<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Steinert, Tilman</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Using coercion in mental disorders or risking the patient’s death? An analysis of the protocols of a clinical ethics committee and a derived decision algorithm</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Medical Ethics</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Death</style></keyword><keyword><style  face="normal" font="default" size="100%">Disabled Persons</style></keyword><keyword><style  face="normal" font="default" size="100%">Ethics- Medical</style></keyword><keyword><style  face="normal" font="default" size="100%">human rights</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://jme.bmj.com/content/early/2023/11/23/jme-2023-109578</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;While principle-based ethics is well known and widely accepted in psychiatry, much less is known about how decisions are made in clinical practice, which case scenarios exist, and which challenges exist for decision-making. Protocols of the central ethics committee responsible for four psychiatric hospitals over 7&amp;thinsp;years (N=17) were analysed. While four cases concerned suicide risk in the case of intended hospital discharge, the vast majority (N=13) concerned questions of whether the responsible physician should or should not initiate the use of coercion in patients lacking mental capacity. The committee&amp;rsquo;s recommendations were non-uniform. Forced feeding and electroconvulsive therapy were endorsed in each one case. In two cases of intermittent loss of capacity due to heavy drinking or intermittent severe suicidal ideation, a self-binding contract was recommended and the use of coercion was considered as justified for a very limited period. In all other cases, most of which involved involuntary treatment, the use of coercion was not endorsed. Without exception, the recommendations were accepted with relief by the physicians and their treatment teams, who feared liability in the event of harm to the patient. Eventually, a model of a decision algorithm was derived from the ethical arguments in the protocols.&lt;/p&gt;</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Memona Rehman</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Should Dignity be Compromised?- Contextualizing the Relation Between Coercive Treatment and Dignity, from the Perspective of Persons with Experience from Norwegian Mental Health Care Facilities.</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">coercive treatment</style></keyword><keyword><style  face="normal" font="default" size="100%">Dignity</style></keyword><keyword><style  face="normal" font="default" size="100%">human rights</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><publisher><style face="normal" font="default" size="100%">Universitetet i Sør-Norge</style></publisher><pub-location><style face="normal" font="default" size="100%">Kongsberg</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Research reveals that there is a lack of studies done from the perspective of people with experience from mental health care facilities, regarding their perception of coercive treatment. International legislation justifies human rights through the concept of human dignity, which lays a foundation for its&amp;rsquo; relevance in this study. International organisations also advocate for reducing the enforcement of coercive treatment in mental health care facilities. This research project examines the possible impact coercive treatment may have on the dignity of persons in mental health care treatment, seen from their own perspective. The study explores relevant academic literature on the topic of coercion and develop an understanding of dignity through selected elements of Kantian- inspired theories. The relation between coercive treatment and dignity is further discussed to answer the research questions. By illustrating the situation of persons, through their own perspective, the study aims to give them a voice in decision making regarding the coercive treatment that are enforced upon them.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Erfaringsbaserte</style></label></record></records></xml>