Graduate studies at Western
|Abstract||OBJECTIVE: This paper addresses the question of the circumstances which lead clinicians to use legal coercion in the management of patients with severe anorexia nervosa, and explores similarities and differences between such formal coercion and other forms of 'strong persuasion' in patient management. METHOD: Logistic regression and other statistical analysis was undertaken on 75 first admissions for anorexia nervosa from a sample of 117 successive admissions to an eating disorder facility in New South Wales, Australia, where an eating disorder was the primary diagnosis. Admissions with other primary diagnoses, such as bulimia nervosa (25 episodes), and entries with a co morbid diagnosis (e.g. depression or opiate overdose), were discarded, leaving 96 admissions by 75 individuals. RESULTS: Resort to measures of legal coercion into treatment was found to be associated with three main indicators: the patient's past history (number of previous admissions); the complexity of their condition (the number of other psychiatric co morbidities); and their current health risk (measured either by Body Mass Index or the risk of re-feeding syndrome). CONCLUSIONS: Our study is consistent with the few earlier studies about indicators for legal coercion in anorexia nervosa management, and suggests that clinicians use legal coercion very sparingly, distinguishing legal coercion from other forms of close clinical management of patients.|
|Keywords||No keywords specified (fix it)|
No categories specified
(categorize this paper)
|Through your library||Only published papers are available at libraries|
Similar books and articles
Mary Briody Mahowald (1992). To Be or Not Be a Woman: Anorexia Nervosa, Normative Gender Roles, and Feminism. Journal of Medicine and Philosophy 17 (2):233-251.
Denial (2010). Case StudyCommentaryCommentary. Hastings Center Report 40 (6).
Tony Hope, Jacinta Tan, Anne Stewart & Ray Fitzpatrick (2011). Anorexia Nervosa and the Language of Authenticity. Hastings Center Report 41 (6):19-29.
Simona Giordano (2010). The Fisherman and the Assassin: Reflections on Anorexia Nervosa. Philosophy, Psychiatry, and Psychology 17 (2):163-167.
Simona Giordano (2005). Understanding Eating Disorders: Conceptual and Ethical Issues in the Treatment of Anorexia and Bulimia Nervosa. OUP Oxford.
Terry Carney, Miriam Ingvarson & David Tait, Experiences of 'Control' in Anorexia Nervosa Treatment: Delayed Coercion, Shadow of Law, or Disseminated Power & Control?
Terry Carney, Alison Wakefield, David Tait & Stephen Touyz, Reflections on Coercion in the Treatment of Severe Anorexia Nervosa.
Added to index2009-01-28
Total downloads4 ( #189,051 of 739,304 )
Recent downloads (6 months)0
How can I increase my downloads?