Domingue Jean-Laurent, Jacob Jean Daniel, Perron Amélie, Pariseau-Legault Pierre, Foth Thomas
Rech Soins Infirm. 2021 Jan 13(143):118-126. doi: 10.3917/rsi.143.0118.
Introduction : The caritative impact of nursing care provided in forensic mental health settings is rarely questioned.Context : Caritative nursing care is indirectly regulated by the Review Board (RB), a para-judicial court which ensures public safety.Objective : This study presents a critical reflection on the political and social effects of the RB, forensic psychiatry hospitals and practices of forensic mental health nurses.Method : The reflection is centered on the concepts of biopower, degradation ceremonies, moral career and identity (re)construction.Results : ‘Therapeutic’ nursing practices are useful for disciplinary purposes in the forensic psychiatric hospital, insofar as they permit the identification and management of dangerous persons. However, the practices also fall within the biopolitical scope of the RB, since they assist the latter in ensuring public safety.Discussion : The forensic psychiatric environment can prove problematic for nurses, requiring a double allegiance, whereby their responsibilities to patients (consent and confidentiality) and to the institution (protection of the public) can lead to tension.Conclusion : The analytical framework of the study allows for a reassessment of other presumed processes in psychiatric environments, which nonetheless constitute just as many rituals of identity (re)construction.
法医精神卫生机构所提供护理的慈善影响很少受到质疑。
慈善护理由复审委员会（RB）间接监管，复审委员会是一个确保公共安全的准司法法庭。
本研究对复审委员会、法医精神病医院以及法医精神卫生护士的做法所产生的政治和社会影响进行批判性反思。
反思集中于生命权力、降格仪式、道德生涯和身份（再）建构等概念。
“治疗性”护理实践在法医精神病医院对纪律处分目的有用，因为它们有助于识别和管理危险人员。然而，这些实践也属于复审委员会的生命政治范畴，因为它们协助复审委员会确保公共安全。
法医精神病环境对护士而言可能存在问题，要求他们有双重忠诚，即他们对患者（同意和保密）以及对机构（保护公众）的责任可能会导致紧张关系。
该研究的分析框架有助于重新评估精神病环境中的其他假定过程，而这些过程同样构成许多身份（再）建构仪式。
