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Without Consent, also released as Trapped and Deceived, is a 1994 American made-for-television thriller film directed by Robert Iscove.^[1] The story centers on Laura Mills, a rebellious teenager played by Jennie Garth, whose parents commit her to a private psychiatric hospital after she causes a drunk driving accident.^[1] There, she encounters brutal patient mistreatment, including forced medication and physical abuse, prompting her to seek escape and expose the facility's unethical operations.^[2] Starring alongside Garth are Jill Eikenberry and Eric McCormack as her parents, with the film highlighting tensions between parental authority and institutional overreach in mental health care.^[1] Premiered on ABC, it drew attention for portraying real-world concerns about involuntary commitments and substandard care in psychiatric settings during the era, though it received mixed reviews for its dramatic intensity and pacing.^[3]

Synopsis

Plot Summary

Michelle and Robert Mills, a suburban couple, experience ongoing conflicts with their 17-year-old daughter Laura, whose rebellious behavior includes excessive drinking, truancy from school, and romantic involvement with an older boyfriend disapproved by her mother.^[1]^[4] After Laura causes a car accident while driving under the influence on one night in 1994, her parents, advised by a psychologist, commit her involuntarily to the Meadowbrook Institute, a private psychiatric facility specializing in behavior modification for troubled adolescents.^[1]^[5]^[6] At Meadowbrook, Laura encounters harsh conditions, including isolation, forced medication, and coercive therapies that prioritize institutional control over genuine rehabilitation, prompting her to question the facility's practices and resist its regimen.^[6]^[7] Her brother and friends outside attempt to support her, while her parents initially defend the decision amid family dysfunction—marked by her mother's overcontrol and father's detachment—but grow doubtful as reports of abuse emerge.^[7]^[8] Laura allies with other patients, uncovers systemic mistreatment at the institute, and fights legally and emotionally for her discharge, highlighting the absence of true consent in her commitment.^[9] Ultimately, her persistence exposes the facility's deficiencies, leading to her release and a reevaluation of familial and institutional approaches to adolescent rebellion.^[10]^[11]

Cast and Characters

Principal Cast

Jennie Garth portrays Laura Mills, the central character, a troubled teenager whose parents commit her to a psychiatric institution amid escalating family conflicts.^[1] Jill Eikenberry plays Michelle Mills, Laura's mother, who supports the decision to institutionalize her daughter in hopes of addressing behavioral issues.^[12] Tom Irwin stars as Robert Mills, Laura's father and a physician, whose professional background influences the family's approach to her treatment.^[1]

Actor	Role
Jennie Garth	Laura Mills
Jill Eikenberry	Michelle Mills
Tom Irwin	Robert Mills
Eric Close	David Mills
Johnny Galecki	Marty
Paul Sorvino	Dr. Winslow

Eric Close appears as David Mills, Laura's brother, while Johnny Galecki plays Marty, another family-associated figure in the narrative.^[12] Paul Sorvino depicts Dr. Winslow, a key authority figure at the facility central to the plot's conflicts.^[13] These roles highlight the film's focus on familial dynamics and institutional authority, with the actors drawn from contemporary television ensembles.^[14]

Production

Development and Writing

The teleplay for Without Consent was written by Tim Kring, who adapted a story credited to David Chase and Jay Irwin.^[15] Kring's script focused on a teenage girl's involuntary commitment to a psychiatric facility by her parents following a drunk-driving incident, exploring themes of institutional overreach and family dysfunction.^[15] The project originated as a made-for-television drama for ABC, with development emphasizing a narrative inspired by actual cases of contested psychiatric interventions, though specific source materials beyond the credited story remain undocumented in production records.^[16] Production company Once Upon a Time Films Ltd., in association with Blue, handled the adaptation process, aiming to critique indifferent parenting and unchecked medical authority within the constraints of network television formatting.^[17] The writing process prioritized dramatic tension over procedural accuracy, as evidenced by the film's portrayal of escalating institutional abuses that culminate in the protagonist's escape attempt.^[8]

