The impact of masculinity upon men with psychosis who reside in secure forensic settings

Searle, Robert; Hare, Dougal Julian; Davies, Bronwen; Morgan, Sara

doi:10.1108/jfp-05-2017-0014

Cited by 6 publications

(7 citation statements)

References 26 publications

(43 reference statements)

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“…Compassion involves the forgiveness to oneself in the face of adversity and accepting the shortfalls that are associated with being human (Neff, 2003). However, compassion could appear to be in conflict with traditional masculine norms such as aggression, violence and not showing vulnerability (Searle et al , 2018). Indeed, research by Reilly et al (2014) found that higher levels of self-compassion were associated with lower levels of masculine norm obedience, and traditional masculinity among military veterans was associated with lower levels of mindfulness, self-compassion and mental health-related quality of life as well as with greater levels of avoidant styles of coping (Ramon et al , 2019).…”

Section: Introductionmentioning

confidence: 99%

Compassion‐focused therapy group for men with intellectual disabilities who had maladaptive conceptualisations of masculinity

Searle

Borseti

Price

2022

AMHID

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Purpose The purpose of this paper is to determine the effectiveness of an adapted compassion-focused therapy (CFT) group treatment programme for individuals with an intellectual disability (ID), specifically aimed to help address maladaptive conceptualisations of masculinity. Design/methodology/approach Outcome measurements were competed at pre- and post-group and the effectiveness of the intervention were assessed using a Wilcoxon signed ranks test. Findings Findings demonstrated that the treatment group showed significant differences in their “gender role conflict” subscales including the Success, Power, Control and “Restrictive Affectionate Behavior Between Men” subscales; however, no significant differences were found on the Restrictive Emotionality or Conflicts Between Work and Leisure subscales. Furthermore, no significant differences were found on participants psychological well-being, psychological distress, anxiety, self-compassion or quality of life measures. Research limitations/implications Limitations include that a lack of qualitative information regarding outcomes, a lack of control group and a small number of participants may have impacted the outcome of the research. Practical implications The Men’s Masculinity group had a positive impact on the participant’s sense of success, power and control, so it could be considered that this group enabled participants to feel more powerful and in control of their difficulties which is associated with the “drive” system of CFT. Originality/value Overall, this study adds to the small but growing literature that supports using CFT groups as a stand-alone psychological intervention when working with people with an ID.

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Section: Introductionmentioning

confidence: 99%

Compassion‐focused therapy group for men with intellectual disabilities who had maladaptive conceptualisations of masculinity

Searle

Borseti

Price

2022

AMHID

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“…Previous research identified that violent men strive for power and dominance over others ( 40 , 41 ). On the contrary, Searle et al ( 33 ) identified a predominantly pro-social development framework for the representation of masculinity in forensic male patients with a psychotic illness.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

The sexuality and sexual experiences of forensic mental health patients: An integrative review of the literature

et al. 2022

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IntroductionSexuality is an integral aspect of the human experience that defines an individual. Robust research, substantiated by the World Health Organization, demonstrates that healthy sexuality improves mental health and quality of life. Despite this level of global advocacy and clinical evidence, sexuality and sexual health as determinants of health have been largely overlooked in the mental healthcare of patients being treated under the requirements of a forensic order (forensic patients). In this review, the authors have evaluated the literature related to the sexual development, sexual health, sexual knowledge and risks, sexual experiences, sexual behavior and sexual desires of forensic patients to inform policy and clinical practice. Furthermore, the review explored how forensic patients' sexual healthcare needs are managed within a forensic mental healthcare framework. The paper concludes with recommendations for service providers to ensure that sexual health and sexuality are components of mental health policy frameworks and clinical care.MethodsAn integrative review was utilized to summarize empirical and theoretical literature to provide a greater comprehensive understanding of the sexuality and sexual experiences of forensic patients. This included identifying original qualitative, quantitative, or mixed-method research, case reports, case series and published doctoral thesis pertaining to the research topic.ResultsTwenty-one articles were selected for review. We grouped the review findings into three main themes: 1) Forensic patient themes, 2) Forensic mental health staff themes and 3) Forensic mental health organization themes. The review demonstrated scant information on the sexual healthcare needs of forensic patients or how health services manage these needs while the patient is in a hospital or reintegrating into the community.ConclusionThere is a dearth of evidence-based, individualized or group approaches which clinicians can utilize to assist forensic patients to achieve a healthy sexual life and it is recommended that such services be developed. Before that however, it is essential to have a clear understanding of the sexual healthcare needs of forensic patients to identify areas where this vulnerable population can be supported in achieving optimal sexual health. Urgent changes to clinical assessment are required to incorporate sexual healthcare as a component of routine mental healthcare.

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“…Bengtsson‐Tops et al (2014) found that people living in supportive housing who reported feeling that nothing ever happened in their daily lives only became more passive. Stefan and Tomas behaviour can therefore be understood as frustration with the living conditions more than expressing masculinity (Searle et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Disciplined into good conduct: Gender constructions of users in a municipal psychiatric context in Sweden

Eivergård

Enmarker

Livholts

et al. 2021

Journal of Clinical Nursing

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Aims and objectives To examine how gendered discursive norms and notions of masculinity and femininity were (re)produced in professional conversations about users of long‐term municipality psychiatric care. Focus is on the staff's use of language in relation to gender constructions. Background Psychiatric care in Sweden has undergone tremendous changes in recent decades from custodian care in large hospitals to a care mainly located in a municipal context. People who need psychiatric care services often live in supporting houses. In municipal psychiatric care, staff conduct weekly professional meetings to discuss daily matters and the users' needs. Official reports of the Swedish government have shown that staff in municipal care services treat disabled women and men differently. Studies exploring gender in relation to users of long‐term psychiatric care in municipalities have problematised the care and how staff, through language, construct users' gender. Therefore, language used by staff is a central tool for ascribing different gender identities of users. Design The content of speech derived from audio recordings was analysed using Foucauldian discourse analysis. The COREQ checklist was used in this article. Results The results indicate that by relying on gender discourses, staff create a conditional care related to how the users should demonstrate good conduct. In line with that, an overall discourse was created: Disciplined into good conduct. It was underpinned by three discourses inherent therein: The unreliable drinker and the confession, Threatened dignity, and Doing different femininities. Conclusion The community psychiatric context generates a discourse of conduct in which staff via spoken language (re)produces gendered patterns and power imbalances as a means to manage daily work routines. Such practices of care, in which constant, nearly panoptic, control despite the intention to promote autonomy, urgently require problematising current definitions of good conduct and normality.

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The impact of masculinity upon men with psychosis who reside in secure forensic settings

Cited by 6 publications

References 26 publications

Compassion‐focused therapy group for men with intellectual disabilities who had maladaptive conceptualisations of masculinity

Compassion‐focused therapy group for men with intellectual disabilities who had maladaptive conceptualisations of masculinity

The sexuality and sexual experiences of forensic mental health patients: An integrative review of the literature

Disciplined into good conduct: Gender constructions of users in a municipal psychiatric context in Sweden

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