<?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%">Florian Wostry</style></author><author><style face="normal" font="default" size="100%">Sabine Hahn</style></author><author><style face="normal" font="default" size="100%">Sabine Hahn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Impact of Coercive Measures on the Therapeutic Relationship Between Patients and Nurses in the Acute Psychiatric Care. An Integrative Review</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Psychiatric and Mental Health Nursing, 2025; 0:1–13 </style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2025</style></year></dates><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&lt;meta charset=&quot;UTF-8&quot; /&gt;&lt;/p&gt;&lt;p&gt;Reduksjon av tvang krever et stabilt terapeutisk forhold. Det antas generelt at tvangstiltak har en negativ effekt på det terapeutiske forholdet, men lite er kjent om den spesifikke effekten.&lt;/p&gt;&lt;p&gt;Spørsmålet blir da hvilken effekt har tvangstiltak i akutt psykiatrisk behandling på det terapeutiske forholdet mellom sykepleiere og pasienter?&lt;/p&gt;&lt;p&gt;Det ble gjennomført en integrativ gjennomgang og en tematisk analyse. Noen resultater viser&amp;nbsp;at f.eks tema 1, med tittelen &amp;laquo;Destruktive effekter&amp;raquo;, omfatter tre undertemaer: &amp;laquo;Tap av tillit&amp;raquo;, &amp;laquo;Maktubalanse&amp;raquo; og &amp;laquo;Redusert engasjement&amp;raquo;, og fremhever den negative effekten på det terapeutiske forholdet. Tema 2, med tittelen &amp;laquo;Sykepleierens dilemma&amp;raquo;, med undertemaet &amp;laquo;Dehumanisering&amp;raquo;, diskuterer de iboende konfliktene som psykisk helsepersonell står overfor. Tema 3, &amp;laquo;Forsterkning&amp;raquo;, foreslår potensielle forbedringer i terapeutiske relasjoner.&lt;/p&gt;&lt;p&gt;Diskusjon: Sentrale kjennetegn ved den terapeutiske relasjonen, som å gi støtte, møte på øyehøyde, empati og tillit, kan bli skadet av tvangstiltak og svekke et grunnleggende aspekt ved psykiatrisk sykepleie. Videre kan fraværet av en terapeutisk relasjon fremme atferd som fører til ytterligere tvangstiltak, og skape en negativ spiral med negative effekter for alle involverte.Implikasjoner for praksis kan være at&amp;nbsp;sykepleiere må være bevisste på virkningene tvangstiltak har på terapeutiske relasjoner og bruke tvangstiltak som en siste utvei&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;</style></abstract></record><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%">Lemcke,S</style></author></authors><secondary-authors><author><style face="normal" font="default" size="100%">Isbak Jensen,M</style></author></secondary-authors><tertiary-authors><author><style face="normal" font="default" size="100%">Helles Carlsen, A</style></author></tertiary-authors><subsidiary-authors><author><style face="normal" font="default" size="100%">Virring Sørensen,A</style></author></subsidiary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Investigating the impact of coercion prevention initiatives in an adolescent psychiatric ward</style></title><secondary-title><style face="normal" font="default" size="100%">Nordic Journal of Psychiatry</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2025</style></year></dates><volume><style face="normal" font="default" size="100%">79</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;meta charset=&quot;UTF-8&quot; /&gt;&lt;/p&gt;&lt;p&gt;I psykiatriske avdelinger for ungdom har det blitt iverksatt ulike tiltak for å redusere forekomsten av restriktive tiltak. Disse tiltakene er mindre studert enn i voksenpsykiatrien, og effekten er ofte uklar. For å undersøke betydningen av tiltakene som er iverksatt i en avdeling for ungdom, ble det gjennomført en eksplorativ retrospektiv studie. Materiale og metoder: Informasjon om tiltak for å redusere bruken av restriktive tiltak ble samlet inn fra dokumenter på avdelingen fra 2015 til 2022. I denne perioden ble forekomsten av restriktive tiltak registrert i regionens elektroniske register. Informasjon om tiltak og forekomst av restriktive tiltak ble sammenlignet ved hjelp av beskrivende statistikk og forekomstfrekvenser. Resultater: I studieperioden ble det iverksatt tjue forskjellige tiltak på avdelingen. Ingen av tiltakene førte til en vedvarende reduksjon i antall tvangstiltak. Noen av dem syntes imidlertid å redusere forekomsten av restriktive tiltak midlertidig, for eksempel de-eskaleringskurs og Safewards. I løpet av den første vinteren av COVID-19-pandemien (2020/2021) ble det observert en høy forekomst av restriktive tiltak, samtidig som mange avdelingsaktiviteter ble avlyst. Konklusjon: Selv om ingen av de gjennomførte tiltakene førte til en varig reduksjon i restriktive tiltak, tyder de midlertidige reduksjonene som ble observert etter noen av tiltakene på at økt bevissthet kan ha hatt en effekt. Dette understreker nødvendigheten av vedvarende fokus på et tiltak for at effekten skal opprettholdes.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">9</style></issue><section><style face="normal" font="default" size="100%">515</style></section></record><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%">Veenu Gupta</style></author><author><style face="normal" font="default" size="100%">Catrin Eames</style></author><author><style face="normal" font="default" size="100%">Alison Bryant</style></author><author><style face="normal" font="default" size="100%">Beth Greenhill</style></author><author><style face="normal" font="default" size="100%">Laura Golding</style></author><author><style face="normal" font="default" size="100%">Jennifer Day</style></author><author><style face="normal" font="default" size="100%">Peter Fisher</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Identifying the priorities for supervision by lived experience researchers: a Q sort study</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Research involvement and engagement</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Lived experience researcher, supervision, Q methodology, reflexivity, identity</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2024</style></year><pub-dates><date><style  face="normal" font="default" size="100%">25/06/2024</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://link.springer.com/article/10.1186/s40900-024-00596-w</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">10</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; Lived experience researchers draw on their lived and living experiences to either lead on or inform research. Their personal experiences are relevant to the research topic and so they must manage the interplay of their health and healthcare experiences with the research, population, and data they work with, as well as the more general challenges of being a researcher. Lived experience researchers must navigate these dilemmas in addition to queries over their competency, due to issues relating to intersectionality and epistemic injustice. This justifies a motivation to better understand the experiences of lived experience researchers and develop appropriate and personalised supervision based on their preferences and needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; Q methodology was used to identify a collection of identity-related issues that impact lived experience researchers during PhD research in the context of the UK. These issues were presented in the form of 54 statements to 18 lived experience researchers to prioritise as topics to explore in supervision.