Journal article
I had no other option: Women, electroconvulsive therapy, and informed consent
International Journal of Mental Health Nursing, Vol.27(3), pp.1077-1085
2018
Abstract
Electroconvulsive therapy (ECT) is a controversial procedure used in the management of depression. Whilst it may be administered under mental health legislation, it is usually given to people who voluntarily consent. At the practice level, the consent process for ECT requires a detailed explanation of the procedure. The person consenting must have capacity to make this decision, and consent must be given freely and without coercion. Research using a feminist narrative approach unexpectedly highlighted the issue of potential coercion in the context of explaining the procedure. In-depth interviews were used to understand seven women's accounts of deciding to receive ECT. A thematic analysis of their narratives uncovered a shared concern with how they consented to the treatment. Four subthemes were identified that related to the way in which they provided their consent: (i) 'Not enough information'; (ii) 'I had no other choice'; (iii) 'Just go along with it'; and (iv) 'Lacking capacity'. A consent process that includes elements of passive coercion and a lack of timely and appropriate information influences the way some women make decisions. These factors can disempower women at the point of decision-making. A practice shift is needed where women are enabled to have control over decisions. Further, there is a need to adhere more rigorously to noncoercive practice when obtaining consent.
Details
- Title
- I had no other option: Women, electroconvulsive therapy, and informed consent
- Authors
- Karen-Ann Clarke (Corresponding Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringMargaret Barnes (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringDyann Ross (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
- Publication details
- International Journal of Mental Health Nursing, Vol.27(3), pp.1077-1085
- Publisher
- Wiley-Blackwell Publishing Asia
- Date published
- 2018
- DOI
- 10.1111/inm.12420
- ISSN
- 1445-8330
- Organisation Unit
- School of Health - Nursing; School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy; School of Law and Society
- Language
- English
- Record Identifier
- 99451056102621
- Output Type
- Journal article
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- Nursing
- Psychiatry
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