Although aggressive and violent behavior is a common reality in inpatient psychiatric settings, it is alarming that patients' perceptions of the seclusion process found in this research study has changed little in 3 decades. The findings of this study echoed the findings of numerous other studies about how psychiatric inpatient perceptive seclusion. Patients in this study, similar to previous studies conducted around the world, discussed perceptions of accelerating emotions that ranged from anxiety and anger to hurt and humiliation. They told stories of being secluded for long periods of time, not having their needs met, feeling ignored, and hearing staff talk about them in a negative way. Some patients reported that seclusion was used as punishment and staff were in a position of power and treated them unfairly.