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result:&lt;/strong&gt; It was found that lived experiences researchers could be grouped into three distinct factors following an inverted factor analysis: Factor 1: Strengthening my identity, skills, growth, and empowerment; Factor 2: Exploring the emotional and relational link I have with the research and Factor 3: Navigating my lived and professional experiences practically and emotionally. The findings suggest that there may be three types of lived experience researchers, each with different needs from supervision, suggesting the population is heterogeneous.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The research identified a deeper understanding of the needs of lived experience researchers and highlights the importance of personalised supervision according to the individual needs of the researcher and their preferences for supervision. The findings reinforce the importance of integrating a clinical dimension into supervision to support the needs of all lived experience researchers.&lt;/p&gt;</style></abstract></record><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%">Hirsch, Sophie</style></author><author><style face="normal" font="default" size="100%">Baumgardt, Johanna</style></author><author><style face="normal" font="default" size="100%">Bechdolf, Andreas</style></author><author><style face="normal" font="default" size="100%">Buhling-Schindowski, Felix</style></author><author><style face="normal" font="default" size="100%">Cole, Celline</style></author><author><style face="normal" font="default" size="100%">Flammer, Erich</style></author><author><style face="normal" font="default" size="100%">Mahler, Lieselotte</style></author><author><style face="normal" font="default" size="100%">Muche, Rainer</style></author><author><style face="normal" font="default" size="100%">Sauter, Dorothea</style></author><author><style face="normal" font="default" size="100%">Vandamme, Angelika</style></author><author><style face="normal" font="default" size="100%">Steinert, Tilman</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Implementation of guidelines on prevention of coercion and violence: baseline data of the randomized controlled PreVCo study</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">evidence based care</style></keyword><keyword><style  face="normal" font="default" size="100%">guidelines</style></keyword><keyword><style  face="normal" font="default" size="100%">implementation</style></keyword><keyword><style  face="normal" font="default" size="100%">mental heath</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">Seclusion</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year></dates><volume><style face="normal" font="default" size="100%">14</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;The PreVCo study examines whether a structured, operationalized implementation of guidelines to prevent coercion actually leads to fewer coercive measures on psychiatric wards. It is known from the literature that rates of coercive measures differ greatly between hospitals within a country. Studies on that topic also showed large Hawthorne effects. Therefore, it is important to collect valid baseline data for the comparison of similar wards and controlling for observer effects.&lt;/p&gt;</style></abstract></record><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%">Hirsch, Sophie</style></author><author><style face="normal" font="default" size="100%">Baumgardt, Johanna</style></author><author><style face="normal" font="default" size="100%">Bechdolf, Andreas</style></author><author><style face="normal" font="default" size="100%">Buhling-Schindowski, Felix</style></author><author><style face="normal" font="default" size="100%">Cole, Celline</style></author><author><style face="normal" font="default" size="100%">Flammer, Erich</style></author><author><style face="normal" font="default" size="100%">Mahler, Lieselotte</style></author><author><style face="normal" font="default" size="100%">Muche, Rainer</style></author><author><style face="normal" font="default" size="100%">Sauter, Dorothea</style></author><author><style face="normal" font="default" size="100%">Vandamme, Angelika</style></author><author><style face="normal" font="default" size="100%">Steinert, Tilman</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Implementation of guidelines on prevention of coercion and violence: baseline data of the randomized controlled PreVCo study</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">evidence based care</style></keyword><keyword><style  face="normal" font="default" size="100%">guidelines</style></keyword><keyword><style  face="normal" font="default" size="100%">implementation</style></keyword><keyword><style  face="normal" font="default" size="100%">mental heath</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">Seclusion</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year></dates><volume><style face="normal" font="default" size="100%">14</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;The PreVCo study examines whether a structured, operationalized implementation of guidelines to prevent coercion actually leads to fewer coercive measures on psychiatric wards. It is known from the literature that rates of coercive measures differ greatly between hospitals within a country. Studies on that topic also showed large Hawthorne effects. Therefore, it is important to collect valid baseline data for the comparison of similar wards and controlling for observer effects.&lt;/p&gt;</style></abstract></record><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%">Stylianidis, Stelios</style></author><author><style face="normal" font="default" size="100%">Geogarca, Eugenie</style></author><author><style face="normal" font="default" size="100%">Peppou, Evangelia Lily</style></author><author><style face="normal" font="default" size="100%">Arvaniti, Aikaterini</style></author><author><style face="normal" font="default" size="100%">Samakouri, Maria</style></author><author><style face="normal" font="default" size="100%">MANE group</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Involuntary psychiatric hospitalizations in Greece: Contemporary research and policy implications</style></title><secondary-title><style face="normal" font="default" size="100%">Psychiatriki Quarterly Journal of the Hellenic Psychiatric Association </style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">human rights.