Agents and spectres: Life-space on a medium secure forensic psychiatric unit

Journal article

Reavey, P, Brown, SD, McGrath, L, Tucker, I and Kanyeredzi, A (2018). Agents and spectres: Life-space on a medium secure forensic psychiatric unit. Social Science and Medicine. 220, pp. 273-282. https://doi.org/10.1016/j.socscimed.2018.11.012
AuthorsReavey, P, Brown, SD, McGrath, L, Tucker, I and Kanyeredzi, A
Abstract

Medium secure forensic psychiatric units are unique environments within the broader ‘post asylum’ landscape of mental health services. Length of stay is much greater, a recovery-focused care system is much more difficult to implement, and there is a paucity of suitable “step-down” services. The aim of this study was to examine how forensic psychiatric environments contribute to the shaping of recovery, by examining key features such as social interactions and agency. Here, we report on the findings from patients participating in a qualitative-visual study. This analysis forms part of larger study on staff and patient experiences of secure hospital space. In this paper, the analytical focus is directed towards two key elements of recovery - agency and relationality, using the concept of ‘topology’ and ‘life-space’, developed by the social psychologist Kurt Lewin. First, we explore how patients have relative freedom to move within institutional spaces, yet lack relational space. Secondly, we explore how life-space is expanded or compressed by the manner in which the patient’s present life in hospital is connected or disconnected from their past or pending future. Finally, we discuss the implications of these findings for a recovery model within secure forensic settings, focussed on personalisation and expanded life-space.

Keywords1117 Public Health And Health Services; 1601 Anthropology; 1608 Sociology; Public Health
Year2018
JournalSocial Science and Medicine
Journal citation220, pp. 273-282
PublisherElsevier
ISSN1873-5347
Digital Object Identifier (DOI)https://doi.org/10.1016/j.socscimed.2018.11.012
Publication dates
Online10 Nov 2018
PrintJan 2019
Publication process dates
Deposited12 Nov 2018
Accepted10 Nov 2018
Accepted author manuscript
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