Jones Edwin, Allen David, Moore Kate, Phillips Bethan, Lowe Kathy
Bro Morgannwg NHS Trust, Wales and Unit for Development in Intellectual Disability, University of Glamorgan, Wales.
J Intellect Disabil. 2007 Mar;11(1):105-18. doi: 10.1177/1744629507074006.
Most of the recent debate concerning the ethics of physical interventions has focused on the management of aggressive and destructive behaviours, neglecting the management of self-injurious behaviour. This is an important omission, given the extremely serious consequences that can arise from this form of challenging behaviour. The present article reviews types of restraint used to manage self-injury, prevalence of use, and main and side effects of restraint use. It describes some good practice standards and highlights the need for further research and debate in this complex area.
最近关于身体干预伦理的大部分辩论都集中在攻击性行为和破坏性行为的管理上，而忽视了自伤行为的管理。鉴于这种具有挑战性的行为形式可能产生极其严重的后果，这是一个重要的疏漏。本文回顾了用于管理自伤行为的约束类型、使用频率以及约束使用的主要作用和副作用。它描述了一些良好实践标准，并强调了在这个复杂领域进行进一步研究和辩论的必要性。
