The Everyday Experience of Psychiatric the Users' Viewpoint

Letendre, Robert

doi:10.1177/002076409704300406

Cited by 17 publications

(23 citation statements)

References 32 publications

(34 reference statements)

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“…They want the opportunities to be involved in their treatment and want to be recognized as individuals and treated with respect (Zolnierek ). These aspects are in line with other studies of the treatment milieu and learning climate in institutions, showing that the relationship between patients, and between patients and staff, are essential to promote learning, development, growth, and maturation (Letendre , Johansson & Eklund , Messari & Hallam , Røssberg & Friis , Borge & Hummelvoll ).…”

Section: General Discussion and Conclusionsupporting

confidence: 89%

“…Relational factors, such as empathy, interest, and understanding, in addition to a safe therapeutic environment, have been viewed as the most important aspects of care (Hansson et al . , Letendre , Cleary & Edwards , Johansson & Eklund ). However, we have not identified any studies addressing patient experiences following CMT for dual diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Cognitive milieu therapy and physical activity: experiences of mastery and learning among patients with dual diagnosis

Borge

Røssberg

Sverdrup

2013

Psychiatric Ment Health Nurs

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Accessible summary• Cognitive milieu therapy, including physical activity, promoted mastery and learning in inpatients with dual diagnoses. Physical activity was an important source for personal learning.• The learning climate was created through the proactive attitude of staff, including the application of an educational process, a focus on cooperation on equal terms between patients and staff, and a professional methodological approach through cognitive milieu therapy.• The cognitive method was sometimes experienced as too theoretical and difficult to understand, and it was a challenge to achieve an optimal balance between staff-induced activities and patient initiatives.• Patients highly appreciated learning from other patients. AbstractDuring the last decade, there has been a growing interest in implementing cognitive milieu therapy (CMT) in psychiatric institutions. However, there is a lack of systematic evaluations from patients' point of view. The aim of this study was to explore and describe patient perceptions of essential experiences of mastery, learning alternative ways of thinking, and acquiring new skills through CMT and physical activity in an inpatient setting. Qualitative interviews were carried out with 20 patients with dual diagnosis. A hermeneutic -phenomenological approach was used in the data collection and analysis. The results showed that the learning climate in the unit was important. This included a proactive attitude from the staff, focusing on cooperation on equal terms between patients and staff, and a professional methodological approach through CMT. The optimal balance between staff-induced activities and patient initiatives was not easy to obtain. Patients appreciated both the education provided by the staff and learning from other patients. The cognitive method was sometimes experienced as too theoretical and difficult to understand. Physical activity, however, was experienced as 'concrete' and providing practical knowledge. It motivated patients to establish new habits and provided opportunities for the development of mastery together with other patients.

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Section: General Discussion and Conclusionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Cognitive milieu therapy and physical activity: experiences of mastery and learning among patients with dual diagnosis

Borge

Røssberg

Sverdrup

2013

Psychiatric Ment Health Nurs

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“…(1994) was the lack of personal freedom and choice. When patients experience discipline and control as a threat to their personal freedom they may develop counter‐strategies (Steinholtz Ekecrantz 1995, Letendre 1997). Reactions such as pretending obedience and dissimulating, running away from the institution and addressing complaints to outside authorities, as for example by sending letters to the National Board of Health and Welfare, are seen (Steinholtz Ekecrantz 1995).…”

Section: Comprehensive Understanding and Reflectionsmentioning

confidence: 99%

“…1995). Caregivers have been characterized as diffuse, having an absent attitude (Lindström 1995) and as being unhelpful (Joseph‐Kinzelman et al . 1994, Letendre 1997).…”

Section: Introductionmentioning

confidence: 99%

Patients’ experience of involuntary psychiatric care: good opportunities and great losses

Johansson

Lundman

2002

Psychiatric Ment Health Nurs

177

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Patients who are involuntary admitted to psychiatric care are extremely vulnerable as a consequence of the control from others, and of the personal limitations due to a psychiatric disease that can influence their own control of their lives. This group of patients are seldom asked about their experiences of being cared for. In this study five involuntary hospitalized psychiatric patients narrated their experience of being subjected to involuntary psychiatric care. The aim of the study was to obtain a deeper understanding of this experience. The interview text was analysed by means of a phenomenological hermeneutic method. The result of the analysis gave a complex picture of both support and violation. On the one hand experiences of not being seen or heard, of loss of liberty and of violation of integrity were found. On the other hand, there were experiences of respect and caring and opportunities to take responsibility for oneself were offered. Being treated involuntarily in psychiatric care was interpreted as a balancing act between good opportunities and great losses.

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“…Yet, the symptoms, treatments, or other factors associated with mental illness, such as stigma, may generate profound challenges or losses related to engaging in occupations. Many occupations, or the resources or abilities required to engage in them, may be lost for people with a mental illness, including: work and job opportunities (4)(5)(6)(7)(8)(9)(10), roles (4,11,12), routines (13), motivation, energy (5), sleep (14), concentration or memory (15). Furthermore, some losses may perpetuate further loss.…”

Section: Introductionmentioning

confidence: 99%