Cultural Differences in the Use of Covert Coercion Among Mental Health Professionals of Latin Culture: A Focus Group Study

2021 ◽  
pp. EHPP-D-21-00001
Author(s):  
Ignacio García-Cabeza ◽  
Alfredo Calcedo ◽  
Octavio Márquez Mendoza ◽  
Adrián Mundt ◽  
Emanuel Valentil
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Iterative Process ◽  
Socioeconomic Differences ◽  
Focus Group Study ◽  
Unique Role ◽  
Cultural Aspects ◽  
Targeted Sampling ◽  
Latin Culture

Coercion in Mental Health is related to sociocultural contexts. The purpose of this study is to examine whether the uses and perceptions of covert coercion on the part of professionals from four Latin-culture countries (Spain, Italy, Mexico, and Chile) differ between them and from those described in the literature.We conducted a qualitative research, using focus groups with professionals, with targeted sampling and an iterative process for thematic analysis.Several differentiating categories were found: the use of alternative strategies of covert coercion (deception, emotional blackmail, and directiveness); the role of family and socioeconomic differences; and cultural aspects such as the unique role religion plays in Mexico, a relatively greater toleration of threat as a means of coercion.

scholarly journals Perception and use of informal coercion in outpatient treatment: a focus group study with mental health professionals of Latin culture

Salud Mental ◽  
2017 ◽  
Vol 40 (2) ◽  
pp. 63-70
Author(s):  
Ignacio García-Cabeza ◽  
◽  
Emanuel Valenti ◽  
Alfredo Calcedo ◽  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Perceived Risk ◽  
Total Sample ◽  
Involuntary Hospitalization ◽  
Focus Group Study ◽  
Informal Coercion ◽  
Latin Culture

Introduction. In addition to compulsion (involuntary hospitalization, seclusion, restraint, etc.), there are broader forms of coercion (persuasion, interpersonal pressure, inducement or threat), called informal or covert coercion, all of which try to improve patients adherence to treatment. Objective. To analyse the use of covert coercion in mental health outpatients and the mental health professionals´ views on this practice comparing four countries (Spain, Italy, Mexico and Chile). Methods. We conducted a qualitative research using four focus groups in each country with mental health professionals working in mental health centres and based on a thematic analysis approach. Sample. The total sample was made up of 98 professionals (31 psychiatrists, 25 clinical psychologists, 28 nurses, eight social workers and six other professionals). Results. The use of informal coercion was recognized in clinical practice, but its intensity was related to professionals´ characteristics and to factors related to diagnosis, clinical course, perceived risk, insight, therapeutic relationship and organizational issues in the delivery of services. Its use was justified by effectiveness in improving adherence and, generally, in seeking benefits for the patient, but sometimes in a paternalistic way. Discussion and conclusion. Our results match those described in the literature in terms of: 1. sociodemographic and clinical profile; 2. the reason that leads to its use (adherence); 3. ethical justification (search for patient´s benefit, trying not to impair his freedom); hence, the most intense forms (threat) were misperceived. Our professionals acknowledged the use of covert coercion in their clinical practice, justifying it on ethical and clinical grounds.

The future role of the psychiatrist in Europe – a UEMS perspective

2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
General Interest ◽  
Future Role ◽  
Personal Opinion ◽  
The Future ◽  
The Subject ◽  
The Many

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.

scholarly journals Racism and Mental Health and the role of mental health professionals

2021 ◽  
pp. 1-15
Author(s):  
M Schouler-Ocak ◽  
D Bhugra ◽  
MC Kastrup ◽  
G Dom ◽  
A Heinz ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals

scholarly journals Current issues in Scandinavian acute psychiatric wards

2006 ◽  
Vol 15 (2) ◽  
pp. 99-103 ◽  
Author(s):  
Torleif Ruud ◽  
Nils Lindefors ◽  
Anne Lindhardt
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Policy Makers ◽  
Health Practitioners ◽  
Psychiatric Units ◽  
Acute Psychiatric Wards ◽  
Field Information ◽  
The Right

AbstractThe aim of the paper is to provide an overview of some of the most important issues faced by acute inpatient facilities in three Scandinavian countries, including reflections and critical remarks for discussion in this field. Information was drawn from scientific articles and official reports published in recent years, as well as the authors' own knowledge of acute facilities in their home countries. Acute inpatient facilities, including General Hospital Psychiatric Units (GHPUs), in all Scandinavian countries have several issues and problems in common, which include the organisation and capacity of acute services, the assessment of dangerousness and suicidality, the use of coercion and efforts to reduce coercion, the need to define and improve the quality of acute services, and the necessity to improve collaboration and continuity between acute services and other services. Although the emphasis some of these issues receive can vary across the three countries, Scandinavian mental health professionals (and policy makers) have begun to systematically share their experiences in developing a growing spirit of collaboration. Despite the role of welfare state and the deployment of substantial resources in Scandinavian countries, mental health practitioners are struggling to implement best practices in acute wards, to develop differentiated forms of acute services, and to reach the right balance and coordination between acute services and other services.

scholarly journals Considering Mindfulness Techniques in School-based Anti-bullying Programmes

2018 ◽  
Vol 7 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Mairead Foody ◽  
Muthanna Samara
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Perspective Taking ◽  
School Bullying ◽  
Duty Of Care ◽  
Whole School ◽  
School Based ◽  
Current Psychological ◽  
The Impact

Schools have a duty of care to all students and to directly prevent and intervene with bullying amongst children and adolescents. The emergence of cyberbullying escalates this responsibility as the strategies that have become appropriate at national levels for bullying do not always parallel over to online environments. The impact on mental health is the most obvious concern for those responsible for reducing bullying, however, input from psychologists and mental health professionals is scant and often limited on this topic. This paper outlines what bullying is and the devastating impact it can have on the mental health of those involved. It will outline the most common anti-bullying initiatives as well as the current psychological and educational techniques, which could also be used to alleviate distress associated with bullying involvement. We will focus specifically on the role of mindfulness techniques and argue for more of such exercises to be included in whole-school bullying programmes. We conclude by arguing the need to investigate components relevant to both mindfulness and anti-bullying programmes (e.g., empathy, perspective-taking) as active ingredients for reducing the impact of bullying on mental health.

Romantic Relationships, Online Dating, and Mental Health Issues

2021 ◽  
pp. 94-102
Author(s):  
Tejaswini Bhave
Keyword(s):  
Mental Health ◽  
Romantic Relationships ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Romantic Relationship ◽  
Online Dating ◽  
Health Issues ◽  
Mental Health Issues ◽  
Potential Partner

This chapter attempts to present the overview of mental health issues associated with online dating and online romantic relationships with relevant research background. It briefly cautions about the possible risks involved in the world of online dating platforms and later delves into mental health concerns that can emerge out of experiences while selecting a potential partner online, developing a romantic relationship, and being involved in a romantic relationship online. It also discusses safety measures that need to be taken before and while being active on such online dating sites. The chapter draws attention to the specific role of mental health professionals that is needed while dealing with victims of online scams and abuse.

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