{"title":"Contention et isolement : une éthique de la contrainte","authors":"Sami Richa","doi":"10.1016/j.amp.2024.11.007","DOIUrl":null,"url":null,"abstract":"<div><div>Confinement in psychiatry is one of the most hotly debated issues in institutional settings worldwide. Isolation and restraint are included in confinement. In this paper, the negative effects of these therapeutic methods are discussed together with their consequences on the patient, on the therapeutic alliance between caregiver and patient, as well as on the nursing staff who practice them. The ethical issues of confinement are also detailed in the texts and recommendations that govern these practices. It is essential to question oneself as an individual practitioner and as a team member concerning any action of confinement and to review the episode with the patient as soon as they have recovered. It is also important above all to know how to question oneself regularly on these practices in order to give them meaning.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 97-100"},"PeriodicalIF":0.5000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales medico-psychologiques","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003448724003809","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Confinement in psychiatry is one of the most hotly debated issues in institutional settings worldwide. Isolation and restraint are included in confinement. In this paper, the negative effects of these therapeutic methods are discussed together with their consequences on the patient, on the therapeutic alliance between caregiver and patient, as well as on the nursing staff who practice them. The ethical issues of confinement are also detailed in the texts and recommendations that govern these practices. It is essential to question oneself as an individual practitioner and as a team member concerning any action of confinement and to review the episode with the patient as soon as they have recovered. It is also important above all to know how to question oneself regularly on these practices in order to give them meaning.
期刊介绍：
The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique.
The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.
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