</style></keyword><keyword><style  face="normal" font="default" size="100%">Involuntary psychiatric hospitalization</style></keyword><keyword><style  face="normal" font="default" size="100%">law implementation</style></keyword><keyword><style  face="normal" font="default" size="100%">mental health care practices</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://www.psychiatriki-journal.gr/documents/psychiatry/34.3-EN-2023-204.pdf</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">34</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Involuntary psychiatric hospitalization is a contested issue in mental health care provision. Despite indications of very high rates of involuntary hospitalizations in Greece, no valid national statistical data has been collected. After reviewing current research on involuntary hospitalizations in Greece, the paper introduces the Study of Involuntary Hospitalizations in Greece (MANE), a multi-center national study of the rates, process, determinants and outcome of involuntary hospitalizations, conducted in the regions of Attica, Thessaloniki, and Alexandroupolis, from 2017 to 2020, and presents some preliminary comparative findings regarding the rates and process of involuntary hospitalizations. There is a major difference in the rates of involuntary hospitalizations between Alexandroupolis (around 25%) and Athens and Thessaloniki (over 50%), which is possibly related to the sectorized organization of mental health services in Alexandroupolis and to the benefits of not covering a metropolitan urban area. There is a significantly larger percentage of involuntary admissions that end in involuntary hospitalization in Attica and Thessaloniki compared to Alexandroupolis. Reversely, of those accessing the emergency departments voluntarily, almost everyone is admitted in Athens, while large percentages are not admitted in Thessaloniki and in Alexandroupolis. A significantly higher percentage of patients were formally referred upon discharge in Alexandroupolis compared to Athens and Thessaloniki. This may be due to increased continuity of care in Alexandroupolis and that might explain the low rates of involuntary hospitalization there. Finally, re-hospitalization rates were very high in all the study centers, demonstrating the revolving-door phenomenon, especially for voluntary hospitalizations. The MANE project came to address the gap in the national recording of involuntary hospitalizations, by implementing, for the first time, a coordinated monitoring of involuntary hospitalizations in three regions of the country with different characteristics, so that a picture of involuntary hospitalizations can be drawn at national level. The project contributes to raising awareness of this issue at the level of national health policy and to formulating strat&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">3</style></issue></record><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%">Georg Høyer</style></author><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Ekaterina Sharashova</style></author><author><style face="normal" font="default" size="100%">Tone Breines Simonsen</style></author><author><style face="normal" font="default" size="100%">Anne Høye</style></author><author><style face="normal" font="default" size="100%">Henriette Riley</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Impact of introducing capacity-based mental health legislation on the use of community treatment orders in Norway: case registry study</style></title><secondary-title><style face="normal" font="default" size="100%">BJPsych Open</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">community treatment orders</style></keyword><keyword><style  face="normal" font="default" size="100%">CTO</style></keyword><keyword><style  face="normal" font="default" size="100%">Effekt</style></keyword><keyword><style  face="normal" font="default" size="100%">impact</style></keyword><keyword><style  face="normal" font="default" size="100%">legislation</style></keyword><keyword><style  face="normal" font="default" size="100%">lov</style></keyword><keyword><style  face="normal" font="default" size="100%">lovendring</style></keyword><keyword><style  face="normal" font="default" size="100%">TUD</style></keyword><keyword><style  face="normal" font="default" size="100%">tvungent vern uten døgnopphold</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">01/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.cambridge.org/core/journals/bjpsych-open/article/impact-of-introducing-capacitybased-mental-health-legislation-on-the-use-of-community-treatment-orders-in-norway-case-registry-study/8C1302C4705F3887004051947463A7F6</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">8</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background&lt;/p&gt;&lt;p&gt;In 2017, a capacity-based criterion was added to the Norwegian Mental Health Act, stating that those with capacity to consent to treatment cannot be subjected to involuntary care unless there is risk to themselves or others. This was expected to reduce incidence and prevalence rates, and the duration of episodes of involuntary care, in particular regarding community treatment orders (CTOs).&lt;/p&gt;&lt;p&gt;Aims&lt;/p&gt;&lt;p&gt;The aim was to investigate whether the capacity-based criterion had the expected impact on the use of CTOs.&lt;/p&gt;&lt;p&gt;Method&lt;/p&gt;&lt;p&gt;This retrospective case register study included two catchment areas serving 16% of the Norwegian population (aged &amp;ge;18). In total, 760 patients subject to 921 CTOs between 1 January 2015 and 31 December 2019 were included to compare the use of CTOs 2 years before and 2 years after the legal reform.&lt;/p&gt;&lt;p&gt;Results&lt;/p&gt;&lt;p&gt;CTO incidence rates and duration did not change after the reform, whereas prevalence rates were significantly reduced. This was explained by a sharp increase in termination of CTOs in the year of the reform, after which it reduced and settled on a slightly higher leven than before the reform. We found an unexpected significant increase in the use of involuntary treatment orders for patients on CTOs after the reform.&lt;/p&gt;&lt;p&gt;Conclusions&lt;/p&gt;&lt;p&gt;The expected impact on CTO use of introducing a capacity-based criterion in the Norwegian Mental Health Act was not confirmed by our study. Given the existing challenges related to defining and assessing decision-making capacity, studies examining the validity of capacity assessments and their impact on the use of coercion in clinical practice are urgently needed.