This interpretative phenomenological analysis research study illuminates the experience of involuntary commitment for individuals diagnosed with schizophrenia in order to better understand the patient's perspective of forced hospitalization and the effects of that experience as related to future treatment. Data analyses led to the emergence of several themes regarding participants' experience during the period of involuntarily commitment: Stigmatization, Treatment by Professionals, Experience While Committed, Facilities, Effectiveness of Treatment, and Improving Treatment. Findings indicated a need to improve the practice of execution of involuntary commitment, as all participants indicated that benefits of commitment were marginal and resulted in an iatrogenic influence of commitment. However, in spite of symptomatological exacerbation, participants were able to identify various means of improving treatment, which generally entailed more compassionate care, illuminating a need for a treatment model reflective of moral care. Participants also expressed a desire for therapeutic services with an entrusted practitioner, indicating that therapy could be efficacious for treatment. Participants explicitly conveyed a desire only to see a clinician not associated with their psychiatrist, as all participants expressed mistrust of their psychiatrists. Given that participants had a desire for therapy, utilizing therapeutic modalities deemed effective for treating individuals diagnosed with schizophrenia is essential. Accordingly, depth and humanistic psychological modalities have been empirically validated as efficacious in treating individuals diagnosed with schizophrenia. Research further indicates that client-centered and object-relations therapeutic approaches, with modifications, are most efficacious in order to adaptively treat individuals diagnosed with schizophrenia.
|Commitee:||Dillmann, Susanne, Lewis, Christine|
|School:||Pacifica Graduate Institute|
|School Location:||United States -- California|
|Source:||DAI-B 76/01(E), Dissertation Abstracts International|
|Subjects:||Pharmacology, Social work, Clinical psychology|
|Keywords:||Institutionalization, Involuntary commitment, Moral treatment, Pharmacology, Schizophrenia, Stigmatization|
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