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Reflections on Coercion in the Treatment of Severe Anorexia Nervosa

By: Carney, Terry; Wakefield, Alison et al. | The Israel Journal of Psychiatry and Related Sciences, July 1, 2006 | Article details

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Reflections on Coercion in the Treatment of Severe Anorexia Nervosa


Carney, Terry, Wakefield, Alison, Tait, David, Touyz, Stephen, The Israel Journal of Psychiatry and Related Sciences


Abstract: Background: The high mortality of severe anorexia nervosa causes clinicians to consider any legal avenues for coercing acutely-ill patients to remain in treatment or refeeding programs, such as mental health laws or adult guardianship laws. Method: Review of pattern of laws for coercing treatment in various jurisdictions and retrospective file analysis over 4.7 years for a specialist anorexia unit in the State of New South Wales, Australia, to isolate attributes associated with resort to two different avenues of legal coercion. Results: Coercion is most likely indicated for patients with more chronic histories (prior AN admissions), already known to the unit, where they present …

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