Living ‘in between’ outside and inside: The forensic psychiatric unit as an impermanent assemblage

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

doi:10.1016/j.healthplace.2018.10.009

Cited by 12 publications

(10 citation statements)

References 23 publications

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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%

“…3). The fireplace is mobile, and James regularly positions it in different places within his bedroom (see discussion in Tucker et al, 2019). However, unlike the painting, this particular work does not appear to be deployed to shape the atmosphere of the ward as a whole.…”

Section: Entering the Atmospherementioning

confidence: 99%

“…This can also be seen in a different way in another of James’s works, a fireplace that he has constructed out of cardboard (see Figure 3). The fireplace is mobile, and James regularly positions it in different places within his bedroom (see discussion in Tucker, Brown, Kanyeredzi, McGrath, & Reavey, 2019). However, unlike the painting, this particular work does not appear to be deployed to shape the atmosphere of the ward as a whole.…”

Section: Tincturing the Atmospherementioning

confidence: 99%

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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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Section: Methodological Afterwordmentioning

confidence: 99%

Section: Entering the Atmospherementioning

confidence: 99%

Section: Tincturing the Atmospherementioning

confidence: 99%

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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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“…Whilst Vincent cannot see far beyond the walls of Sharphill, he can travel, through sound, across time and space to very distant places and communities. A closed institution becomes permeable (see Tucker et al, 2019).…”

Section: Sonic Agency and Silencementioning

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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“…Assemblages of health thus capture complexity and multiplicity, including treatments, diagnoses, private and public health industries, instrument makers, pharmaceutical companies, research, lifestyle advice, as well as material objects such as food, medicine, and running shoes. Assemblages are also temporally and spatially organised, so they belong to and vary according to their historical and geographical context, and the concept has been widely applied to the complexities of health, including mental health (Duff, ; Tucker, Brown, Kanyeredzi, McGrath, & Reavey, ), drug use (Malins, ), and neuroscience (Sampson, ).…”

Section: Towards a Critical Theory Of Timementioning

confidence: 99%

A Deleuzian rethinking of time in healthy lifestyle advice and change

Robson¹,

Riley²

2019

Social & Personality Psych

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Time is a powerful but under‐examined element in healthy lifestyle advice, particularly in the promise of stable states of future health achievable through sustained lifestyle change. But such linear, sequential time frames reinforce notions of rational choice, personal control, and responsibility despite common experiences of diet and exercise regimens as non‐linear, effortful, and difficult to maintain. An over‐simplification of time thus contributes to the logic of blame when people fail to achieve healthy lifestyle goals, producing spoiled health identities and abject bodies as people struggle to sustain what can be unsustainable. Addressing these problems, we argue that Deleuze's philosophy offers tools to develop an alternative approach in health promotion. Deleuze affords a conceptualisation of multidimensional, embodied, and affective temporalities of health, which give rise to plural subjectivities and disrupt linear models of time. This framework affords a recognition of multiple time frames, such as histories and imagined futures that form part of a living present and shape lifestyle behaviours and identities. Deleuzian concepts that tie into his philosophy of time and form his process ontology, including monism and rhizomes, affect, becoming, and assemblages, are discussed in relation to health promotion. The article concludes that Deleuze offers a critical theory of time that enables a mapping of the ways that people embody multiplicity, non‐linearity, and fluidity as they negotiate healthy lifestyle advice. His concepts illuminate ways in which people can be oppressed and limited by discourses of healthy living, but also point to new, more affirmative directions for health promotion and healthy lifestyle advice.

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Living ‘in between’ outside and inside: The forensic psychiatric unit as an impermanent assemblage

Cited by 12 publications

References 23 publications

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

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

A Deleuzian rethinking of time in healthy lifestyle advice and change

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