Additionally, this may result in prurient and damaging media coverage, and litigation against health organisations. In Qualitative Research in Psychology 3: Some talked about the risk to others; if a patient wanted to date a person in the community who did not have a forensic history or a diagnosis of mental illness and the issue of disclosure and safety of that spouse. Prison officials within these institutions assert the value of conjugal visits in preventing male homosexual rape within custodial settings Hensley et al, Remember me on this computer. And yet, other participants could recall instances where patients had coped well with the break-up of a relationship: ANALYSIS The authors assumed that the meanings participants brought to bear on their experiences and attitudes are to some extent influenced by the social structures within which they live and work Willig, in our thematic analysis Patton, ; Braun and Clarke, of the data.
Thus, in staff discourse on patient sexuality, the pathological was highlighted over the normal desire for sex. On the one hand, mental health professionals believe that psychiatric patients who engage in sexual relationships pose particular risks, and yet paradoxically this risk is managed through the denial or negation of their sexuality leaving risk matters completely unaddressed. Therefore, whether we regard ourselves as liberal or conservative in our own thinking, psychiatric professionals as a microcosm of society would appear to reflect the conservative values of society. American Journal of Psychotherapy. Some participants felt no concern about, indeed, appeared to be encouraging of, patient sexuality, in the context of unescorted leave in the community as part of rehabilitation. These studies suggest that nurses are mostly against inpatients having sexual relationships in a ward environment.
After having read all the transcripts each researcher drew out themes from recurring patterns of meaning Braun and Clarke, using extracts from the data that illustrated those themes.
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Word count should be kept to a maximum of wordsexcluding references. Within forensic services they would inform risk assessments and risk management strategies specifically where vulnerabilities are identified.
Commons et al found that mental health professionals were most condemning of homosexual acts. For instance, Ruane found that nursing staff were conservative irrespective of their religious or ethnic backgrounds. Therefore, whether we regard ourselves as liberal or conservative in our own thinking, psychiatric professionals as a microcosm of society would appear to reflect the conservative values of society.
The recent move within forensic psychiatric settings towards single sex wards highlights this shift towards greater conservatism Mezey et al,despite evidence suggesting single sex wards are no safer than mixed wards Mezey et al, ; Leavey et al, ; Hensley et al ; Hales et al Similarly, concerns of abuse and vulnerability were less prominent themes in relation to patients who had progressed to the rehabilitation stage, had unescorted area leave, or who had been discharged into the community: As a number of participants remarked: In this NPSA report, out of a total of 44, incidents harmful to patients within psychiatric hospitals less than 0.
The vignettes described difficult clinical scenarios such as inpatient pregnancy or male homosexuality, to explore the issues that would arise, the ensuing team dynamics and feelings of health professionals.
These studies suggest that nurses are mostly against inpatients having sexual relationships in a ward environment. This is particularly relevant in forensic settings where patients routinely experience lengthy admissions, and one in five patients in medium secure forensic services have been an inpatient for an excess of five years Jacques et al, A number of studies have observed risky sexual behaviour involving psychiatric patients see Meade and Sikkema, for a systematic review ; and one study Cournos et al, noted HIV sero-prevalence amongst 5.
Autonomy and Rights The concerns and restrictions surrounding the sexual behaviour of patients in mental health settings raise a number of questions about the care-control dichotomy.
In this study, we sought to explore the views of psychiatrists and psychologists, working within forensic services. There was an attempt to find out the nuts and bolts of the situation: American Journal of Psychotherapy.
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Perspectives from Patients and Nurses. Furthermore, inpatients who are in relationships are more motivated to participate in their rehabilitative process trajnee a view to being discharged, and starting a new life outside of hospital. You see patients who are homophobic…Do those views go unchallenged? BMJ,— Leavey G, Papageorgiou, A.
Few UK hospitals have written policies regarding patient sexuality, although many have unwritten policies banning all sexual activity Taylor and Swan, Journal of Interpersonal Violence, 4, — The fact that an inpatient could be come pregnant within a psychiatric facility was an illustration of this ill-informed, possibly impulsive action.
The policy writer should demonstrate an understanding of the broader issues involved and have undergone some specific training in this area. All the participants were offered vignettes.
Deadline for receipt of emailed essays: Drawing on interviews with twenty four participants – psychiatrists and clinical psychologists clinical staffwe examined how oax made sense of patient sexuality and their clinical judgements in relation to them.
The limits of acceptable behaviour Most participants cited the hypothetical dilemma that would arise if a male patient, convicted of a sex offence wanted to date a female patient with a history of abuse.
Due to a lack of training, guidance, and being left to deal with the issue as best they can, nursing staff may well blur the boundary between the tarinee and professional, and may even see inpatients as an extension trained their family Ruane, This was an iterative process where researchers referred back to the data until a clear picture of the themes could be illustrated. Pfammatter et al in a meta-analysis found that social skills training consistently effectuated the acquisition of social skills for patients with a diagnosis of schizophrenia.
The conservative approach of ward staff to patient sexuality may result from their very close contact with patients and feelings of helplessness in the face of complex behaviours.