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue><label><style face="normal" font="default" size="100%">tud</style></label></record><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%">Nina Camilla Wergeland</style></author><author><style face="normal" font="default" size="100%">Åshild Fause</style></author><author><style face="normal" font="default" size="100%">Astrid Karine Weber</style></author><author><style face="normal" font="default" size="100%">Anett Beatrix Osnes Fause</style></author><author><style face="normal" font="default" size="100%">Henriette Riley</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Increased autonomy with capacity‑based mental health legislation in Norway: a qualitative study of patient experiences of having come off a community treatment order</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">lov</style></keyword><keyword><style  face="normal" font="default" size="100%">lovendring</style></keyword><keyword><style  face="normal" font="default" size="100%">pasientopplevelse</style></keyword><keyword><style  face="normal" font="default" size="100%">Samtykke</style></keyword><keyword><style  face="normal" font="default" size="100%">Samtykkekompetanse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">04/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987267/</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">7</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Background:&amp;nbsp;&lt;/strong&gt;Capacity-based mental health legislation was introduced in Norway on 1 September 2017. The aim was to increase the autonomy of patients with severe mental illness and to bring mental health care in line with human rights. The aim of this study is to explore patient experiences of how far the new legislation has enabled them to be involved in decisions on their treatment after they were assessed as capable of giving consent and had their community treatment order (CTO) revoked due to the change in the legislation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method:&amp;nbsp;&lt;/strong&gt;Individual in-depth interviews were conducted from September 2019 to March 2020 with twelve people with experience as CTO patients. Interviews were transcribed and analysed using thematic analysis inspired by hermeneutics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&amp;nbsp;&lt;/strong&gt;Almost all interviewees were receiving the same health care over two years after their CTO was terminated. Following the new legislation, they found it easier to be involved in treatment decisions when off a CTO than they had done in periods without a CTO before the amendment. Being assessed as having capacity to consent had enhanced their autonomy, their dialogues and their feeling of being respected in encounters with health care personnel. However, several participants felt insecure in such encounters and some still felt passive and lacking in initiative due to their previous experiences of coercion. They were worried about becoming acutely ill and again being subjected to involuntary treatment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&amp;nbsp;&lt;/strong&gt;The introduction of capacity-based mental health legislation seems to have fulfilled the intention that treatment and care should, as far as possible, be provided in accordance with patients&amp;#39; wishes. Systematic assessment of capacity to consent seems to increase the focus on patients&amp;#39; condition, level of functioning and opinions in care and treatment. Stricter requirements for health care providers to find solutions in cooperation with patients seem to lead to new forms of collaboration between patients and health care personnel, where patients have become more active participants in their own treatment and receive help to make more informed choices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keywords:&amp;nbsp;&lt;/strong&gt;Autonomy; Capacity to consent; Coercion; Community treatment order; Outpatient commitment; Patient experiences; Self-determination; The Mental Health Care Act.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">22</style></issue><label><style face="normal" font="default" size="100%">erfaringsbaserte</style></label></record><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%">Nyttingnes, Olav</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Introduction of Medication-Free Mental Health Services in Norway: An Analysis of the Framing and Impact of Arguments From Different Standpoints</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Medication-free</style></keyword><keyword><style  face="normal" font="default" size="100%">Medisin</style></keyword><keyword><style  face="normal" font="default" size="100%">Medisinfri</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">07/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.frontiersin.org/articles/10.3389/fpsyt.2021.685024/full</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;&lt;strong&gt;Introduction:&lt;/strong&gt;&amp;nbsp;Debates about coercive practices have challenged a traditional biomedical hegemony in mental health care. The perspectives of service user organizations have gained considerable ground, such as in the development of the Convention on the Rights of Persons with Disabilities. Such changes are often contested, and might in practice be a result of (implicit) negotiation between stakeholders with different discursive positions. To improve understanding of such processes, and how discursive positions may manifest and interact, we analyzed texts published over a 10 year period related to the introduction of medication-free inpatient services in Norway.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt;&amp;nbsp;We conducted qualitative analyses of 36 policy documents related to the introduction of medication-free services and 75 opinion pieces from a subsequent debate. We examined discursive practices in these texts as expressions of what is perceived as legitimate knowledge upon which to base mental health care from the standpoints of government, user organizations and representatives of the psychiatric profession. We paid particular attention to how standpoints were framed in different discourse surrounding mental health care, and how these interacted and changed during the study period (2008&amp;ndash;2018).