Flannery Raymond B
Department of Psychology, Worcester State Hospital, Worcester, Massachusetts, USA.
Am J Alzheimers Dis Other Demen. 2003 Jul-Aug;18(4):227-30. doi: 10.1177/153331750301800408.
Restraint is an extreme response to an emergency situation in which there is imminent harm to self or others. Although some restrained patients become calm, others may become even more behaviorally disorganized. In some of these latter cases, the restrained patients may be victims of violence for whom the restraint procedure acts as a symbolic reminder of the past victimization. Elderly dementia sufferers may also be among these victims of violence. This paper provides a brief review of psychological trauma, research findings on psychological trauma in the elderly, and an approach to modifying restraint procedures that may be needed for dementia sufferers with a past history of victimization to minimize the disquiet associated with the needed restraint.
约束是对紧急情况的一种极端反应，在这种情况下，对自己或他人存在紧迫的伤害。尽管一些被约束的患者会变得平静，但另一些患者可能会在行为上变得更加混乱。在后者的一些案例中，被约束的患者可能是暴力的受害者，约束程序对他们而言就像是过去受侵害的一种象征性提醒。老年痴呆症患者也可能是这些暴力受害者之一。本文简要回顾了心理创伤、关于老年人心理创伤的研究结果，以及一种修改约束程序的方法，对于有过往受侵害史的痴呆症患者可能需要这种方法，以尽量减少与必要的约束相关的不安。
