Coercion is one of the most fascinating and controversial subjects in psychiatry. It is a highly sensitive, and hotly debated topic in which clinical practice, ethics, the law and public policy converge. This book considers coercion within the healing and ethical framework of therapeutic relationships and partnerships at all levels, and addresses the universal problem of how to balance safety versus autonomy when dealing with psychiatric treatment. Coercive Treatment in Psychiatry is a much needed contribution to the literature. The first three sections deal with the conceptual and clinical aspects of coercive treatment, the legal aspects and the ethical aspects of coercive treatment. In detail, these sections cover a broad spectrum of issues: coercion in institutions and in the community, coercive treatment and stigma, the definition of best practice standards for coercive treatment, de-escalation of risk situations, recent developments in mental health legislation, mental health care and patients' rights, cross-cultural perspectives on coercive treatment, historical injustice in psychiatry, and paternalism in mental health. The fourth section features users' views on coercive treatment: giving voice to an often-unheeded population. Finally, the book addresses the original topic of coercion and undue influence in decisions to participate in psychiatric research. This book presents the first comprehensive review of the issue of coercion in psychiatry. With chapters written by the leading experts in the field, many of whom are renowned as clear thinkers and experienced clinicians, it may be seen as a starting point for international discussions and initiatives in this field aiming to minimize coercion. Highly Commended in the Psychiatry section of the 2012 BMA Book Awards.

List of Contributors viiIntroduction xiThomas W. Kallert, Juan E. Mezzich and John MonahanSECTION 1 Conceptual and clinical aspects of coercivetreatment 11. Person-centred psychiatry perspectives on coercion andcooperation 3Juan E. Mezzich2. Coercive treatment and stigma - is there a link?13Wolfgang Gaebel and Harald Zaske3. Mandated psychiatric treatment in the community -forms, prevalence, outcomes and controversies 33John Monahan4. Is it possible to define a best practice standard forcoercive treatment in psychiatry? 49Tilman Steinert and Peter Lepping5. How to de-escalate a risk situation to avoid the use ofcoercion 57Dirk RichterSECTION 2 Legal aspects of coercive treatment 816. Psychiatry and the law - do the fields agree in theirviews on coercive treatment? 83Julio Arboleda-Florez7. Reducing discrimination in mental health law - the'fusion' of incapacity and mental health legislation 97George Szmukler and John Dawson8. Mental health care and patients' rights - are these twofields currently compatible? 121Thomas W. KallertSECTION 3 Ethical aspects of coercive treatment 1519. Cross-cultural perspectives on coercive treatment inpsychiatry 153Ahmed Okasha and Tarek Okasha10. Historical injustice in psychiatry with examples from NaziGermany and others - ethicallessons for the modern professional 161Rael Strous11. Paternalism in mental health - when boots are superiorto Pushkin 175Tom BurnsSECTION 4 Users' views on coercive treatment 18512. The moral imperative for dialogue with organizations ofsurvivors of coerced psychiatric human rights violations 187David W. Oaks13. Resisting variables - service user/survivorperspectives on researching coercion 213Jasna Russo and Jan Wallcraft14. Seventy years of coercion in psychiatric institutions,experienced and witnessed 235Dorothea S. Buck-Zerchin15. Coercion - point, perception, process 245Dorothy M. Castille, Kristina H. Muenzenmaier and Bruce G.LinkSECTION 5 Coercion and undue influence in decisions toparticipate in psychiatric research 26916. Ethical issues of participating in psychiatric research oncoercion 271Lars Kjellin17. Coercion and undue influence in decisions to participate inpsychiatric research 293Paul S. Appelbaum, Charles W. Lidz and Robert KlitzmanIndex 315