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt;&amp;nbsp;The analysis shows how elements from the discourse promoted by service user organizations&amp;mdash;most notably the legitimacy of personal experiences as a legitimate source of knowledge&amp;mdash;entered the mainstream by being incorporated into public policy. Strong reactions to this shift, firmly based in biomedical discourse, endorsed evidence-based medicine as the authoritative source of knowledge to ensure quality care, although accepting patient involvement. Involuntary medication, and how best to help those with non-response to antipsychotic medication represented a point at which discursive positions seemed irreconcilable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt;&amp;nbsp;The relative authorities of different sources of knowledge remain an area of contention, and especially in determining how best to help patients who do not benefit from antipsychotics. Future non-inferiority trials of medication-free services may go some way to break this discursive deadlock.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">annet</style></label></record><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 T, Baumgardt J</style></author><author><style face="normal" font="default" size="100%">Bechdolf A, Bühling-Schndowski F</style></author><author><style face="normal" font="default" size="100%">Cole C, Flammer E</style></author><author><style face="normal" font="default" size="100%">Jaeger S, Junghanss J</style></author><author><style face="normal" font="default" size="100%">Kampmann, M</style></author><author><style face="normal" font="default" size="100%">Mahler, L</style></author><author><style face="normal" font="default" size="100%">Muche, R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Implementation of guidelines on prevention of coercion and violence (PreVCo) in psychiatry: a multicentre randomised controlled trial</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">clinical guidelines</style></keyword><keyword><style  face="normal" font="default" size="100%">coercive measures</style></keyword><keyword><style  face="normal" font="default" size="100%">evidence based treatment</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">quality management</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">Seclusion</style></keyword><keyword><style  face="normal" font="default" size="100%">violence</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year><pub-dates><date><style  face="normal" font="default" size="100%">09.15.2020</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">file:///C:/Users/jha041/Downloads/fpsyt-11-579176.pdf</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;Coercive measures are among the most controversial interventions in psychiatry. There is a large discrepancy between the sheer number of high-quality guidelines and the small number of scientifically accompanied initiatives to promote and evaluate their implementation into clinical routine. In Germany, an expert group developed guidelines to provide evidence- and consensus-based recommendations on how to deal with violence and coercion in psychiatry.&lt;/p&gt;</style></abstract></record><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%">Marius Prytz</style></author><author><style face="normal" font="default" size="100%">Karina Harkestad</style></author></authors><secondary-authors><author><style face="normal" font="default" size="100%">Marius Veseth</style></author><author><style face="normal" font="default" size="100%">Jone Bjornestad</style></author></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">&quot;It's not a life of war and conflict&quot;: experienced therapists' views on negotiating a therapeutic alliance in involuntary treatment</style></title><secondary-title><style face="normal" font="default" size="100%">Ann Gen Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Involuntary</style></keyword><keyword><style  face="normal" font="default" size="100%">Therapeutic-alliance</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2019</style></year><pub-dates><date><style  face="normal" font="default" size="100%">06/2019</style></date></pub-dates></dates><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;Background: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;Working alliances are considered to be essential to treatment, and they represent a robust predictor of positive treatment outcomes. In a working alliance, a patient and therapist agree upon treatment decisions, which can raise a series of challenges when patients are in involuntary treatment. The aim of this study was to research how therapists experience negotiating a working alliance with patients with serious mental illnesses who are subjected to coercive treatment.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;Methods: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;Using a qualitative approach, we conducted 10 semi-structured interviews with experienced therapists in a Norwegian mental health care setting. Transcripts were analysed using a team-based thematic analysis method.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;Results: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;Two interrelated major themes and five sub-themes were identified: (1) between coercion and care; (a) the ease of coercion, (b) the paradox of autonomy, and (c) the coercion as care; and (2) imperative treatment and interpersonal dilemmas; (a) this is happening between us and (b) when we do not meet in the middle.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;Conclusion: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;We conclude that the therapists exhibited a will to consider their patients&amp;#39; goals and methods, but only when they were in agreement, and they ultimately made treatment decisions themselves. Further, patient autonomy seems to come second in therapist assessments of needs for care; consequently, we question to what degree the working alliance as a defined concept of mutual agreement is present in the involuntary treatment we investigated.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">18:9</style></issue><label><style face="normal" font="default" size="100%">Tvangsbehandling, Tvangsinnleggelse, Tvangsmidler</style></label></record><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%">Rolf Wynn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review</style></title><secondary-title><style face="normal" font="default" size="100%">International journal of mental health systems</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><volume><style face="normal" font="default" size="100%">12</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></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%">Aslaksen, Maya</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Idealer om brukermedvirkning i tvungent psykisk helsevern</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Brukermedvirkning</style></keyword><keyword><style  face="normal" font="default" size="100%">diskursanalyse</style></keyword><keyword><style  face="normal" font="default" size="100%">miljøterapi</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvungent