. MAES, BPRS, GAF, Insight, Legal Status, Coercive Measures, and Need for Treatment were measured. Regression analysis was used to analyze how much perceived coercion can be predicted by characteristics of mental disorder such as the patients' BPRS, GAF, insight, and need for treatment. As a result it showed that among the characteristics of mental disorder insight and awareness of the need for treatment were the main predictors and the characteristics of experiences during hospitalization such as procedural justice, coercive measures, and legal status all displayed significant predictability. As well as implications of results in a practical method of intervention to reduce perceived coercion, the paper discussed issues for limitations and future consideration.

keywords
perceived coercion, procedural justice, coercive measures, mental health characteristics, admission experience, 지각된 강요 강요조치 절차정당성, 정신장애특성, 입원경험

Reference

1.

김영미, 조병만, 장기용, 정영인 (1999). 장기입원 만성정신질환자의 실태에 관한 조사. 신경정신의학. 39(5), 838-848.

2.

김정남, 서미경 (2004). 정신장애인에 대한 편견과 차별에 관한 연구. 한국심리학회지: 건강, 9(3), 589-607.

3.

박종익 외. (2008). 장기입원의 구조적 원인과 지속요인. 국가인권위원회.

4.

서미경, 김정남, 이민규 (2010). 정신장애의 원인에 대한 생물학적 이해와 친숙함이 사회적 거리감에 미치는 영향.. 한국심리학회지: 건강, 15(1), 123-141.

5.

에이블뉴스. 2007년 10월 17일자 기사.

6.

이영문, 김현수, 이호영 (1999). 한국정신보건시설 입원/입소에 대한 재원 적절성 분석. 신경정신의학, 38, 973-984.

7.

이진향 (2009). 강요가 정신장애인의 회복이 미치는 영향. 경상대학교 박사학위 논문.

8.

정인원 외. (2008). 정신보건시설 재원자 및 시설 실태조사. 국가인권위원회.

9.

Bindman, J., Reid, Y., Szmukler, G., Tiller, J., Thornicroft, G., & Leese, M. (2005). Perceived coercion at admission to psychiatric hospital and engagement withfollow-up. Social Psychiatry and Psychiatric Epidemiology, 40, 160-166.

10.

Bonsack, C,. & Borgeat, F. (2005). Perceived coercion and need for hospitalization related to psychiatric admission. International Journal of Law and Psychiatry, 28, 342-347.

11.

Carpenter, J. (2006). Predictors of Experienced Coercion among Mental Health service Recipients. Albany State University of New York.

12.

Cascardi M., & Poythress N.G. (1997). Correlates of perceived coercion during psychiatric hospital admission. International Journal of Law andPsychiatry, 20(4), 445-458.

13.

Chamberlin, J. (1998). Citizenship Rights and Psychiatric Disability. Psychiatric Rehabilitation Journal, 21(4), 405-408.

14.

David, A. S. (1990). Insight and psychosis. British Journal of Psychiatry, 156, 798-808.

15.

Dawson, J., & Mullen, R. (2008). Insight and use of community treatment orders. Journal of Mental Health, 17(3), 269-280.

16.

Gardner, W., Lidz, C. W., Hoge, S. K., Monahan, J., Eisenberg, M.,M., Bennett, N.,S., Mulvey, E.,P., & Roth, L.,H. (1999). Patients? Revisions of Their Beliefs about the Need for Hospitalization. American Journal of Psychiatry, 156(9), 1385-1391.

17.

Hoge, S. K., Lidz, C. W., Eisenberg, M., Monahan, J., Bennett, N., Gardner, W., Mulvey, E.,, & Roth, L. (1998). Family, Clinician, and Patient Perceptions of Coercion in Mental Hospital Admission: A comparative Study. International Journal of Law and Psychiatry, 21(2), 131-146.

18.

Iversen, K. I., Høyer, G., & Sexton, H. (2007). Coercion and patient satisfaction on psychiatric acute wards. International Journal of Law and Psychiatry, 30, 504-511.

19.

Iversen, K. I., Høyer, G., Sexton, H., & Grønli, O. L. (2002). Perceived coercion among patients admitted to acute wards in Norway. Nordic Journal of Psychiatry, 56, 433-439.

20.

Lidz, C., Hoge, S., Gardner, W., Bennett, N., Monahan, J., Mulvey, E., & Roth, L. (1995). Perceived coercion in mental health admission: Pressures and process. Archives of General Psychiatry, 52, 1034-1039.

21.

Loewenberg, F., & Dolgoff, R. (1996). Ethical Decisions for Social Work Practice. Itasca: F. E. Peacock Publisher.

22.

McKenna, B.,G., Simpson, A. I .F., & Coverdale, J. H. (2003). Patients' perciption of coercion on admission to forensic psychiatric hospital: a comparison study. International Journal of Law and Psychiatry, 26, 355-372.

23.

Monahan, J., Hoge, S. K., Lidz, C., Roth, L. H., Bennett, N., Gardner, W., & Mulvey, E. (1995). Coercion, and Commitment: Understanding Involuntary Mental Hospital Admission. International Journal of Law and Psychiatry, 18(3), 249-263.

24.

Monahan, J., Hoge, S. K., Lidz, C. W., Eisenberg, M. M., Benette, N. S., Gardner, W. P., Mulvey , E. P., & Roth, L. H. (1996). Coercion to inpatient treatment: Initial results and implications for assertive treatment in the community. In coercion and aggressive community treatment: A new frontier in mental health Law(Dennis D.L. and Monahan J., editors). Plenum Press.

25.

Nicholson, R .A., Ekenstem, C.,, & Norwood, S. (1996). Coercion and the outcome of Psychiatric Hospitalization. International Journal of Law and Psychiatry, 19(2), 201- 217.

26.

O'Brien, A. J., & Golding, C. G. (2003). Coercion in mental healthcare: the principle of least coercive care. Journal of Psychiatric and Mental Health Nursing, 10, 167-173.

27.

Perlman, H. H. (1965). Self-determination: Reality or illusion? Social Services Review, 39, 410-422.

28.

Pesscosolido, B. A., Monahan, J., Link, B. G., Stueve, A.,, & Kikuzawa, S. (1999). The Public's View of the Competence, Dangerousness, and Need for Legal Coercion of Persons with Mental Health Problems. American Journal of Public Health, 89(9),1339-1345.

29.

Poulsen, H. D., & Engberg, M. (2001). Validation of psychiatric patients' statements on coercive measures. Acta Psychiatrica Scandinavica 103, 60-65.

30.

Sørgaard, K. W. (2004). Patients' perception of coercion in acute psychiatric wards. An intervention study. Nordic Journal of Psychiatry, 58, 299-304.

31.

Swartz, M. S., Swanson, J. W., & Hannon, M. J. (2003). Does Fear of Coercion keep People away from Mental Health Treatment? Evidence from a Survey of Persons with Schizophrenia and Mental Health Professionals. Behavioral Sciences and the Law, 21, 459-472.

32.

Tschopp, M. K. (2002). Development and Field testing of the Perception of Mental Health services Questionnaire. University of Wisconsin-Madison.

The Korean Journal of Health Psychology