Abstract
While a standard procedure in mental health internment facilities, physical restraint, as an extreme form of coercion in mental health, has been claimed to be abolished. Three sorts of arguments have been provided: an argument from dignity, and argument from informed consent, and a consequentialism argument. In this chapter we discuss these arguments and conclude that these arguments are not decisive to completely ban such forms of coercion. Restraint, in particular, may be justified in exceptional circumstances, where an imminent risk for the personal integrity of anybody involved, including the person with the mental health problem. However, this sort of case is infrequent, while restraint is often the first option. This conclusion also suggests that much can be done to prevent reaching such extreme circumstances where coercion may be the only option. The discussion also clarifies how coercion should be carried out, when justified, making it supervised and as short as possible.
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Gomila, A. (2023). Coercion in Mental Health Treatment. In: Valdés, E., Lecaros, J.A. (eds) Handbook of Bioethical Decisions. Volume II. Collaborative Bioethics, vol 3. Springer, Cham. https://doi.org/10.1007/978-3-031-29455-6_28
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DOI: https://doi.org/10.1007/978-3-031-29455-6_28
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