Patient Experiences of Victimization during Mandatory Psychiatric Treatment: A Qualitative Study

IF 0.7 4区 心理学 Q4 CRIMINOLOGY & PENOLOGY
N. Verstegen, N. Peters-Scheffer, Prof. Dr. Robert Didden, Prof. Dr. Henk Nijman, Prof. Dr. Vivienne de Vogel
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引用次数: 2

Abstract

Forensic psychiatric inpatients are frequently exposed to aggression from fellow patients during their treatment, but research on how this impacts patients’ well-being and treatment progress is lacking. In this study, we interviewed nine patients on their experiences of victimization during mandatory psychiatric treatment. The interviews were analyzed using a Grounded Theory approach combined with elements from Consensual Qualitative Research and Interpretative Phenomenological Analysis. Three main themes emerged from the data, namely situational descriptives, intraperso-nal and interpersonal consequences. Patients were not only exposed to both physical violence and verbal aggression by other patients, but also to a more ubiquitous flow of micro-aggressive comments. Options to escape these situations were limited. This means that victimization processes, which for most patients started much earlier in life, continue during forensic psychiatric treatment. Intrapersonal consequences include fear, hypervigilance, reactive aggression, flashbacks and avoidance and withdrawal. Interpersonal consequences include increased power differences between patients and adverse treatment consequences, such as difficulties with self-esteem. Victimization processes are not always timely noticed in an environment that focuses on risks and treat-ment of delinquent behavior. A higher level of trauma sensitivity in forensic mental health care is thus required. Recommendations for the implementation of trauma informed care are provided.
精神科强制治疗中患者受害经历:一项质性研究
法医精神科住院患者在治疗过程中经常受到其他患者的攻击,但缺乏关于这种攻击如何影响患者福祉和治疗进展的研究。在这项研究中,我们采访了9名患者在强制精神治疗期间的受害经历。访谈采用扎根理论方法,结合共识定性研究和解释性现象学分析的元素进行分析。从数据中出现了三个主要主题,即情景描述、内部和人际后果。患者不仅会受到其他患者的身体暴力和言语攻击,还会受到更普遍的微攻击性评论。逃避这些情况的选择有限。这意味着受害的过程,对大多数病人来说在生命的早期就开始了,在法医精神病治疗期间仍在继续。对个人的影响包括恐惧、过度警惕、反应性攻击、闪回、回避和退缩。人际关系后果包括患者之间权力差异的增加和不良治疗后果,如自尊困难。受害过程并不总是及时注意到的环境,重点是风险和处理犯罪行为。因此,需要在法医心理保健中提高对创伤的敏感度。提供了实施创伤知情护理的建议。
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来源期刊
CiteScore
1.80
自引率
12.50%
发文量
53
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