When Treatment Pressures Become Coercive: A Context-Sensitive Model of Informal Coercion in Mental Healthcare

Figures & data

Table 1. Szmukler and Appelbaum’s (2008) model of treatment pressures.

Type	Means	Example
Persuasion	Rational argumentation	“I propose you take this tranquilizer. Last time, it really helped you to calm down.”
Interpersonal leverage	Announcing conditional changes in emotional attitudes within interpersonal relationships	“We have always worked together so well. I would be very disappointed if you were to quit the group therapy sessions.”
Inducements	Making conditional proposals to make people better off if they accept the proposal	“If you come here every month to receive your depot injection, we will help you find a job that suits you.”
Threats	Making conditional proposals to make people worse off if they turn down the proposal	“Please take your antipsychotic medication, or else we will cancel your daughter’s visit tonight.”

Szmukler, G., and P. S. Appelbaum. 2008. Treatment pressures, leverage, coercion, and compulsion in mental health care. Journal of Mental Health 17 (3):233–44. doi: 10.1080/09638230802052203.

 Web of Science ®Google Scholar