Issues of non‐compliance in mental health

Lowry, D A

doi:10.1046/j.1365-2648.1998.00787.x

Cited by 24 publications

(31 citation statements)

References 23 publications

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“…Noncompliance is defined as an individual's not following medical advice (Lowry, 1998;Playle & Keeley, 1998), and also appears in the women's descriptions. Patients have their own ideas about treatment that only partly originate from their doctor and that, according to the women, affect their actions.…”

Section: Noncompliancementioning

confidence: 99%

Patient Power and Control: A Study of Women with Uncertain Illness Trajectories

Åsbring

Närvänen

2004

Qual Health Res

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The authors interviewed 12 women diagnosed with chronic fatigue syndrome and 13 with fibromyalgia with the aim of determining the strategies they perceive themselves as using to gain control over their situation during the health care process. The results highlight various strategies that the women report applying to find a way of managing the illness and to influence caregivers. They describe, for example, how they try to gain control over their situation by acquiring knowledge about the illness. The women also describe various power strategies they use in their interaction with the caregivers to take command of their situation, namely exiting, noncompliance, confrontation, persuasion/insistence, making demands, and demonstrative distancing.

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Section: Noncompliancementioning

confidence: 99%

Patient Power and Control: A Study of Women with Uncertain Illness Trajectories

Åsbring

Närvänen

2004

Qual Health Res

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“…The broad literature demonstrates great variability in the factors influencing treatment compliance within any realm of healthcare, potentially reflecting its complexity and multidimensional nature. Within forensic mental health settings, the focus has tended to be on 'compliance' rather than active service user engagement in therapeutic interventions (Lowry, 1998). Terms such as 'compliance' and 'engagement', are at times used interchangeably yet should convey distinct differences in their meanings.…”

Section: Introductionmentioning

confidence: 99%

Group‐work therapeutic engagement in a high secure hospital: male service user perspectives

Mason¹,

Adler

2012

The British Journal of Forensic Practice

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Copyright and moral rights to this thesis/research project are retained by the author and/or other copyright owners. The work is supplied on the understanding that any use for commercial gain is strictly forbidden. A copy may be downloaded for personal, non-commercial, research or study without prior permission and without charge. Any use of the thesis/research project for private study or research must be properly acknowledged with reference to the work's full bibliographic details.This thesis/research project may not be reproduced in any format or medium, or extensive quotations taken from it, or its content changed in any way, without first obtaining permission in writing from the copyright holder(s).If you believe that any material held in the repository infringes copyright law, please contact the Repository Team at Middlesex University via the following email address:eprints@mdx.ac.ukThe item will be removed from the repository while any claim is being investigated.1 Group-work therapeutic engagement in a high secure hospital: male service user perspectives. AbstractThis paper discusses a service user perspective of factors that influence engagement in therapeutic group-work within a high secure hospital environment. An opportunistic sample of eleven male service users were interviewed, using a semi-structured protocol. This was underpinned by social and psychological factors highlighted within the literature, and concepts drawn from the Health Belief Model (HBM, Rosenstock, 1974). In accordance with service-user led initiatives, interview questions were open-ended, designed to invite and encourage exploration of themes through general discussion. Research findings were analysed through an Interpretative Phenomenological Analysis (IPA) approach to identify emergent themes of apparent influence. Themes were identified, and which were categorised into emergent themes and related sub themes. Emergent themes were then considered in relation to the theories and concepts that underpinned and connected them.The most substantial theme was culture of the environment, closely linked to the concepts of choice, which stem from and are greatly influenced by culture. Participants highlighted additional influential areas, namely relationships, trust, motivation, group-work content and expected outcomes.

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“…This power indifference exists on multiple levels, including the power to label and diagnose behavior, the power of professional language and terminology, the power to withhold information, the power of mental health/psychiatric theories and treatments, the power to coerce, and the power to incarcerate and/or hospitalize people against their wishes (Burstow & Weitz, 1988;Everett, 2000;Kumar, 2000;Kumar et al, 2001;Laugharne & Priebe, 2006;Lowry, 1998;McCubbin & Cohen, 1996).…”

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confidence: 99%

Spider in a Jar: Women Who Have Recovered From Psychosis and Their Experience of the Mental Health Care System

Hagen¹,

Nixon²

2011

Ethical Hum Psychol Psychiatry

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A growing body of literature has documented considerable dissatisfaction with the mental health care system among people who use mental health services. This article adds to this literature by reporting on the results of qualitative interviews done with 18 women who had recovered from some form of transformative psychotic experience and were willing to share their experiences with the mental health care system. The participants unanimously felt that their experiences with the mental health system were very negative and detrimental to their overall healing and recovery process. Four main themes emerged from the qualitative analysis of the interview transcripts: (1) “the label factory,” which described the capricious and destructive nature of the psychiatric diagnoses they received; (2) “invalidated and unheard,” which described how little the women’s voices seemed to matter to the mental health care professionals caring for them; (3) “violence and violations,” which described the loss of free will and dignity the women experienced during inpatient psychiatric hospitalizations; and (4) “smashing the jar,” which described the hopes and dreams these women had for changing the way people receive mental health care. The implications of these findings for mental health practice are discussed.

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Issues of non‐compliance in mental health

Cited by 24 publications

References 23 publications

Patient Power and Control: A Study of Women with Uncertain Illness Trajectories

Patient Power and Control: A Study of Women with Uncertain Illness Trajectories

Group‐work therapeutic engagement in a high secure hospital: male service user perspectives

Spider in a Jar: Women Who Have Recovered From Psychosis and Their Experience of the Mental Health Care System

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