psykisk helsevern</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2017</style></year><pub-dates><date><style  face="normal" font="default" size="100%">11/2019</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.duo.uio.no/bitstream/handle/10852/60077/1/Masteroppgave-med-kappe-og-forskningsartikkel--Maya-Aslaksen.pdf</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">UiO, Det juridiske fakultet</style></publisher><pub-location><style face="normal" font="default" size="100%">Oslo</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;Masteroppgaven består av en forkningsartikkel og en kappe basert på en kvalitativ studie av forståelser av brukermedvirkning, innenfor tvunget psykisk helsevern. Brukermedvirkning er en lovfestet rett og et grunnprinsipp i faglige retningslinjer for behandling, av personer med psykisk helseproblemer. Tidligere studier viser at brukermedvirkning er et flertydig begrep. Hensikten med studien er å tydeliggjøre hva miljøterapeuter legger i begrepet brukermedvirkning i tvungent psykisk helsevern, samt hvilke diskurser som viser seg når de snakker om dette. Diskursteori inspirert av Laclau og Mouffe er utgangspunkt for analysene. Teori om makt ved Michel Foucault ble benyttet til å belyse maktaspekter ved hjelperelasjonen. Annemarie Mols teorier om valglogikk og omsorgslogikk ble benyttet for å belyse funnenes implikasjoner. Studien er basert på kvalitativ og eksplorativ forskningsmetode. Det ble benyttet fokusgruppeintervju for å innhente data, og deretter ble det gjort en diskursanalyse av de transkriberte tekstene. Funnene viser at informantene snakker innenfor en &amp;laquo;diskurs om borgerrettigheter&amp;raquo; og en &amp;laquo;diskurs om terapi&amp;raquo;. Innenfor borgerrettighetsdiskursen ble brukermedvirkning beskrevet som pasientens rett til å kunne ta egne valg i behandlingen. Begrepet knyttes da til et ideal om autonomi, med et premiss om rasjonalitet. Informantene ilegger et slikt begrep liten relevans innenfor tvungent psykisk helsevern. Innenfor terapidiskursen beskrives medvirkning som pasientens deltakelse i egen behandling. Medvirkningen knyttes til et ideal om god behandling, der den terapeutiske betydningen av å medvirke vektlegges. Studien viser at det innenfor rammen av tvungent psykisk helsevern eksisterer svært ulike forståelsesrammer for et begrep, som både i helsepolitiske dokumenter og faglige retningslinjer, fremholdes som en grunnpilar i behandling av psykiske helseproblemer.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;The Master&amp;#39;s thesis consists of a papers article and a cloak based on a qualitative study of understanding of user involvement, within involuntary mental health care. User involvement is a statutory right, and a basic principle in professional guidelines for treatment. However, earlier studies show that user involvement is an ambiguous term. The purpose of the study is to examine how milieu therapist&amp;rsquo;s talk about the concept of user involvement, in involuntary mental health care, and which discourses that emerge when they talk about the concept. For the analyses, I used Laclau and Mouffe&amp;rsquo;s discourse theory. Michel Foucault&amp;rsquo;s theories on power were used to illuminate power issues. I also used Annemarie Mol&amp;rsquo;s theories of the &amp;laquo;Logic of Care&amp;rdquo; and the &amp;laquo;Logic of Choice&amp;raquo; to discuss the implications of my findings.The study had a qualitative design, with focus group interviews. Two different focus groups were set up in two hospitals within the Regional Health Authority of &amp;ldquo;Helse Sør -Øst&amp;rdquo;. Each group participated in two interviews. The interviews were transcribed, and analyzed using a discourse analytical approach. The analysis of the material shows that the way in which the informants talk about user participation is framed by a &amp;ldquo;Discourse on Citizen Rights&amp;rdquo; and a &amp;ldquo;Discourse on Therapy&amp;rdquo;. When speaking within a Discourse on Citizen Rights, user participation is described as the patient&amp;#39;s right to make his or her own choices regarding the treatment. The concept is linked to autonomy and a premise of rationality. The informants describe such a notion as having limited relevance for involuntary mental health care. Within a Discourse on Therapy, user participation is described as the patient participating in the treatment. It is linked to the value of good treatment, and the therapeutic importance of participation is emphasized. This study reveals that there are contradictory understandings of a term that appears in health policy documents as a pillar in treatment of mental health problems.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Master thesis</style></work-type><label><style face="normal" font="default" size="100%">etikk</style></label></record><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%">Adrian R. Pasareanu</style></author><author><style face="normal" font="default" size="100%">John-Kåre Vederhus</style></author><author><style face="normal" font="default" size="100%">Anne Opsal</style></author><author><style face="normal" font="default" size="100%">Øistein Kristensen</style></author><author><style face="normal" font="default" size="100%">Thomas Clausen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Improved drug-use patterns at 6 months post-discharge from inpatient substance use disorder treatment: results from compulsorily and voluntarily admitted patients</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research 2016</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year></dates><edition><style face="normal" font="default" size="100%">20.07.2016</style></edition><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsmedisinering</style></label></record><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%">Ketil Røtvold</style></author><author><style face="normal" font="default" size="100%">Rolf Wynn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Involuntary psychiatric admission: how the patients are detected and the general practitioners’ expectations for hospitalization. An interview-based study</style></title><secondary-title><style face="normal" font="default" size="100%">International Journal of Mental Health Systems</style></secondary-title><short-title><style face="normal" font="default" size="100%">International journal of mental health systems</style></short-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year></dates><volume><style face="normal" font="default" size="100%">10</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><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%">Stuen, Hanne Kilen</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Landheim, Anne</style></author><author><style face="normal" font="default" size="100%">Rolf