TY - JOUR
T1 - Policy forum
T2 - Peer-reviewed article when structural inequity is ubiquitous, can force ever be compassionate?
AU - Bhattacharyya, Sriya
AU - Breslow, Aaron S.
AU - Carrasco, Jianee
AU - Cook, Benjamin
N1 - Publisher Copyright:
© 2021 American Medical Association. All rights reserved.
PY - 2021/4
Y1 - 2021/4
N2 - This article contextualizes and challenges race, class, and gender inequity in psychiatric use of force. In particular, this article examines (1) how uses of force-seclusion, restraint, compulsion-have been codified in policy and law, (2) inequity in force utilization, and (3) connections between systemic oppression and individuals' responses-including fear and retraumatization-to feeling threatened by force in clinical settings. This article proposes multilevel strategies to abolish inequity in uses of force in clinical settings and questions whether it is ever possible to use force compassionately where inequity persists.
AB - This article contextualizes and challenges race, class, and gender inequity in psychiatric use of force. In particular, this article examines (1) how uses of force-seclusion, restraint, compulsion-have been codified in policy and law, (2) inequity in force utilization, and (3) connections between systemic oppression and individuals' responses-including fear and retraumatization-to feeling threatened by force in clinical settings. This article proposes multilevel strategies to abolish inequity in uses of force in clinical settings and questions whether it is ever possible to use force compassionately where inequity persists.
UR - http://www.scopus.com/inward/record.url?scp=85106575084&partnerID=8YFLogxK
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U2 - 10.1001/AMAJETHICS.2021.340
DO - 10.1001/AMAJETHICS.2021.340
M3 - Article
AN - SCOPUS:85106575084
SN - 2376-6980
VL - 23
SP - 340
EP - 348
JO - AMA Journal of Ethics
JF - AMA Journal of Ethics
IS - 4
ER -
