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Related Experiment Videos

Seclusion: the inside story.

T Hoekstra1, H H G M Lendemeijer, M G M J Jansen

  • 1Mediant, Enschede, The Netherlands. t.hoekstra@mediant.nl

Journal of Psychiatric and Mental Health Nursing
|May 20, 2004
PubMed
Summary
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Chronic psychiatric patients often have negative seclusion room experiences, learning to live with them over time. Understanding reasons, support, and regaining control aid coping, while mistreatment hinders it.

Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health Care

Background:

  • Seclusion rooms are used in psychiatric care.
  • Understanding patient experiences in seclusion is crucial for improving care.

Purpose of the Study:

  • To explore chronic psychiatric patients' seclusion room experiences.
  • To understand coping mechanisms for seclusion.
  • To assess seclusion's impact on patient-provider relationships.

Main Methods:

  • Qualitative research design using Grounded Theory.
  • Semi-structured interviews with seven chronic psychiatric outpatients.
  • Thematic analysis of interview transcriptions using Winmax software.

Main Results:

Related Experiment Videos

  • Most seclusion experiences are negative, though long-term patients may recall positive aspects.
  • Patients adapt to seclusion rather than actively coping.
  • Factors aiding coping include understanding reasons, time, distraction, social support, and regaining control.
  • Negative coping factors include fear of recurrence, mistreatment, witnessing others secluded, and lack of discussion.
  • Seclusion negatively impacts patient-provider relationships if mistreatment occurs or if it remains a perceived threat.

Conclusions:

  • Seclusion adaptation is a process of learning to live with the experience.
  • Autonomy, trust, and loneliness are central themes in seclusion experiences.
  • Addressing mistreatment and perceived threats is vital for maintaining therapeutic relationships post-seclusion.