ABSTRACT
This chapter addresses, in personal terms, the experiences of ambivalence and uncertainty around coercion of care and the nature of subjective reality, probing the profound challenges of decision-making regarding involuntary treatment and involuntary medication in real-world experience and practice. Irene Hurford, is an academic and community psychiatrist who directs a community-based early-episode psychosis program. Nev Jones, is a family member of someone with a schizophrenia diagnosis, an individual with personal experience of a schizophrenia diagnosis and involuntary inpatient treatment, as well as a mental health services researcher and expert on the phenomenology and treatment of psychosis. The care of individuals with psychosis can sometimes mirror the experience of psychosis itself. When people are able, as family members, therapists, and physicians to respect the person's experience of reality, even when people disagree with it, then they can approach discussions of care on a more equal footing.
