Within psychiatric hospitals it is not legal for staff to formally punish a patient for any misdemeanour. The staff response to such an incident is cloaked in therapeutic terms even if it is in effect a disciplinary punishment. To avoid injustice and introduce safeguards into this process Professor Genevra Richardson (1993, 1995) suggests the need for the introduction of a disciplinary code for psychiatric in-patients. This paper discusses the need for better guidance for psychiatric staff and the problems of punitive sanctions on patients.
Get full access to this article
View all access options for this article.
References
1.
FottrellE. (1980) A study of violent behaviour among patients in psychiatric hospitals. Br. J. Psychiat.136, 216–21.
2.
GostinL. (1986) Mental Health Services — Law and Practice. London, Shaw and Shaw Ltd.
3.
HMSO (1992) Report of the Committee of Inquiry into Complaints about Ashworth Hospital. Vol 2. London, HMSO.
4.
LarkinE.MurtaghS.JonesS. (1988) A preliminary study of violent incidents in a Special Hospital (Rampton). Br. J. Psychiat.153, 226–31.
5.
Nursing Times (1993) Violence at work: at risk of assault. Nursing Times89 (23), 30–33.
6.
RichardsonG. (1993) Law, Process and Custody: Prisoners and Patients. London, Weidenfeld and Nicolson, pp. 250–54.
7.
Richardson (1995) Openness, order and regulation in a therapeutic setting. In: CrichtonJ. H. M. (ed.) Psychiatric Patient Violence Risk and Response. London, Duckworths.
8.
Scott-MoncrieffL. (1993) Injustice in forensic psychiatry. J. For. Psychiat.4, 97–108.
9.
ShahA. K. (1993) An increase in violence among psychiatric in-patients: real or apparent?Med. Sci. Law33, 227–30.