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The use of Seclusion in a DHSS Youth Treatment Centre

Published online by Cambridge University Press:  02 January 2018

Greg Wilkinson*
Affiliation:
Maudsley Hospital; currently Research Psychiatrist, MRC Unit for Epidemiological Studies in Psychiatry, University of Edinburgh
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Seclusion, locking up patients in isolation, has a long history in psychiatry (Hunter and MacAlpine, 1963). John Conolly (1856), for example, though an advocate of non-restraint, defended the practice: ‘That salutory exclusion of causes of excitement from an already irritated brain, has been so unjustly stigmatized as solitary imprisonment’. Even so, many of his contemporaries reviled seclusion. Indeed, experience over the years has shown that such limitations of patients' liberty need to be carried out under scrutiny, otherwise abuses may take place. Patients who give staff trouble may be secluded as a punishment or kept in seclusion for long periods without proper attention. For this reason, therefore, doctors need always to take particular care to see that this form of management is carefully regulated.

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1983

References

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