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Influence of mental health professionals' attitudes and personality traits on decision‐making around coercion: Results from an experimental quantitative survey using case vignettes.

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Title: Influence of mental health professionals' attitudes and personality traits on decision‐making around coercion: Results from an experimental quantitative survey using case vignettes.
Authors: Efkemann, Simone Agnes (AUTHOR), Scholten, Matthé (AUTHOR), Bottlender, Ronald (AUTHOR), Juckel, Georg (AUTHOR), Gather, Jakov (AUTHOR)
Source: Acta Psychiatrica Scandinavica. Aug2022, Vol. 146 Issue 2, p151-164. 14p. 5 Charts, 2 Graphs.
Subjects: Personality, Mental health personnel, Professionalism, Employee attitudes, Vignettes, Mental health laws
Abstract: Objective: Research on coercion in mental healthcare has recently shifted to the investigation of subjective aspects, both on the side of the people with mental disorders affected and the staff members involved. In this context, the role of personality traits and attitudes of staff members in decision‐making around coercion is increasingly being assessed. This study aimed to examine the role of staff attitudes towards coercion and staff members' personality traits in decision‐making around coercion in an experimental setting. Methods: We assessed the attitudes towards coercion and (general) personality traits of mental health professionals in psychiatric hospitals with a quantitative survey. Furthermore, we developed case vignettes representing cases in a 'grey zone' and included them in the survey to assess staff members' decisions about coercion in specific situations. Results: A general approving attitude towards coercion significantly influenced decisions around coercion in individual cases—resulting in a more likely approval of applying coercion in the cases described in the vignettes. Personality traits did not seem to be relevant in this regard. Conclusion: Strategies to reduce coercion in mental healthcare institutions should focus more on the role of staff attitudes and encourage staff members to reflect on them critically. [ABSTRACT FROM AUTHOR]
Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Influence of mental health professionals' attitudes and personality traits on decision‐making around coercion: Results from an experimental quantitative survey using case vignettes.
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  Data: <searchLink fieldCode="AR" term="%22Efkemann%2C+Simone+Agnes%22">Efkemann, Simone Agnes</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scholten%2C+Matthé%22">Scholten, Matthé</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bottlender%2C+Ronald%22">Bottlender, Ronald</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Juckel%2C+Georg%22">Juckel, Georg</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gather%2C+Jakov%22">Gather, Jakov</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Acta+Psychiatrica+Scandinavica%22">Acta Psychiatrica Scandinavica</searchLink>. Aug2022, Vol. 146 Issue 2, p151-164. 14p. 5 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Personality%22">Personality</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+personnel%22">Mental health personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Professionalism%22">Professionalism</searchLink><br /><searchLink fieldCode="DE" term="%22Employee+attitudes%22">Employee attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Vignettes%22">Vignettes</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+laws%22">Mental health laws</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: Research on coercion in mental healthcare has recently shifted to the investigation of subjective aspects, both on the side of the people with mental disorders affected and the staff members involved. In this context, the role of personality traits and attitudes of staff members in decision‐making around coercion is increasingly being assessed. This study aimed to examine the role of staff attitudes towards coercion and staff members' personality traits in decision‐making around coercion in an experimental setting. Methods: We assessed the attitudes towards coercion and (general) personality traits of mental health professionals in psychiatric hospitals with a quantitative survey. Furthermore, we developed case vignettes representing cases in a 'grey zone' and included them in the survey to assess staff members' decisions about coercion in specific situations. Results: A general approving attitude towards coercion significantly influenced decisions around coercion in individual cases—resulting in a more likely approval of applying coercion in the cases described in the vignettes. Personality traits did not seem to be relevant in this regard. Conclusion: Strategies to reduce coercion in mental healthcare institutions should focus more on the role of staff attitudes and encourage staff members to reflect on them critically. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/acps.13429
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        Text: English
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              Text: Aug2022
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