Schafer Penny, Peternelj-Taylor Cindy
Regional Psychiatric Centre (Prairies), 2520 Central Avenue, Saskatoon, Saskatchewan, Canada S7K 3X5.
Issues Ment Health Nurs. 2003 Sep-Nov;24(6-7):605-25. doi: 10.1080/01612840305320.
To extend current knowledge about therapeutic relationships and boundary maintenance with the incarcerated forensic patient, the focus of this naturalistic inquiry was the exploration of the perspectives of forensic patients enrolled in a treatment program for violent offenders. Twelve male participants were interviewed three times. Eight of the twelve participants were interviewed a fourth time for the purpose of soliciting their feedback regarding the researcher's analysis of the data. Analysis of the data collected revealed a core process--the development of "therapeutic" relationships--indicating that the development of relationships was a complex process. Consistent with the participants' tendency to use terms analogous to a house to describe their experiences, the analogy of a house was used to describe the five interrelated themes that emerged from the data. If the interpersonal relationship is the heart of nursing then forensic mental health nurses need to understand the complexity of therapeutic relationships from the perspective of their patients.
为了拓展当前关于与被监禁的法医鉴定患者的治疗关系及边界维持的知识，本次自然主义探究的重点是探索参加暴力罪犯治疗项目的法医鉴定患者的观点。对12名男性参与者进行了三次访谈。为了征求他们对研究人员数据分析的反馈，对12名参与者中的8名进行了第四次访谈。对收集到的数据进行分析后发现了一个核心过程——“治疗性”关系的发展——这表明关系的发展是一个复杂的过程。与参与者倾向于用类似于房子的术语来描述他们的经历一致，用房子的比喻来描述从数据中浮现的五个相互关联的主题。如果人际关系是护理的核心，那么法医精神卫生护士需要从患者的角度理解治疗关系的复杂性。