Filming and Direction

Robert Iscove directed Without Consent, employing a straightforward approach that prioritized narrative momentum over stylistic flourishes, resulting in a production described as playing "strictly by the numbers."^[15] Iscove, who also served as a producer on the film, drew from his experience in television to maintain a brisk pace suitable for the ABC network's Sunday night slot, focusing on character-driven tension rather than elaborate visual effects or complex choreography.^[12] Cinematographer John Beymer captured the proceedings with standard 35mm film techniques, emphasizing intimate close-ups in psychiatric ward scenes to heighten emotional intensity, while editor Martin Nicholson ensured tight pacing to fit the 93-minute runtime.^[3] Principal photography commenced on June 20, 1994, and took place primarily in Austin, Texas, utilizing local facilities and exteriors to represent the story's institutional settings without extensive set construction.^[18] ^[1] The choice of Austin allowed for cost-effective production under Blue Puddle Productions, avoiding the higher expenses of coastal locations, and wrapped in time for the film's premiere on October 16, 1994.^[1] No major technical challenges or innovations were reported, aligning with the film's modest TV movie budget and schedule.^[15]

Themes and Analysis

Critique of Psychiatric Institutions

The film depicts psychiatric institutions as sites of systemic coercion and abuse, where adolescents facing familial or behavioral conflicts are subjected to involuntary confinement and punitive "therapies" that prioritize institutional control over individual well-being. After a drunk driving incident involving the protagonist Michelle Barnes, her parents commit her to the Greenwood Psychiatric Center, a private facility marketed as a solution for troubled youth, but revealed through the narrative as employing harsh restraints, forced group confrontations, and isolation tactics that mimic correctional rather than therapeutic environments. This portrayal underscores the vulnerability of minors to parental decisions enabled by lax commitment standards, with Michelle enduring physical and psychological duress without due process or independent evaluation, reflecting real-world concerns in the troubled teen industry where facilities often operate with minimal oversight.^[1]^[10] Central to the critique is the film's exposure of power imbalances between staff and patients, where treatments lack empirical validation for non-clinical behavioral issues and instead exacerbate defiance through non-consensual interventions. Staff at Greenwood dismiss Michelle's protests as symptoms of her "disorder," administering medications and regimens without her agreement or evidence of psychosis, while ignoring underlying family dynamics contributing to her rebellion. Such scenes critique the pathologization of normal adolescent autonomy, suggesting institutions profit from extended stays funded by parental desperation, a pattern documented in critiques of youth residential programs where abuse allegations have surfaced repeatedly. The narrative contrasts this with Michelle's eventual alliance with a sympathetic doctor, highlighting how genuine care is undermined by institutional inertia and financial incentives.^[1]^[19] Ultimately, the resolution—wherein parents uncover the facility's deceptions via hidden footage and pursue legal recourse—serves as an indictment of unchecked authority in psychiatric settings, advocating for greater scrutiny of commitments for minors. By basing the story on true events from the era's behavioral modification programs, the film questions the ethical boundaries of involuntary treatment, portraying institutions not as healers but as potential vectors for trauma when consent and evidence-based criteria are sidelined. This thematic emphasis aligns with broader historical patterns of psychiatric overreach, where facilities have faced lawsuits for similar coercive practices, though the film's dramatization amplifies the urgency without delving into counterarguments for necessary interventions in severe cases.^[20] In Without Consent, the Mills family is portrayed as a dysfunctional suburban household plagued by intergenerational conflict, with parents Michelle (Jill Eikenberry) and Robert (Tom Irwin) struggling to manage their daughter Laura's (Jennie Garth) escalating rebellion, including alcohol abuse, truancy, and romantic entanglements disapproved by her mother.^[8] These tensions reflect broader patterns of parental detachment—Michelle's overcontrol clashing with Robert's avoidance—culminating in Laura's drunk-driving crash on an unspecified night, which prompts the parents to view her actions as self-destructive beyond their capacity to handle at home.^[15]^[21] The film's exploration of consent hinges on the parents' unilateral decision to commit Laura involuntarily to the Greenwood Psychiatric Hospital under California law permitting parental authority over minors' treatment, despite her vehement opposition and lack of formal diagnosis justifying long-term confinement.^[15] This act frames family dynamics as a battleground where parental intent to protect overrides adolescent agency, raising questions about the ethical limits of such power when communication breakdowns lead to institutional outsourcing rather than resolution through dialogue or therapy. Critics observed the teleplay's intent to critique "indifferent parents" whose failure to engage fosters escalation, positioning the commitment as a misguided extension of familial control rather than genuine care.^[15]^[8] Ultimately, the narrative uses these dynamics to highlight consent's fragility in family mental health decisions, depicting Laura's institutional ordeal as amplifying the original home discord, with her eventual release contingent on external intervention rather than restored parental empathy.^[5] While aiming to promote "family understanding and listening," the film's resolution has been faulted for inadequately demonstrating how consent violations within the family precipitate broader institutional harms, leaving the critique of paternalism somewhat unresolved.^[8]

