Physical restraint in polish psychiatric facilities

Physical restraint in the form of direct force, forced feeding and medication, mechanical restriction of bodily movement, or the threat of force was administered to close to 30% of patients admitted and hospitalized for a period of at least fourteen days. In transporting the patient to the admission room and then to his treatment ward, the dominant form of restraint used was direct force, or the threat of such force. During the following fourteen days of hospitalization, mechanical restraint and forced medication predominated. Restraint was applied most often, across each of the four phases of the study, to patients deemed dangerous to self or others. This relationship became significantly stronger as the period of hospitalization continued. Across the four phases, patients who protested their hospitalization were more likely to be restrained than patients who agreed to it or who did not object. During each of the four phases of the study, numerous patients who did not object to their hospitalization and who were not deemed dangerous were nevertheless subjected to restraint. The pervasiveness of physical restraint, the wide inter-hospital differences in its use, the apparent over-prediction of patient dangerousness, and the use of restraint with patients who were not deemed dangerous and who did not object to their hospitalization, confirms the need for legal and ethical regulation of physical restraint of psychiatric patients.     

Reviews

Jerry F. Hough and Merle Fainsod, How the Soviet Union is Governed (An extensively revised and enlarged edition by Jerry F. Hough of Merle Fainsod's How Russia is Ruled). Cambridge, Mass., and London: Harvard University Press, 1979, xiv + 679 pp. £12.00.

Karen Dawisha, Soviet Foreign Policy Towards Egypt. London: Macmillan Press, 1979, 271 pp. £12.00.

Robert O. Freedman, Soviet Policy toward the Middle East since 1970 (Revised Edition). New York, London, Sydney, Toronto: Praeger Publishers, 1978. 373 pp.

Daniel Park, Oil and Gas in Comecon Countries, London: Kogan Page & New York: Nichols Publishing Company, 1979. 240 pp. £15.00.

Avi Shlaim and G. N. Yannopoulos (eds.), The EEC and Eastern Europe. London: Cambridge University Press, 1978. 251 pp. £15.00.

Daniel Tarschys, The Soviet Political Agenda: Problems and Priorities, 1950–1970. London: Macmillan Press, 1979. i + 217 pp. £10.00.

Soviet Society and the Communist Party, edited by Karl W. Ryavec. Amherst, Mass.: The University of Massachusetts Press, 1978. xviii + 220 pp. $15.00.

Richard Stites, The Women's Liberation Movement in Russia. Princeton, New Jersey: Princeton University Press, 1978. xxi + 464 pp. $37.50.

Barbara Wolfe Jancar, Women Under Communism. Baltimore, Maryland: John Hopkins University Press, 1978. x + 291 pp. $16.00.

Norman Saul, Sailors in Revolt. The Russian Baltic Fleet in 1917. Lawrence: The Regents Press of Kansas, 1978. xii + 312 pp.

Richard K. Debo, Revolution and Survival: The Foreign Policy of Soviet Russia 1917–18. Liverpool: Liverpool University Press, 1979. xiii + 462 pp. £15.00.

William O. McCagg, Jr. Stalin Embattled, 1943–1948. Detroit: Wayne State University Press, 1978. 423 pp. $18.95.

Arvind Vyas, Consumption in a Socialist Economy. The Soviet Industrialization Experience, 1929–1937. Foreword by Maurice Dobb. New Delhi: People's Publishing House, 1978. xii + 239 pp. Rs. 50.00.

Alfred D. Low, The Sino‐Soviet Dispute: An Analysis of the Polemics. London: Associated University Presses, 1977. 364 pp. £8.25.

Morris Rothenberg, Whither China: The View from the Kremlin. University of Miami. Monographs in International Affairs, xxi + 310 pp.

Morton Schwartz, Soviet Perceptions of the United States. Berkeley: University of California Press, 1978. 216 pp. £8.75.

A. Szymanski, Is the red flag flying? London: Zed Press, 1979. 235 pp. Paperback £2.95.

John Dunstan, Paths to Excellence and the Soviet School. Windsor: NFER Publishing Co., 1978. 302 pp. £9.75.

Leopold H. Haimson (ed.), The Politics of Rural Russia 1905–1914 (Studies of the Russian Insitute, Columbia University). Bloomington and London: Indiana University Press, 1979. x + 309 pp. $19.50/£13.65.

R. W. Seton‐Watson and the Yugoslavs: Correspondence, 1906–1941, Vol. II 1918–1941. Introduction by H. & C. Seton‐Watson. London and Zagreb: British Academy and University of Zagreb, Institute of Croatian History, 1976. 468 pp. + 474 pp. (two books).