‘Sister, I am going crazy, help me’: psychodynamic‐oriented care in psychotic patients in inpatient treatment

Teising, Martin

doi:10.1046/j.1365-2850.2000.00333.x

Cited by 16 publications

(19 citation statements)

References 3 publications

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“…The importance of communication between psychiatric nurses is consistently documented in the literature (Barker, 1999;Dunwell & Hanson, 1998;Horsfall & Stuhlmiller, 2000;Jackson & Stevenson, 2000;O'Brien, 1999;Teising, 2000). The ability to communicate in a more open and person-friendly manner as a particularly valuable quality of nurse was also recognized in a recent Australian study (Wortans, Happell, & Johnstone, 2006).…”

Section: Discussionmentioning

confidence: 93%

“…The acknowledged role of nurses in establishing and maintaining a therapeutic relationship with clients (Barker, 1999;Dunwell & Hanson, 1998;Horsfall & Stuhlmiller, 2000;Jackson & Stevenson, 2000;O'Brien, 1999;Teising, 2000) suggests they have a pivotal role in encouraging and facilitating consumer and carer involvement. It might therefore be considered surprising that an extensive review of the literature did not reveal any research addressing the attitudes of psychiatric nurses towards consumer and carer participation.…”

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confidence: 99%

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Psychiatric Nurses' Attitudes Toward Consumer and Carer Participation in Care: Part 1—Exploring the Issues

Goodwin

Happell

2007

Policy, Politics, & Nursing Practice

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Consumer and carer participation in mental health delivery is now enshrined in Australian Government policy. However, strategies assisting in implementing this vision have not been explored. Nurses are crucial to the mental health workforce, both in numbers and by virtue of the therapeutic relationship. The willingness of nurses to encourage consumer and carer participation is therefore essential for implementation of this policy. This article presents part 1 of the findings of a qualitative study exploring nurses' opinions regarding consumer and carer participation. Data were analyzed using a content-analysis approach, assisted by the software package NVivo. The themes explicated were as follows: Consumer and carer participation-a help or a hindrance? Encouragement-an important role for nurses; and communication-a gift of nursing. These findings highlight the unique and important role nurses can play in encouraging participation and explore some of the issues involved if that role is to become a reality.

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Section: Discussionmentioning

confidence: 93%

mentioning

confidence: 99%

Psychiatric Nurses' Attitudes Toward Consumer and Carer Participation in Care: Part 1—Exploring the Issues

Goodwin

Happell

2007

Policy, Politics, & Nursing Practice

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“…The nurse and the patient verbalize their experiences and examine, analyse and clarify their meanings in order to understand one another (Tilley 1999). Teising (2000) has described psychodynamic‐orientated care in psychotic patients in inpatient treatment. Teising (2000) points out that one of the essential tasks of psychiatric nursing is to provide cohesive relationships as a means of returning to a non‐psychotic world.…”

Section: Mental Illness In Psychiatric Nursingmentioning

confidence: 99%

“…Teising (2000) has described psychodynamic‐orientated care in psychotic patients in inpatient treatment. Teising (2000) points out that one of the essential tasks of psychiatric nursing is to provide cohesive relationships as a means of returning to a non‐psychotic world. Thus, the nurse has the task of containing the raw material of the patient's psychosis through a process of empathy.…”

Section: Mental Illness In Psychiatric Nursingmentioning

confidence: 99%

Patients’ experiences of psychosis in an inpatient setting

Koivisto

Janhonen

Väisänen

2003

Psychiatric Ment Health Nurs

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The aim of this report was to describe patients' experiences of psychosis in an inpatient setting. Mental illness, as a result of psychosis, has traditionally been defined from the viewpoint of clinical experts. Psychiatric nursing, as an interactive human activity, is more concerned with the development of the person than with the origins or causes of their present distress. Therefore, psychiatric nursing is based on eliciting personal experiences and assisting the person to reclaim her/his inner wisdom and power. The design of the study, in the report discussed below, was phenomenological. In 1998, nine patients were interviewed regarding their experiences of psychosis in an acute inpatient setting. The verbatim transcripts were analysed using Giorgi's phenomenological method. The participants experienced psychosis as an uncontrollable sense of self, which included feelings of change and a loss of control over one's self with emotional distress and physical pain. The participants described the vulnerability they had felt whilst having difficult and strange psychological feelings. The informants experienced both themselves and others sensitively, considered their family and friends important and meaningful, and found it difficult to manage their daily lives. Furthermore, the informants experienced the onset of illness as situational, the progress of illness as holistic and exhaustive, and the admission into treatment as difficult, but inevitable.

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“…2005; Goodwin & Happell 2007; Horsfall & Stuhlmiller 2000; Jackson & Stevenson 2000; O’Brien 1999; Perraud et al . 2006; Teising 2000). The state of contemporary formal MH care services in many parts of the world leads Fourie et al .…”

Section: Introductionmentioning

confidence: 99%

Psychiatry, mental health nurses, and invisible power: Exploring a perturbed relationship within contemporary mental health care

Cutcliffe

Happell

2009

Int J Mental Health Nurs

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Interpersonal relationships, although considered to be the cornerstone of therapeutic engagement, are replete with issues of power; yet, the concept of 'invisible power' within such formal mental health care relationships is seldom explored and/or critiqued in the literature. This paper involves an examination of power in the interpersonal relationship between the mental health nurse and the consumer. Issues of power are emphasized by drawing on examples from clinical experiences, each of which is then deconstructed as an analytical means to uncover the different layers of power. This examination highlights the existence of both obscure and seldomly acknowledged invisible manifestations of power that are inherent in psychiatry and interpersonal mental health nursing. It also identifies that there is an orthodoxy of formal mental health care that perhaps is best described as 'biopsychiatry' (or 'traditional psychiatry'). Within this are numerous serious speech acts and these provide the power for mental health practitioners to act in particular ways, to exercise control. The authors challenge this convention as the only viable discourse: a potentially viable alternative to the current of formal mental health care does exist and, most importantly, this alternative is less tied to the use of invisible power.

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‘Sister, I am going crazy, help me’: psychodynamic‐oriented care in psychotic patients in inpatient treatment

Cited by 16 publications

References 3 publications

Psychiatric Nurses' Attitudes Toward Consumer and Carer Participation in Care: Part 1—Exploring the Issues

Psychiatric Nurses' Attitudes Toward Consumer and Carer Participation in Care: Part 1—Exploring the Issues

Patients’ experiences of psychosis in an inpatient setting

Psychiatry, mental health nurses, and invisible power: Exploring a perturbed relationship within contemporary mental health care

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