Wynn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Increased influence and collaboration: a qualitative study of patients’ experiences of community treatment orders within an assertive community treatment setting</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services ResearchBMC Health Serv Res</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-1083-x</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">1</style></number><volume><style face="normal" font="default" size="100%">15</style></volume><pages><style face="normal" font="default" size="100%">1-13</style></pages><isbn><style face="normal" font="default" size="100%">1472-6963</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language></record><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%">Valenti, Emanuele</style></author><author><style face="normal" font="default" size="100%">Banks, Ciara</style></author><author><style face="normal" font="default" size="100%">Calcedo-Barba, Alfredo</style></author><author><style face="normal" font="default" size="100%">Bensimon, Cécile</style></author><author><style face="normal" font="default" size="100%">Hoffmann, Karin-Maria</style></author><author><style face="normal" font="default" size="100%">Pelto-Piri, Veikko</style></author><author><style face="normal" font="default" size="100%">Jurin, Tanja</style></author><author><style face="normal" font="default" size="100%">Mendoza, Octavio</style></author><author><style face="normal" font="default" size="100%">Mundt, Adrian</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Tubini, Jacopo</style></author><author><style face="normal" font="default" size="100%">Priebe, Stefan</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Informal coercion in psychiatry: a focus group study of attitudes and experiences of mental health professionals in ten countries</style></title><secondary-title><style face="normal" font="default" size="100%">The International Journal for Research in Social and Genetic Epidemiology and Mental Health Services</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><volume><style face="normal" font="default" size="100%">50</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse, Tvangsmidler, Etikk</style></label></record><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%">Kristin Thuve Dahm</style></author><author><style face="normal" font="default" size="100%">Odgaard-Jensen, Jan</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author><author><style face="normal" font="default" size="100%">Kari Ann Leiknes</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Interventions for reducing coercion in mental health for adults: A systematic review and the impact of updating</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Brain Sciences</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://www.pakinsight.com/pdf-files/JBS-2014-1(1)-1-23.pdf</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">1</style></number><volume><style face="normal" font="default" size="100%">1</style></volume><pages><style face="normal" font="default" size="100%">1-23</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse, Tvangsmidler</style></label></record><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%">Ketil Røtvold</style></author><author><style face="normal" font="default" size="100%">Rolf Wynn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Involuntary psychiatric admission: Characteristics of the referring doctors and the doctors’ experiences of being pressured</style></title><secondary-title><style face="normal" font="default" size="100%">Nordic Journal of PsychiatryNordic Journal of Psychiatry</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><volume><style face="normal" font="default" size="100%">69</style></volume><language><style face="normal" font="default" size="100%">eng</style></language></record><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%">Rolf Wynn</style></author><author><style face="normal" font="default" size="100%">Ketil Røtvold</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Involuntary psychiatric admission: The referring general practitioners’ assessment of patients’ dangerousness and need for psychiatric hospital treatment</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://www.tandfonline.com/doi/full/10.3109/08039488.2015.1046915</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><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%">Eli Feiring</style></author><author><style face="normal" font="default" size="100%">Kristian Nordal Ugstad</style></author></authors></contributors><titles><title><style 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of Oslo, Blindern, Oslo 0317, Norway. eli.feiring@medisin.uio.no.</style></auth-address><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><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%">Rotvold, K.</style></author><author><style face="normal" font="default" size="100%">Wynn, R.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Involuntary psychiatric admission: Characteristics of the referring doctors and the doctors' experiences of being pressured</style></title><secondary-title><style face="normal" font="default" size="100%">Nordic Journal of Psychiatry</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year></dates><urls><web-urls><url><style face="normal" font="default" 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Some (still) unanswered questions.</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Mental Health</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2008</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://informahealthcare.com/doi/abs/10.1080/09638230802156723</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">3</style></number><volume><style face="normal" font="default" size="100%">17</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsbehandling, Tvangsinnleggelse</style></label></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%">Ann-Torunn Andersen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Integritet og rom : Om hvordan pasient og miljøpersonale opplever å være i samme rom over et lengre tidsrom i en psykiatrisk akuttavdeling</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Akutt</style></keyword><keyword><style  face="normal" font="default" size="100%">akuttavdeling</style></keyword><keyword><style  face="normal" font="default" size="100%">akuttpost</style></keyword><keyword><style  face="normal" font="default" size="100%">miljøpersonal</style></keyword><keyword><style  face="normal" font="default" size="100%">pasientopplevelse</style></keyword><keyword><style  face="normal" font="default" size="100%">psykose</style></keyword><keyword><style  face="normal" font="default" size="100%">Skjerming</style></keyword><keyword><style  face="normal" font="default" size="100%">Sykepleie</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2007</style></year></dates><publisher><style face="normal" font="default" size="100%">UiO, Det teologiske fakultet, profesjonsutdanning og diakonvitenskap</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Bakgrunn, metode og teori&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;I denne studien har jeg undersøkt hvordan pasienter og miljøpersonale opplever å være i samme rom over et lengre tidsrom i psykiatrisk akuttavdeling. Jeg gir stor plass i oppgaven til den livsverden som pasienter og miljøpersonale forteller meg om. Pasientene, som gjennomlevde en psykotisk periode, hadde fått iverksatt skjerming med personalvakt eller fastvakt.