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Lilja, Lars; Hellzén, Ove (2010)
Publisher: Co-Action Publishing
Journal: International Journal of Qualitative Studies on Health and Well-being
Languages: English
Types: Article
This study is part of a larger project, the aim of which is to elucidate "mental health nurses" attitudes towards their patients'. In this study, nurses' and patients' attitudes are described from the perspective of both parties using a qualitative approach. The informants were selected from a rehabilitation unit for young adults, below 40, suffering from psychosis at a psychiatric clinic that provides acute psychiatric care. The informant group consisted of three dyads: three patients with various diagnoses and three nurses with primary responsibility for the patients' daily care. The aim of this particular study was to extend our preliminary understanding of nurses' attitudes towards psychiatric patients in the context of psychiatric inpatient care, by elucidating the patient's "inner" picture of her/his past, present and future and the nurse's picture of the same patient's past, present and future. Data were collected and analysed using a phenomenological-hermeneutic approach and the narrative picturing technique. For each picture and group, 15 related sub-themes emerged, on the basis of which six themes were formulated. The findings show that the nurses overrate their own importance when it comes to the patient's well-being on the ward. All the nurses emphasize confirmation and safety as the basis of their nursing care, while in the patient's picture the nurses represent a replication of childhood demands, which probably means that nursing care risks becoming a continuation of the patient's childhood estrangement. Key words: Interviews, narrative picturing, nursing, phenomenological-hermeneutics, psychiatry
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    • Allen, J. G., Tarnoff, G., & Coyne, L. (1985). Therapeutic alliance and long-term hospital treatment outcome. Comprehensive Psychiatry, 26(2), 187 194.
    • Andrews, G., Henderson, S., & Hall, W. (2001). Prevalence, comorbidity, disability and service utilisation. British Journal of Psychiatry, 178(2), 145 153.
    • Angermeyer, M. C., & Schulze, B. (2001). Reinforcing stereotypes: How the focus on forensic cases in reporting may influence public attitudes towards mentally ill. International Journal of Law and Psychiatry, 24(4 5), 469 486.
    • Asplund, K., & Norberg, A. (1993). Caregivers' reactions to the physical appearance of a person in the final stage of dementia as measured by semantic differentials. International Journal of Aging & Human Development, 37(3), 205 215.
    • Basch, M. F. (1983). Empathic understanding: a review of the concept and some theoretical considerations. Journal of American Psychoanalytic Association, 31(1), 101 115.
    • Bauman, Z. (1995). Life in fragments. Essays in postmodern morality. London: Blackwell Publishers.
    • Becker, H. S. (1997). Outsiders: Studies in sociology of deviance. New York: Free Press.
    • Carlsson, G. (2003). The phenomenology of the violent meeting (in Swedish), Acta Wexionensia, No. 32. Va¨xjo¨ : Va¨xj o¨ University Press.
    • Crisp, A. H., Gelder, A. G., Rix, S., Meltzer, H. I., & Rowlands, O. J. (2000). Stigmatisation of people with mental illnesses. British Journal of Psychiatry, 177, 4 7.
    • Cullberg, J. (1999). Dynamic Psychiatry (in Swedish). Stockholm: Natur & Kultur.
    • Dexter, G., & Wash, M. (1997). Psychiatric Nursing Skills: A Patient-Centred Approach (2nd edition). Cheltenham: Stanley Thornes.
    • Dickson, D., Green, G., Hayes, C., Gilheany, B., & Whittaker, A. (2002). Social network and social support characteristics amongst individuals recently discharged from acute psychiatric units. Journal of Psychiatric and Mental Health Nursing, 9(2), 183 189.
    • Fagan, J., & Shepherd, I. L. (1970). Gestalt therapy now: Theory/ techniques/applications. New York: Science and Behaviour Books.
    • Farina, A. (1998). Stigma. In K. T. Meuser, & N. Tarrier (Eds.), Handbook of social functioning in schizophrenia (pp. 247 279). London: Allyn and Bacon.
    • Foucault, M. (2004). Abnormal, lectures at the college de France 1974 1975. New York: Picador.
    • Friedman, M. (1983). The confirmation of otherness in family, community and society. New York: The Pilgrim Press.
    • Gerbode, F. (1989). Beyond psychology: An introduction to metapsychology. Merlo Park: IRM.
    • Halbwachs, M. (1992). On collective memory. Chicago: The University of Chicago Press.
    • Hellze´n, O., Kristiansen, L., & Norbergh, K. G. (2003). Nurses' attitudes towards elderly residents with long-term schizophrenia in municipal settings. Journal of Advanced Nursing, 43(6), 616 622.
    • Hellze´n, M., Lind, I., Dahl, A., & Hellze´n, O. (2005). Psychiatric nurses' attitudes towards identified in-patients as measured by the semantic differential technique. Scandinavian Journal of Caring Sciences, 19(1), 12 19.
    • Hoffman, M. L. (2001). Empathy and moral development: Implications for caring and justice. Cambridge: Cambridge University Press.
    • Hupcey, J. E., & Miller, J. (2006). Community dwelling adults' perception of interpersonal trust vs. trust in health care providers. Journal of Clinical Nursing, 15(9), 1132 1139.
    • Levenson, R. W., & Ruef, A. M. (1992). Empathy: a physiological substrate. Journal of Personality and Social Psychology, 63(2), 234 246.
    • Lilja, L., . O¨rdell, M., Dahl, A., & Hellze´n, O. (2004). Judging the Other: Psychiatric nurses' attitudes towards identified inpatients as measured by semantic differential technique. Journal of Psychiatric and Mental Health Nursing, 11(5), 546 553.
