Abstract
According to the philosopher Charles Taylor (1989), the moral origins of our viewpoints remain largely implicit until some challenge pushes them into the foreground. Coercion in involuntary hospitalization has been treated as a moral construct (Wertheimer, 1993), and preliminary research suggests that patients experience it as such (Bennett et al., 1993). Today, converging notions of person-centered care, individual rights, and the centrality of agency and personhood are shifting public debate in the United States from a focus on coercion in traditional, inpatient settings to evaluating its presence in community care. Opponents of coercive practices propose empowering alternatives, while proponents question whether psychiatric treatment is even possible without a sanctioned system of coercion (Gellner, cited in Group for the Advancement of Psychiatry, 1994). Research on the imposition of mental health interventions in community settings will not provide answers to the ethical questions raised. However, it can problematize coercion as a moral construct while examining its effect as a treatment strategy.
...the notion of an ethical–topological opposition between asylum and “community”—between, respectively, a closed space of repression and intern- ment and an open space of liberty and solidarity—is, in some respects, both paradoxical and unreal.
—Gordon (1986)
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Lovell, A.M. (1996). Coercion and Social Control. In: Dennis, D.L., Monahan, J. (eds) Coercion and Aggressive Community Treatment. The Springer Series in Social Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9727-5_10
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DOI: https://doi.org/10.1007/978-1-4757-9727-5_10
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