Seclusion: A Catacomb of Control

Mason, Tom; Chandley, Mark

doi:10.1007/978-1-349-26104-8_6

Cited by 10 publications

(7 citation statements)

References 26 publications

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“…Despite the fact that nursing staff tend to view secure psychiatric settings as dangerous places it has been noted that ‘nursing staff were able to maintain a therapeutic ward atmosphere’ (Caplan 1993, p. 23). Positive views are often expressed in relation to the extent to which forensic psychiatric nurses feel that they are in control of particular situations (Mason & Chandley 1998). Although control can have both negative and positive connotations in general spheres of life, in terms of forensic psychiatric cultures there is often a tension noted between control and liberation (HMSO 1999).…”

Section: Literature Reviewmentioning

confidence: 99%

Forensic psychiatric nursing: a literature review and thematic analysis of role tensions

Mason

2002

Psychiatric Ment Health Nurs

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This literature review was undertaken to explore the emergent issues relating to the difficulties encountered in forensic psychiatric nursing. The rationale for the study revolved around the paucity of research undertaken to identify the constituent parts of this professional practice. The aims included both a thematic analysis of the literature and the construction of a theoretical framework to guide further research. The method was a snowballing collection of literature and a computerized database search. The results were the identification of a series of major issues, which were broadly categorized as negative and positive views, security vs. therapy, management of violence, therapeutic efficacy, training and cultural formation. From this the six binary oppositions, or domains of practice, emerged as a theoretical framework to develop further research. These were medical vs. lay knowledge, transference vs. counter-transference, win vs. lose, success vs. failure, use vs. abuse, and confidence vs. fear. Further research is currently underway.

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Section: Literature Reviewmentioning

confidence: 99%

Forensic psychiatric nursing: a literature review and thematic analysis of role tensions

Mason

2002

Psychiatric Ment Health Nurs

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“…Doyle (1995) describes the prison culture as one of violence, mistrust, drug dependence and confrontation. Environment situational coping strategies adopted in the prison include hostility, machismo, and an aggressive demeanour (Mason & Chandley 1998). Dale et al (1995) allege that patients who bring the culture from prison contribute to an oppressive hospital culture that persistently undermines therapeutic approaches.…”

Section: Nurses' Views Of Forensic Patientsmentioning

confidence: 99%

Something special: forensic psychiatric nursing

Martin

2001

Psychiatric Ment Health Nurs

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In this paper the claims that forensic psychiatric nursing has achieved the status of a specialist area of nursing are refuted. An examination of the literature demonstrates that specialist knowledge and skills have not been documented. It is suggested that three requirements are necessary if forensic psychiatric nurses wish to achieve specialty status. Forensic nurses have to consolidate their role in the containment and care of patients, they have to return to the nurse–patient relationship as the foundation of psychiatric nursing practice, then, within that relationship, nurses must expand their practice to include dealing with offence issues.

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“…Mason and Chandley () argue that the perceived danger of harm to staff legitimizes the use of force to control clients. However, this project showed that the participants were not passive victims in the face of these techniques of control.…”

Section: Resultsmentioning

confidence: 99%

“…From its inception, the use of seclusion has been a highly contentious practice, from both a legal and ethical point of view. Early critics of seclusion viewed the practice as evidence that psychiatric medicine was ineffectual (Conolly 1856 cited in Mason & Chandley ). The current lack of evidence supporting seclusion as a therapeutic intervention, coupled with the mounting evidence that it has a psychologically damaging impact on clients (Chandler ; El‐Badri & Mellsop ; Holmes et al .…”

Section: Introductionmentioning

confidence: 99%

‘I sang Amazing Grace for about 3 hours that day’: Understanding Indigenous Australians' experience of seclusion

Sambrano

Cox

2013

Int J Mental Health Nurs

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Research shows that Indigenous Australians' suspicion and fear of being 'locked up' may influence mental health service avoidance. Given this, the aim of this study was to explore, by qualitative analysis of in-depth interviews (n = 3), how three Indigenous people experienced the controversial practice of seclusion. Hans-Georg Gadamer's phenomenology guided analysis of the material, and allowed narrated experiences to be understood within their cultural and historical context. Participants viewed seclusion negatively: police involvement in psychiatric care; perceptions of being punished and powerless; occasions of extreme use of force; and lack of care were prominent themes throughout the interviews. While power imbalances inherent in seclusion are problematic for all mental health clients, the distinguishing factor in the Indigenous clients' experience is that seclusion is continuous with the discriminatory and degrading treatment by governments, police, and health services that many Indigenous people have experienced since colonization. The participants' experiences echoed Goffman's findings that institutional practices act to degrade and dehumanize clients whose resulting conformity eases the work of nursing staff. While some nurses perceive that seclusion reduces clients' agitation, one must ask at what cost to clients' dignity, humanity, and basic human rights.

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Seclusion: A Catacomb of Control

Cited by 10 publications

References 26 publications

Forensic psychiatric nursing: a literature review and thematic analysis of role tensions

Forensic psychiatric nursing: a literature review and thematic analysis of role tensions

Something special: forensic psychiatric nursing

‘I sang Amazing Grace for about 3 hours that day’: Understanding Indigenous Australians' experience of seclusion

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