Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T07:42:45.844Z Has data issue: false hasContentIssue false
  • English
  • Français

Seclusion

Published online by Cambridge University Press:  02 January 2018

Adrian Angold
Adrian Angold*
Affiliation:
MRC Child Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Get access Rights & Permissions [Opens in a new window]

Abstract

Seclusion is a commonly used management technique in some areas of psychiatric practice. However, its theoretical and empirical underpinnings are greatly wanting in many respects. This paper reviews the present state of our knowledge and ignorance about seclusion, and suggests some strategies for much-needed research.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 154 , Issue 4 , April 1989 , pp. 437 - 444
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Angold, A. & Pickles, A. (1989) Seclusion on an adolescent unit. Journal of Child Psychology and Psychiatry (in press).Google Scholar
Binder, R. L. (1979) The use of seclusion on an inpatient crisis intervention unit. Hospital and Community Psychiatry, 30, 266–269.Google Scholar
Campbell, W., Shepherd, H. & Falconer, R. (1982) The use of seclusion. Nursing Times, 27, 1821–1825.Google Scholar
Chamberlin, J. (1985) An ex-patient's response to Soliday. Journal of Nervous and Mental Disease, 173, 288–289.Google Scholar
Connolly, J. (1973) Treatment of the Insane without Mechanical Restraints. Folkstone and London: Dawson.Google Scholar
Cullen, W. (1816) First lines of the Practice of Psychic. pp. 173–190.Google Scholar
Davidson, N. A., Hemingway, M. J. & Wysocki, T. (1984) Reducing the use of restrictive procedures in a residential facility. Hospital and Community Psychiatry, 35, 164–167.Google Scholar
Di Fabio, S. (1981) Nurses' reactions to restraining patients. American Journal of Nursing, May, 973–975.Google Scholar
Erickson, W. D. & Realmuto, G. (1983) Frequency of seclusion in an adolescent psychiatric unit. Journal of Clinical Psychiatry, 44, 238–241.Google Scholar
Fitzgerald, R. G. & Long, I. (1973) Seclusion in the treatment and management of severely disturbed manic and depressed patients. Perspectives in Psychiatric Care, 11, 59–64.Google Scholar
Flavell, J. E., Gimsey, J. F. & Jones, M. L. (1978) The use of physical restraint in the treatment of self-injury and as positive reinforcement. Journal of Applied Behaviour Analysis, 11, 225–241.Google Scholar
Gair, D. S. (1980) Limit-setting and seclusion in the psychiatric hospital. Psychiatric Opinion, 17, 15–19.Google Scholar
Gair, D. S., Bullard, D. M. & Corwin, J. H. (1965) Seclusion of children as a therapeutic ward practice. American Journal of Orthopsychiatry, 35, 251–252.Google Scholar
Garrison, W. T. (1984) Aggressive behavior, seclusion and physical restraint in an inpatient child population. Journal of the American Academy of Child Psychiatry, 23, 448–452.Google Scholar
Grassian, S. (1983) Psychopathological effects of solitary confinement. American Journal of Psychiatry, 140, 1450–1454.Google Scholar
Greenblatt, M., York, R. H., Brown, E. L., et al (1980) From Custodial to Therapeutic Patient Care in Mental Hospitals. New York: Arno Press.Google Scholar
Gutheil, T. G. (1978) Observations on the theoretical bases for seclusion of the psychiatric patient. American Journal of Psychiatry, 135, 325–328.Google Scholar
Hack Tuke, D. (1892) A Dictionary of Psychological Medicine. London: J & A Churchill.Google Scholar
HMSO (1970) Report of the Committee of Inquiry into Allegations of Ill-Treatment of Patients and other Irregularities at the Ely Hospital, Cardiff London: HMSO.Google Scholar
HMSO (1972) Report of the Committee of Inquiry into Whittingham Hospital. London: HMSO.Google Scholar
HMSO (1978) Report of the Committee of Inquiry into Normansfield Hospital. London: HMSO.Google Scholar
HMSO (1980) Report of the Committee of Inquiry into Rampton Hospital. London: HMSO.Google Scholar
Mattson, M. R. & Sacks, M. H. (1978) Seclusion: uses and complications. American Journal of Psychiatry, 135, 1210–1213.Google Scholar
Maudsley, H. (1879) The Pathology of Mind (3rd edn). London: MacMillan & Co.Google Scholar
Phillips, P. & Nasr, S. (1983) Seclusion and restraint and prediction of violence. American Journal of Psychiatry, 140, 229–232.Google ScholarPubMed
Pippard, J. & Ellam, L. (1981) Electroconvulsive Treatment in Great Britain. A Report to the Royal College of Psychiatrists. London: Gaskell.Google Scholar
Plutchic, R., Karasu, T. B., Conte, H. R., et al (1978) Toward a rationale for the seclusion process. Journal of Nervous and Mental Disease, 166, 571–579.CrossRefGoogle Scholar
Royal College of Psychiatrists (1981) Isolation of patients in protected rooms during psychiatric treatment. Bulletin of the Royal College of Psychiatrists, 5, 96.Google Scholar
Royal College of Psychiatrists (1982) Locking up patients by themselves. Bulletin of the Royal College of Psychiatrists, 6, 199–200.Google Scholar
Rumpler, C. H. & Seigerman, C. (1978) A behavior modification approach to dealing with violent behavior in an intensive care unit. Perspectives in Psychiatric Care, 16, 206–245.Google Scholar
Schwab, P. J. & Lahmeyer, C. B. (1979) The use of seclusion on a general hospital psychiatric unit. Journal of Clinical Psychiatry, 40, 228–231.Google Scholar
Soliday, S. M. (1985) A comparison of patient and staff attitudes toward seclusion. Journal of Nervous and Mental Disease, 172, 282–286.Google Scholar
Soloff, P. H. & Turner, S. M. (1981) Patterns of seclusion: a prospective study. Journal of Nervous and Mental Disease, 169, 37–44.CrossRefGoogle ScholarPubMed
Sreenivasan, U. (1983) Limitation of freedom of movement in adult psychiatric units: the position of the Canadian Psychiatric Association. Canadian Journal of Psychiatry, 28, 64–67.Google Scholar
Strutt, R., Bailey, C., Peermohamed, R., et al (1980) Seclusion: can it be justified? Nursing Times, September, 1629–1633.Google Scholar
Tardiff, K. (1981) Emergency control measures for psychiatric inpatients. Journal of Nervous and Mental Disease, 169, 614–618.Google Scholar
Thompson, P. (1986) The use of seclusion in hospitals in the Newcastle area. British Journal of Psychiatry, 149, 471–474.Google Scholar
Tuke, S. (1974) Description of the Retreat. London: Dawson.Google Scholar
Wadeson, H. & Carpenter, W. T. (1976) Impact of the seclusion room experience. Journal of Nervous and Mental Disease, 163, 318–328.Google Scholar
Wells, D. D. (1972) The use of seclusion on a university hospital psychiatric floor. Archives of General Psychiatry, 26, 410–413.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.