Release and Distribution

Broadcast and Availability

Without Consent premiered on the American Broadcasting Company (ABC) network on October 16, 1994, as a made-for-television film.^[1] ^[22] The broadcast aired during ABC's Sunday Night Movie slot, drawing attention for its dramatic portrayal of psychiatric institutionalization.^[22] The film, also released under the alternate title Trapped and Deceived, has not received a widespread official DVD or Blu-ray release, with physical copies remaining rare and primarily available through secondary markets.^[1] As of October 2025, it is accessible for streaming on Amazon Prime Video, including ad-supported options via Freevee.^[23] Unauthorized uploads exist on platforms like YouTube, but official distribution remains limited to digital streaming services.^[24] No major broadcast reruns or availability on other networks or cable channels have been documented since its initial airing.

Reception

Critical Reviews

Without Consent received limited critical scrutiny upon its premiere as a made-for-television film on October 16, 1994. Variety critic Tony Scott described the production as playing "strictly by the numbers," observing that it follows predictable dramatic conventions without notable deviation or innovation in storytelling or execution.^[15] Scott highlighted Tim Kring's teleplay for effectively building tension around the central mother-daughter conflict, though he implied the overall narrative lacked freshness typical of network TV fare.^[13] Secondary assessments have characterized the reception as mixed, with some noting praise for the realistic depiction of familial coercion and institutional dynamics, while others critiqued its formulaic approach and limited depth in exploring psychiatric ethics.^[25] No reviews from major outlets like The New York Times or Los Angeles Times were published, underscoring the film's modest profile amid 1990s TV movie saturation. Performances, particularly Jennie Garth's portrayal of the rebellious daughter Laura Myerston, drew occasional commendation for emotional authenticity in available commentary, though not sufficient to elevate the work beyond genre standards.^[26]

Audience and Actor Praise

The film received moderate acclaim from audiences, with an IMDb user rating of 6.1 out of 10 based on 429 votes as of recent data.^[1] Viewers commended its exposé of mistreatment in private psychiatric facilities, often describing the plot as compelling and well-written for a television movie.^[20] One reviewer noted it effectively illustrates "what really goes on in 'correctional facilities,'" crediting strong scripting and action sequences for elevating it above typical TV fare.^[20] Audience feedback frequently highlighted the cast's performances, particularly Jennie Garth's lead role as the defiant teenager Laura Mills.^[20] Garth was praised for convincingly embodying an "out-of-control teen," with comments such as "perfect for the role" and "you did great, kid," emphasizing her suitability and emotional range.^[20] Supporting actors, including Johnny Galecki, drew positive remarks for their contributions, with reviewers noting "good performances from Jennie Garth, Johnny Galecki, and most of the cast" that enhanced the film's dramatic tension.^[6] The overall casting was described as "terrific," bolstering the portrayal of family dynamics and institutional coercion.^[20]

