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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735


COCHO SANTALLA, Clara et al. Experience and attitudes of mental health professionals toward coercive practices: a literature review of qualitative studies. Rev. Asoc. Esp. Neuropsiq. [online]. 2018, vol.38, n.134, pp.419-449. ISSN 2340-2733.

The aim of this qualitative literature review is to explore mental health professionals' experiences and attitudes toward direct coercive practices such as mechanical restraint and seclusion. Besides the studies on the patients' own experiences, awareness of the professionals' attitude is needed in order to achieve a paradigm shift. Twenty-seven studies meeting the CASPe inclusion and quality criteria for qualitative studies were included in this review. Overall, it was found that professionals feel distressed about the use of coercive interventions. Yet, there is a trend to justify these measures as inevitable under certain conditions. Mental health professionals tend to link the situations that give rise to coercion to patients’ internal determinants. Additionally, this review points out shared proposals that aim to reduce these practices.

Keywords : mechanical restraint; seclusion; mental health professionals’ attitudes; qualitative research; coercion.

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