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Psychological aspects of psychiatric hospitalisation

Colin, Jessica (2011)
Clin.Psy.D. thesis, University of Birmingham.

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Abstract

This thesis contains a literature review and a qualitative research project. The purpose of the literature review was to examine recent literature on service user perspectives on seclusion, to explore the psychological impact of being secluded. Thirteen studies were identified, and their methodological quality was evaluated. The findings of the studies were examined and common themes were identified. Although some service users reported some positive aspects of seclusion, the overall consensus is that seclusion is distressing. This review suggests additional recommendations to those in the NICE guidelines, which may reduce the negative psychological impact of seclusion on service users. The research project investigated the experiential impact on inpatient nursing staff of caring for individuals with early psychosis, using Interpretative Phenomenological Analysis. Five main themes were identified: 1) Working with uncertainty, 2) Feeling restricted, 3) The ward as a threatening environment, 4) “You’re like my bloody mother” - Working with younger patients, and 5) “Shut the doors and go home” - Coping and self-preservation. Working in the acute inpatient environment can be distressing for staff, however, participants in the study associated working with younger patients experiencing their first admission with closer emotional attachments and increased hope for recovery.

Type of Work:Clin.Psy.D. thesis.
Supervisor(s):Larkin, Michael (1971-) and Newton, Elizabeth
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Psychology
Subjects:BF Psychology
Institution:University of Birmingham
ID Code:2935
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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