METHODS
This was a focus group study using a descriptive and exploratory approach. The study was based on three focus group interviews with a total of 22 participants. Data were analysed using qualitative content analysis.
RESULTS
The study showed that health professionals had a positive attitude towards outpatient commitment and considered it necessary for patients with psychosis who lacked insight and did not collaborate on treatment. At the same time their attention to patients' lack of insight could lead to a paternalistic approach more than measures to enhance patient autonomy. This challenged their therapeutic relationship with the patient.
CONCLUSION
Health professionals found it difficult to combine control with therapeutic care, but gave greater emphasis to patients' need for treatment and continuity of care than to their autonomy. This dilemma indicates a need to discuss whether increased attention to patients' autonomy rather than insight into their illness would improve treatment cooperation and reduce the use of coercion.
Link til artikkel
- Forfattere: Stensrud, Bjørn; Høyer, Georg; Beston, Gro; Granerud, Arild; Landheim, Anne.
- Publisert: Social Psychiatry and Psychiatric Epidemiology 2016 ;Volum 51. s. 747-755