Real-Life Basis

Inspiration from True Events

The television film Without Consent was inspired by real-life scandals involving for-profit psychiatric hospitals in the United States, where facilities admitted and detained patients, including minors, primarily to exploit insurance payments rather than for therapeutic necessity. In the 1980s, expanded mental health coverage under private insurance and government programs fueled a boom in proprietary psychiatric care, with the number of beds in such hospitals rising from 21,400 in 1984 to 37,500 by 1990.^[27] This growth prompted federal and state investigations into practices like unnecessary adolescent commitments for behavioral issues, prolonged detentions to inflate billing, and the use of confrontational group therapies that bordered on coercion.^[28] Prominent chains faced criminal probes for Medicare fraud and patient inducements; for example, in 1991, the National Medical Enterprises (NME) corporation, operator of numerous psychiatric units, came under scrutiny in four states for allegedly pressuring staff to admit patients against clinical judgment and falsifying diagnoses to extend stays.^[27] NME later settled federal charges in 1994 by paying $379 million—the largest health care fraud recovery at the time—for schemes including kickbacks to physicians for referrals and fraudulent claims exceeding $1 billion annually across the industry.^[29] These events highlighted causal incentives: facilities profited from daily per-diem rates averaging $500–$1,000 per adolescent patient, often covered indefinitely by insurers until exhaustion, leading to documented cases of teens held for months or years despite minimal psychiatric need.^[28] The film's portrayal of a rebellious teenager involuntarily committed after a minor infraction, subjected to isolation, verbal confrontations, and resistance to discharge, echoes survivor accounts from this era's facilities, where empirical data from audits showed up to 30% of admissions lacked medical justification.^[30] Although not tied to one verifiable individual case, the teleplay by Tim Kring reflects contemporaneous exposés, such as those by the Department of Justice and congressional hearings in 1992–1993, which exposed how profit motives undermined consent and due process in psychiatric commitments.^[30] Regulatory fallout included tightened reimbursement rules under managed care, reducing inpatient abuses but not eliminating for-profit incentives in behavioral health.^[31]

Accuracy and Departures from Reality

The film's portrayal of parental authority to involuntarily commit minors to psychiatric facilities aligns with U.S. legal standards in the early 1990s, where guardians could admit children under 18 for behavioral or substance-related issues without requiring judicial oversight or the minor's consent, provided a physician certified the need for treatment.^[32]^[33] This mechanism, intended for acute mental health crises, was frequently applied to adolescents exhibiting rebellion, truancy, or minor infractions like the protagonist Laura Mills' drunk driving accident, reflecting documented patterns where parents sought institutional "correction" for family conflicts.^[34] Real-world abuses in private psychiatric hospitals during this era substantiate several depicted elements, including profit-driven over-admission, excessive restraint use, isolation tactics, and substandard care to maximize insurance reimbursements. A 1992 federal investigation by the U.S. Department of Defense reviewed over 1,000 cases at private facilities, uncovering widespread violations such as unnecessary confinement of teens for months, coercive group therapies, and physical mistreatment, often targeting children from troubled families.^[35] Similarly, state hospital reports from the period detailed minors locked in wards without individualized treatment plans, mirroring the film's scenes of dehumanizing routines and neglect.^[36] Departures from reality include the dramatized portrayal of staff as overtly sadistic conspirators engineering patient suffering for personal gain, whereas empirical accounts emphasize bureaucratic incentives and understaffing over deliberate malice.^[15] Legal release processes in the film are simplified—protagonists escape via external advocacy—contrasting actual requirements for medical discharge or court petitions under state laws, which could prolong stays despite evident improvement.^[37] The narrative's focus on a single facility's cartoonish corruption overlooks broader systemic factors, such as inadequate regulatory oversight, which a 1990s Government Accountability Office probe linked to over 100,000 annual adolescent admissions nationwide, many unwarranted.^[38] These enhancements serve dramatic tension but risk overstating individual agency in escaping institutional entrapment.

