Seclusion: uses and complications
A total of 7.2% of the patients in a private psychiatric hospital were placed in seclusion during a one-year study. These 63 patients had a more frequent diagnosis of schizophrenia and manic-depressive illness, manic type, than a comparison group. Significant intergroup differences in age and length...
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| Veröffentlicht in: | The American journal of psychiatry 1978-10, Vol.135 (10), p.1210-1213 |
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| container_issue | 10 |
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| container_title | The American journal of psychiatry |
| container_volume | 135 |
| creator | Mattson, M R Sacks, M H |
| description | A total of 7.2% of the patients in a private psychiatric hospital were
placed in seclusion during a one-year study. These 63 patients had a more
frequent diagnosis of schizophrenia and manic-depressive illness, manic
type, than a comparison group. Significant intergroup differences in age
and length of hospitalization became insignificant when the seclusion
patients under 20 were excluded. Although seclusion was often used to
protect patients, others, and property, the most frequent reason was to
maintain a therapeutic environment. This study pointed toward a staff
tendency to see the "problem" of the patient's behavior as being solved by
seclusion rather than viewing seclusion as an intensive care environment in
which the patient's behavior and treatment could be morec arefully
monitored. |
| doi_str_mv | 10.1176/ajp.135.10.1210 |
| format | Article |
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placed in seclusion during a one-year study. These 63 patients had a more
frequent diagnosis of schizophrenia and manic-depressive illness, manic
type, than a comparison group. Significant intergroup differences in age
and length of hospitalization became insignificant when the seclusion
patients under 20 were excluded. Although seclusion was often used to
protect patients, others, and property, the most frequent reason was to
maintain a therapeutic environment. This study pointed toward a staff
tendency to see the "problem" of the patient's behavior as being solved by
seclusion rather than viewing seclusion as an intensive care environment in
which the patient's behavior and treatment could be morec arefully
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placed in seclusion during a one-year study. These 63 patients had a more
frequent diagnosis of schizophrenia and manic-depressive illness, manic
type, than a comparison group. Significant intergroup differences in age
and length of hospitalization became insignificant when the seclusion
patients under 20 were excluded. Although seclusion was often used to
protect patients, others, and property, the most frequent reason was to
maintain a therapeutic environment. This study pointed toward a staff
tendency to see the "problem" of the patient's behavior as being solved by
seclusion rather than viewing seclusion as an intensive care environment in
which the patient's behavior and treatment could be morec arefully
monitored.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Bipolar Disorder - psychology</subject><subject>Bipolar Disorder - therapy</subject><subject>Child</subject><subject>Female</subject><subject>Hospital Units</subject><subject>Hospitals, Psychiatric</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - therapy</subject><subject>Schizophrenia - therapy</subject><subject>Schizophrenic Psychology</subject><subject>Sensory Deprivation</subject><subject>Social Isolation</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNp1kMtLxDAQxoP4WlfPXjysCJ7sbibTvLzJ4gsWPKjgLaRpCl36stke_O_NWhERPA3fzG--GT5CToHOAaRY2HU3B-TzrWZAd8gEOPJEMqZ2yYRSyhLN8e2QHIWwjpKiZAdkX2ihKZ2Q82fvqiGUbXM9G4IPM9vkM9fWXVU6u4ntcEz2ClsFf_Jdp-T17vZl-ZCsnu4flzerxCIXmwQzqpQuMk9lhgwdoyrnPsWMAUtz4UArkIVUOYpCIyJ3KIAzaUHmTqoUp-Ry9O369n3wYWPqMjhfVbbx7RCMTEFKrUUEL_6A63bom_ibAQQqaMo4RmoxUq5vQ-h9Ybq-rG3_YYCabXImJhcX-JeOycWNs2_fIat9_sOPUcXx1Ti2XVf-OvmP2yc9d3P0</recordid><startdate>197810</startdate><enddate>197810</enddate><creator>Mattson, M R</creator><creator>Sacks, M H</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7X8</scope></search><sort><creationdate>197810</creationdate><title>Seclusion: uses and complications</title><author>Mattson, M R ; Sacks, M H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a356t-3b0889fbe07b323c208d5e43b2124d6c19817f78d36f93335c361527a17dc7843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Bipolar Disorder - 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placed in seclusion during a one-year study. These 63 patients had a more
frequent diagnosis of schizophrenia and manic-depressive illness, manic
type, than a comparison group. Significant intergroup differences in age
and length of hospitalization became insignificant when the seclusion
patients under 20 were excluded. Although seclusion was often used to
protect patients, others, and property, the most frequent reason was to
maintain a therapeutic environment. This study pointed toward a staff
tendency to see the "problem" of the patient's behavior as being solved by
seclusion rather than viewing seclusion as an intensive care environment in
which the patient's behavior and treatment could be morec arefully
monitored.</abstract><cop>United States</cop><pub>American Psychiatric Publishing</pub><pmid>696900</pmid><doi>10.1176/ajp.135.10.1210</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-953X |
| ispartof | The American journal of psychiatry, 1978-10, Vol.135 (10), p.1210-1213 |
| issn | 0002-953X 1535-7228 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74177996 |
| source | MEDLINE; Psychiatry Legacy Collection Online Journals 1844-1996; Periodicals Index Online |
| subjects | Adolescent Adult Attitude of Health Personnel Bipolar Disorder - psychology Bipolar Disorder - therapy Child Female Hospital Units Hospitals, Psychiatric Humans Intensive Care Units Length of Stay Male Mental Disorders - psychology Mental Disorders - therapy Schizophrenia - therapy Schizophrenic Psychology Sensory Deprivation Social Isolation |
| title | Seclusion: uses and complications |
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