From: Interpretations of legal criteria for involuntary psychiatric admission: a qualitative analysis
 | Paternalistic | Deliberative | Interpretive |
---|---|---|---|
Patient autonomy | Assenting to objective values | Self-development relevant to care | Self-understanding relevant to care |
Patient's preferences | Objective and shared | Open to revision | Requiring elucidation |
Serious mental disorder | Lack of insight | Some insight | Some insight |
Voluntary care | Not relevant | Should try | Should try |
Coercive care | Best intervention | Provide care and security | Offensive intervention |
Treatability | Effective | Uncertain effects | More harm than good |
Harm to one-self | Individual protection | Individual care and security | Individual care and security |
Harm to others | Individual protection | Individual protection Societal protection | Not relevant |
Overall assessment | Balance benefits and burdens of intervention | Balance benefits and burdens of intervention, including prevention, safety, follow-up | Balance benefits and burdens of intervention, including costs of integrity loss and distrust |
Professional obligations | Promote well-being | Through dialogue, persuade the patient of the best option | Elucidate and interpret patient values |
Professional obligations vs legal criteria | Professional obligations trump legal criteria | Professional obligations should balance legal criteria | Critical attitude towards coercion in mental care |