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Table 1 Comparing the attitudes- to- coercion dimensions

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