School of Health, The University of Northampton, Northampton, UK.
J Psychiatr Ment Health Nurs. 2012 Sep;19(7):618-28. doi: 10.1111/j.1365-2850.2012.01909.x. Epub 2012 Apr 27.
This paper reports the findings of a descriptive phenomenological study that aimed to elicit and describe the experience of psychological distress as expressed by a group of women compulsorily detained within secure mental health services in the U.K. A fundamental objective of the study was to contribute to the existing evidence base that supports the care and treatment needs of this severely traumatized and challenging patient group. We argue that service providers and clinical practitioners could be better informed about the unique care and treatment needs of this severely traumatized and challenging patient group when working with them. A descriptive phenomenological approach developed by Giorgi was used to elicit the lived experiences of 'psychological distress' from a sample of female patients resident within a high secure hospital and an independent medium secure hospital. The findings indicate that a treatment plan which includes a combination of prescribed medication, informal support networks, intensive individual therapy and active engagement in a therapeutic life skills programme can be extremely beneficial. Most notably in helping to reduce the frequency of both internally and externally directed violent behaviour in this vulnerable client group.
本文报告了一项描述性现象学研究的结果，该研究旨在通过一组在英国安全心理健康服务机构中被强制拘留的女性表达的心理困扰经历。该研究的一个基本目标是为现有的证据基础做出贡献，这些证据基础支持对这个严重创伤和具有挑战性的患者群体的护理和治疗需求。我们认为，当与这些患者群体合作时，服务提供者和临床医生可以更好地了解这个严重创伤和具有挑战性的患者群体的独特护理和治疗需求。使用 Giorgi 开发的描述性现象学方法，从一家高度安全医院和一家独立的中等安全医院的女性患者样本中引出了“心理困扰”的生活经历。研究结果表明，包括规定药物治疗、非正式支持网络、密集的个体治疗和积极参与治疗生活技能计划在内的治疗方案非常有益。这在帮助减少这个脆弱患者群体中内外暴力行为的频率方面尤为明显。
