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The effect of constructive coercion on the rehabilitative process. A study of the employed alcoholics in an alcoholism treatment program.

Two groups of employed men in an alcoholic rehabilitation program--one referred through an organized policy of constructive coercion and the other volunteer--were compared to test the efficacy of constructive coercion in the rehabilitation process. It was found that the patients referred by constructive coercion were younger, had fewer psychosocial problems, had a higher percentage who were abstinent and had higher rates of compliance with follow-up. A policy of constructive coercion allows earlier identification of workers with alcohol problems and improves the chances for a positive treatment outcome.

Adult

Sex differences in feelings attributed to a woman in situations involving coercion and sexual advances.

This study investigated sex differences of feelings attributed to a woman in situations involving varying degrees of coercion and sexual advances. Sixteen vignettes (12 dealing with sex and coercion, 4 dealing with coercion only) were rated on 17 semantic differential scales by 59 undergraduates (44 females, 15 males) and 45 graduate students (18 females, 27 males). The 16 vignettes yielded factors of Sexual Flattery/Overtures, Sexual Aggressiveness, and Violence. Factor analyses of the 17 semantic differential scales yielded factors of Helplessness, Aversiveness, and Threat. High agreement was found between males and females in both the graduate and undergraduate samples on the relative intensity of feelings attributed to the woman across the sex/coercion vignettes for the three dimensions of Helplessness, Aversiveness, and Threat. Even more importantly, systematic differences between males and females on intensity of attributed feelings across the semantic differential factors were independently replicated using the graduate and undergraduate samples. Analyses of variance revealed that males showed significantly greater attributions on the factors Helplessness and Threat on scenes mainly dealing with sexual flattery/overtures, whereas they showed significantly less attributions on the factor Aversiveness on scenes dealing with sexual aggressiveness and rape. In short, while there was strong agreement between men and women, there were also replicated significant systematic differences with men overestimating the psychological impact of less intense incidents and underestimating the psychological impact on women of more intense incidents.

Attitude

In-group-out-group differences in the perceived efficacy of coercion and conciliation in resolving social conflict.

In-group and out-group members were predicted to differ in the judged efficacy of coercion and conciliation as social influence strategies, with coercion perceived as relatively more effective than conciliation by outgroup rather than ingroup members. In Experiment 1, all subjects read a description of a conflict between two hypothetical nations, with half of the subjects taking the perspective of the defense minister of one nation and half the perspective of the other. Each nation was developing weapons that increased rather than decreased the likelihood of war. Each subject was asked to consider the effectiveness of an array of social influence strategies, varying in degree of coercive or conciliatory tone, that could modify the actions of either their own or the other country. The prediction was confirmed, both by indexes of rated effectiveness and by a ranking of effectiveness. In Experiment 2, the perspective-taking manipulation was weakened by merely asking subjects to imagine that they were citizens of one country or the other. Experiment 2 replicated the basic findings of Experiment 1. The implications of these results for international conflict, with particular reference to the arms race, are discussed.

Coercion

Clinical encounters with outpatient coercion at the CMHC: questions of implementation and efficacy.

Clinical encounters with three outpatients at a CMHC who were managed with alternating periods of voluntary or uncoerced and involuntary or coerced treatment are presented. The two periods of coerced community treatment--of eight months and then two to four years duration--produced positive results quite distinct from the periods of uncoerced community treatment. In discussing the implementation and efficacy of coerced outpatient treatment at the CMHC, the author addresses legal, clinical, and resource issues which form the basis for seven arguments often heard as to why staffs at CMHCs hesitate to employ involuntary or coercive interventions.

Adult

[Patient advisors and coercion in psychiatry. The situation 3 months after the introduction of the Act on restriction of liberty and other coercive measures in psychiatry].

In a retrospective investigation, we attempted to estimate the effect of introduction of a new law about coercive measures and loss of liberty in psychiatric wards during the first three months after enforcement of the law. By examination of case reports we found that 69 patients, i.e. 14%, were exposed to one or several types of coercive measures. Restraint was the most frequent form of coercive measures. Eight patients lodged complaints about the coercive measures. The decisions of the psychiatrists were all sanctioned. Replies to complaints about treatment with coersion were available within five to 14 days. In an investigation by questionnaire, we found that there was satisfaction with the patient advisors introduced in the wards by the new law. Collaboration with the patient advisors took considerable time for the staff members. Both staff members, doctors and patient advisors suggest that the patient advisors should receive more education in psychiatry. We suggest changes in the law when this is revised.

Coercion

The practice of empowerment and coercion by expert public health nurses.

This article describes the dialectic of public health nursing responsibility to empower families in self care as well as the nursing responsibility to evoke authority as needed to protect children from violence and neglect. Through qualitative study of expert home visiting public health nurses' anecdotes (N = 95), these apparently contradictory activities were discovered to co-exist in helping relationships. The synthesis of the apparent contradictions applies community rather than autonomy as the fundamental moral guide.

Child Advocacy