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Psychiatr Prax. 2019 Mar;46(S 01):S38-S49. doi: 10.1055/a-0785-6617. Epub 2019 Feb 11.

[Case Study: Development of Symbolical Alternatives to Physical Restraint in Jeopardizing Situations - PART IV: "Simulation and Reduction of Coercive Measures in Psychiatry"].

[Article in German; Abstract available in German from the publisher]

Author information

Sozialpsychiatrische Kontaktstelle Hannover-Süd.
Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover.
Forensische Psychiatrie, Klinikum Region Hannover, Wunstorf.
Akutpsychiatrie, Klinikum Region Hannover, Langenhagen.


in English, German

In all 38 female and male nurses have developed an alternative to physical coercive measures in jeopardizing situations, so-called "Auxiliary-Ego Strategy" (AES). In arrangement with the managers of clinical health services the nurses prepared AES for practice in psychiatric wards. There are feasible support and empirical interpretation by means of observed communication profiles in the phases of a simple heuristic dynamic model. In this case study communication behaviour in coercive measure (physical restraint) show different patterns in comparison with alternatives (AES) in the course of time. Accordingly to AES the ethno theory of nurses is characterized by the following features: different forms of AES, effective factors, conditions of inpatients, situations and teams. Subjects of focus groups were: description of standard coercion measure; 2. development of a simple time-phase model; 3. development of an alternative strategy; 4. psychodramatic simulation of the developed strategy; 5. estimation of plausibility accordingly to the effective factors and conditions.

[Indexed for MEDLINE]

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