The use of <i>recovery</i> model in forensic psychiatric settings: A Foucauldian critique

Johansson, Jim A.; Holmes, Dave

doi:10.1111/inm.13005

Cited by 7 publications

(9 citation statements)

References 48 publications

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“…Durcan ( 34 ) claimed that “the recovery journey of people in forensic services is significantly different from others,” which is—to some extent—due to the fact that introducing RO as a guiding principle of work in secure forensic wards comes within juridical and technical problems, which are settled in the special features of the field. Johansson and Holmes ( 35 ) offered a critical analysis of recovery in secure institutions from a Foucauldian perspective. They conclude that forensic patients must submit to the prevailing worldview of neoliberal personal responsibility.…”

Section: Discussionmentioning

confidence: 99%

The perspective of staff members of two forensic psychiatric clinics in German-speaking Switzerland on the introduction of recovery orientation: An explorative study

Schoppmann

Balensiefen²,

Nienaber³

et al. 2023

Front. Psychiatry

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Recovery orientation (RO) is directed at living a worthwhile life despite being impaired by the constraints of mental illness. Although being quite common in general psychiatry in Switzerland, the dual mission of forensic psychiatry—safeguarding and therapy—challenges the idea of establishing RO as a work philosophy in this context. This explorative study qualitatively investigates baseline expectations and professional perspectives of forensic staff members concerning the idea of establishing RO in Swiss forensic psychiatric wards. Thereby, three central themes were worked out, namely “challenges associated with recovery,” “expected barriers,” and “possible recovery-oriented interventions.” From a general point of view, the staff members were uncertain whether RO interventions could be introduced at all, and if so, to what extent. This, on the one hand, had to do with structural obstacles such as security requirements; however, personal obstacles in the form of different, sometimes contradictory attitudesand ideals and fearful anticipations—such as the loss of authority and power—also played a central role. As forensic psychiatric wards are non-existent in Latin-speaking Switzerland, the study does only refer to the German-speaking language region.

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Section: Discussionmentioning

confidence: 99%

The perspective of staff members of two forensic psychiatric clinics in German-speaking Switzerland on the introduction of recovery orientation: An explorative study

Schoppmann

Balensiefen²,

Nienaber³

et al. 2023

Front. Psychiatry

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“…This is perhaps most apparent in the "secure recovery" of forensic mental health services. As we have argued elsewhere (Johansson & Holmes, 2022), secure recovery cannot escape the correctional context in which it exists, and it only serves to produce patients who can fit within the expectations of proper neoliberal (humanist) subjectivity-that of the productive member of society. Those who do not conform to such expectations are left to languish within the institution (McKeown et al, 2016); in effect, only those who exit the interiority of the forensic environment must still exist interior to the greater expectations of myriad State apparatuses.…”

Section: Recovery: What Next?mentioning

confidence: 99%

“Recovery” in mental health services, now and then: A poststructuralist examination of the despotic State machine's effects

Johansson

Holmes

2023

Nursing Inquiry

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Recovery is a model of care in (forensic) mental health settings across Western nations that aims to move past the paternalistic and punitive models of institutional care of the 20th century and toward more patient‐centered approaches. But as we argue in this paper, the recovery‐oriented services that evolved out of the early stages of this liberating movement signaled a shift in nursing practices that cannot be viewed only as improvements. In effect, as “recovery” nursing practices became more established, more codified, and more institutional(ized), a stasis developed. Recovery had been reterritorialized. The purpose of this paper is to examine some of the threads of recovery, from its early days of antipsychiatry activism to its codification into mental health—including forensic mental health—institutions through the lens of poststructuralist philosophers Gilles Deleuze and Felix Guattari. We believe that Deleuze and Guattari's scholarship provides the necessary, albeit uncomfortable, framework for this critical examination. From a conceptualization of recovery as an assemblage, we critically examine how we can go about creating something new, caught in a tension between stasis and change.

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“…The humanist emphasis within the health sciences can also be observed in the importance given to patient-centered care (Pilnick, 2023), where empathy, compassion, and a 'holistic approach' to healthcare are considered paramount to promote the physical, emotional, social, and spiritual aspects of patients' well-being (Rogers, 2004). More recently, the patientoriented paradigm pushed these principles further by producing an alienated, biomedicalized patient body that is integrated into every aspect of the health research endeavor (Johansson & Holmes, 2022;Turcotte et al, 2023). According to us, most nursing conceptual models and theories incorporate humanistic principles to guide nursing practice and provide a broad framework for delivering patient-centered care (see Roy, 2009;Watson, 2011, to name a few).…”

Section: The Problem Of the Human In The Health Sciencesmentioning

confidence: 99%

Toward an ontology of the mutant in the health sciences: Re/defining the person from Cronenberg's perspective

Holmes,

Turcotte,

Adam

et al. 2023

Nursing Inquiry

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Traditional health sciences (including nursing) paradigms, conceptual models, and theories have relied heavily upon notions of the ‘person’ or ‘patient’ that are deeply rooted in humanistic principles. Our intention here, as a collective academic assemblage, is to question taken‐for‐granted definitions and assumptions of the ‘person’ from a critical posthumanist perspective. To do so, the cinematic works of filmmaker David Cronenberg offer a radical perspective to revisit our understanding of the ‘person’ in nursing and beyond. Cronenberg's work explores bodily transformation and mutation, with the body as a fragile and malleable vessel. Cronenberg's work allows us to interrogate the body in all its complexity, contingency, and hybridity and provides avenues of rupture within current understandings of ‘the person’. Reinventing the definition of what it means to be human, critical posthumanism offers opportunities to both critique humanist theories and build affirmative futurities. Also drawing on the work of Deleuze and Guattari, specifically, their concept of becoming, we propose a critical posthumanist alternative to the conceptualization of the person in the health sciences, that of the becoming‐mutant, so frequently explored in Cronenberg's films. Such a conceptualization permits the inclusion of various technological interventions of the contemporary subject: The postperson. This position offers the health science disciplines a radical reconceptualization of the conceptual and theoretical approaches, extending beyond those trapped within the quagmire of humanistic principles.

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The use of recovery model in forensic psychiatric settings: A Foucauldian critique

Cited by 7 publications

References 48 publications

The perspective of staff members of two forensic psychiatric clinics in German-speaking Switzerland on the introduction of recovery orientation: An explorative study

The perspective of staff members of two forensic psychiatric clinics in German-speaking Switzerland on the introduction of recovery orientation: An explorative study

“Recovery” in mental health services, now and then: A poststructuralist examination of the despotic State machine's effects

Toward an ontology of the mutant in the health sciences: Re/defining the person from Cronenberg's perspective

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