Surveying the Geneva impasse: Coercive care and human rights

2019 | Insight | Output
16 Apr, 2019

Surveying the Geneva impasse: Coercive care and human rights

Wayne Martin, Sándor Gurbai

International Journal of Law and Psychiatry

Volume 64, May–June 2019, Pages 117-128
Researchers from Workstream 4, focusing on ‘insight’, publish a new paper in the International Journal of Law and Psychiatry, looking at the differences between ‘coercive’ and ‘non-consensual’ care interventions under the United Nations human rights system.


The United Nations human rights system has in recent years been divided on the question as to whether coercive care interventions, including coercive psychiatric care, can ever be justified under UN human rights standards. Some within the UN human rights community hold that coercive care can comply with human rights standards, provided that the coercive intervention is a necessary and proportionate means to achieve certain approved aims, and that appropriate legal safeguards are in place. Others have held that coercive care is never justified. Disagreement over this issue has produced an impasse in the UN human rights system. We survey the impasse with particular attention to the legal arguments that inform the divergent positions. In doing so we introduce a distinction among a variety of different ‘abolitionist’ positions regarding coercive care, and draw a distinction between ‘non-consensual’ and ‘coercive’ treatment. We conclude with three proposals for moving beyond the current impasse.

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