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Title: Experience of coercion and treatment pressures amongst mental health service users
Author: Duncan, Hannah
ISNI:       0000 0004 2749 4960
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2013
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The existing body of literature indicates that psychiatric service-users commonly experience treatment pressures. In the research to date there has been a bias towards investigating (often compulsory) hospital admission and treatment at the expense of finding out about the wide range of experiences that service-users potentially perceive as treatment pressures. Similarly little research has explored the effects of these experiences over time, the processes that mediate them, or how they are managed. This research sought to explore these neglected issues, which is paramount for the development of a more ethical psychiatric service provision. Ten mental health service-users were interviewed with regards to their experiences of treatment pressure; the effects of these experiences; and the processes involved in their management of them. A thematic analysis of these interviews was constructed. The overarching theme, ‘experiencing and managing treatment pressure’, was comprised of four themes: ‘A personal experience’, ‘A relational experience’, ‘A culturally bound experience’, and ‘Taking control: “it’s fight, flight or comply”’. The analysis indicated that the experiences of treatment pressure had wide reaching and enduring effects for participants in terms of: their understanding of the world; their self-identity; their relationships with others; and their social category status. In order to manage these experiences and incorporate them into narratives about themselves participants appeared to ‘take control’ of their experiences in different and multiple ways. Managing their experiences in this way seemed to ameliorate the often highly distressing and disturbing effects of treatment pressures. The thesis ends with a consideration of both clinical and research implications.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Pysch.) Qualification Level: Doctoral