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The use of Seclusion in a DHSS Youth Treatment Centre

  • Greg Wilkinson (a1)
Extract

Seclusion, locking up patients in isolation, has a long history in psychiatry (Hunter and MacAlpine, 1963). John Conolly (1856), for example, though an advocate of non-restraint, defended the practice: ‘That salutory exclusion of causes of excitement from an already irritated brain, has been so unjustly stigmatized as solitary imprisonment’. Even so, many of his contemporaries reviled seclusion. Indeed, experience over the years has shown that such limitations of patients' liberty need to be carried out under scrutiny, otherwise abuses may take place. Patients who give staff trouble may be secluded as a punishment or kept in seclusion for long periods without proper attention. For this reason, therefore, doctors need always to take particular care to see that this form of management is carefully regulated.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Campbell, W., Shepherd, H. & Falconer, F. (1982) The use of seclusion. Nursing Times, 78, 1821–5.
Conolly, J. (1856) Treatment of the Insane without Mechanical Restraints. (Reprinted with introduction by R. Hunter and I. MacAlpine). Folkestone and London: Dawsons of Pall Mall.
Davis, T. (1982) Parliamentary question. Hansard, vol. 33, col. 398 W.
Hunter, R. & MacAlpine, I. (1963) Three Hundred Years of Psychiatry, 1535–1860. London: Oxford University Press.
Royal College of Psychiatrists (1982) Locking up patients by themselves. Bulletin of the Royal College of Psychiatrists, 6, 199200.
Strutt, R. et al (1980) Seclusion: can it be justified? Nursing Times, 76, 1629–33.
Wilkinson, G. (1983) Locking up psychiatric patients. British Medical Journal, 286, 581–82.
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BJPsych Bulletin
  • ISSN: 0140-0789
  • EISSN: 2514-9954
  • URL: /core/journals/bjpsych-bulletin
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The use of Seclusion in a DHSS Youth Treatment Centre

  • Greg Wilkinson (a1)
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