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A question important both to the physicians in charge of the insane, and to the general public, is, "Shall physical restraint be used in the treatment of the insane?" This question has agitated the minds of officials in whose charge the insane have been placed, and has been for them a difficult problem to solve. I think that I may justly claim that those who have been intimately connected with this work will say that physical restraint, when properly and judiciously used, is a very important factor in the intelligent care and treatment of the insane. Physical restraint maybe used for the following objects: First. To prevent the patient from injuring himself or herself. Second. To prevent the patient from injuring Others, Third. When, for some bodily injury or ailment, it becomes necessary to apply restraint to secure proper action of some therapeutic reagent. Fourth. When patients remove their clothing.
LOEWY A. SHOULD PHYSICAL RESTRAINT BE USED IN THE TREATMENT OF THE INSANE. JAMA. 1891;XVII(17):638–640. doi:10.1001/jama.1891.02410950026001h
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