Therapeutic Relationships and Boundary Maintenance: The Perspective of Forensic Patients Enrolled in a Treatment Program for Violent Offenders

@article{Schaefer2003TherapeuticRA,
  title={Therapeutic Relationships and Boundary Maintenance: The Perspective of Forensic Patients Enrolled in a Treatment Program for Violent Offenders},
  author={P. J. Schaefer and C. Peternelj-Taylor},
  journal={Issues in Mental Health Nursing},
  year={2003},
  volume={24},
  pages={605 - 625}
}
To extend current knowledge about therapeutic relationships and boundary maintenance with the incarcerated forensic patient, the focus of this naturalistic inquiry was the exploration of the perspectives of forensic patients enrolled in a treatment program for violent offenders. Twelve male participants were interviewed three times. Eight of the twelve participants were interviewed a fourth time for the purpose of soliciting their feedback regarding the researcher's analysis of the data… Expand

Topics from this paper

An exploratory study investigating the impact of the procedures used to manage patient substance misuse on nurse-patient relationships in a medium secure forensic unit.
TLDR
The views of nurses working in one medium secure unit of the impact of the procedures used to manage substance misuse on their relationships with patients were explored. Expand
Consumer sexual relationships in a forensic mental health hospital: perceptions of nurses and consumers.
TLDR
The importance of sexual relationships was clearly articulated, as was the difficulties in forming and maintaining them within the forensic setting and the education of nurses and other health professionals is required. Expand
Therapeutic engagement in medium-secure care: an interpretative phenomenological analysis of service users’ experiences
Service users (SUs) detained in forensic hospitals are usually required to engage in psychological therapies aimed at reducing mental distress and/or for preventing further offending. PoorExpand
Looking Beyond the Illness
The aim of this qualitative study was to explore perspectives on rehabilitation of those detained in a New Zealand forensic hospital setting. Twenty forensic service users participated in individualExpand
“They’re Really PD Today”
  • Emma Jones, K. Wright
  • Medicine
  • International journal of offender therapy and comparative criminology
  • 2017
TLDR
The perceptions of second-year mental health nursing students of developing a therapeutic relationship with patients with antisocial personality disorder were explored and four key themes emerged: diagnosis, safety, engagement and finally environmental influences. Expand
Conceptualizing nursing research with offenders: another look at vulnerability.
TLDR
Vulnerability is examined as it applies to the conduct of nursing research with offenders, a contemporary research problem that requires ongoing discourse within the nursing community and the health care community at large. Expand
Building from the ground up: exploring forensic mental health staff’s relationships with patients
ABSTRACT Recovery-orientated care is becoming generally accepted as the best practice, and continued development in the ways it is practiced is necessary to ensure improvement of ongoing care.Expand
Reconstructing normality: characteristics of staff interactions with forensic mental health inpatients.
TLDR
The findings show that staff interaction is typified by the use of trust and relationship-enabling care, which is characterized by the establishment and maintenance of an informal, trusting relationship through a repeated reconstruction of normality. Expand
Violence, Aggression and Therapeutic Relationships: Understanding the Lived Experiences of Females within Low and Medium Secure Forensic Mental Health Units.
Aims: To explore female secure forensic mental health (FMH) patients’ therapeutic relationship (TR) quality; the impact of witnessed, or perpetrated, violence upon psychological wellbeing and TRs;Expand
An exploration of perceived coercion into psychological assessment and treatment within a low secure forensic mental health service
  • Cassandra Simms-Sawyers, H. Miles, J. Harvey
  • Medicine, Psychology
  • Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law
  • 2020
TLDR
Ten forensic inpatients from a low secure FMH service were interviewed to determine the impact of any perceived coercion to engage with psychologists and three over-arching themes emerged: ‘Awareness of Coercive Power’, ‘Experiencing and Responding to Coercion’ and ‘Psychological Treatment is Helpful, But…’. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 54 REFERENCES
Boundary violations in professional—client relationships: Overview and guidelines for prevention
Abstract The problem of sexual exploitation of clients by helping professionals has received increasing attention over the last two decades. Most of this attention has been devoted to developing moreExpand
Lessons to be learned from the study of sexual boundary violations.
  • G. Gabbard
  • Psychology, Medicine
  • American journal of psychotherapy
  • 1996
The study of sexual boundary violations, through the actual evaluation and treatment of therapists who have engaged in sexual misconduct, reveals that all of us are potentially vulnerable toExpand
Serving time: psychiatric mental health nursing in corrections.
TLDR
Historically, role development for nurses working in corrections has been particularly difficult, and correctional nurses must grapple with issues surrounding professional identity, professional isolation, and territoriality. Expand
The prevention of psychotherapist sexual misconduct: avoiding the slippery slope.
TLDR
The best method of preventing sexual contact with patients involves respecting the boundaries of the professional relationship and avoidance of the slippery slope. Expand
When a client develops an attraction: successful resolution versus boundary violation.
  • P. J. Schaefer
  • Psychology, Medicine
  • Journal of psychiatric and mental health nursing
  • 1997
TLDR
Although attraction in the therapeutic relationship is a well-documented phenomenon in the psychosocial literature, nursing has not addressed this issue sufficiently and this results in difficulties in assisting a client to resolve attraction successfully, resulting in boundary violations that leave the correctional nurse feeling battered. Expand
Dual Relationships Between Therapist and Client: A National Study of Psychologists, Psychiatrists, and Social Workers
4,800 psychologists, psychiatrists, and social workers were surveyed (return rate = 49%) to examine attitudes and practices regarding dual professional roles, social involvements, financialExpand
Triumvirate nursing for personality disordered patients: crossing the boundaries safely.
TLDR
A strategic mechanism of constructing nursing care for this difficult group of patients and a framework for crossing boundaries safely through a multidisciplinary framework is offered, which is referred to as triumvirate nursing. Expand
Forbidden love: sexual exploitation in the forensic milieu.
  • C. Peternelj-Taylor
  • Psychology, Medicine
  • Journal of psychosocial nursing and mental health services
  • 1998
TLDR
Strategies must be developed within forensic psychiatric nursing practice that deal with issues surrounding forbidden love before, during, and after they arise to avoid the pitfalls that lead to sexual impropriety. Expand
Patient-therapist boundary issues: an integrative review of theory and research.
TLDR
The authors review the concept of treatment boundaries and the ethical principles that underpin them and provide recommendations to attenuate harm done to clients when such boundary violations occur in therapy. Expand
Treatment boundary violations: clinical, ethical, and legal considerations.
  • R. Simon
  • Psychology, Medicine
  • The Bulletin of the American Academy of Psychiatry and the Law
  • 1992
TLDR
The clinical, ethical, and legal issues surrounding the maintenance of treatment boundaries are discussed and a clinical vignette describing the sexual exploitation of a patient by her therapist dramatically illustrates progressive boundary violations. Expand
...
1
2
3
4
5
...