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Table of Contents
Intro
Acknowledgements
Contents
About the Author
Abbreviations
List of Tables
1: Introduction
1.1 Exploring Care and Coercive Practices
1.2 Aims of the Research
1.3 Outline of the Book
1.4 Terminological Choices
References
2: On Coercion in Inpatient Psychiatric Settings
2.1 Coercion in Psychiatric Settings: An Introduction
2.1.1 What Counts as Coercive? Defining and Justifying Coercion
2.2 Involuntary Admission and Treatment
2.2.1 Involuntary Admission and Treatment in Italy: "Trattamento Sanitario Obbligatorio"
2.3 Restraint and Its Multiple Forms
2.3.1 Contenzione: Mechanical restraint
2.3.2 Contenimento: Holding or Manual Restraint
2.3.3 The Sedative/Curative Divide: Pharmacological Restraint
2.3.4 Locked Versus Open-Door Wards: Environmental Restraint
References
3: A Necessary Evil? Alternatives to Coercive Interventions
3.1 The No-Restraint Movement: A Historical Overview
3.2 Contemporary Attempts to Reduce Coercion in Psychiatric Settings
3.3 Defining the Object: Situated Care and Coercive Practices
References
4: The Empirical Research: Context, Data, and Methods
4.1 Ethnographic Research on Acute Inpatient Psychiatric Settings: An Introduction
4.2 Investigating Coercion
4.3 Feeling the Field
References
5: Crisis and Its Places: Boundary-making in and Around Mental Healthcare Services
5.1 The Birth of Community Mental Health Services: A Historical Look at Italian Deinstitutionalization
5.2 A Fundamental Dicothomy: ospedale Versus territorio
5.3 "We Are in the Hospital, but We Are Not Hospital": A Narrative of "Otherness"
5.4 Places of Crisis: Institutional Maps and Wards' Shape
5.4.1 Shape-Preservation Strategies: Circulation Work and Pertinence Permeability
5.5 Conclusion
References
6: Combining Healthcare, Compassion, and Coercion Repertoires and Strategies to Provide (Good) Care in Acute Psychiatric Settings
6.1 Managing Crisis in and Outside the Hospital
6.1.1 The Pine Ward and the Iris Ward
6.1.2 The Violet and the Tulip Mental Health Centres
6.2 Outsourcing Coercion: Segregating Care and Coercion
6.3 Embedding Coercion: Performing Coercion as (Good) Care
6.3.1 Therapeuticization of Coercion
6.3.2 Proceduralization of Coercion
6.3.3 Relationalization of Coercion
6.3.4 Multiplication of the Objects of Care
6.4 Conclusion
References
7: Care in the Time of Crisis
7.1 Preferability Between Restraining Practices
7.2 What's Wrong with Mechanical Restraint? 'Delegating' Versus 'Staying in the Relationship'
References
8: An Empirical Ethics Approach to Acute Psychiatric Care: Advancing "Situated Suggestions"
References
Appendix A
The Ethnographic Fieldwork: Methodological Information
References
Acknowledgements
Contents
About the Author
Abbreviations
List of Tables
1: Introduction
1.1 Exploring Care and Coercive Practices
1.2 Aims of the Research
1.3 Outline of the Book
1.4 Terminological Choices
References
2: On Coercion in Inpatient Psychiatric Settings
2.1 Coercion in Psychiatric Settings: An Introduction
2.1.1 What Counts as Coercive? Defining and Justifying Coercion
2.2 Involuntary Admission and Treatment
2.2.1 Involuntary Admission and Treatment in Italy: "Trattamento Sanitario Obbligatorio"
2.3 Restraint and Its Multiple Forms
2.3.1 Contenzione: Mechanical restraint
2.3.2 Contenimento: Holding or Manual Restraint
2.3.3 The Sedative/Curative Divide: Pharmacological Restraint
2.3.4 Locked Versus Open-Door Wards: Environmental Restraint
References
3: A Necessary Evil? Alternatives to Coercive Interventions
3.1 The No-Restraint Movement: A Historical Overview
3.2 Contemporary Attempts to Reduce Coercion in Psychiatric Settings
3.3 Defining the Object: Situated Care and Coercive Practices
References
4: The Empirical Research: Context, Data, and Methods
4.1 Ethnographic Research on Acute Inpatient Psychiatric Settings: An Introduction
4.2 Investigating Coercion
4.3 Feeling the Field
References
5: Crisis and Its Places: Boundary-making in and Around Mental Healthcare Services
5.1 The Birth of Community Mental Health Services: A Historical Look at Italian Deinstitutionalization
5.2 A Fundamental Dicothomy: ospedale Versus territorio
5.3 "We Are in the Hospital, but We Are Not Hospital": A Narrative of "Otherness"
5.4 Places of Crisis: Institutional Maps and Wards' Shape
5.4.1 Shape-Preservation Strategies: Circulation Work and Pertinence Permeability
5.5 Conclusion
References
6: Combining Healthcare, Compassion, and Coercion Repertoires and Strategies to Provide (Good) Care in Acute Psychiatric Settings
6.1 Managing Crisis in and Outside the Hospital
6.1.1 The Pine Ward and the Iris Ward
6.1.2 The Violet and the Tulip Mental Health Centres
6.2 Outsourcing Coercion: Segregating Care and Coercion
6.3 Embedding Coercion: Performing Coercion as (Good) Care
6.3.1 Therapeuticization of Coercion
6.3.2 Proceduralization of Coercion
6.3.3 Relationalization of Coercion
6.3.4 Multiplication of the Objects of Care
6.4 Conclusion
References
7: Care in the Time of Crisis
7.1 Preferability Between Restraining Practices
7.2 What's Wrong with Mechanical Restraint? 'Delegating' Versus 'Staying in the Relationship'
References
8: An Empirical Ethics Approach to Acute Psychiatric Care: Advancing "Situated Suggestions"
References
Appendix A
The Ethnographic Fieldwork: Methodological Information
References