10+ Year Member
- Feb 21, 2007
- Reaction score
I assure you all I'm not a troll. I am genuinely concerned about the use of force in psychiatry and the lack of any scientific justification to do so.
I agree with the general consensus here that you have no idea what you're talking about.
What force are you speaking of? Interestingly, I've seen FAR more force and restraints used on Medical Wards and in the ICU than in any of the Psychiatry Wards I've worked in (this includes a state adult hospital, a state children's hospital, 3 large University psych wards, and 1 community psych ward...in other words, a wide variety of places, both in location and environment.)
In fact, just this week I have, as part of the psychiatry consult service, been educating the medical team about the proper use of restraints in a patient with dementia. They want to (and have) tied her down because she's being combative when they try to give her enemas or stick her for blood. I'd probably be combative too.
The proper techniques are orientation, redirection, avoidance (for example, just don't give her enemas), etc. Any psychiatrist worth their salt can engage in these techniques and de-escalate most tense or near-violent situations.
In the Children's Hospital I worked in, it was very common for the teenagers to get agitated and aggressive. I never once saw violence or restraint used by the medical team. Instead, redirection, procedures, and avoidance were used with great results.
Please support your accusations with examples. Terminator 2 does not count.
Try explaining your research to a person handicapped in a wheelchair because they were given drugs against their will just because they said a metaphor or recited the lyrics of a song.
This doesn't make sense to me. How does one become paraplegic from improper administration of what I assume would've been an antipsychotic?
I do take your point about improper diagnosis. Fortunately, this is something I've rarely seen. Criteria to be diagnosed with a psychotic disorder (say, schizophrenia) requires FAR more than simply reciting lyrics to a song, even if this was misinterpreted as psychotic-type rambling.
For example, I once had a kid who kept saying "My head is a lunchbox." We thought that was an interesting saying, and were intrigued by it, but it did not have any bearing on his diagnosis of schizoaffective disorder, which was more based on his negative symptoms (look it up), responding to internal stimuli and history of suicide attempts. Turns out, that in inner-city DC, where he was from, "lunchbox" is urban slang for having a clouded sensorium (feeling "high" or lightheaded). He was trying to describe that he was feeling over-medicated. We reduced his doses a bit and he felt much better. +1 for Urban Dictionary!
Does misdiagnosis happen? Of course it does! We're human. We are not perfect. We get things wrong too, especially when dealing with the most complex organ, the brain. Other doctors screw up all the time too. How many times does "Hypetension" actually turn out to be something else, say...renal artery stenosis. More often than you'd think. Just head of a guy who had been diagnosed with schizophrenia for years because he described hearing voices. Turns out he actually had PTSD and the "voice" he was hearing was related to his trauma. Received PTSD treatment and got better. His obesity and diabetes were also relieved with cessation of the primary care prescribed antipsychotic. Fixed by a psychiatrist using correct diagnosis.
The point is that we all agree with you that no one should be treated with a medication they don't actually need. That being said, a grandma who is hearing voices telling her to kill her grandchildren probably needs that Seroquel.