Epub freepe.co Î Committed Epub æ

Battle lines have been drawn over involuntary treatment On one side are those who oppose involuntary psychiatric treatments under any condition Activists who take up this cause often don't acknowledge that psychiatric symptoms can render people dangerous to themselves or others regardless of their civil rights On the other side are groups pushing for increased use of involuntary treatment These proponents are uick to point out that people with psychiatric illnesses often don't recognize that they are ill which from their perspective makes the discussion of civil rights moot They may gloss over the sometimes dangerous side effects of psychiatric medications and they often don't admit that patients even after their symptoms have abated are sometimes unhappy that treatment was inflicted upon themIn Committed psychiatrists Dinah Miller and Annette Hanson offer a thought provoking and engaging account of the controversy surrounding involuntary psychiatric care in the United States They bring the issue to life with first hand accounts from patients clinicians advocates and opponents Looking at practices such as seclusion and restraint involuntary medication and involuntary electroconvulsive therapy all within the context of civil rights Miller and Hanson illuminate the personal conseuences of these controversial practices through voices of people who have been helped by the treatment they had as well as those who have been traumatized by itThe authors explore the uestion of whether involuntary treatment has a role in preventing violence suicide and mass murder They delve into the controversial use of court ordered outpatient treatment at its best and at its worst Finally they examine innovative solutions mental health court crisis intervention training and pretrial diversion that are intended to expand access to care while diverting people who have serious mental illness out of the cycle of repeated hospitalization and incarceration They also assess what psychiatry knows about the prediction of violence and the limitations of laws designed to protect the public

10 thoughts on “Committed

  1. says:

    Involuntary care is a a minefield of ethical conundrums How do you decide who needs treatment? What if the patient calmly refuses it? Will the treatment itself be traumatizing than beneficial? How can you ethically hold people against their will? And when is it okay to let them go?Miller and Hanson cover as many points of view as humanly possible from pro involuntary treatment groups like the National Alliance on Mental Illness to anti anything psychiatry groups like Scientology Yes they managed to interview a Scientologist for this book It's kind of amazing There are all kinds of opinions between the extremes that are also covered those who would rather see outpatient commitment instead of inpatient for example and people who want to help patients recover with or without medication They also speak with professionals that are involved in the civil commitment process from judges and lawyers to police officers and ER doctorsThere is a ton of information but it never gets overwhelming The narrative is loosely hung on the cases of two patients one who had a positive experience with involuntary care and one who was traumatized by her time at the hospital Though interviews with these patients their families and doctors and peeks at their medical charts we see how forced care could be the best or worst thing to happen to someone Their journey is covered from being picked up by police or brought in by a family member through civil commitment trials and treatment to how they were determined to be fit for releaseLaws widely vary across the United States and their differences are an illustrative example of what policies seem to work and which should be rethought As a result Committed gives you a framework of possibilities that you can use to examine the laws that affect you no matter where you liveThe thing that strikes me most about this book is the care and consideration that went into it Miller and Hanson psychiatrists never deride anyone for their views They sat across the table from people who think their profession is basically evil and held a civil thoughtful conversation If there's an outrageous factual error they'll mention it in passing with research to back them up but otherwise everyone is allowed to say their piece exactly as they'd like in a non confrontational environment Mad propsThey're also forthcoming about the circumstances surrounding their reporting Getting an inpatient unit to agree to Miller observing was harder than they thought and they are upfront with the fact that the only hospital that would agree has one of the best psychiatric departments in the country And try as they might they couldn't get anyone to talk about guns and mental illness on the recordDoctors the gun club representative noted are seen by gun owners as an extension of the government people were happy to engage in casual conversation but before they would speak in depth they wanted reassurance that we were not in favor of gun control regardless of whether that was relevant to the topic of the bookAny time I thought there might be a hole in the reporting or an odd circumstance it was covered in this thorough thoughtful manner The authors have earned all of my respectCommitted is a must read for anyone whose job brings them in contact with people with psychiatric illness as well as anyone with an interest in civil rights And if you're curious about how mental hospitals work aren't we all? it's a fascinating look at this hidden world open only to those who are in enough despair to gain admittanceThanks to Johns Hopkins University Press and Edelweiss for providing a review copy

  2. says:

    As with most writing by medical professionalsacademics this book does a great job laying out the problem and summarizing what we know so far Then it makes broad generic suggestions about what should be done leaving you with the thought Well duhI'm a psychiatry resident halfway through my training I came to this book with a lot of high hopes after seeing how involuntary commitment IVC is a cause of distress for some of my patients I was hoping to find in this book recommendations by two physicians in my field with much experience There wasn't much Sure it was good to see that two big names in my field shared my concerns and then some but they didn't really have much to offer about how to do what we all know needs to be done betterI think this is a good book for the layperson but for anyone already working in mental healthcare who sees its underside on a daily basis this book doesn't do much other than tell them of what they already know

  3. says:

    I really wanted to love this book because I am a HUGE fan of the author's blogs and I find the subject absolutely fascinating And I liked it but considering how long it took me to finish it months I can't say it kept my attention I did learn a lot though and the book itself was extremely well researched and written The passion of the authors about the subject was clearly evident I liked the first half better Sharing stories has always been a way I have learned best and so hearing from real people was the most helpful part of the book

  4. says:

    A subject near and dear to my heart The worst part was the final chapter where the authors were so hopeful about the future of mental health with the Affordable Care Act An informative and incredibly easy to read book I learned so much but with their narrative style I also had a hard time putting it down and flew through several chapters in a day I read it in two bigs chunks with a long break in between but it was worth it Highly recommended

  5. says:

    As someone who works in psych I really enjoyed reading this book but at times it seemed like the authors were out of touch and did not really understand what happens on inpatient units or the safety measures we have to follow to ensure everyone's safety both patients and staff

  6. says:

    Wonderful book that lends insight to forced psychiatric treatment as very few books do The authors clearly did their best to give voice to both sides of this story Most notably they spoke to patients who have undergone forced treatment and whose voices are often muted in this debate

  7. says:

    35 stars A very exhaustive look at all sides of the argument about involuntary commitment Definitely worth a read if mental illness is a topic that you are interested in