Zuberi Saman I, Sajid Ayesha, Yousafzai Abdul Wahab, Bhutto Naila, Khan Murad Moosa
Department of Psychiatry, Aga Khan University, Karachi, Pakistan, email
PGYII, Department of Psychiatry, Indiana University School of Medicine, USA.
Int Psychiatry. 2011 Feb 1;8(1):14-16. eCollection 2011 Feb.
In Pakistan, an increasing proportion of psychiatric patients present to community health services as crisis admissions, with their relatives as the main decision makers. Patients are bound to perceive this process as coercive. Farnham & James (2000) report that elements of coercion are found even in voluntary hospital admission, in the form of verbal persuasion, physical force and threats of commitment. Few patients consider hospitalisation justified and most view the process of admission negatively (Swartz , 2003; Katsakou & Priebe, 2006; Priebe , 2009).
在巴基斯坦,越来越多的精神科患者以危机入院的方式前往社区卫生服务机构,其亲属是主要决策者。患者必然会将这一过程视为强制性的。法纳姆和詹姆斯(2000年)报告称,即使在自愿住院的情况下,也存在以言语劝说、武力和强制住院威胁等形式的强制因素。很少有患者认为住院是合理的,大多数人对住院过程持负面看法(施瓦茨,2003年;卡萨库和普里布,2006年;普里布,2009年)。