Penna and Sheehy observed that although occupational therapists viewed patients having sexual relationships more positively, they felt constrained by the proscriptive culture of the services in which they worked. 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. It should not be assumed that professionals automatically understand the issues involved as a result of working in psychiatric hospitals for several years. Hospital and Community Psychiatry, Leavey G, Papageorgiou, A.
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. Am J Psychiatry ; Sexuality, Love and Eroticism in Modern Societies. Word count should be kept to a maximum of wordsexcluding references. These included care planning patient sexual needs as part of a routine assessment, examining their capacity to form relationships and monitoring them during their stay in hospital Ford et al, , offering sex education and extending the opportunity to attend healthy relationship groups to all patients, and not just to sex offenders. For this reason, clinicians were of the view that female homosexuality would be tolerated more than heterosexual expression, although male homosexuality it was believed, would be deplored, because of the perceived risks of sexually transmitted diseases, and aggression. Predominantly, participants felt that the hospital ward environment was not an appropriate place to have sex often because they were concerned about other patients and staff and most remained uncertain about whether the boundaries of sexual expression were ever made clear to patients.
Giddens, Anthony The Transformation of Intimacy: Indeed, Commons et al in their study of the attitudes of mental health professionals found that mental health professionals as members of the wider society would express conventional moral views Kohlberg, The tendency to negate patients’ sexuality would suggest that hospitals are more concerned about their corporate image, public opinion, media coverage and the risk of litigation, than the welfare of patients or indeed the risks posed by patients in relationships.
The winning essay will be published in the DAS newsletter. Drawing on interviews with twenty four participants – psychiatrists and clinical psychologists clinical staffwe examined how participants made sense of patient sexuality and their clinical judgements in relation to them. There then followed a series of group discussions to compare our esday of the data and the themes each researcher had drawn out.
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Am J Psychiatry ; Patient sexuality was rarely discussed and when it was, it was seen to be problematic. These policies appear to arise from the fears hospital administrators have of being sued in cases where inpatients are raped or become pregnant Perlin, Some commentators, notably Cuthbert and Ruane have questioned the role of ethnicity and religiosity in determining these attitudes.
These included care planning patient sexual needs as part of a routine assessment, examining their capacity to form relationships and monitoring them during their stay in hospital Ford et al,offering sex education and extending the opportunity to attend healthy relationship groups to all patients, and not just to sex offenders.
Enter the email address you signed up with and we’ll email you a reset link. Thus, in staff discourse on patient sexuality, the pathological was highlighted over the normal desire for sex.
These took place several decades ago. Patients with a diagnosis of SMI are also required to remain within these hospitals for a period of rehabilitation after the symptoms of their illness have subsided.
It should not be assumed that professionals automatically understand the issues involved as a result of working in psychiatric hospitals for several years. 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. Analytical corroboration was achieved using the team of six researchers, over a series of stages. Advances in Psychiatric Treatment, Some participants felt no concern about, indeed, appeared to be encouraging of, patient sexuality, in the context of unescorted leave in the community as part of rehabilitation.
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. Many framed their discussions around the need to avoid risks and ascertaining whether the parties involved especially the women, had the capacity to consent. While senior clinicians describe themselves as liberals and suggest that junior ward staff are conservative in their approach, psychiatric hospitals behave as conservative institutions.
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 relation to risk, some studies Nibert et al, ; Batcup, have found that relationships within psychiatric hospitals were not always reciprocal.
Additionally, an increasing number of patients in the UK are being admitted to secure facilities for the treatment of a diagnosis traiinee personality disorder, rather than a severe mental illness SMIsuch as schizophrenia or psychotic depression.
The recent move within forensic psychiatric settings towards trinee 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 It is discussed by participants in this study against a background of negative consequences for the individual patient.
Please send in your entries along with a completed submission form which is attached to the e mail invite or can be downloaded from the DAS website. Penna and Sheehy observed that although occupational therapists viewed patients having sexual relationships more positively, they felt constrained by the proscriptive culture trqinee the services in which they worked.
Furthermore inpatient sexuality may meet with disapproval from families and, the general public. A lot of my thoughts are about genetics and I think the genetic aspect of it is just disastrous. Using a thematic analysis, we were able to identify a number of relevant themes emerging, including a what the limits of acceptable sexual behaviour were judged to be b discrimination against transgender and same sex relationships c vulnerability among female patients and therapeutic efficacy and d an abject fear of patient pregnancy.
Indeed, Rowe suggests that institutions that actively prohibit sexual expression set the stage for sexual assaults. However NPSA reported only three claims for compensation following unwanted pregnancies within NHS mental health settings between and These inpatients may possess the capacity to consent to sexual acts in spite of their detention.