Making decisions about sexual rights in psychiatric facilities

Dobal, May T.; Torkelson, Diane J.

doi:10.1053/j.apnu.2004.01.005

Cited by 24 publications

(24 citation statements)

References 17 publications

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“…Providing a safe environment for consumers is essential; however, policy and practices can result in barriers to the formation of sexual relationships (Dobal & Torkelson 2004;Ruane & Hayter 2008).…”

Section: Introductionmentioning

confidence: 99%

Consumer sexual relationships in a Forensic mental health hospital: Perceptions of nurses and consumers

Quinn

Happell

2014

Int J Mental Health Nurs

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The management of consumer-related risk is paramount in a secure forensic mental health facility. However, the consequent risk aversion presents a major barrier to consumers forming sexual relationships in a manner that is open and accepted. Investigation of the views of nurses working in forensic mental health settings on this topic is limited, and even more so for consumers of services. This qualitative exploratory study was undertaken to elicit the views of consumers and nurses about forming sexual relationships within this long-term and secure setting. Individual in-depth interviews were conducted with 12 nurses and 10 consumers. The benefits of, and barriers to, sexual relationships was identified as a major theme, and these findings are the focus of this paper. Nurse responses included the subthemes 'supportive factors' and 'potential dangers', reflecting their qualified support. Consumer responses included the subthemes 'therapeutic', 'feeling normal', 'restrictions and barriers', and 'lack of support and secrecy'. The importance of sexual relationships was clearly articulated, as was the difficulties in forming and maintaining them within the forensic setting. More open discussion about this commonly-avoided issue and the education of nurses and other health professionals is required.

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Section: Introductionmentioning

confidence: 99%

Consumer sexual relationships in a Forensic mental health hospital: Perceptions of nurses and consumers

Quinn

Happell

2014

Int J Mental Health Nurs

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“…The sexual behaviour of psychiatric inpatients has historically been ignored, both by hospital policies and by the academic literature (Buckley and Wiechers 1999;Civic et al 1993;Dobal and Torkelson 2004). This exclusion originated from a social climate in which sexual activity was a taboo subject (Krumm et al 2004) and has been perpetuated by the assumption that people with major mental illnesses are asexual (Buckley and Robben 2000;Buckley and Wiechers 1999;McCann 2000).…”

Section: Introductionmentioning

confidence: 99%

“…This exclusion originated from a social climate in which sexual activity was a taboo subject (Krumm et al 2004) and has been perpetuated by the assumption that people with major mental illnesses are asexual (Buckley and Robben 2000;Buckley and Wiechers 1999;McCann 2000). Consequently little attention has been paid to the sexual needs of psychiatric patients (McCann 2000) and sexual activity is commonly banned in psychiatric institutions, despite the inherent role of sexuality in quality of life (Binder 1985;Dobal and Torkelson 2004;Welch and Clements 1996). The advent of AIDS and HIV in the 1980s forced psychiatrists to look at sexual behaviour more closely and to consider the need for policy guidelines in psychiatric institutions (Chase 1988;McCann 2000;Mossman et al 1997).…”

Section: Introductionmentioning

confidence: 99%

“…Whilst there is evidence to suggest that clinical nursing staff often view inpatients' sexual activity as problematic (Cole et al 2003;Dobal and Torkelson 2004;Keitner et al 1986), less is known about hospital policies and management of sexual behaviour in the UK. Ideally, staff responses should be consistent and guided by clear administrative policy (Buckley and Robben 2000); the absence of clear policy increases the probability that staff will be guided by their own moral judgements and personal beliefs, and hence act inconsistently as a group (Buckley and Wiechers 1999;Mossman et al 1997).…”

Section: Introductionmentioning

confidence: 99%

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‘You May Kiss the Bride, But You May Not Open Your Mouth When You Do So’: Policies Concerning Sex, Marriage and Relationships in English Forensic Psychiatric Facilities

et al. 2010

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“…Si les politiques institutionnelles en cette matière étaient rares au début des années 1980 (Keitner et Grof, 1981), elles deviennent plus populaires au cours des années 1990. Aux États-Unis, Buckley et Hyde (1997) en dénombraient cinquante-sept (83 %), tandis que Dobal et Torkelson (2004) en retraçaient soixante-dix (69 %) dans leur enquête respective. Au Québec, Dupras (1995) en a répertorié douze dans le domaine de la déficience intellectuelle.…”

Section: Des Pratiques De Reconnaissance Des Droits Sexuels De L'usagunclassified

L’éducation à la citoyenneté sexuelle des usagers de services en santé mentale

Dupras

Bourget

2011

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Cet article s’intéresse à la sexualité des personnes qui rencontrent des problèmes de santé mentale. Plus précisément, les auteurs examinent la question de la vie sexuelle de ces personnes dans une perspective de citoyenneté sexuelle qui est définie comme un statut qui reconnaît l’identité sexuelle des personnes et leurs droits à une vie sexuelle de qualité. Ils présentent une expérience éducative qui a permis de créer chez les participants non seulement de la confiance en soi, mais aussi un lien social qui les encourage à devenir les acteurs de leur vie sexuelle et à exercer leurs droits de citoyen sexuel.This article addresses the sexuality of people with mental health problems. More specifically, the authors examine the issue of the sexual life of people with mental health problems in a perspective of sexual citizenship defined as a status that recognizes the sexual identity of individuals and their right to a sexual life of quality. They present an educational experience that allowed participants not only to gain confidence but also to create a social link that encourages them to become actors of their own sexuality and to exercise their rights as sexual citizens.Este artículo se interesa por la sexualidad de las personas que se enfrentan a problemas de salud mental. Más precisamente, los autores examinan la cuestión de la vida sexual de estas personas dentro de una perspectiva de ciudadanía sexual, la cual se define como un estatus que reconoce la identidad sexual de las personas y sus derechos a una vida sexual de calidad. Presentan una experiencia educativa que ha permitido crear en los participantes no sólo la confianza en sí mismos, sino también un lazo social que los alienta a convertirse en actores de su vida sexual y a ejercer sus derechos de ciudadano sexual.Este artigo se interessa pela sexualidade das pessoas que sofrem de problemas de saúde mental. Mais precisamente, os autores examinam a questão da vida sexual destas pessoas em uma perspectiva de cidadania sexual, que é definida como um estatuto que reconhece a identidade sexual das pessoas e seus direitos a uma vida sexual de qualidade. Eles apresentam uma experiência educativa que permitiu criar nos participantes, não somente a confiança em si mesmos, mas também uma relação social que os encoraja a se tornarem os atores de sua vida sexual e a exercer seus direitos de cidadão sexual

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Making decisions about sexual rights in psychiatric facilities

Cited by 24 publications

References 17 publications

Consumer sexual relationships in a Forensic mental health hospital: Perceptions of nurses and consumers

Consumer sexual relationships in a Forensic mental health hospital: Perceptions of nurses and consumers

‘You May Kiss the Bride, But You May Not Open Your Mouth When You Do So’: Policies Concerning Sex, Marriage and Relationships in English Forensic Psychiatric Facilities

L’éducation à la citoyenneté sexuelle des usagers de services en santé mentale

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