Spinning the revolving door: The governance of non-compliant psychiatric subjects on community treatment orders
This article examines the enactment of community treatment orders (CTOs) in Alberta, Canada to illustrate how civil law is used to constitute and govern psychiatric patients in the community. I argue that the logic of CTOs constitutes the psychiatric patient as a fractured subject who is simultaneou...
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Veröffentlicht in: | Theoretical criminology 2017-08, Vol.21 (3), p.361-379 |
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description | This article examines the enactment of community treatment orders (CTOs) in Alberta, Canada to illustrate how civil law is used to constitute and govern psychiatric patients in the community. I argue that the logic of CTOs constitutes the psychiatric patient as a fractured subject who is simultaneously capable/incapable of making medical decisions and at risk/risky. These paradoxical characterizations highlight how depictions of rationality and choice are contingent on consenting to a pharmacological regime designed to normalize these patients. This construction functions to eliminate opportunities for rationally informed types of non-compliance and promotes hospitalization as the only way to manage harmful, risky and non-conforming individuals. I contend that CTOs are a flawed instrument of regulation that cannot manage ‘legally’ capable but non-compliant individuals. |
doi_str_mv | 10.1177/1362480616646623 |
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I contend that CTOs are a flawed instrument of regulation that cannot manage ‘legally’ capable but non-compliant individuals.</description><subject>Community</subject><subject>Compliance</subject><subject>Enactment</subject><subject>Fractured</subject><subject>Governance</subject><subject>Hospitalization</subject><subject>Law</subject><subject>Medical decision making</subject><subject>Medicine</subject><subject>Mental disorders</subject><subject>Noncompliance</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>Psychiatry</subject><subject>Rationality</subject><issn>1362-4806</issn><issn>1461-7439</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>BHHNA</sourceid><recordid>eNp1kEtLxDAUhYMoOD72LgOuq7lJJ2ndyeALBlw4rkua3s50aJOapAPz780wLkRwdR_nOwfuJeQG2B2AUvcgJM8LJkHKXEouTsgMcgmZykV5mvokZwf9nFyEsGWMqYTPiPsYO2s7u6Zxg9TjzvW7w9Q45x_oKu3WbofeamuQupZaZzPjhrHvtI10DHuz6XT0naFhqrdoYqDO0kQMk-3inkaPOg6YWOcb9OGKnLW6D3j9Uy_J5_PTavGaLd9f3haPy8wIqWJWSMOkLkSjkBsQrNW55qBK2Wqe87oVbSE54FyreZHXyKTRplRYN1qWWBZKXJLbY-7o3deEIVZbN6Uz-lBByQsBUAJPFDtSxrsQPLbV6LtB-30FrDq8tfr71mTJjpag1_gr9D_-G3uYeUg</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Klassen, Amy Lynn</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K7.</scope><scope>WZK</scope></search><sort><creationdate>20170801</creationdate><title>Spinning the revolving door: The governance of non-compliant psychiatric subjects on community treatment orders</title><author>Klassen, Amy Lynn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-86c06a83d7e2c130fa4a21796fa242bf3f8621e5a7584be06cac97ebda69e9873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Community</topic><topic>Compliance</topic><topic>Enactment</topic><topic>Fractured</topic><topic>Governance</topic><topic>Hospitalization</topic><topic>Law</topic><topic>Medical decision making</topic><topic>Medicine</topic><topic>Mental disorders</topic><topic>Noncompliance</topic><topic>Patient compliance</topic><topic>Patients</topic><topic>Psychiatry</topic><topic>Rationality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klassen, Amy Lynn</creatorcontrib><collection>CrossRef</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>Theoretical criminology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klassen, Amy Lynn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spinning the revolving door: The governance of non-compliant psychiatric subjects on community treatment orders</atitle><jtitle>Theoretical criminology</jtitle><date>2017-08-01</date><risdate>2017</risdate><volume>21</volume><issue>3</issue><spage>361</spage><epage>379</epage><pages>361-379</pages><issn>1362-4806</issn><eissn>1461-7439</eissn><abstract>This article examines the enactment of community treatment orders (CTOs) in Alberta, Canada to illustrate how civil law is used to constitute and govern psychiatric patients in the community. 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subjects | Community Compliance Enactment Fractured Governance Hospitalization Law Medical decision making Medicine Mental disorders Noncompliance Patient compliance Patients Psychiatry Rationality |
title | Spinning the revolving door: The governance of non-compliant psychiatric subjects on community treatment orders |
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