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.
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
License
Digital Object Identifier (DOI)doi: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
Permalink -

https://repository.uel.ac.uk/item/845x6

Accepted author manuscript

  • 9
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Related outputs

Digitally Mediated Emotion: Simondon, Affectivity and Individuation
Tucker, I. 2018. Digitally Mediated Emotion: Simondon, Affectivity and Individuation. in: Sampson, Tony David, Maddison, Stephen and Ellis, Darren (ed.) Affect and Social Media: Emotion, Mediation, Anxiety and Contagion Rowman & Littlefield.
Shifting landscapes of care and distress: A topological understanding of rurality
Tucker, I. 2017. Shifting landscapes of care and distress: A topological understanding of rurality. in: Soldatic, Karen and Johnson, Kelley (ed.) Disability and Rurality: Identity, Gender and Belonging Routledge. pp. 184-198
Social media and mental health: A topological approach
Goodings, L. and Tucker, I. 2018. Social media and mental health: A topological approach. in: McGrath, Laura and Reavey, Paula (ed.) The Handbook of Mental Health and Space: Community and Clinical Applications Routledge.
Deleuze, Simondon and the problem of psychological life
Tucker, I. 2018. Deleuze, Simondon and the problem of psychological life. Annual Review of Critical Psychology. 14, pp. 127-144.
The atmosphere of the ward: Attunements and attachments of everyday life for patients on a medium-secure forensic psychiatric unit
Kanyeredzi, A., Brown, Steven D., McGrath, L. and Tucker, I. 2019. The atmosphere of the ward: Attunements and attachments of everyday life for patients on a medium-secure forensic psychiatric unit. The Sociological Review. 67 (2), pp. 444-466.
The Psychological Impact of Austerity: A Briefing Paper
McGrath, L., Griffin, Vanessa, Mundy, Ed and Psychologists for Social Change 2015. The Psychological Impact of Austerity: A Briefing Paper. Psychologists for Social Change.
Social Psychology of Emotion
Ellis, D. and Tucker, I. 2014. Social Psychology of Emotion. SAGE Publications.
Organizing the sensory: Ear-work, panauralism and sonic agency on a forensic psychiatric unit
Brown, S., Kanyeredzi, A., Mcgrath, L., Reavey, P. and Tucker, I. 2019. Organizing the sensory: Ear-work, panauralism and sonic agency on a forensic psychiatric unit. Human Relations.
Affect Theory and the Concept of Atmosphere
Tucker, I., Brown, S., Kanyeredzi, A., Mcgrath, L. and Reavey, P. 2019. Affect Theory and the Concept of Atmosphere. Distinktion: Scandinavian Journal of Social Theory. 20 (1), pp. 5-24.
Temporalities of Mental Distress: Digital Immediacy and the Meaning of 'Crisis' in Online Support
Tucker, I. M. and Lavis, A 2019. Temporalities of Mental Distress: Digital Immediacy and the Meaning of 'Crisis' in Online Support. Sociology of Health & Illness.
Building visual worlds: Using maps in qualitative psychological research on affect and emotion
McGrath, L., Mullarkey, Shauna and Reavey, Paula 2019. Building visual worlds: Using maps in qualitative psychological research on affect and emotion. Qualitative Research in Psychology.
Mental health service user territories: Enacting 'safe spaces' in the community
Tucker, I. 2010. Mental health service user territories: Enacting 'safe spaces' in the community. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine. 14 (4), pp. 434-448.
Living ‘in between’ outside and inside: The forensic psychiatric unit as an impermanent assemblage
Tucker, I., Brown, Steven D., Kanyeredzi, A., McGrath, L. and Reavey, Paula 2018. Living ‘in between’ outside and inside: The forensic psychiatric unit as an impermanent assemblage. Health & Place. 55, pp. 29-36.
Contending with the Minimum Data Set: Subjectivity, linearity and dividualising experiences in Improving Access to Psychological Therapy
Bendall, Caroline and McGrath, L. 2018. Contending with the Minimum Data Set: Subjectivity, linearity and dividualising experiences in Improving Access to Psychological Therapy. Health.
Psychologists Against Austerity: Mobilising Psychology for Social Change
McGrath, L., Walker, Carl and Jones, Christopher 2016. Psychologists Against Austerity: Mobilising Psychology for Social Change. Critical and Radical Social Work. 4 (1), pp. 409-413.
Facing the void: Embodying fear in childhood homes
Del Busso, Lilliana, McGrath, L., Guest, Carly, Reavey, Paula, Kanyeredzi, A. and Majumdar, Anamika 2018. Facing the void: Embodying fear in childhood homes. Emotion, Space and Society. 28, pp. 24-31.
