Involuntary psychiatric treatment entails the legal enforcement of treatment against an individual’s will, as determined by judicial authority, to ensure the patient’s well-being and safety while protecting others from potential harm. The application of coercive methods, which has demonstrated a general rise in recent years, continues to be a topic of clinical, legal, and ethical contention with divergent viewpoints in psychiatry. These restrictions violate various fundamental rights based on ethical principles, including autonomy, freedom of movement, and bodily integrity. Therefore, responsive care is ethically imperative, as vulnerable individuals rely on others for their welfare. After discussing the ethical foundations that guide clinical decision-making, and how to use this knowledge in involuntary psychiatric treatment, this essay underlines the criteria for involuntary psychiatric treatment. Moreover, a new focus is given to strategies that can be used to mitigate their negative impact, contributing to the protection of human dignity and well-being.

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Involuntary Psychiatric Treatment and Ethical Issues in Clinical Decision-Making

  • Carlos Laranjeira

摘要

Involuntary psychiatric treatment entails the legal enforcement of treatment against an individual’s will, as determined by judicial authority, to ensure the patient’s well-being and safety while protecting others from potential harm. The application of coercive methods, which has demonstrated a general rise in recent years, continues to be a topic of clinical, legal, and ethical contention with divergent viewpoints in psychiatry. These restrictions violate various fundamental rights based on ethical principles, including autonomy, freedom of movement, and bodily integrity. Therefore, responsive care is ethically imperative, as vulnerable individuals rely on others for their welfare. After discussing the ethical foundations that guide clinical decision-making, and how to use this knowledge in involuntary psychiatric treatment, this essay underlines the criteria for involuntary psychiatric treatment. Moreover, a new focus is given to strategies that can be used to mitigate their negative impact, contributing to the protection of human dignity and well-being.