Practitioner-Suggested Voluntary Psychiatric Hospitalization from a Feminist Therapy Perspective


  • Ashley Elizabeth Moseley University of Florida



psychiatric hospitalization, feminist therapy


This study explores “practitioner-suggested voluntary psychiatric hospitalization,” or the gray area between voluntary and involuntary admission into psychiatric inpatient treatment where voluntary patients feel they have been persuaded into admission by practitioners with the authority to admit them involuntarily. Some scholars discuss this phenomenon in terms of power, indicating that what a practitioner views as a suggestion may be interpreted by a patient as coercion due to power imbalance within the psychiatric setting. However, research on how individuals with marginalized identities are affected by practitioner-suggested hospitalization is largely inconclusive. This study sought to address this gap by interviewing four feminist therapists, who focus on the intersections of social identities such as race, gender, and sexual orientation while promoting an egalitarian therapeutic relationship. The study discussed the experiences and opinions of feminist therapists and analyzed emerging themes.   


Appelbaum, P. S. (1985). Empirical assessment of innovation in the law of civil commitment: A critique. Law, Medicine and Health Care, 13(6), 304-309.

Chamberlin, J. (1990). The ex-patients' movement: where we've been and where we're going. The Journal of Mind and Behavior,11(3/4), 323-336.

Curtis, A. (2001). Involuntary commitment. Retrieved from

Enns, C. Z. (2012). Feminist approaches to counseling. In E. Altmaier & J. Hansen (Eds.), Oxford handbook of counseling psychology (pp. 434-459). New York: Oxford University Press.

Gainesville Peer Respite. (n.d.). Retrieved from

Gamble, V. N. (1997). Under the shadow of Tuskegee: African Americans and health care. American Journal of Public Health, 87(11), 1773–1778.

Gilbert, L. A. (1980). Feminist therapy. In Brodsky, A. M., Hare-Mustin, R. T., (Eds.), Women and psychotherapy (pp. 245–266). New York: Guilford

Gilboy, J. A., & Schmidt, J. R. (1971). Voluntary Hospitalization of the Mentally Ill [article]. Northwestern University Law Review, (4), 429.

Holstein, J. A. (1987). Producing Gender Effects on Involuntary Mental Hospitalization. Social Problems, 34(2), 141-155.

Langsworthy, D. (n.d.). Elizabeth Packard. Retrieved from

Lidz, C. W., Mulvey, E. P., Arnold, R. P., Bennett, N. S., & Kirsch, B. L. (1993). Coercive interactions in a psychiatric emergency room. Behavioral Sciences & the Law, (3). 269.

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin,129(5), 674-697. doi:10.1037/0033-2909.129.5.674

Olfson, M., Wall, M., Wang, S., Crystal, S., Liu, S., Gerhard, T., & Blanco, C. (2016). Short-term suicide risk after psychiatric hospital discharge. JAMA Psychiatry,73(11), 1119. doi:10.1001/jamapsychiatry.2016.2035

Olofsson, B., & Jacobsson, L. (2001). A plea for respect: Involuntarily hospitalized psychiatric patients' narratives about being subjected to coercion. J Psychiatr Ment Health Nurs Journal of Psychiatric and Mental Health Nursing, 8(4), 357-366.

Olofsson, B., Gilje, F., Jacobsson, L. and Norberg, A. (1998), Nurses’ narratives about using coercion in psychiatric care. Journal of Advanced Nursing, 28: 45–53. doi:10.1046/j.1365-2648.1998.00687.x

Rader, J., & Gilbert, L. A. (2005). The egalitarian relationship in feminist

therapy. Psychology of Women Quarterly, 29(4), 427-435.

Rogers, A. (1993). Coercion and ‘voluntary’ admission: An examination of psychiatric patient views. Behavioral Sciences & the Law Behav. Sci. Law, 11(3), 259-267.

Roth, R. T., & Lerner, J. (1974). Sex-based discrimination in the mental institutionalization of Women. California Law Review, 62(3), 789

Testa, M., & West, S.G. (2010). Civil commitment in the United States. Psychiatry (Edgmont), 7: 30–40.