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Gjennom kvalitative intervjuer er det undersøkt hvordan pasienter og miljøpersonale opplever sin integritet ivaretatt eller truet, og hvilke fagetiske dilemmaer personalet møter når de skal ivareta egen og pasienters integritet. Fire pasientene ble intervjuet den siste uken de var innlagt ved en akuttpsykiatrisk avdeling. De hadde vært i samme rom med personalet fra noen dager til flere måneder mens de var innlagt. Seks miljøpersonale ble også intervjuet, og forteller om opplevelser fra å være i samme rom med pasienter, nødvendigvis ikke dem jeg har intervjuet, men om gode og dårlige opplevelser i forhold til det å være i samme rom med den gruppen pasienter som er omtalt over.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Materialet er analysert og drøftet i lys av eksistensiell fenomenologisk teori med vekt på temaene integritet og rom og sammenhengen mellom dem. Ronald D. Laing og Maurice Meleau- Ponty er teoretisk de to viktigste bidragsyterne i denne studien, men også Søren Kierkegaard og Petter Kemp anvendes.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Resultater og refleksjon&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Et sentralt tema i oppgaven er hvordan rommet, og de rommene som trer fram i rommet, berører integriteten, og hvordan identitet og integritet også influerer på forståelsen av rommet (ene). De rommene som trer fram i analysen er eksistensielt rom, perseptuelt rom, kroppsrom, intersubjektivt rom, imaginære rom, private rom, sosiale rom, fysiske rom, handlingsrom og bevegelsesrom. De er alle uttrykk for ulike sider ved det å være i samme rom. For både pasienter og personalet er det fenomener som trer fram i rommet som både fremmer og truer integriteten for den enkelte. Det som truer eller fremmer integriteten for den ene gruppen er nødvendigvis ikke sammenfallende med hva som truer og fremmer integriteten for den andre gruppen. Det kom også fram at et fenomen som truer eller ivaretar integriteten på et tidspunkt kan oppleves annerledes på et annet tidspunkt.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Pasientmateriale&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;I tre av fire intervju var pasientene spesielt opptatt av hvor vanskelig det var å utholde sin egen situasjon i den perioden de var i samme rom som et personale. Pasientenes situasjon var forskjellig, men de forteller om kaotisk tankeinnhold, frykt for verden omkring, høyt motorisk tempo og vansker med å kjenne den kroppslige substans. På forskjellige måter opplevde de et fragmentert og utydelig selv. Denne eksistensielle situasjonen medførte en trussel mot deres integritet. Det var gjennomgående at oppmerksomheten til pasienten var vendt innover og flere kjempet med påtrengende hallusinatoriske inntrykk. Det gjorde det vanskelig å forholde seg til omverdenen, væren-med-andre, og personalet kom i bakgrunnen og kunne i perioder bli utydelige. Flere pasienter beskriver det å være i samme rom som å være i fengsel og at personalets tilstedeværelse var for tett på og varte for lenge. Det kunne også oppleves trygt å ha noen i nærheten, og særlig for en kortere periode. I analysen viser jeg at identitet og integritet influerer på hvordan rommene fremstår for den enkelte. Noen rom ble ørsmå. Det er mange vitnesbyrd i materialet om hva som kan åpne rommene, men også hva som kan fortrenge rommene og fratar mennesket dets frihet.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Miljøpersonalmateriale&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Et personale beskriver hvordan et strengt skjermingsregime oppleves som lite ivaretaende overfor pasienten og blir et fagetisk dilemma som også truer personalets integritet. En annen historie, fra et annet personale, gir flere eksempler på hvordan en ivaretar pasientens integritet, og som igjen styrker integriteten til den ansatte. Over halvparten av personalet er kritiske til det omfang med skjerming med personalvakt og fastvakt som finner sted i avdelingen. De opplever at det ofte oppstår en praksis som de mener er for rigid. Det vanligste var at ett personale fikk tildelt oppgaven å være i samme rom med en pasient annenhver time i løpet av en vakt og at fire til fem andre medarbeidere fordelte resten av timene. Over halvparten av tiden var det ufaglærte som var sammen med pasientene i disse situasjonene. Det kom også fram at det var avstand mellom hva som nedtegnes i de formelle vedtakene og hvordan fenomenene fremtrer i den praktiske hverdag. Jeg har registrert at pasienter og miljøpersonale var langt hyppigere i samme rom over et lengre tidsrom i de sengepostene som samtidig hadde størst overbelegg. Om fenomenet å være i samme rom finner hyppigere sted fordi det er lite egnede lokaler, eller fordi korridorene er fylt opp av pasienter i korridorsenger er omfanget i denne studien for lite til å si noe eksplisitt om. Det kan være en spennende problemstilling i en ny studie. Minst halvparten av de 12 pasientene jeg kartla opplevde at fenomenet varte i flere måneder. Jeg fikk kun intervjuet en pasient som hadde opplevd dette over et så langt tidsrom. Det er grunn til å tro at jeg ikke har fått intervjuet de som gjennomlever de største eksistensielle lidelsene i denne gruppen. I en ny studie, med tilgang til større metodisk mangfold (bl.a feltstudier) og lengre tidsperspektiv, vil det å søke kunnskap om hvordan noen av de sykeste pasientene i psykiatrien opplever dette fenomenet bli et nyttig og spennende felt å utforske.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Sammenfatning&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Jeg gir i denne studien ordet til pasienter i en eksistensiell situasjon så smertefull at den truer både identitet og integritet, og til personalet som skal møte denne smerten. I materialet er det mange vitnesbyrd om å være i samme rom, men det er også vitnesbyrd om å være i hvert sitt rom og i rom på ulike plan og nivå. Identitet fordrer rom og integritet fordrer kontakt mellom rommene. 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