Informed consent to medication in long-term psychiatric in-patients

Brown, Kimberly; Billcliff, N.; McCabe, Elaine

doi:10.1192/pb.25.4.132

Cited by 12 publications

(6 citation statements)

References 10 publications

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“…As a result, it would seem that service users with psychosis diagnoses are unlikely to be made aware of the contested status of psychiatric knowledge and practice, information which would likely influence their decision-making. For example, in Billcliff et al (2001) study of long-term psychiatric in-patients, the majority of whom had a diagnosis of schizophrenia, 81% of their sample did not know any of the adverse effects of their medications and most thought they had no choice in whether to take them. Researchers could evaluate interventions designed to provide service users with such information.…”

Section: Discussionmentioning

confidence: 99%

A “trigger”, a cause or obscured? How trauma and adversity are constructed in psychiatric stress-vulnerability accounts of “psychosis”

Harper

O'Donnell

Platts

2020

Feminism & Psychology

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How do mental health professionals link adverse life experiences with the kinds of beliefs and experiences which attract a diagnosis of psychosis and what implications does this have for women with these diagnoses? Drawing on a broadly critical realist framework, we present data from two studies relevant to these questions. First, we analyse the discursive practices engaged in during a staff-only discussion of a female in-patient with a psychosis diagnosis who had been raped some years previously. Staff oriented to the irrationality and factuality of her ostensibly delusional statements about rape and pregnancy in the present and formulated adverse experience as a “stress factor” triggering a manic episode, thereby precluding alternative contextualising interpretations. In a second, interview-based, study, psychiatrists drew on a range of discursive resources which differentiated “psychosis” from other forms of distress, constructed trauma as a stressor which could trigger psychosis because of a genetic predisposition, and constructed medication as the primary intervention whilst trauma was de-emphasised. We discuss the implications of these findings for the kinds of explanations and forms of help offered and suggest ways in which distress might be contextualised as well as possible future directions for feminist research and practice.

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Section: Discussionmentioning

confidence: 99%

A “trigger”, a cause or obscured? How trauma and adversity are constructed in psychiatric stress-vulnerability accounts of “psychosis”

Harper

O'Donnell

Platts

2020

Feminism & Psychology

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“…Moreover, although the purported benefits of a medical framework are commonly presented, its potential costs are much less frequently presented, as studies regularly reveal. For example, Billcliff, McCabe and Brown (2001) interviewed 68 long-term psychiatric inpatients in Scotland in the UK and found that 81% did not know any of the adverse and unwanted effects of psychiatric drugs and few realized that they had any choice in whether to take them.…”

Section: Cultural Availability Dominance and Hermeneutical Injusticementioning

confidence: 99%

Framing, Filtering and Hermeneutical Injustice in the Public Conversation about Mental Health

Harper

2020

Journal of Constructivist Psychology

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This article describes how the narrative construct is used in the Power Threat Meaning Framework to refer to personal narratives, cultural narratives and as a metatheoretical language, synthesizing a range of different theoretical perspectives. It identifies ways in which this approach to narrative may differ from its use in a number of therapeutic traditions. Focusing on medicalization and drawing on the concepts of ideological power, framing, filtering and gatekeeping, it discusses the processes which facilitate the dominance of a medical frame in the public conversation about mental health, proposing that such dominance is an example of hermeneutical injustice. The article concludes, firstly, by suggesting some practices which therapists and other professionals could use to broaden and contextualize therapy conversations and, secondly, by making some proposals for how the public conversation about mental health could be re-balanced. Approach to narrative in the Power Threat Meaning FrameworkThis special issue includes an article on each of the two aspects in the 'Meaning and narrative' chapter of the main Power Threat Meaning Framework (PTMF) document (Johnstone & Boyle, 2018). John Cromby's article (this issue) discusses the different facets of meaning: language; feeling; culture; materiality; habit; and memory. The present article focuses on one of the most pervasive sources of linguistic meaningnarrative.

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“…I u drugoj dostupnoj literaturi je nađeno kako pacijenti imaju slabo znanje o informiranom pristanku (12)(13)(14). Oni često nisu upoznati s terminom informiranog pristanka, ne znaju svoja prava i ne razumiju proces informiranog pristanka, što rezultira pogrešnim uvjerenjima (15)(16)(17)(18)(19). Pacijentice u ovom istraživanju su pokazale vrlo dobro znanje u odnosu na spoznaju o potpisivanju pristanka za operativni zahvat.…”

Section: Raspravaunclassified

Etičko-Pravne Spoznaje Pacijentica O Informiranom Pristanku Kod Operativnih Zahvata Ginekoloških Pacijentica

Perić

Tomić

Tirić

et al. 2019

Zdravstveni Glasnik

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UVOD: Pribavljanje pisanog informiranog pristanka za operativni zahvat je etički postulat i pravna obveza definirana zakonskim propisima u Federaciji Bosne i Hercegovine.CILJ ISTRAŽIVANJA: Osnovni cilj istraživanja bio je procijeniti znanja o informiranom pristanku za operativni zahvat kod ginekoloških pacijentica te utvrditi postoje li razlike u znanju o informiranom pristanku za operativni zahvat pacijentica u odnosu na sociodemografska i ginekološko opstetrička obilježja ISPITANICE I METODE: Istraživanje je obuhvatilo 235 pacijentica koje su imale operativni zahvat u Klinici za ginekologiju i porodništvo Sveučilišne kliničke bolnice Mostar. Provedeno je pomoću anonimnog anketnog upitnika posebno dizajniranog za ove potrebe. Prema stupnju hitnosti operativnog zahvata ispitivale su se pacijentice koje su imale planirani operativni zahvat (n=145) i pacijentice koje su imale hitan operativni zahvat (n=90). REZULTATI: Sve pacijentice su bile punoljetne osobe u rasponu od 18 do 86 godina, prosječna dob pacijentica iznosila je 34 godine. Dobro znanje pacijentice su pokazale u odnosu na spoznaju da je potpisivanje pristanka obveza definirana zakonom (74,5 %), te da ukoliko nisu u mogućnosti potpisati pristanak, to može učiniti član uže obitelji (82,1 %). Slabo su znale kako su dužne potpisati izjavu o odbijanju, ukoliko odbiju predloženi medicinski zahvat (65,1 %). Nedovoljno znanje pokazale su u odnosu na pravo naknade (28,1 %), pravo na promjenu mišljenja nakon potpisivanja pristanka (30,2 %), te da se neće operirati ukoliko odbiju potpisati pristanak, pa čak i ako bi mogle umrijeti (29,4%). ZAKLJUČAK: Pacijenti su slabo upoznati s pravom na informirani pristanak što upućuje da je proces pristanka sveden na puku formalnost. Ključne riječi: pisani pristanak, planirani operativni zahvat, hitni operativni zahvat Kontakt za razmjenu informacija: Olivera Perić

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Informed consent to medication in long-term psychiatric in-patients

Cited by 12 publications

References 10 publications

A “trigger”, a cause or obscured? How trauma and adversity are constructed in psychiatric stress-vulnerability accounts of “psychosis”

A “trigger”, a cause or obscured? How trauma and adversity are constructed in psychiatric stress-vulnerability accounts of “psychosis”

Framing, Filtering and Hermeneutical Injustice in the Public Conversation about Mental Health

Etičko-Pravne Spoznaje Pacijentica O Informiranom Pristanku Kod Operativnih Zahvata Ginekoloških Pacijentica

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