University of Ottawa, Ottawa, Ontario, Canada.
Int J Ment Health Nurs. 2022 Jun;31(3):752-760. doi: 10.1111/inm.13005. Epub 2022 Apr 17.
Recovery, a model of care aimed at patient-led nursing practice emphasizing autonomy, hope and self-determination, has in recent years been adapted for the secure forensic psychiatric setting. Often referred to as 'secure recovery', this model suggests the aims of recovery are achievable even in highly restrictive settings. This paper will adopt a Foucauldian perspective to offer a critical analysis of recovery in forensic settings. In providing recovery-oriented care, nurses utilize pastoral power in guiding patients to institutionally preferred outcomes. Akin to Christian religious conversion, nurses engage in a neo-religious conversion of patients to a neoliberal subjectivity of homo-economicus. This path of recovery is grounded in an ethos of personal responsibility and self-government, inseparable from the greater context of neoliberal governmentality. Despite attempts at transforming forensic nursing practice into more egalitarian directions, recovery remains a coercive practice, and fails to meet the overall goals of this paradigm in secure settings.
康复模式是一种以患者为中心的护理实践模式，强调自主性、希望和自我决定，近年来已被应用于安全的法医精神病学环境中。这种模式通常被称为“安全康复”，它表明即使在高度限制的环境中，康复的目标也是可以实现的。本文将采用福柯的观点，对法医环境中的康复进行批判性分析。在提供以康复为导向的护理时，护士利用牧师权力引导患者达到机构偏好的结果。类似于基督教的宗教皈依，护士使患者皈依新的自由主义的经济人主体性。这种康复之路建立在个人责任和自治的精神基础上，与新自由主义治理的更大背景密不可分。尽管有人试图将法医护理实践转变为更加平等的方向，但康复仍然是一种强制性的实践，未能在安全环境中满足这一模式的总体目标。
