Below you will find an overview of the various research topics I have been working on in recent years. A complete list of publications can be found here.
Coercion and human rights in mental health care
In connection with involuntary measures and other aspects of care, human rights are a much-discussed topic in psychiatry. I have co-authored both theoretical considerations and empirical analyzes that describe the great importance of human rights. My thoughts and analyzes were published in autumn 2023 in a book that is available as a print version and as an open access PDF free of charge. This book has been translated into English. It is available from the publisher's site, unfortunately not free of charge. Please send my a mail if you are interested in a copy. The latest analysis poses the question of whether coercion in healthcare can still be justified at all. By contrasting ethical premises and empirical research results, I come to the conclusion that this is no longer the case. Coercion can hardly be justified any longer.
Psychiatric Epidemiology
Prevalence of mental health problems - With international teams, I have produced systematic reviews and a meta-analysis addressing the issue of the increase in mental health disorders (which has not been the case, at least not until the pandemic).
Mental health problems during the pandemic - Our research group has conducted several review projects that examined the extent of pandemic-related mental health problems in the general population and in particularly affected groups. A rapid review also examined how psychological stress in the general population developed during and after the first lockdown in 2020. Subsequently we have looked into post-viral mental health problems such as those related to Long Covid.
Psychiatric Rehabilitation
Housing for people with mental health problems - For several years, I have been involved in empirical and theoretical projects on the question of how best to organise housing for people with mental health problems. Together with colleagues at the Psychiatric University Hospital Zurich, we have conducted a randomised trial and an observational study on this question. The results of the Zurich RCT and the comparison of the RCT and the observational study have been published. I was also involved in a similar observational study in Bielefeld, Germany. Our studies suggest that the residential settings do not produce differences in terms of social and health indicators, so users should choose where and how they want to live - also from a healthcare perspective. I am very pleased that many aspects of our research could be implemented in the further development of the residential services for people with mental health problems at UPD Bern.
Occupational rehabilitation for people with mental health problems - A successful Supported Employment programme has been offered at the Psychiatric Rehabilitation Centre of the UPD Bern for many years. My research is primarily concerned with the question of how well such programmes work in routine practice after they have been shown to be superior in randomised trials. One of our studies has shown that it may make sense to focus more on job retention rather than re-inclusion. The most recent study in this field covered the job preferences of service users. This study suggests that most program participants aim at working in the general labour market.
Theory of mental health problems and Long Covid
The question of what a mental disorder/illness or a psychological problem is is particularly relevant for both care and research. I have been dealing with this controversial issue for many years and have published on the fact that social psychiatry needs a special approach to disease models.
Both for epidemiological research and for mental health care, the question of what counts as mental illness/ disorder / health problem remains a highly discussed topic. I have been working on this topic since several years and have recently provided with colleagues some publications. Ongoing is a project that tries to develop a meta-theory of mental health problems. With Ana Theodoridou I have developed a hypothesis that aims at better understanding the Long Covid condition. This hypothesis is also available in German.
Aggression and involuntary treatment in health care settings
Dealing with aggression in healthcare is a long-standing research topic that has concerned me since the mid-1990s. I am currently working with colleagues from the Bern University of Applied Sciences and the University of Maastricht on the issue of involuntary measures in acute somatics. We also looked at the question of whether measures restricting freedom can be a quality indicator for hospitals.
Social science analysis of political populism
I am very proud of a joint publication with my daughter Mona, which deals with the question of how political systems can deal with the populist danger of illiberal parties. We come to the conclusion that both left-progressive forces and right-conservative parties should pay attention to the consequences of their political rhetoric in order not to make illiberal approaches even stronger.
This analysis is also available in more detail in English.