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Reavey, P, Brown, SD 
ORCID: https://orcid.org/0000-0001-7841-3225, Kanyeredzi, A, McGrath, L and Tucker, I,
2019.
Agents and spectres: life-space on a medium secure forensic psychiatric unit.
Social Science and Medicine, 220, pp. 273-282.
ISSN 0277-9536
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Abstract
Medium secure forensic psychiatric units are unique environments within the broader ‘post asylum’ landscape of mental health services. Length of stay is much greater, a recovery-focused care system is much more difficult to implement, and there is a paucity of suitable "step-down" services. The aim of this study was to examine how forensic psychiatric environments contribute to the shaping of recovery, by examining key features such as social interactions and agency. Here, we report on the findings from patients participating in a qualitative-visual study. This analysis forms part of larger study on staff and patient experiences of secure hospital space. In this paper, the analytical focus is directed towards two key elements of recovery - agency and relationality, using the concept of ‘topology’ and ‘life-space’, developed by the social psychologist Kurt Lewin. First, we explore how patients have relative freedom to move within institutional spaces, yet lack relational space. Secondly, we explore how life-space is expanded or compressed by the manner in which the patient's present life in hospital is connected or disconnected from their past or pending future. Finally, we discuss the implications of these findings for a recovery model within secure forensic settings, focused on personalisation and expanded life-space.
| Item Type: | Journal article |
|---|---|
| Publication Title: | Social Science and Medicine |
| Creators: | Reavey, P., Brown, S.D., Kanyeredzi, A., McGrath, L. and Tucker, I. |
| Publisher: | Elsevier |
| Date: | January 2019 |
| Volume: | 220 |
| ISSN: | 0277-9536 |
| Identifiers: | Number Type 10.1016/j.socscimed.2018.11.012 DOI 1207480 Other S0277953618306464 Publisher Item Identifier |
| Divisions: | Schools > Nottingham Business School |
| Record created by: | Linda Sullivan |
| Date Added: | 18 Nov 2019 11:56 |
| Last Modified: | 18 Nov 2019 11:56 |
| URI: | https://irep.ntu.ac.uk/id/eprint/38338 |
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