Legacy and Impact

Influence on Media Depictions

The 1994 television film Without Consent contributed to the era's media trend of portraying psychiatric institutions as sites of potential overreach and ethical compromise, particularly in cases of involuntary adolescent commitment. By depicting parents institutionalizing their rebellious daughter in a facility where she encounters manipulative treatment and an illicit romance with a staff psychiatrist, the film underscored themes of consent violation and institutional conspiracy, aligning with 1990s cinematic critiques of psychiatry's authority.^[21]^[39] This narrative reinforced skepticism toward forced interventions, echoing contemporaneous works that framed mental health facilities as arenas for individual resistance against systemic control.^[39] Aired on ABC on October 16, 1994, the production highlighted procedural abuses, such as overriding patient autonomy under the guise of therapy, which mirrored real-world concerns about parental petitions for commitment without robust safeguards.^[4] Such portrayals in TV movies of the period amplified public discourse on the risks of conflating behavioral nonconformity with illness, influencing subsequent depictions by emphasizing dramatic elements like hidden facility malpractices over routine clinical processes.^[8] While not spawning direct adaptations, it exemplified the genre's role in popularizing tropes of psychiatric skepticism, seen in later 1990s outputs that similarly questioned involuntary holds and treatment coercion.^[39] The film's alternate title, Trapped and Deceived, encapsulated its cautionary stance on institutional trust, portraying the protagonist's entrapment as a betrayal of familial and professional ethics. This framing contributed to a broader media pattern where psychiatric depictions prioritized victim narratives and institutional failings, often at the expense of balanced representations of therapeutic efficacy, as critiqued in analyses of popular culture's handling of mental health themes.^[40] By October 1994's broadcast, such stories had become staples in network programming, fostering viewer wariness toward unchecked psychiatric authority without verifiable evidence of widespread reform in on-screen portrayals post-release.^[8]

Broader Context of Psychiatric Abuses

Psychiatric abuses have historically encompassed non-consensual interventions justified under the guise of treatment, often prioritizing institutional control or ideological conformity over patient autonomy. In the United States, prefrontal lobotomies emerged in the 1930s and peaked in the mid-20th century, with neurologist Walter Freeman performing an estimated 3,500 transorbital lobotomies—using an ice pick-like instrument inserted through the eye socket—between 1946 and 1967, frequently without informed consent or adequate surgical oversight.^[41] These procedures, intended to alleviate severe mental disorders, resulted in high rates of cognitive impairment, personality changes, and mortality, with Freeman's mobile "lobotomobile" enabling rapid, minimally regulated operations across states.^[42] Government-sponsored experimentation further exemplified non-consensual psychiatric practices during the Cold War. The CIA's MKUltra program, authorized in 1953 and spanning until 1973, involved over 130 subprojects conducting illegal human experiments on unwitting subjects, including psychiatric patients, using LSD, hypnosis, sensory deprivation, and electroshock to explore mind control techniques.^[43] Declassified documents reveal collaborations with institutions like universities and hospitals, where participants—often vulnerable individuals—endured psychological torture without consent, leading to long-term trauma and at least one confirmed death, such as that of CIA employee Frank Olson in 1953 after unwitting LSD administration.^[44] Internationally, the Soviet Union systematized psychiatric abuse for political suppression from the 1960s onward, diagnosing dissidents with fabricated disorders like "sluggish schizophrenia" to justify indefinite involuntary confinement and forced medication, affecting thousands who opposed the regime.^[45] This punitive psychiatry, endorsed by state-controlled professional bodies, conflated ideological nonconformity with mental illness, with special psychiatric hospitals administering neuroleptics and isolation to extract confessions or silence critics, as documented in dissident testimonies and Western investigations during the 1970s and 1980s.^[46] Such practices persisted in echoes post-1991, underscoring psychiatry's vulnerability to authoritarian co-optation where empirical diagnostics yield to state narratives.^[47] These episodes highlight recurring patterns: overreliance on coercive methods amid diagnostic imprecision, inadequate oversight, and conflation of behavioral deviance with pathology, often exacerbating harm rather than resolving underlying conditions. Reforms, including ethical codes post-1970s scandals, aimed to curb abuses, yet debates persist over involuntary treatment's necessity versus risks in acute cases.^[45]

