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Restraints: retraumatization for rape victims?

S B Smith1

  • 1University of Memphis, TN, USA.

Journal of Psychosocial Nursing and Mental Health Services
|July 1, 1995
PubMed
Summary
This summary is machine-generated.

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Psychiatric patients who experienced sexual trauma report that leather restraints during hospitalization feel like revictimization. This perception can severely impair therapeutic relationships between patients and healthcare providers.

Area of Science:

  • Psychiatry
  • Trauma Studies
  • Nursing

Background:

  • Psychiatric hospitalization often involves interventions like physical restraints.
  • Rape and sexual assault survivors may have unique sensitivities to physical restraint.
  • Therapeutic rapport is foundational in psychiatric care.

Observation:

  • Clients with histories of sexual trauma described experiencing leather restraints as revictimization.
  • This perception of restraint as violence can be deeply distressing.
  • The prevalence of this experience among psychiatric inpatients may be underestimated.

Findings:

  • Restraint use in psychiatric settings can be experienced as a form of revictimization by trauma survivors.
  • The use of restraints can lead to feelings of powerlessness and re-traumatization.

Related Experiment Videos

  • Patient-provider trust can be significantly eroded when restraints are perceived as violent.

    • Implications:

    • Healthcare providers must be aware of the potential for restraint to trigger trauma responses.
    • Alternative de-escalation and management strategies should be prioritized.
    • Trauma-informed care principles are essential in psychiatric nursing to avoid revictimization.