'This is the pain I feel!' Projection and emotional pain in the nurse-patient relationship with people diagnosed with personality disorders in forensic and specialist personality disorder services: findings from a mixed methods study

Aiyegbusi, Anne and Kelly, Daniel M. ORCID: https://orcid.org/0000-0002-1847-0655 2015. 'This is the pain I feel!' Projection and emotional pain in the nurse-patient relationship with people diagnosed with personality disorders in forensic and specialist personality disorder services: findings from a mixed methods study. Psychoanalytic Psychotherapy 29 (3) , pp. 276-294. 10.1080/02668734.2015.1025425

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Abstract

This paper reports the lived experience of the nurse–patient relationship in specialist forensic and therapeutic community (TC) settings for people diagnosed with personality disorders (PDs), from the perspectives of both nurses and patients. A sequential mixed methods study incorporating quantitative Delphi study data with qualitative insights based in the tradition of phenomenology and underpinned by a psychoanalytic paradigm. Purposive samples of nurses and patients currently involved in providing or receiving the nurse–patient relationship in TC or forensic mental health settings were included. Qualitative data analysis resulted in three main themes identified by nurses and patients regarding their experiences of the nurse–patient relationship. They were: (1) Pain: processing or passing on? (2) System of social defences. (3) What helps? This paper focuses on the first ‘pain: processing or passing on’ of the three themes. This theme describes highly painful emotional phenomena arising primarily from patients' traumatic antecedents, suffusing interpersonal transactions, including the nurse – patient relationship. This is reported as experienced by nurse and patient participants. The findings emphasise the relevance of integrating Bion's theory of psychological containment and Bowlby's attachment theory into the nurse–patient relationship in services for people diagnosed with PDs.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RT Nursing
Additional Information:	Special Issue: Forensic Psychotherapy - Part 1
Publisher:	Taylor & Francis
ISSN:	0266-8734
Date of Acceptance:	28 February 2015
Last Modified:	28 Oct 2022 09:08
URI:	https://orca.cardiff.ac.uk/id/eprint/73472

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