References

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Without Consent (TV Movie 1994) - IMDb
Rating 6.1/10 (429) Michelle and Robert Mills are in continuous conflict with their young daughter Laura. One night, she has a car crash while driving drunk.
[2]
Trapped and Deceived - Rotten Tomatoes
Trapped and Deceived ... A rebellious teenager's parents commit her to a private psychiatric center where patient care is often brutal. Content collapsed.
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Without Consent - Full Cast & Crew - TV Guide
Michelle and Robert Mills are in continuous conflict with their young daughter Laura. One night, she has a car crash while driving drunk.
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Without Consent: TV Tango is your complete reference guide for Without Consent. Episode listings, photos, DVDs, videos, downloads, show information, ...Missing: summary | Show results with:summary
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Find out how to watch Without Consent. Stream Without Consent, watch trailers, see the cast, and more at TV Guide.Missing: film plot summary
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Poster for Without Consent (1994) Without Consent (1994). 246 · 118 · 37 ... Trapped and Deceived, Tell Laura I Love Her, Alptraum hinter verschlossenen ...
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BASIC SYNOPSIS: Laura comes from a dysfunctional family. Her mother is too controlling, her father ignores what is going on, her brother had an alcohol ...
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`Without Consent,' `Cries From The Heart' Fall Short
Oct 16, 1994 · "Without Consent" starts out like your typical movie about your typical dysfunctional suburban family - Jill Eikenberry and Tom Irwin (from "My So-Called Life" ...Missing: plot | Show results with:plot
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Without Consent centers on a rebellious teenager who struggles for her freedom after being placed in an abusive psychiatric facility by her well-intentioned ...
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A troubled and rebellious teen crashes her car whilst drunk. Her parents in desperation refer her to a mental institution notorious for mistreating its patients ...Missing: TV | Show results with:TV
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Without Consent (TV Movie 1994) - Full cast & crew - IMDb
Without Consent (TV Movie 1994) - Cast and crew credits, including actors, actresses, directors, writers and more.<|separator|>
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Without Consent is a 1994 American television drama film directed by Robert Iscove which aired on October 16, 1994 on the ABC network.Missing: summary | Show results with:summary
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Parents commit their rebellious daughter (Jennie Garth) to a mental hospital, where the patients are mistreated.
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Oct 14, 1994 · Without Consent. Tim Kring's teleplay about a teen sent by her parents to a psychiatric hospital tries to say something about indifferent ...Missing: plot | Show results with:plot
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Oct 16, 1994 · Without Consent, also known as Trapped and Deceived, is a 1994 television film directed by Robert Iscove and starring Jennie Garth, Jill Eikenberry, and Tom ...
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Jan 15, 1995 · ... 1994 -Sept. 30, 1995). 427. Services. 429. State and Local Film ... WITHOUT CONSENT. Once Upon a Time Films Ltd. in association with Blue.<|separator|>
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Jul 5, 2017 · 1994-07-27 – 1994-11-01. Galveston; Houston; La Porte. WITHOUT CONSENT. TV Movie. (Network/Cable/Digital). Blue Puddle Productions. 1994-06-20 – ...
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'Without Consent' is a movie that shows what really goes on in 'correctional facilities.' The plot is good and has good writing to back it up.Missing: critique | Show results with:critique
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Dec 30, 2020 · A guide listing the titles AND air dates for episodes of the TV series ABC Sunday Night Movie ... Oct 16 1994 Without Consent (1994) 1510. Oct 23 ...
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Rating 5.0 (12) A troubled and rebellious teen crashes her car whilst drunk. Her parents in desperation refer her to a mental institution notorious for mistreating its ...
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Jul 5, 2025 · Parents commit their rebellious daughter (Jennie Garth) to a mental hospital, where the patients are mistreated. Jennie Garth Without Consent ...
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Apr 4, 2017 · ECT has had particularly damaging treatment in film, often being used as punishment or without consent ... In response to the harmful portrayal of ...
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in Soviet psychiatry and that in fact have been most frequently used in the diagnoses of dissidents. He is an extremely influential figure in Soviet psychiatry.
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Without Consent