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Beyond Patient Management: The Therapeutic Use of Seclusion and Restraints

Beyond Patient Management: The Therapeutic Use of Seclusion and Restraints the theoretical rationale for seclusion (Gutheil, 1978), and on establishing guidelines, safeguards, and evaluative tools (Guthiel, 1978; Rosen and DiGiacomo, 1978) to improve the management of seriously disturbed mental patients who act out their destructive impulses. The locked unit, medication, seclusion, and restraints are all viable choices to consider in assuring safety and security for the patient who is unable, without assistance, to stop acting out intolerable feelings. While our first concern is the protection of patients and others in the hospital, we have learned to approach this most basic requirement in a way that fosters patient independence and growth. By addressing the maturational needs of patients and eliciting their participation in their own treatment, we have successfully begun to deal with the interferences in maturation that cause these patients to maintain the same impulsive and destructive behavioral patterns for most of their lives. When given the VOLUME XXll NO. 4 1984 opportunity to explore their thoughts, patients begin to consider options other than the automatic impulsive and destructive behaviors they have used in the past when angry, frustrated, or fearful. In this article, I discuss our theoretical understanding of the developmental dynamics that underlie the need for http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Perspectives in Psychiatric Care Wiley

Beyond Patient Management: The Therapeutic Use of Seclusion and Restraints

Grigson, Joyce W.
Perspectives in Psychiatric Care , Volume 22 (4) – Oct 1, 1984
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References (5)

Publisher
Wiley
Copyright
Copyright © 1984 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0031-5990
eISSN
1744-6163
DOI
10.1111/j.1744-6163.1984.tb00244.x
Publisher site
See Article on Publisher Site

Abstract

the theoretical rationale for seclusion (Gutheil, 1978), and on establishing guidelines, safeguards, and evaluative tools (Guthiel, 1978; Rosen and DiGiacomo, 1978) to improve the management of seriously disturbed mental patients who act out their destructive impulses. The locked unit, medication, seclusion, and restraints are all viable choices to consider in assuring safety and security for the patient who is unable, without assistance, to stop acting out intolerable feelings. While our first concern is the protection of patients and others in the hospital, we have learned to approach this most basic requirement in a way that fosters patient independence and growth. By addressing the maturational needs of patients and eliciting their participation in their own treatment, we have successfully begun to deal with the interferences in maturation that cause these patients to maintain the same impulsive and destructive behavioral patterns for most of their lives. When given the VOLUME XXll NO. 4 1984 opportunity to explore their thoughts, patients begin to consider options other than the automatic impulsive and destructive behaviors they have used in the past when angry, frustrated, or fearful. In this article, I discuss our theoretical understanding of the developmental dynamics that underlie the need for

Journal

Perspectives in Psychiatric Care – Wiley

Published: Oct 1, 1984

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