Through the prison walls: Using published poetry to explore current UK prisoners’ narratives of past, present and future selves
Devaliant, G., McGrath, L. and Kougiali, G. 2018. Through the prison walls: Using published poetry to explore current UK prisoners’ narratives of past, present and future selves. Qualitative Research in Psychology.
Feeling ‘like a minority…a pathology’: interpreting race from research with African and Caribbean women on violence and abuse
Kanyeredzi, A. 2018. Feeling ‘like a minority…a pathology’: interpreting race from research with African and Caribbean women on violence and abuse. Qualitative Research. 19 (4), pp. 399-417.
How do mental health services respond when child abuse or neglect become known? A literature review
Read, J., Harper, D., Tucker, I. and Kennedy, Angela 2018. How do mental health services respond when child abuse or neglect become known? A literature review. International Journal of Mental Health Nursing. 27 (6), pp. 1606-1617.
Life lines: Loss, loneliness and expanding meshworks with an urban Walk and Talk group
Muir, Jessica and McGrath, L. 2018. Life lines: Loss, loneliness and expanding meshworks with an urban Walk and Talk group. Health & Place. 53, pp. 164-172.
Race, Culture and Gender: Black female experiences of violence and abuse
Kanyeredzi, A. 2018. Race, Culture and Gender: Black female experiences of violence and abuse. Palgrave Macmillan.
The Role of the Visual in Narratives of Violence: Co-creating Fissures
Kanyeredzi, A., Reavey, Paula and Brown, Steven D. 2014. The Role of the Visual in Narratives of Violence: Co-creating Fissures. in: Taylor, Y. (ed.) The Entrepreneurial University Palgrave Macmillan UK. pp. 161-182
Examining professionals' perspectives on sexuality for service users of a forensic psychiatry unit
Dein, Kalpana Elizabeth, Williams, Paul Simon, Volkonskaia, Irina, Kanyeredzi, A., Reavey, Paula and Leavey, Gerard 2015. Examining professionals' perspectives on sexuality for service users of a forensic psychiatry unit. International Journal of Law and Psychiatry. 44, pp. 15-23.
From ‘no means no’ to ‘an enthusiastic yes’: Changing the Discourse on Sexual Consent Through Sex and Relationships Education
Coy, Maddy, Kelly, Liz, Vera-Gray, Fiona, Garner, Maria and Kanyeredzi, A. 2015. From ‘no means no’ to ‘an enthusiastic yes’: Changing the Discourse on Sexual Consent Through Sex and Relationships Education. in: Sundaram, V. and Sauntson, H. (ed.) Global Perspectives and Key Debates in Sex and Relationships Education: Addressing Issues of Gender, Sexuality, Plurality and Power Palgrave Macmillan. pp. 84-99
Sensing Bodies and Digitally Mediated Distress
Tucker, I. and Goodings, L. 2015. Sensing Bodies and Digitally Mediated Distress. The Senses and Society. 9 (1), pp. 55-71.
Surveillance and subjectivity: Everyday experiences of surveillance practices
Harper, D., Tucker, I. and Ellis, D. 2013. Surveillance and subjectivity: Everyday experiences of surveillance practices. in: Ball, Kirstie and Snider, Laureen (ed.) The Surveillance-Industrial Complex: A Political Economy of Surveillance Routledge.
Transformations of self and sexuality: Psychologically modified experiences in the context of forensic mental health
Brown, Steven D, Reavey, Paula, Kanyeredzi, A. and Batty, Richard 2013. Transformations of self and sexuality: Psychologically modified experiences in the context of forensic mental health. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine. 18 (3), pp. 240-260.
Experiencing the ‘surveillance society’
Ellis, D., Harper, D. and Tucker, I. 2016. Experiencing the ‘surveillance society’. Psychologist. 29 (9), pp. 682-685.
Digital atmospheres: affective practices of care in Elefriends
Tucker, I. and Goodings, L. 2017. Digital atmospheres: affective practices of care in Elefriends. Sociology of Health & Illness. 39 (4), pp. 629-642.
Do adult mental health services identify child abuse and neglect? A systematic review
Read, J., Harper, David, Tucker, I. and Kennedy, Angela 2017. Do adult mental health services identify child abuse and neglect? A systematic review. International Journal of Mental Health Nursing. 27 (1), pp. 7-19.
Medicated bodies: Mental distress, social media and affect
Tucker, I. and Goodings, L. 2016. Medicated bodies: Mental distress, social media and affect. New Media & Society. 20 (2), pp. 549-563.
The scenes and spaces of anxiety: Embodied expressions of distress in public and private fora
McGrath, L., Reavey, P. and Brown, Steven 2008. The scenes and spaces of anxiety: Embodied expressions of distress in public and private fora. Emotion, Space and Society. 1 (1), pp. 56-64.
