Forced Care Directed at Psychiatric Clients: A Study of Emotional Suppression in Psychiatric Seclusion
Julkaistu sarjassa
JYU dissertationsTekijät
Päivämäärä
2021Tekijänoikeudet
© The Author & University of Jyväskylä
The aim of this PhD dissertation in social work is to understand mental health clients’ individual and social rights and bring about a broader understanding of client-centered treatment. This study will seek to gain phenomenological insight into the experience of clients and their understanding of seclusion in a psychiatric hospital setting. The research question is: What kind of experiences do mental health clients have with psychiatric seclusion? The data consist of semi-structured individual interviews with six adult mental health clients in one psychiatric hospital in Finland, using a bio-psychosocial and narrative qualitative research design. This study aims at client centered meaning making of the subjective experience of seclusion and generating of social philosophical theory about this process. This study revealed that the absence of talk therapies and forced medicine results in helplessness, a lowered motivation often leading to defenseless disorientation or high affect agitation and indirect aggression culminating in frequent seclusion. Through the lack of opportunity to voice emotional trauma, clients develop socially learned adaptations. Preparing and delays and pauses in interviews around treatment terms suggest suppression and emotional regulation as a defense against trauma associated with psychiatric seclusion. Premotivational and pre-cognitive contributions were made in delay, stuttering, sudden stopping, total disappearance of words, and long pauses around objects of trauma in recall of seclusion. Based on the findings, it is recommended to the psychiatric care system and professionals working with mental health clients, to recognize only voluntary status. Clinicians are advised to bring patients into consensual treatment, and willful participation, by providing comprehensive talk therapies on demand. Furthermore, by the lack of talk therapies and inaccessibility of social support, clients may become endangered in the inpatient setting and community. The reluctance of psychiatric clinics to further provide acknowledged assisted refusals, educated informed consent, and participatory volunteering, ignores the basic human needs of an already vulnerable group of people.
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Julkaisija
Jyväskylän yliopistoISBN
978-951-39-8589-9ISSN Hae Julkaisufoorumista
2489-9003Asiasanat
Metadata
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- JYU Dissertations [781]
- Väitöskirjat [3446]
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