Hachtel Henning, Vogel Tobias, Huber Christian G
Forensic Department, Universitäre Psychiatrische Kliniken (UPK) Basel, Faculty of Medicine, University of Basel, Basel, Switzerland.
Department of Adult Psychiatry, Universitäre Psychiatrische Kliniken (UPK) Basel, Faculty of Medicine, University of Basel, Basel, Switzerland.
Front Psychiatry. 2019 Apr 12;10:219. doi: 10.3389/fpsyt.2019.00219. eCollection 2019.
Court-mandated treatments imply a dual role for therapy providers not only of caring for, but also of having control over, involuntary clients. The impact of legal coercion on the therapeutic relationship and feelings of stigma is widely regarded as negative and detrimental for treatment outcomes. This point of view stands in contrast to advocates of the perspective that involuntary treatment can ameliorate social functioning and thus promote a better quality of life. Regarding other outcome measures, there is evidence that offender treatment is effective and leads to reduced recidivism in criminal behavior. This narrative review provides an overview of research assessing the effects of mandatory treatment on therapeutic process and outcome factors. We conclude that legal mandatory treatment does not have to necessarily result in perceived coercion and reduced satisfaction with treatment and that a caring and authoritative treatment style aids a favorable therapeutic alliance, motivation, and therapy outcomes.
法庭强制治疗意味着治疗提供者要扮演双重角色，不仅要照顾非自愿接受治疗的患者，还要对他们进行控制。法律强制对治疗关系和耻辱感的影响被广泛认为是负面的，对治疗结果不利。这一观点与另一种观点的支持者形成对比，后者认为非自愿治疗可以改善社会功能，从而提高生活质量。关于其他结果指标，有证据表明对罪犯的治疗是有效的，可减少犯罪行为的累犯率。这篇叙述性综述概述了评估强制治疗对治疗过程和结果因素影响的研究。我们得出结论，法律强制治疗不一定会导致患者感受到被强迫以及对治疗满意度降低，关爱且有权威性的治疗方式有助于建立良好的治疗联盟、激发动力并取得良好的治疗效果。
