Agents and spectres: Life-space on a medium secure forensic psychiatric unit

Reavey, Paula; Brown, Steven D.; Kanyeredzi, Ava; McGrath, Laura; Tucker, Ian

doi:10.1016/j.socscimed.2018.11.012

Cited by 25 publications

(31 citation statements)

References 56 publications

(53 reference statements)

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“…, Reavey et al . ). Together with these scholars, we argue for analyses of healing architecture as alert to the complexes of action and socio‐material practice as they are to the physical orderings of design.…”

Section: Resultsmentioning

confidence: 97%

“…Our findings further resonate with those offered by Reavey et al . (: 274), who contend that patient experiences in psychiatric settings are deeply shaped both by relationships with staff and other patients and by the very socio‐material environment of care itself. These findings offer some interesting reflections on the nature and impact of ‘therapeutic landscapes’ (e.g.…”

Section: Discussionmentioning

confidence: 99%

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Healing architecture and psychiatric practice: (re)ordering work and space in an in‐patient ward in Denmark

Simonsen

Duff

2019

Sociology Health & Illness

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Healing architecture is a defining feature of contemporary hospital design in many parts of the world, with psychiatric in-patient facilities in Denmark at the forefront of this innovation. The approach rests on the contention that designed clinical spaces and the particular dispositions they express may promote patient recovery. Although the idea that health may be spatially mediated is well-established, the means of this mediation are far from settled. This article contributes to this debate by analysing medical encounters in the context of a new purpose-built psychiatric hospital opened in Slagelse, Denmark in late 2015 as an example of healing architecture for the region. Grounded in qualitative research conducted in two wards between 2016 and 2017, we explore the key material and social effects of the hospital's healing architecture, and the spaces and practices it enacts. Following the work of Michael Lynch, we consider both the designed 'spatial order' of the in-patient wards and the 'spatial orderings' unfolding therein with a particular interest in how order is accomplished in psychiatric work. With much of the existing discussion of healing architectures focusing on their impacts on patient wellbeing, we consider how healing architectures may also be transforming psychiatric work.

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Section: Resultsmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Healing architecture and psychiatric practice: (re)ordering work and space in an in‐patient ward in Denmark

Simonsen

Duff

2019

Sociology Health & Illness

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“…These photographs formed the basis of the interview. The data was analysed using a 'thematic decomposition' technique that we have described in other places (Reavey et al, 2019;Tucker et al, 2019). All names and identifiers are pseudonyms.…”

Section: Methodological Afterwordmentioning

confidence: 99%

“…hostel, supported housing) becomes possible. In fact, the relationship to the past is often a highly problematic for patients on forensic pathways (see Reavey, Brown, Kanyeredzi, McGrath, & Tucker, 2019), who may be unable, sometimes for legal reasons, to return to their previous homes and communities. The future is equally uncertain.…”

Section: Entering the Atmospherementioning

confidence: 99%

The atmosphere of the ward: Attunements and attachments of everyday life for patients on a medium-secure forensic psychiatric unit

Kanyeredzi

Brown

McGrath

et al. 2019

The Sociological Review

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The climate or atmosphere of a ward in secure psychiatric care is typically studied by examining the relationship between social and environmental factors. However the experiences of patients are irreducible to a set of discrete dimensions or factors. Drawing on recent work in affect theory and architectural studies, we argue for an approach to atmosphere that places it 'in between' persons and space, as a 'spatially extended quality of feeling' (cf. Böhme, 2017a) of which patients are intimately aware. The paper discusses empirical material drawn from a broader study of inpatient medium-secure forensic care in a large hospital in the South of England. We show how the process of becoming attuned to the fluctuations and shifts in the atmosphere of the ward is a critical aspect of everyday life for patients. Attunement cuts across existing notions of power and resistance in these settings. We also demonstrate how attachments to a range of objects, some created by patients, can either expand or punctualize attunement, enabling change in the overall atmosphere. We conclude by speculating on how we might rethink spaces of recovery on an ethospheric basis.

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“…Producing and subsequently discussing images encouraged participants to bring into focus aspects of the sensory environment in which they were immersed that might have been difficult to otherwise express (see Reavey et al, 2019). Warren (2012) describes the ‘iconographic’ function of images as a lure for subjective experience.…”

Section: Context and Methodsmentioning

confidence: 99%

Organizing the sensory: Ear-work, panauralism and sonic agency on a forensic psychiatric unit

et al. 2019

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How are relations of care and security between hospital staff and patients organized through sound? This article argues that a shifting distinction between meaningful sound and noise is fundamental to the lived experience of immersion in an organizational acoustic environment. Based around a qualitative study of listening practices and ‘ear-work’ at a medium-secure forensic psychiatric hospital, using interview and photo-production methods, the article positions the organizing of the sensory as central to formal organization. Analysis of empirical material demonstrates how the refinement of key listening practices is critical to the ways in which staff and patients orient to the hospital setting. It also details how the design process for the unit has undermined the capacity to manage and control through sound, or ‘panauralism’, rendering it as a reversible and contested struggle to make sense of the acoustic environment, and describes the attempts by patients to create alternative acoustic spaces and exercise ‘sonic agency’. We contend that ‘acoustic organizational research’ offers an experience-near means of mapping organizational space and power relations and invites a renewed questioning of the role of the sensory as form of organizing in itself.

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Agents and spectres: Life-space on a medium secure forensic psychiatric unit

Cited by 25 publications

References 56 publications

Healing architecture and psychiatric practice: (re)ordering work and space in an in‐patient ward in Denmark

Healing architecture and psychiatric practice: (re)ordering work and space in an in‐patient ward in Denmark

The atmosphere of the ward: Attunements and attachments of everyday life for patients on a medium-secure forensic psychiatric unit

Organizing the sensory: Ear-work, panauralism and sonic agency on a forensic psychiatric unit

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