    • Lilja, L., Hellze´n, M., Lind, I., & Hellze´n, O. (2006). The meaning of depression: Swedish nurses' perceptions of depressed inpatients. Journal of Psychiatric and Mental Health Nursing, 13(3), 269 278.
    • Lin, N., & Peck, K. (1999). Social network and mental health. In A. Horwitz, & T. Scheid (Eds.), Handbook for the study of mental health (pp. 241 258). New York: Cambridge University Press.
    • Link, B. G., Struening, E. L., Rahav, M., Phelan, J. C., & Nuttbrock, L. (1997). On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behaviour, 38(2), 177 190.
    • Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review Sociology, 27, 363 385.
    • Lindseth, A., & Norberg, A. (2004). A phenomenological hermeneutical method for researching lived experience. Scandinavian Journal of Caring Sciences, 18(2), 145 53.
    • Lindstr o¨m, U. A. (1995). The feeling of loneliness is never decreasing (in Swedish). Report No. 6. Vasa: A˚ bo Akademi, Department of Caring Sciences.
    • Marland, G. R., & Cash, K. (2005). Medicine taking decisions: schizophrenia in comparison to asthma and epilepsy. Journal of Psychiatric and Mental Health Nursing, 12(2), 163 172.
    • Martinsen, K. (1996). Phenomenology and care *three dialogues (in Norwegian). Oslo: Tano.
    • Mayring, P. (1993). Einfhrung in die Qualitative Sozialforschung: Eine Anleitung zu Qualitativem Denken (2nd edition). Weinheim: Beltz.
    • McCurdy, D. B. (1998). Personhood, spirituality, and hope in care of human beings with dementia. Journal of Clinical Ethics, 9, 81 91.
    • Mishler, E. (1986). Research Interviewing: Context and Narrative. London: Harvard University Press.
    • Morrison, P., & Burnard, P. (1991). Caring and communicating. The interpersonal relationship in nursing. London: MacMillan Press.
    • Nabert, J. (1969). Elements for an ethic. Evanston: Northwestern University Press.
    • Norberg, A. (1994). Ethics in the care of the elderly with dementia. In R. Gillon (Ed.), Principles of health care ethics (pp. 721 731). Chichester: John Wiley & Sons Ltd.
    • Norbergh, K. G., Helin, Y., Hellze´n, O., & Asplund, K. (2006). Licensed practical nurses'' attitudes towards people with dementia measured using the semantic differential technique. Nursing Ethics, 13(3), 264 274.
    • Normann, H. K., Asplund, K., & Norberg, A. (1999). Nurses' attitudes towards patients with severe dementia. Journal of Clinical Nursing, 8(4), 353 359.
    • Nunnally, J. C. (1961). Popular Conceptions of Mental Health. New York: Reinhart & Wilson.
    • Patton, M. Q. (2002). Qualitative evaluation and research methods (3rd edition). Newbury Park: SAGE Publications.
    • Reissman, C. K. (1993) Narrative analysis, Qualitative Research Methods Series. Volume 30. London: Sage Publications Inc.
    • Pearls, F. (1969). Gestalt therapy verbatim. Moab: Real People Press.
    • Rask, M., & Brunt, D. (2006). Verbal and social interactions in Swedish forensic psychiatry nursing care as perceived by patients and nurses. International Journal of Mental Health Nursing, 15(2), 100 110.
    • Ricoeur, P. (1976). Interpretation Theory: Discourse and the Surplus of Meaning. Fort Worth: Christian University Press.
    • Ricoeur, P. (1991). From text to action. Essays in hermeneutics. Evanston: Northwestern University Press.
    • Polit, D. F., & Beck, C. T. (2004). Nursing Research, Principles and Methods (7th edition). Philadelphia: Lippicott Williams & Wilkins.
    • Samuels, M., & Samuels, N. (1975). Seeing With the Minds Eye. New York: Random House.
    • Scheff, T. J. (1999). Being mentally ill. A sociological theory (3rd edition). New York: Aldine de Gruyter.
    • Schuman, H., & Scott, J. (1989). Generations and Collective Memories. American Sociological Review, 54(3), 359 381.
    • Stuhlmiller, C. (1994). A technique for qualitative interviewing. Troms o¨: Department of nursing science, MH University.
    • Stuhlmiller, C. (1996). Narrative picturing: ushering experimental recall. Nurses Inquires, 3(3), 183 184.
    • Stuhlmiller, C., & Thorsen, R. (1997). Narrative picturing: A new strategy for qualitative data collection. Qualitative Health Research, 1(1), 140 149.
    • Svensson, B., & Hansson, L. (1999). Relationships among patient and therapist ratings of therapeutic alliance and patient assessments of therapeutic process. Journal of Nervous and Mental Disease, 187(9), 580 586.
    • Tschudin, V. (1995). Counselling Skills for Nurses (4th edition). London: Bailliere.
    • Underwood, P. W. (2000) Social support. In V. H. Rice (Ed.), Handbook of Stress, Coping, and Health. Implications for Nursing Research: Theory and Practice (pp. 367 391). Thousands Oaks: SAGE Publications.
    • Wahl, O. F. (1999). Mental health consumers' experience of stigma. Schizophrenia Bulletin, 25(3), 467 478.
    • Warner, R. (1984). Recovery from Schizophrenia: Psychiatry and Political Economy. London: Routledge.
    • Willaing, I., & Ladelund, S. (2005). Nurse counseling of patients with an overconsumption of alcohol. Journal of Nursing Scholarship, 37(1), 30 35.
    • Zlotnick, C., Shea, M. T., Pilkonis, P. A., Elkin, I., & Ryan, C. (1996). Gender, type of treatment, dysfunctional attitudes, social support, life events and depressive symptoms over naturalistic follow-up. American Journal of Psychiatry, 153(8), 1021 1027.
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