Language, Culture, and Physical Restraint Among Immigrants

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Researchers in Italy found that first-generation immigrant patients  in Italy (100 patients compared to 100 controls) were three times more likely to be placed in physical restraints. “The higher rate of physical restraint among migrants may reflect cultural, ethnic and language differences leading to communication problems between immigrant patients and mental health professionals,” the authors conclude. Results appeared online today in the International Journal of Social Psychiatry.

Abstract → 

Tarsitani, L., Pasquini, M., “Acute psychiatric treatment and the use of physical restraint in first-generation immigrants in Italy: A prospective concurrent study,” International Journal of Social Psychiatry, online June 29, 2012

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Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].

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