Caring Science and the Development of Forensic Psychiatric Caring

Hörberg, Ulrica

doi:10.1111/ppc.12092

Cited by 19 publications

(17 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In line with case study research, the results are not generalizable; yet, they are transferable to other contexts as they can provide suggestions for interpretation of experiences and for practice improvement (21). This study is in line with other studies, signaling difficulties in comparable transitions within forensic psychiatry, and a need for support and supervision to deal with this (22,23). Dilemmas of whether or not to touch a patient can arise in this transition, as is also noticed by Weiskopf (24).…”

Section: Discussionsupporting

confidence: 58%

Moral Dilemmas in Contact-Based Care: The Relevance of Moral Case Deliberation for Forensic Psychiatry

et al. 2020

View full text Add to dashboard Cite

Currently, forensic psychiatry shows a shift from a control-based to a contact-based approach. Working from contact may, however, entail new moral questions and dilemmas. How to secure safety when focusing on contact? Does contact imply being physically close to the patient, or should one refrain from intimate relations? In order to help care professionals to deal with these moral issues, clinical ethics support can be useful. A specific approach in clinical ethics support is moral case deliberation (MCD). An MCD is a structured dialogue between professionals on a moral issue they experience in practice, structured by a conversation method and guided by a facilitator. In this article, we describe the background and procedures of MCD. Furthermore, we present a case example in which care professionals reflect on the moral question of whether provision of care in forensic psychiatry may entail physical closeness. The MCD shows that an open conversation results in a better understanding of different perspectives and creates the basis for finding a joint way to proceed in the case. We conclude that MCD can enable professionals to reflect on moral issues and develop shared values in forensic psychiatry.

show abstract

Section: Discussionsupporting

confidence: 58%

Moral Dilemmas in Contact-Based Care: The Relevance of Moral Case Deliberation for Forensic Psychiatry

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Hörberg ( 2014 ) describes how caring science based on a lifeworld approach can provide a theoretical foundation in the development of forensic psychiatric caring. The following areas are highlighted as being significant; the need for a patient perspective and a caring attitude, and the necessity of focusing on health and learning instead of being corrected.…”

Section: Conclusive Reflectionsmentioning

confidence: 99%

Caring potentials in the shadows of power, correction, and discipline—Forensic psychiatric care in the light of the work of Michel Foucault

Hörberg

Dahlberg

2015

International Journal of Qualitative Studies on Health and Well

Self Cite

View full text Add to dashboard Cite

The aim of this article is to shed light on contemporary forensic psychiatric care through a philosophical examination of the empirical results from two lifeworld phenomenological studies from the perspective of patients and carers, by using the French philosopher Michel Foucault's historical–philosophical work. Both empirical studies were conducted in a forensic psychiatric setting. The essential results of the two empirical studies were reexamined in a phenomenological meaning analysis to form a new general structure in accordance with the methodological principles of Reflective Lifeworld Research. This general structure shows how the caring on the forensic psychiatric wards appears to be contradictory, in that it is characterized by an unreflective (non-)caring attitude and contributes to an inconsistent and insecure existence. The caring appears to have a corrective approach and thus lacks a clear caring structure, a basic caring approach that patients in forensic psychiatric services have a great need of. To gain a greater understanding of forensic psychiatric caring, the new empirical results were further examined in the light of Foucault's historical–philosophical work. The philosophical examination is presented in terms of the three meaning constituents: Caring as correction and discipline, The existence of power, and Structures and culture in care. The philosophical examination illustrates new meaning nuances of the corrective and disciplinary nature of forensic psychiatric care, its power, and how this is materialized in caring, and what this does to the patients. The examination reveals embedded difficulties in forensic psychiatric care and highlights a need to revisit the aim of such care.

show abstract

“…Furthermore, it was also of importance to show, based on caring science theory, how the forensic psychiatric caring could be developed. In a theoretical article [4], I discussed how caring science, based on a lifeworld perspective [2], can contribute and provide a theoretical foundation for the development of the caring in the context of forensic psychiatry. This in order to support carers' to meet, understand and care for the patients as existential human beings.…”

mentioning

confidence: 99%