Freedom of Opinion and Expression: From the Perspective of Psychosocial Disability and Madness

Beaupert, Fleur

doi:10.3390/laws7010003

Cited by 14 publications

(14 citation statements)

References 52 publications

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“…Moreover, individual ‘behaviour’ during an interview is heavily reliant on the situation, cultural background, and the ability of the clinician to engage with the person and establish rapport. Beaupert () argues that a focus on pathologizing appearance, and certain behaviours and/or beliefs considered ‘socially unacceptable’ precludes the formation of other opinions and understandings about what may be happening for the individual. Moreover, the terminology used to describe symptoms carries a tacit understanding among mental health professionals that some people are more ‘genuinely’ ill than others and that symptoms are perceived as either ‘authentic’ or ‘less authentic’ (Ringer & Holen ).…”

Section: Discussionmentioning

confidence: 99%

Are current mental health assessment formats consistent with contemporary thinking and practice?

Wand

Buchanan‐Hagen

Derrick

et al. 2019

Int J Mental Health Nurs

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Conducting and documenting a mental health assessment is considered a central activity from a clinical and organizational perspective. In recent years, thinking and practice in mental health service delivery has changed considerably to embrace principles of recovery, trauma‐informed care, and strengths‐based approaches. The aim of the present study was to determine the degree to which these concepts are reflected in the content of assessment formats across mental health services in Australia and New Zealand. Copies of mental health assessments used in each state and territory in Australia, and three District Health Boards in New Zealand were obtained. Assessment formats were compared for similarities and differences, and to determine whether concepts of recovery, trauma‐informed care, and strengths‐based approaches were incorporated. The assessment formats analysed (n = 11) contained many traditional features targeted at identifying harms, problems, risks, and pathology. Some attempts to redress this discrepancy were evident. Overall, assessment formats did not adequately voice the individual’s perspective or promote a truly comprehensive assessment through an exploration of individual strengths, skills and abilities, past successes, and future hopes. Assessment formats across Australia and New Zealand are not currently aligned with contemporary thinking and practice in mental health care. Given the heavy influence that mental health assessment has on clinical decision making in particular, a reappraisal of the focus and content of formats used is urgently required.

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Section: Discussionmentioning

confidence: 99%

Are current mental health assessment formats consistent with contemporary thinking and practice?

Wand

Buchanan‐Hagen

Derrick

et al. 2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“… 7 The usefulness of the concept in psychiatric practice has been challenged. The concept is imprecise and may often serve the function of pathologizing patients’ disagreement with the care offered (or coerced; Beaupert, 2018 ). …”

Section: Notesmentioning

confidence: 99%

Absence of insight as a catch-all extra-legislative factor in Swedish mental health law proceedings

Radovic

Eriksson

Dahlin

2020

Psychiatry, Psychology and Law

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Previous research indicates that insight is frequently used but rarely defined in mental health proceedings. This article examines how participants in Swedish administrative court proceedings use the concept of insight when discussing decisions regarding involuntary psychiatric care. Open-ended qualitative interviews were conducted with professional mental health court participants. The results show that lack of insight is used by the informants as an argument for all three legal criteria for involuntary psychiatric care in Sweden, as well as the criterion for release from forensic psychiatric care. It is concluded that there are troublesome legal and ethical implications of courts relying on a poorly defined concept such as insight in their rulings.

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“…When the concepts of insight and incapacity are used together they can instigate involuntary status and nullify an individual's own worldview-how they think, speak, and understand-if it does not accord with a clinical view. 7 Dispensing with the current concept of insight in favour of remaining curious and cultivating a lay sense of insight could be a fruitful way forward. 8 The perspectives raised in the lived-experience commentary were especially useful and authoritative.…”

Section: Risk Factors For Involuntary Psychiatric Hospitalisationmentioning

confidence: 99%

Risk factors for involuntary psychiatric hospitalisation

Brophy

Roper

Grant

2019

The Lancet Psychiatry

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Freedom of Opinion and Expression: From the Perspective of Psychosocial Disability and Madness

Abstract: This article argues that civil mental health laws operate to constrict how people think, understand, and speak about psychosocial disability, madness,

Cited by 14 publications

References 52 publications

Are current mental health assessment formats consistent with contemporary thinking and practice?

Are current mental health assessment formats consistent with contemporary thinking and practice?

Absence of insight as a catch-all extra-legislative factor in Swedish mental health law proceedings

Risk factors for involuntary psychiatric hospitalisation

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