Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, A-1090 Vienna, Austria.
Br J Psychiatry. 2011 Sep;199(3):239-44. doi: 10.1192/bjp.bp.110.087841. Epub 2011 Jul 21.
How people integrate the experience of involuntary hospital admission and treatment into their life narrative has not been explored systematically. Aims To establish a typology of coercion perspectives and styles of integration into life stories.
Transcripts of recorded interviews with 15 persons who had previously been involuntarily admitted to hospital were coded and analysed thematically using a modified grounded theory approach.
With hindsight, people viewed the experience of involuntary hospital admission as a 'necessary emergency brake', an 'unnecessary overreaction' or a 'practice in need of improvement'. With respect to how they integrated the experience into their life narratives, participants viewed it as 'over and not to be recalled', a 'life-changing experience' or a 'motivation for political engagement'.
The participants' diverse and differentiated perspectives on coercive measures and their different styles of integration suggest that people may come to accept coercive measures as necessary when confronted with danger to self or others. However, the implementation of coercion needs to be improved substantially to counteract possible long-term adverse effects.
人们将非自愿住院治疗的经历融入生活叙事的方式尚未得到系统探索。目的：建立一种强制性观点和融入生活故事方式的分类法。
对 15 名曾非自愿住院的人的录音访谈记录进行了编码，并使用改进的扎根理论方法进行了主题分析。
事后看来，人们将非自愿住院的经历视为“必要的紧急刹车”、“不必要的过度反应”或“需要改进的做法”。关于他们如何将这段经历融入自己的生活故事，参与者认为这是“结束了，不再被回忆”、“改变生活的经历”或“政治参与的动力”。
参与者对强制性措施的不同看法和他们不同的融入方式表明，当面临自我或他人的危险时，人们可能会接受强制性措施是必要的。然而，需要大幅度改进实施强制的方式，以抵消可能产生的长期不利影响。
