Caring amid victims and perpetrators: trauma and forensic mental health nursing

Aiyegbusi, Anne; Tuck, Gillian

doi:10.4324/9780429478604-2

Cited by 4 publications

(3 citation statements)

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“…Although nurses and psychologists/psychiatrists treat the same patients, they do so in very different therapeutic situations. Nursing staff are at the frontline of services for groups of patients who have been severely traumatized and where contact with difficult-to-process emotional material occurs unpredictably (Aiyegbusi & Tuck, 2008). Nurses handle a wide variety of tasks and situations concerning the patient (e.g.…”

Section: Background and Literature Reviewmentioning

confidence: 99%

Countertransference in Forensic Inpatient Settings: An Empirical Examination of Therapist Responses to Patients With Psychotic Disorders

Page¹,

Boulanger²,

Villers³

et al. 2020

Journal of Forensic Nursing

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Objective Countertransference in forensic inpatient settings has received little empirical attention despite frequent emotional reactions in staff members, such as anger, disgust, or fear. In this exploratory study, we investigated countertransference in two forensic medium-secure units for patients with psychotic disorders. Method We measured countertransference using the Therapist Response Questionnaire and measured staff personality using the Ten-Item Personality Inventory. Our design allowed all staff members to participate anonymously. Results One hundred thirty-four Therapist Response Questionnaire forms, along with data on patient and staff characteristics, were collected. Staff characteristics such as profession, experience, and personality were associated with different countertransference reactions. Psychologists and psychiatrists tended to report more countertransference feelings than nursing staff. Patient and staff variables (such as patient having committed violent offenses or a diagnosis of personality disorder and staff experience or gender) were associated with more negative countertransference feelings and subscale scores as well as less positive countertransference feelings such as parental, protective, and satisfying countertransference feelings. Some patient and staff variables (such as patient cooperativeness, staff personality trait agreeableness) had the inverse effect on countertransference feelings. Conclusion We discussed several conceptual problems inherent to measuring countertransference (in forensic inpatient settings) and the clinical implications of our findings.

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Section: Background and Literature Reviewmentioning

confidence: 99%

Countertransference in Forensic Inpatient Settings: An Empirical Examination of Therapist Responses to Patients With Psychotic Disorders

Page¹,

Boulanger²,

Villers³

et al. 2020

Journal of Forensic Nursing

View full text Add to dashboard Cite

show abstract

“…If health professionals and institutions reject, ignore, judge or dismiss a person who has experienced psychological distress, there is a risk that invalidation and dehumanisation experienced in the past, is replicated during everyday interactions with caregivers. When communication patterns mirror the perpetration of abuse or trigger emotions, similar to those experienced during prior abuse or traumatic life events (Aiyegbusi & Tuck, 2008), interactions with care providers can be fraught with difficulties (Dowsett & Craissati, 2008).…”

Section: Introductionmentioning

confidence: 99%

A mixed methods study of the healthcare received by patients diagnosed with a personality disorder on acute general hospital wards

Sharda

Baker

Cahill

2021

Journal of Advanced Nursing

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Aim The study examined concurrent mental and physical healthcare received by patients diagnosed with a personality disorder on acute general hospital wards. The specific objectives were (i) to conduct a web based cross sectional survey and (ii) to explore experiences and perspectives with a subsection of the survey sample, using telephone interviews. Design A convergent parallel mixed methods design, which comprised a web‐based cross sectional survey (n = 65) with embedded qualitative telephone interviews (n = 12). Participants were social media users, with a self‐reported diagnosis of personality disorder, admitted to an acute general hospital in the UK in the previous 2 years. Methods Participants were recruited on social media between May 2017 and August 2017 by snowballing. Mixed data were integrated at the stage of analysis using a framework approach. Findings are reported thematically. Results Most of the participants surveyed (94%, n = 61) reported distress during admission to the acute general hospital. However, the findings indicated the hospital environment was not conducive to mental health. Four interrelated themes were identified and related to: patient distress; the workforce; service delivery; and service design. Conclusion Findings indicated that patients with a personality disorder diagnosis received disadvantaged healthcare, might be at considerable risk of treatment noncompletion, and were languishing in the gaps between mental and physical health services. Impact This is one of the first studies to collect primary data on the concurrent mental and physical healthcare received by patients diagnosed with a personality disorder on acute general hospital wards. Ad hoc training and education focused on raising awareness of ‘personality disorder’ would not seem sufficient to address the deficits. This research may be of interest to people who use mental health services, acute general hospital and liaison clinicians, hospital managers and researchers.

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“…“With this in mind, it is unsurprising that many staff are profoundly affected by their work. On the receiving end of patients' powerful projections, they also become distressed and defend themselves through the use of projection … a paranoid‐schizoid projective system is established” (Aiyegbusi & Tuck, , p. 24).…”

Section: “Are They Mental Health or Behavioral?”: An Introductionmentioning

confidence: 99%

“Are They Mental Health or Behavioral?”: Toward object relations translation for corrections officers

Gangemi

2019

Appl Psychoanal Studies

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Correctional institutions, particularly correctional security staff (corrections officers, deputies, and other custodial staff) are increasingly relied upon for the management of some of the most severely disturbed and impaired members of society. Lack of mental health training for correctional staff poses problems that include safety risk, lack of empathy, inmate abuse, staff burnout, and trauma, as well as missed opportunities for rehabilitative efforts. This paper proposes that salient concepts from psychoanalysis, particularly object relations theory, can and should be integrated into training for correctional security staff. Using the acronym "PSYCHI-ATRIC," relevant object relations concepts are translated into practical correctional language. Increasing accessibility to object relations theory offers opportunity for interdisciplinary collaboration and effective use of correctional staff members' time and expertise, while supporting the mental health of inmates and staff members. The case vignettes of Jack and Kayleen explore staff/inmate dynamics through an object relational lens. Further exploration, implementation, and evaluation of object relations informed training tools are suggested to evaluate impact and efficacy.---Health Observation" housing in a facility. The questions can take other forms to include "Is this one for real?" or "Is he/she playing with a full deck?" Although a simple answer would be convenient, it does not exist. The question however provides us an opportunity to consider the complex way that correctional security staff members understand, engage with, help, and harm the deeply troubled people entrusted to their care. Psychoanalytic thinking, in particular object relations theory, helps us get closer to some of these answers, providing invaluable tools for understanding and intervening with the often extreme and unimaginable behaviors, situations, histories, and humans hidden away in jails and prisons around the country.

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Caring amid victims and perpetrators: trauma and forensic mental health nursing

Cited by 4 publications

References 0 publications

Countertransference in Forensic Inpatient Settings: An Empirical Examination of Therapist Responses to Patients With Psychotic Disorders

Countertransference in Forensic Inpatient Settings: An Empirical Examination of Therapist Responses to Patients With Psychotic Disorders

A mixed methods study of the healthcare received by patients diagnosed with a personality disorder on acute general hospital wards

“Are They Mental Health or Behavioral?”: Toward object relations translation for corrections officers

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