We discuss the existing or desired legal basis for forced medical treatment in psychiatry, in the light of supranational, international and Swiss law. Four situations in which forced medical treatment may occur are described and illustrated with case reports. A distinction is drawn between treatment against a destructive will, treatment against lack of will, treatment against an antisocial will, and long-term treatment against a chronic destructive will. Finally, proposals for improved Swiss legislation on forced psychopharmacological treatment are discussed.
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