University of Maryland School of Medicine, Baltimore, MD 21210, USA.
J Am Acad Psychiatry Law. 2011;39(4):477-9.
Restraint and seclusion are unsavory topics within a discipline that cherishes verbal interventions. As such, the principles of use are haphazardly taught by in-house clinicians or private agencies. Policy standards were published in the 1980s, but they have not been officially updated, despite the fact that an American Psychiatric Association (APA) committee met in 2003 to overhaul the standards of care. In training programs, violence is given little syllabus space, compared with the treatment of mood and thought disorders. Aggression remains a stepchild symptom, even though it is frequently encountered in clinical practice.
约束和隔离是一个崇尚言语干预的学科中不受欢迎的话题。因此,使用原则是由内部临床医生或私人机构随意教授的。政策标准在 20 世纪 80 年代发布,但尽管美国精神病学协会 (APA) 委员会于 2003 年开会全面审查护理标准,但它们并未得到正式更新。在培训计划中,与治疗情绪和思维障碍相比,暴力问题的教学大纲空间很小。即使在临床实践中经常遇到,攻击性仍然是一个不受重视的症状。