{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:13:35Z","timestamp":1787066015631,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T00:00:00Z","timestamp":1511481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    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\n                    <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content>\n                    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\u2010depth interviews were used to understand seven women's accounts of deciding to receive\n                    <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content>\n                    . 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) \u2018Not enough information\u2019; (ii) \u2018I had no other choice\u2019; (iii) \u2018Just go along with it\u2019; and (iv) \u2018Lacking capacity\u2019. 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\u2010making. 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.\n                  <\/jats:p>","DOI":"10.1111\/inm.12420","type":"journal-article","created":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T10:36:39Z","timestamp":1511519799000},"page":"1077-1085","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["I had no other option: Women, electroconvulsive therapy, and informed consent"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3578-547X","authenticated-orcid":false,"given":"Karen\u2010Ann","family":"Clarke","sequence":"first","affiliation":[{"name":"The School of Nursing, Midwifery and Paramedicine The University of the Sunshine Coast Sippy Downs Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Barnes","sequence":"additional","affiliation":[{"name":"The School of Nursing, Midwifery and Paramedicine The University of the Sunshine Coast Sippy Downs Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dyann","family":"Ross","sequence":"additional","affiliation":[{"name":"Social Work Program The University of the Sunshine Coast Sippy Downs Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2012-101122"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12252"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077801206286404"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/15622970903559925"},{"key":"e_1_2_10_6_1","first-page":"375","volume-title":"Handbook of Complementary Methods in Education Research","author":"Connelly F.","year":"2006"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2011.583810"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(15)30658-1"},{"key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.3233\/JRS-130593","article-title":"All I have is a void: Women's perceptions of the benefits and side effects of ECT","volume":"25","author":"Ejaredar M.","year":"2013","journal-title":"International Journal of Risk and Safety in Medicine"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2013.841870"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690600500107"},{"key":"e_1_2_10_12_1","volume-title":"Electroconvulsive Therapy: A Guide for Professionals and Their Patients","author":"Fink M.","year":"2009"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2011.577116"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.137.1.8"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638239917652"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2014.14101366"},{"key":"e_1_2_10_17_1","first-page":"1","article-title":"The efficiency of electroconvulsive therapy in the treatment of depression in the elderly","volume":"8","author":"Lima B.","year":"2015","journal-title":"International Archives of Medicine"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/107780049500100301"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.13.4.161"},{"key":"e_1_2_10_20_1","unstructured":"Medicare Australia(2017).ECT utilisation rates 2016\u20132017. [Cited 26 September 2017]. Available from: URL:http:\/\/medicarestatistics.humanservices.gov.au\/statistics\/do.jsp?_PROGRAM=\/statistics\/mbs_item_age_gender_report&VAR=services&STAT=count&PTYPE=finyear&START_DT=201607&END_DT=201706&RPT_FMT=by+state&GROUP=14224"},{"key":"e_1_2_10_21_1","volume-title":"Guidelines for the Administration of Electroconvulsive Therapy","author":"Mental Health Alcohol and Other Drugs Directorate","year":"2012"},{"key":"e_1_2_10_22_1","unstructured":"National Institute for Health and Clinical Excellence(2016).Depression: evidence update. A summary of selected new evidence relevant to NICE clinical guideline 90 \u201cThe treatment and management of depression in adults\u201d (2009). [Cited 2 June 2017]. Available from: URL:https:\/\/www.nice.org.uk\/guidance\/cg90"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2010.34.2.237"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1350506812471026"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1300\/J074v17n01_03"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mppsy.2006.11.002"},{"key":"e_1_2_10_27_1","volume-title":"Qualitative Research and Evaluation Methods","author":"Patton M. Q.","year":"2002"},{"key":"e_1_2_10_28_1","first-page":"515","volume-title":"Handbook of Feminist Research. Theory and Praxis","author":"Preissle J.","year":"2007"},{"key":"e_1_2_10_29_1","unstructured":"Queensland Government(2016).Mental Health Act (2016). [Cited 17 June 2017]. 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