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Compulsory treatment in eating disorders: Control, provocation, and the coercion paradox.

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  • المؤلفون: Túry F;Túry F; Szalai T; Szalai T; Szumska I; Szumska I
  • المصدر:
    Journal of clinical psychology [J Clin Psychol] 2019 Aug; Vol. 75 (8), pp. 1444-1454. Date of Electronic Publication: 2019 Apr 20.
  • نوع النشر :
    Journal Article
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Wiley Country of Publication: United States NLM ID: 0217132 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-4679 (Electronic) Linking ISSN: 00219762 NLM ISO Abbreviation: J Clin Psychol Subsets: MEDLINE
    • بيانات النشر:
      Publication: <2005-> : Hoboken, N.J. : Wiley
      Original Publication: Brandon, Vt. [etc.] Clinical Psychology Pub. Co.
    • الموضوع:
      Coercion* ; Family* ; Internal-External Control* ; Patient Acceptance of Health Care*; Feeding and Eating Disorders/*therapy ; Involuntary Commitment/*ethics ; Professional-Patient Relations/*ethics; Adolescent ; Adult ; Anorexia Nervosa/therapy ; Female ; Humans ; Young Adult
    • نبذة مختصرة :
      In eating disorders, the denial of the illness is a central phenomenon. In the most severe forms of anorexia, compulsory treatment may be necessary. The professional acceptance of involuntary treatment is controversial due to the fact that the autonomy of the patient is juxtaposed with the obligation of the health care practitioner to save lives. This paper discusses the major practical and ethical considerations surrounding this controversy. In addition, case vignettes are used to illustrate various strategies to diminish client resistance and enhance motivation toward treatment. Involving the family is nearly always essential for the treatment of patients with eating disorders. In some cases, parental consultation (i.e., treatment without the client) can also be an option. Home visits, though rarely used, can reframe the therapeutic relationship and provide information about family functioning. In general, a lower level of treatment coercion can be achieved through transparent client-parent and client-therapist communication.
      (© 2019 The Authors Journal of Clinical Psychology Published by Wiley Periodicals, Inc.)
    • Contributed Indexing:
      Keywords: anorexia nervosa; bulimia nervosa; coercion paradox; compulsory treatment; eating disorders; provocation
    • الموضوع:
      Date Created: 20190421 Date Completed: 20200831 Latest Revision: 20200831
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.1002/jclp.22783
    • الرقم المعرف:
      31004507