Countertransference effects in acutely disturbed inpatients

Jagarlamudi, Kavita; Portillo, Guillermo; Dubin, William R.

doi:10.1017/s1742646411000288

Cited by 5 publications

(2 citation statements)

References 17 publications

(29 reference statements)

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“…Jagarlamudi et al (2012) pointed out that such responses are common on intensive care units. At the conclusion of the seclusion review, a discussion, or debrief, should take place among the multi-disciplinary team.…”

Section: The Debriefmentioning

confidence: 99%

Medical guidelines for PICU seclusion reviews

Bhavsar

Sethi

Hillier

2013

J. Psychiatr. Intensive Care

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Evidence regarding medical practice in seclusion is limited, and far outweighed by opinion. Here, we present one approach to medical reviews of patients in seclusion rooms, aiming to drive consistent practice. We address the work of clinicians prior to their arrival in the seclusion area, information-gathering prior to entry into the seclusion room, relevant aspects of history-taking and mental state examination in the seclusion area, and the implications for clinical and risk-management. We discuss issues raised by the logistics of seclusion for the planning and undertaking of the consultation. Physical examinations of secluded patients are commonly complicated by patient-related and environment-related factors; we suggest a pragmatic approach to determining the scope of physical examination in seclusion. While risk assessments are a vital aspect of seclusion practice for psychiatrists, structured instruments for the assessment of risk within these environments do not exist. We lay out principles regarding risk assessment in this population. We comment on the role of the clinician in the debrief phase of the seclusion review, and deal with legal issues pertaining to seclusion in England. Ultimately, we are left with a number of questions relating to what constitutes best practice for psychiatrists fulfilling this role on the PICU.

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Section: The Debriefmentioning

confidence: 99%

Medical guidelines for PICU seclusion reviews

Bhavsar

Sethi

Hillier

2013

J. Psychiatr. Intensive Care

View full text Add to dashboard Cite

show abstract

“…There should be a clear and creative therapeutic programme forming the central pillar of the PICU's core purpose, around which all other considerations should revolve. Some of the issues that would help or hinder such a central therapeutic purpose are also covered in this issue of JPI with papers considering the beliefs in dealing with threatening patients (Evans & Petter, 2012; this issue) and the effects of counter-transference within the complex environment of PICU (Jagarlamudi et al 2012; this issue).…”

mentioning

confidence: 99%