We aimed to explore the extent to which allowance of expression of patient sexuality is influenced by moral, religious, institutional and practical considerations. Similarly, concerns of abuse and vulnerability were less prominent themes in relation to patients who had progressed to the rehabilitation stage, had unescorted area leave, or who had been discharged into the community: Hospital and Community Psychiatry, Sexuality, Love and Eroticism in Modern Societies. Indeed, Rowe suggests that institutions that actively prohibit sexual expression set the stage for sexual assaults. This systematic assault of patient relationships and sexual identities runs contrary to the ethical principle of non- maleficence.
The vignettes described difficult clinical scenarios such as inpatient pregnancy or male homosexuality, to explore the issues that would arise, the ensuing team dynamics and feelings of health professionals. Sexuality, Love and Eroticism in Modern Societies. Nurse and patient views. Furthermore inpatient sexuality may meet with disapproval from families and, the general public. This might mean that views expressed by participants reflect wider discourses Edwards and Potter, of power, stigma and fear existing within the wider society in regards to people who are inpatients and are suffering from illness..
The prohibition of sexual expression, essxy lengthy psychiatric admissions can impact on the formation of new relationships, and wssay maintenance of previously existing ones. It is important to note that a written or unwritten ban on sexual expression has previously existed where vulnerable inpatients have been raped or become pregnant, and it is, therefore, unlikely that a written ban will assist in protecting patients further.
In Qualitative Research in Psychology 3: In this study the participants who were senior, experienced clinicians described discomfort while addressing the issue of patient sexuality.
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Autonomy and Rights The concerns and restrictions surrounding the sexual behaviour of patients in mental health settings raise a number of questions about the care-control dichotomy. Couples in Care and Custody, 7: A lot of my thoughts are about genetics and I think the genetic aspect of it is just disastrous. Entries are invited on the above essay title from any trainee member of the DAS.
Psychological, Social and Biological Approaches to Schizophrenia. This is counterpoised by a modern view that the pursuit of intimacy and the desire for sexual expression between consenting adults, albeit within culturally prescribed parameters, is considered normal, natural and integral to being a human being Giddens, Interview guide The definitive topic guide included nine questions which covered the following areas a professionals’ experiences of managing patient sexuality within secure settings b their knowledge of local institutional policy and whether one existed in this regard c the circumstances under which these relationships could be allowed d the impact of resources availability e views about the provision of conjugal facilities within secure settings and f any personal beliefs which were influential in their thinking.
This carried the underlying assumption that the patients were also western liberals, where in fact immigrants and ethnic minorities are over-represented within secure settings Dein et al, Hospital and Community Psychiatry, Sexual behaviour among patients in the ward environment was described in anti-therapeutic terms and a challenge to control and order.
Consumer sexual relationships in a Forensic mental health hospital: You see patients who are homophobic…Do those views go unchallenged? Implications of this study This study identified several clinical strategies to address the issue of patient sexuality proactively.
In this study we undertook semi-structured interviews with psychiatrists and clinical psychologists using an interview guide wssay was developed following a literature review and through group discussions held. Coid observed that the freedom afforded to inpatients to express their sexuality, would be influenced by the attitudes of health professionals working within particular settings.
The findings also expose the large number of contradictions in the attitudes and practices of psychiatric professionals in relation to patient sexuality.
After having read all the transcripts each researcher drew out themes from recurring patterns of meaning Braun and Clarke, using extracts from the data that illustrated those themes. It is considered due diligence for hospitals to have policies on essau sexuality Perlin, ; Abbasin, Although there appears to be a general lack of confidence in addressing the sexual needs of patients among service providers, the question of policies sensitive to minority groups, such as lesbian, gay, bisexual and transgender groups is even more unspeakable Cort, Attenborough et al Regarding relationships involving psychiatric inpatients, Davison indicates that where a relationship exists they are similar to those between ‘healthy’ individuals.
A number of studies have observed risky sexual behaviour involving psychiatric patients see Meade esasy Sikkema, for a systematic review ; and one study Cournos et al, noted HIV sero-prevalence amongst 5. Moreover, there is a tendency among the predominantly western and liberal participants in the current study to apportion blame for sexual prohibition on the conservative and religious attitudes and beliefs of the nursing staff. In the absence of training and supervision they are likely to rely on personal or direct professional experience to inform their perspectives on patient sexuality.
The selection of themes was based on prevalence and salience in addressing the research question. The restrictions on sexual expression may be especially problematic within forensic inpatient settings where individuals may be detained for significant periods of their adult lives. Furthermore, inpatients who are in relationships are more motivated to participate in their rehabilitative process with a view to being discharged, and starting a new life outside of hospital.
Therefore, whether we regard ourselves as liberal or conservative in our own thinking, psychiatric professionals as a microcosm of society would appear to reflect the conservative values of society.
There is no evidence that the prohibition of sexual contact on psychiatric wards will improve the safety of inpatients. The recent move within forensic psychiatric settings towards single sex wards highlights this shift towards greater conservatism Mezey et al,despite evidence suggesting single sex wards are no safer than mixed wards Mezey et al, ; Leavey et al, ; Hensley et al ; Hales et al This systematic assault of patient relationships and sexual identities runs contrary to the ethical principle of non- maleficence.
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Sexuality, Love and Eroticism in Modern Societies. The vignettes described difficult clinical scenarios such as inpatient pregnancy or male homosexuality, to explore the issues that would arise, the ensuing team dynamics and feelings of health professionals. Commons et al found that mental health professionals were most condemning of homosexual oaaa.