Table 4 Interpersonal leverage

Non-coercion

Social network involvement

E.9

(EN105, nurse) Or you can, if you can’t persuade them you get someone that knows them better, a family member or someone to persuade them, or a friend, or their care coordinator who knows them better than we do. You’re trying to get. You work with that first. You don’t jump straight to the threat

Handling emotion

E.10

(MX106, psychiatrist) if you are handling the patient’s emotions intending to promote his/her well-being, and not to obtain a personal benefit […] it is always in the patient’s name

Respectful reciprocity

E.11

(CH312, psychiatrist) persuasion and interpersonal leverage are two strategies frequently used and called in the first case psychoeducation and the second one therapeutic bond, it means the patient should know he/she is having a mutual respect relationship in his/her best interests and never oriented to harming him, the therapeutic bond is frequently used

Confidence

E.12

(SP206, psychiatrist) the second step consists in the explanation about the treatment supported by the patient’s confidence on his/her doctor, because he/she needs this, some influence at a specific moment

Coercion

Leverage on confidence

E.13

(IT216, psychiatrist) I think interpersonal leverage is coercion […] patient sometimes can establish a trustful relationship with the doctor and the doctor plays, we lever on confidence to convince the patient to change his/her opinion, and this is coercion

Unprofessional

E.14

(CA203, nurse) I don’t think the interpersonal one is acceptable—(CA201, nurse) I think that’s unprofessional to say that (referring to the case vignette showing interpersonal leverage)

Wrong

E.15

(SW103, social worker) My spontaneous reaction is that it felt wrong to use this