Morris Karen, Cox Diane L, Ward Kath
Department of Health, Psychology and Social Studies, University of Cumbria , Carlisle , UK.
Research Office & Graduate School, University of Cumbria , Lancaster , UK.
J Forens Psychiatry Psychol. 2016 Sep 2;27(5):684-697. doi: 10.1080/14789949.2016.1187759. Epub 2016 May 30.
This paper focuses on the occupational experiences of five men living within a forensic mental health unit over a year. This study used a descriptive qualitative case study methodology to explore the meaning and value placed on daily life (activities, occupations and routines), and how this changed over time. The men's stories showed a complex picture of their experiences of daily life. This study demonstrated the impact of the environment on the men and the ongoing challenge of the need to balance treatment/therapy with security demands and opportunities. Three interrelated themes were identified: (1) Power and Occupation; (2) Therapy or Punishment; (3) Occupational Opportunities within Restrictions. These findings serve as a reminder to clinical teams to reassess the value of occupations attributed by their patients and the impact of the secure environment, whilst also acknowledging the potential for occupations to have a negative impact on well-being.
本文聚焦于五名男性在法医精神卫生机构内一年的职业经历。本研究采用描述性定性案例研究方法，探讨日常生活（活动、职业和日常事务）所具有的意义和价值，以及其如何随时间变化。这些男性的故事展现出他们日常生活经历的复杂图景。本研究证明了环境对这些男性的影响，以及在平衡治疗/疗法与安全需求及机会方面持续存在的挑战。确定了三个相互关联的主题：（1）权力与职业；（2）治疗还是惩罚；（3）限制范围内的职业机会。这些研究结果提醒临床团队重新评估患者赋予职业的价值以及安全环境的影响，同时也认识到职业可能对幸福感产生负面影响。
