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Psychiatric repression?Currently, there are a total of 24,003 people undergoing compulsory psychiatric treatment, according to figures provided by the Health Ministry. Of these, 7,624 people are outpatients, 6,310 are patients at facilities with normal supervision, and 5,870 and 4,199 are patients, respectively, at specialized facilities and those with strict supervision. According to Agora's Chikov, Kosenko's ruling marks the first time since the Soviet era when a political activist has been sentenced to compulsory psychiatric treatment. While political activists facing criminal charges are sometimes forced to undergo psychiatric evaluation, actual psychiatric confinement of activists is rare. "In practice, a psychiatric ward is used as a threat," Chikov told The Moscow News. Compulsory psychiatric treatment for people accused of dissent, once a mass phenomenon in the Soviet Union, is sporadic today, Savenko said. More frequent, however, is when compulsory psychiatric confinement is used as a means of pressure in business dealings, according to Lev Ponomaryov, head of the For Human Rights movement. Frequent cases involve "someone wanting to take over real estate," Ponomaryov said. "In some cases, in raids on a business." In his practice, Ponomaryov said he has come across children from orphanages forced into psychiatric hospitals as punishment. "I've had to get perfectly healthy kids out of psychiatric wards," he said. "[They're placed there] without a court order." Such cases of abuse of the punitive psychiatry system have grown more widespread since the fall of the Soviet Union, according to Ponomaryov. "[Abuses] have always gone on [since the 1990s]," Ponomaryov added. "It's just that Kosenko's case is interesting and drawing attention to the issue."
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