Patients' experience of involuntary psychiatric care: good opportunities and great losses.
Patients who are involuntary admitted to psychiatric care are extremely vulnerable as a consequence of the control from others, and of the personal limitations due to a psychiatric disease that can influence their own control of their lives. This group of patients are seldom asked about their experiences of being cared for. In this study five involuntary hospitalized psychiatric patients narrated their experience of being subjected to involuntary psychiatric care. The aim of the study was to obtain a deeper understanding of this experience. The interview text was analysed by means of a phenomenological hermeneutic method. The result of the analysis gave a complex picture of both support and violation. On the one hand experiences of not being seen or heard, of loss of liberty and of violation of integrity were found. On the other hand, there were experiences of respect and caring and opportunities to take responsibility for oneself were offered. Being treated involuntarily in psychiatric care was interpreted as a balancing act between good opportunities and great losses.
Johansson
I M
IM
Institute of Nursing, The Sahlgrenska Academy, Göteborg University, Göteborg, Sweden. inger.x.johansson@vgregion.se
Lundman
B
B
D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000451:nursing; D008605:Mental Health Services / Q000458:organization & administration; D028642:Persons with Psychiatric Disorders / Q000523:psychology*; D008875:Middle Aged; D010343:Patient Admission; D028701:Patient Rights; D026684:Personal Autonomy; D011568:Psychiatric Nursing / Q000379:methods; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires; D013548:Sweden