The Validity of Mental Patients' Accounts of Coercion-Related Behaviors in the Hospital Admission Process |
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| Authors: | Lidz Charles W Mulvey Edward P Hoge Steven K Kirsch Brenda L Monahan John Bennett Nancy S Eisenberg Marlene Gardner William Roth Loren H |
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| Institution: | (1) Department of Psychiatry, University of Massachusetts Medical Center, 55 Lake Ave. North, Worcester, MA, 01605;(2) Western Psychiatric Institute and Clinic, University of Pittsburgh, USA;(3) University of Virginia School of Law, USA;(4) Medical and Health Research Association, New York, NY;(5) Institute of Law, Psychiatry and Public Policy, University of Virginia, USA |
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| Abstract: | Although the recent development of a measure for perceived coercion has led to great progress in research on coercion in psychiatric settings, there still exists no consensus on how to measure the existence of real coercive events or pressures. This article reports the development of a system for integrating chart review data and data from interviews with multiple participants in the decision for an individual to be admitted to a psychiatric hospital. The method generates a  most plausible factual account (MPFA). We then compare this account with that of patients, admitting clinicians and other collateral informants in 171 cases. Patient accounts most closely approximate the MPFA on all but one of nine dimensions related to coercion. This may be due to wider knowledge of the events surrounding the admission. |
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