Mad in Ireland: Mental health systems the world over use coercion as a technology of control—a mechanism to enforce compliance with treatment deemed “medically necessary” by psychiatric professionals. Coercive measures within mental health systems include involuntary detention, forced medication, seclusion, and electroconvulsive therapy (ECT). However, as an understanding of human rights has expanded, and as the voices of those with lived experience has gained prominence, it has become increasingly clear that such practices can inflict profound harm—psychological, emotional and physical.
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