PMID: 15368015Sep 16, 2004Paper

Measures of control in psychiatric settings: three perspectives to guide their reduction, perhaps their elimination

Santé mentale au Québec
Paul Morin, Cécile Michaud

Abstract

This article first presents the context in which are situated governmental orientations regarding measures of control in psychiatric settings such as restraint and seclusion. The authors expose the knowledge concerning the use and the reduction of measures of control and propose three perspectives to guide their reduction and their elimination. The first perspective is oriented towards the control of the violent behavior, the second, guided by a better understanding of the experience of the actors involved in the violent behavior. The third perspective proposed by the authors is directed towards the integration of the trauma as an experience and takes into account the various dimensions of the cycle of violence to which the measures of control contribute. Finally, the authors propose different ways to reduce, perhaps eliminate measures of control in psychiatry.

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