Service user and staff experiences of the therapeutic relationship after physical restraint in a secure hospital

Duffy, Megan 2017. Service user and staff experiences of the therapeutic relationship after physical restraint in a secure hospital. ClinPsy Thesis, Cardiff University. Item availability restricted.

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Abstract

The therapeutic relationship is the relationship between service users and staff, based on collaboratively working towards the service users’ goals. Within a secure hospital environment, staff sometimes have to physically restrain service users, as a last resort to manage risk. The aim of this research was to explore both service user and staff perspectives of the therapeutic relationship after physical restraint in a secure hospital environment. This was investigated in an independent sector medium-low secure hospital in Wales. Ten semi structured interviews were conducted with five service users and five staff members; all of whom had been involved in at least one incident of physical restraint. These participants described their experiences of therapeutic relationships with those that they had been involved in a physical restraint with. Interpretative Phenomenological Analysis was used to separately analyse the service user and staff member data. Four master themes emerged from the service user experiences: changes to the therapeutic relationship; appraisal of the necessity of physical restraint; emotional impact; and dependency and power. A further three master themes emerged from the staff member experiences: personal impact; conflicting professional roles and responsibilities; and making sense of the physical restraint. These findings are discussed in relation to implications for secure hospital services and recommendations for future research are outlined.

Item Type:	Thesis (DClinPsy)
Date Type:	Completion
Status:	Unpublished
Schools:	Psychology
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Date of First Compliant Deposit:	24 April 2017
Date of Acceptance:	24 April 2017
Last Modified:	10 Nov 2021 17:06
URI:	https://orca.cardiff.ac.uk/id/eprint/100057

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