Seclusion as a concept is poorly understood and this is reflected in the
literature on the topic, particularly from nursing authors. This has led
to an emotionally charged altercation rather than academic debate, both
within the literature and at conferences. But why bother learning about
seclusion at all, particularly as it is used less and less within mental
health? We would point out to those sceptical about the value of this
book that seclusion is not only of interest as an intervention per se,
but is valuable in reflecting a shifting ethos within care. For some
reason, seclusion has been neglected; we believe that one reason is that
it impinges upon widely held myths and beliefs within psychiatric
practice. Questioning about seclusion uncovers uncomfortable facts and
assumptions concerning the values underpinning today's mental health
care approaches. Such uncomfortable questioning is often avoided for
safer research pursuits. Also, we hold that this book is necessary in
examining issues pertaining to seclusion practice. There is a gap within
nursing knowledge in so far as seclusion is concerned, as our chapter on
education upholds. Yet inquiries and litigation have highlighted the
fact that seclusion practice must be more clearly understood as an
intervention. At present, such understanding is erratic and far from
useful in providing a higher standard of care. Practitioners need to
make informed decisions regarding seclu- sion, and this book aims to
provide the necessary information on which to base these decisions.
