Restraint and the Question of Validity
Nursing Ethics 2007 July; 14(4): 535-545
Restraint as an intervention in the management of acute mental distress has a long history that predates the existence of psychiatry. However, it remains a source of controversy with an ongoing debate as to its role. This article critically explores what to date has seemingly been only implicit in the debate surrounding the role of restraint: how should the concept of validity be interpreted when applied to restraint as an intervention? The practice of restraint in mental health is critically examined using two post-positivist constructions of validity, the pragmatic and the psychopolitical, by means of a critical examination of the literature. The current literature provides only weak support for the pragmatic validity of restraint as an intervention and no support to date for its psychopolitical validity. Judgements regarding the validity of any intervention that is coercive must include reference to the psychopolitical dimensions of both practice and policy.
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The Ethical Question: Medical Education Kit. Individual Titles Include: The Ethical Question: Death & Dying; the Ethical Question: Economics and Health Care; the Ethical Question: Informed Consent; and the Ethical Question: Physician Assisted Suicide Unknown creator (1992)"The Ethical Question examines many of the critical ethical issues facing the medical profession and society today. Using actual cases and commentary by many of the nation's leading medical ethicists, each tape discusses ...