Involuntary admission: the case of anorexia nervosa.
نویسندگان
چکیده
Involuntary treatment of psychiatric disorders has always been controversial; this is especially true for eating disorders. Patients with anorexia nervosa of life threatening severity frequently refuse psychiatric hospitalization. Ambivalence toward treatment is characteristic of eating disorders and patients are often admitted to inpatient programs under pressure from family and doctors. In this article, we report research on the positive or negative impact of involuntary admission in the treatment of eating disorders, its application and effectiveness as well as the adverse consequences of coercive treatment in eating disorders. A literature review was done. From a total of 134 publications which were retrieved from the literature search, 50 studies were directly relevant to the scope of this review and fulfilled all inclusion criteria. There are trends and arguments for both sides; for and against involuntary treatment in anorexia nervosa. The scientific literature so far is inconclusive, although in the short term, involuntary hospitalization has benefits. This review has also shown that involuntary hospitalization can have adverse long-term consequences for the patient-therapist allegiance. We conclude that in some cases, involuntary treatment can save lives of young patients with anorexia nervosa; however, in other cases, it can break the psychotherapeutic relationship and make the patient abandon treatment. It is the clinician who has to decide for whom and when to approve involuntary treatment or not.
منابع مشابه
A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics
OBJECTIVE Involuntary treatment of anorexia nervosa is controversial and costly. A better understanding of the conditions that determine involuntary treatment, as well as the effect of such treatment is needed in order to adequately assess the legitimacy of this model of care. The aim of the present study was to investigate the frequency and duration of involuntary treatment, the characteristic...
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Results Among the DSM-IV-disorders, ED show the highest mortality rate after drug addictions. The mortality rate is even higher for anorexia nervosa because the frequent refusal of treatment delays diagnosis and treatment and influences prognosis. The American guidelines for ED treatment (2000) tackle the problem in two or three passages "Legal interventions, including involuntary hospitalizati...
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INTRODUCTION Anorexia nervosa has long been the subject of medical and psychiatric debate, yet it is only relatively recently that English law has been called upon to grapple with the complexity of this condition. It was not until the early 1990s that we saw English law’s involvement with anorexia nervosa and questions as to the legitimate powers of the medical profession regarding involuntary ...
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Anorexia nervosa exhibits one of the highest death rates among psychiatric patients and a relevant fraction of it is derived from undernutrition. Nutritional and medical treatment of extreme undernutrition present two very complex and conflicting tasks: (1) to avoid "refeeding syndrome" caused by a too fast correction of malnutrition; and (2) to avoid "underfeeding" caused by a too cautious ref...
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عنوان ژورنال:
- International journal of law and psychiatry
دوره 39 شماره
صفحات -
تاریخ انتشار 2015