Bjørkly S
Molde County Hospital, Hjelset, Norway.
Psychol Rep. 1995 Feb;76(1):147-57. doi: 10.2466/pr0.1995.76.1.147.
The clinical rationale and procedure of "open-area seclusion" as a treatment modality with psychotic patients is presented. This standard procedure was originally introduced as an alternative to arbitrary measures in response to aggressive and disruptive behavior. The seclusion area is locked, but the patient is never locked up alone in any single room. The method of open-area seclusion is composed of four overlapping phases: (1) assisting the patient to the seclusion area, (2) time for a "calming down" process, (3) debriefing, and (4) reintegration. Verbal confrontation is central in enhancing the secluded patient's reality-testing, for reinforcing responsibility for one's own behavior, and for encouraging alternative problem-solving. A step-by-step description of the procedure of open-area seclusion is presented and illustrated by a case history.
本文介绍了“开放式隔离”作为一种治疗精神病患者的方式的临床原理和程序。这种标准程序最初是作为应对攻击性行为和破坏性行为的任意措施的替代方法而引入的。隔离区是锁着的，但患者绝不会被单独锁在任何一个房间里。开放式隔离方法由四个重叠阶段组成：（1）将患者送往隔离区，（2）“冷静”过程的时间，（3）汇报情况，以及（4）重新融入。言语对抗对于增强被隔离患者的现实检验、强化对自身行为的责任以及鼓励采用其他解决问题的方式至关重要。文中给出了开放式隔离程序的逐步描述，并通过一个病例进行了说明。