Embodying limb absence in the search for sexual intimacy
Batty, Richard, McGrath, L. and Reavey, P. 2014. Embodying limb absence in the search for sexual intimacy. Sexualities. 17 (5-6), pp. 686-706.
Transportations of space, time and self: The role of therapeutic reading groups in managing mental distress in the community.
Shipman, Judith and McGrath, L. 2016. Transportations of space, time and self: The role of therapeutic reading groups in managing mental distress in the community. Journal of Mental Health. 25 (5), pp. 416-421.
"Zip me up, and cool me down”: Molar narratives and molecular intensities in ‘helicopter’ mental health services.
McGrath, L. and Reavey, P. 2016. "Zip me up, and cool me down”: Molar narratives and molecular intensities in ‘helicopter’ mental health services. Health & Place. 38, pp. 61-69.
Mediation and digital intensities: Topology, psychology and social media
Tucker, I. and Goodings, L. 2014. Mediation and digital intensities: Topology, psychology and social media. Social Science Information. 53 (3), pp. 277-292.
Managing stress through the Stress Free app: Practices of self-care in digitally mediated spaces
Tucker, I. and Goodings, L. 2015. Managing stress through the Stress Free app: Practices of self-care in digitally mediated spaces. Digital Health. 1 (0).
Heterotopias of mental health care: The role of space in experiences of distress, madness and mental health service use.
McGrath, L. 2012. Heterotopias of mental health care: The role of space in experiences of distress, madness and mental health service use. PhD Thesis London South Bank University Psychology
Heterotopias of control: Placing the material in experiences of mental health service use and community living.
McGrath, L. and Reavey, P. 2013. Heterotopias of control: Placing the material in experiences of mental health service use and community living. Health & Place. 22, pp. 123-131.
Exploring embodied and located experience: Memory Work as a method for drug research.
Anderson, Katie and McGrath, L. 2014. Exploring embodied and located experience: Memory Work as a method for drug research. International Journal of Drug Policy. 25 (6), pp. 1135-1138.
Seeking fluid possibility and solid ground: Space and movement in mental health service users' experiences of 'crisis'.
McGrath, L. and Reavey, P. 2015. Seeking fluid possibility and solid ground: Space and movement in mental health service users' experiences of 'crisis'. Social Science & Medicine. 128, pp. 115-125.
Social media and the co-production of bodies online: Bergson, Serres and Facebook's Timeline
Goodings, Lewis and Tucker, I. 2014. Social media and the co-production of bodies online: Bergson, Serres and Facebook's Timeline. Media, Culture & Society. 36 (1), pp. 37-51.
Topology and mental distress: Self-care in the life spaces of home
Tucker, I. and Smith, Lesley-Ann 2014. Topology and mental distress: Self-care in the life spaces of home. Journal of Health Psychology. 19 (1), pp. 176-183.
The Dynamics of Impersonal Trust and Distrust in Surveillance Systems
Ellis, D., Harper, D. and Tucker, I. 2013. The Dynamics of Impersonal Trust and Distrust in Surveillance Systems. Sociological Research Online. 18 (3), p. 8.
The Affective Atmospheres of Surveillance
Ellis, D., Tucker, I. and Harper, D. 2013. The Affective Atmospheres of Surveillance. Theory & Psychology. 23 (6), pp. 716-731.
Transformative processes of agency: information technologies and the production of digitally mediated selves
Tucker, I., Ellis, D. and Harper, D. 2012. Transformative processes of agency: information technologies and the production of digitally mediated selves. Kultūra ir visuomenė: socialinių tyrimų žurnalas [Culture and Society: Journal of Social Research]. 3 (1), pp. 9-24.
Somatic concerns of mental health service users: a specific tale of affect
Tucker, I. 2011. Somatic concerns of mental health service users: a specific tale of affect. Distinktion: Scandinavian Journal of Social Theory. 12 (1), pp. 23-35.
Virtuality and Ernest Bloch: hope and subjectivity
Ellis, D. and Tucker, I. 2011. Virtuality and Ernest Bloch: hope and subjectivity. Subjectivity. 4 (4), pp. 434-450.
Everyday spaces of mental distress: the spatial habituation of home
Tucker, I. 2009. Everyday spaces of mental distress: the spatial habituation of home. Environment and Planning D: Society and Space. 28 (3), pp. 526-538.
"This is for life": a discursive analysis of the dilemmas of constructing diagnostic identities
Tucker, I. 2009. "This is for life": a discursive analysis of the dilemmas of constructing diagnostic identities. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research. 10 (3).