Agents and spectres: Life-space on a medium secure forensic psychiatric unit

Article

Reavey, P., Brown, S.D., Kanyeredzi, A., McGrath, L. and Tucker, I. 2018. Agents and spectres: Life-space on a medium secure forensic psychiatric unit. Social Science & Medicine. 220, pp. 273-282. https://doi.org/10.1016/j.socscimed.2018.11.012
AuthorsReavey, P., Brown, S.D., Kanyeredzi, A., McGrath, L. and Tucker, I.
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.

JournalSocial Science & Medicine
Journal citation220, pp. 273-282
ISSN0277-9536
Year2018
PublisherElsevier
Accepted author manuscript
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Digital Object Identifier (DOI)https://doi.org/10.1016/j.socscimed.2018.11.012
Web address (URL)https://doi.org/10.1016/j.socscimed.2018.11.012
Publication dates
Online10 Nov 2018
Publication process dates
Deposited14 Nov 2018
Accepted06 Nov 2018
Accepted06 Nov 2018
Copyright information© 2018 Elsevier
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