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Outpatient commitment
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===Arguments against and opponents=== Human rights advocate considers it a violation of [[freedom of thought]] or opinion, or views the use of neuroleptic as [[degrading treatment]] that can also impede on their right to work due to sometimes handicapping side effects. Other argue for a right of self-determination or [[self ownership]], considering it a paternalistic approach that can be wrongly applied considering psychiatry criteria for diagnosis are very subjective backed by some studies questioning diagnosis (see [[Rosenhan experiment]]), the unlimited duration with often lack or no foresight to an end from the patient is also criticised. Some opponents dispute the effects of compulsory treatment as positive, questioning the methodology of studies that show effectiveness. Some point to disparities in the way these laws are applied.{{citation needed|date=August 2016}} Opponents claim they are giving medication to the patient, but there are no brain chemical imbalances to correct in "mental illness".<ref>{{cite web |url=http://www.psychiatrictimes.com/blogs/couch-crisis/psychiatry-new-brain-mind-and-legend-chemical-imbalance |title=Psychiatry's New Brain-Mind and the Legend of the Chemical Imbalance |first1=Ronald W. |last1=Pies |date=July 11, 2011 |work=Psychiatric Times }}</ref> Our ability to control ourselves and reason comes from the mind, and the brain is being reduced in size from the psychiatric medications.<ref>{{cite journal |last1=Ho |first1=Beng-Choon |last2=Andreasen |first2=Nancy C. |last3=Ziebell |first3=Steven |last4=Pierson |first4=Ronald |last5=Magnotta |first5=Vincent |display-authors=3 |title=Long-term Antipsychotic Treatment and Brain Volumes |journal=Archives of General Psychiatry |volume=68 |issue=2 |pages=128β37 |year=2011 |pmid=21300943 |pmc=3476840 |doi=10.1001/archgenpsychiatry.2010.199 }}</ref><ref>{{cite journal |last1=Dorph-Petersen |first1=Karl-Anton |last2=Pierri |first2=Joseph N. |last3=Perel |first3=James M. |last4=Sun |first4=Zhuoxin |last5=Sampson |first5=Allan R. |last6=Lewis |first6=David A. |display-authors=3 |title=The Influence of Chronic Exposure to Antipsychotic Medications on Brain Size before and after Tissue Fixation: A Comparison of Haloperidol and Olanzapine in Macaque Monkeys |journal=Neuropsychopharmacology |volume=30 |issue=9 |pages=1649β61 |year=2005 |pmid=15756305 |doi=10.1038/sj.npp.1300710 |doi-access=free }}</ref><ref>{{cite journal |last1=Radua |first1=J. |last2=Borgwardt |first2=S. |last3=Crescini |first3=A. |last4=Mataix-Cols |first4=D. |last5=Meyer-Lindenberg |first5=A. |last6=McGuire |first6=P.K. |last7=Fusar-Poli |first7=P. |display-authors=3 |title=Multimodal meta-analysis of structural and functional brain changes in first episode psychosis and the effects of antipsychotic medication |journal=Neuroscience & Biobehavioral Reviews |volume=36 |issue=10 |pages=2325β33 |year=2012 |pmid=22910680 |doi=10.1016/j.neubiorev.2012.07.012 |doi-access=free }}</ref><ref>{{cite journal |last1=Harrow |first1=Martin |last2=Jobe |first2=Thomas H. |title=Factors involved in outcome and recovery in schizophrenia patients not on antipsychotic medications: a 15-year multifollow-up study |journal=The Journal of Nervous and Mental Disease |volume=195 |issue=5 |pages=406β14 |year=2007 |pmid=17502806 |doi=10.1097/01.nmd.0000253783.32338.6e |s2cid=6423448 }}</ref> The [[slippery slope argument]] of "If government bodies are given power, they will use it in excess." was proven when 350β450 CTOs were expected to be issued in 2008 and more than five times that number were issued in the first few months. Every year there are increasing numbers of people subject to CTO's.<ref>{{cite news |url=http://www.politics.co.uk/comment-analysis/2014/10/07/community-treatment-orders-politics-and-psychiatry-in-a-cult |title=Community Treatment Orders: Politics and psychiatry in a culture of fear |first1=Ken |last1=McLaughlin |date=October 7, 2014 |publisher=Politics.co.uk }}</ref><ref>{{cite press release |title=Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983 and Patients Subject to Supervised Community Treatment, England - 2014-2015, Annual figures |publisher=[[NHS Digital]] |date=October 23, 2015 |url=http://digital.nhs.uk/catalogue/PUB18803 |access-date=August 14, 2016 }}</ref><ref>{{cite press release |title=Number of Mental Health detentions and Community Treatment Order rises |publisher=[[NHS Digital]] |date=October 23, 2012 |url=http://digital.nhs.uk/article/2282/Number-of-Mental-Health-detentions-and-Community-Treatment-Order-rises |access-date=August 14, 2016 |url-status=dead |archive-url=https://web.archive.org/web/20160820122826/http://digital.nhs.uk/article/2282/Number-of-Mental-Health-detentions-and-Community-Treatment-Order-rises |archive-date=August 20, 2016 }}</ref> The [[psychiatric survivors movement]] opposes compulsory treatment on the basis that the ordered drugs often have serious or unpleasant [[adverse effect|side-effects]] such as [[tardive dyskinesia]], [[neuroleptic malignant syndrome]], [[akathisia]], excessive [[weight gain]] leading to [[diabetes]], [[Substance use disorder|addiction]], [[Human sexuality|sexual]] side effects, increased risk of [[suicide]] and [[Drug-induced QT prolongation|QT prolongation]]. The [[New York Civil Liberties Union]] has denounced what they see as [[race (classification of human beings)|racial]] and [[socioeconomic]] [[biases]] in the issuing of outpatient commitment orders.<ref>{{cite web |publisher=[[New York Lawyers for the Public Interest]] |title=Implementation of 'Kendra's Law' is Severely Biased |date=April 7, 2005 |url=http://www.nylpi.org/wp-content/uploads/bsk-pdf-manager/149_DLC_-_REPORT_ON_KENDRA'S_LAW.PDF |archive-url=https://ghostarchive.org/archive/20221009/http://www.nylpi.org/wp-content/uploads/bsk-pdf-manager/149_DLC_-_REPORT_ON_KENDRA'S_LAW.PDF |archive-date=2022-10-09 |url-status=live }}</ref><ref>{{cite web |url=http://www.nyclu.org/aot_program_tstmny_040805.html |title=Testimony On Extending Kendra's Law |website=NYCLU |access-date=2006-04-02 |url-status=dead |archive-url=https://web.archive.org/web/20060109153452/http://www.nyclu.org/aot_program_tstmny_040805.html |archive-date=2006-01-09 }}</ref> The main opponents to any kind of coercion, including the outpatient commitment and any other form of involuntary commitment, are [[Giorgio Antonucci]] and [[Thomas Szasz]].{{citation needed|date=August 2016}}
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