Perrin-Niquet Annick
Centre hospitalier Saint-Jean-de-Dieu, 290, route de Vienne, BP 8252, 69355 Lyon cedex 08, France.
Soins Psychiatr. 2017 May-Jun;38(310):12-16. doi: 10.1016/j.spsy.2017.03.003.
From confinement to the philosophy of care in the community, the history of psychiatry testifies to the evolution of practices in the matter of the restriction of freedom. The French National Health Authority still too often recommends practices based on restraint. Caregivers, in relation to the clinical aspect of the patients, need clearly identified therapeutic projects. While training can be vital for them, risk management policies can prove to be a hindrance to patients' freedom.
从收容到社区护理理念，精神病学的历史见证了在限制自由问题上实践的演变。法国国家卫生管理局仍然过于频繁地推荐基于约束的做法。护理人员在处理患者临床问题时，需要明确确定治疗方案。虽然培训对他们可能至关重要，但风险管理政策可能会对患者的自由构成障碍。
