lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Forensic psychiatric patients’ experiences of participating in administrative court proceedings concerning the continuation of forensic psychiatric care
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Gothenburg, Sweden;Regional Forensic Psychiatric Clinic, Sweden.ORCID iD: 0000-0002-7304-4771
University of Gothenburg, Sweden;Regional Forensic Psychiatric Clinic, Sweden;Lund University, Sweden.ORCID iD: 0000-0003-0530-9560
University of Gothenburg, Sweden.ORCID iD: 0000-0003-0761-960X
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-5719-7102
Show others and affiliations
2023 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, article id 1151554Article in journal (Refereed) Published
Abstract [en]

Introduction: Previous studies show that both staff and patients describe patient participation as a challenge in forensic psychiatry. One reason may be that the forensic psychiatric process is difficult to understand and is experienced as being slow and complex. The proceedings in an administrative court are a core element in forensic psychiatric care as it constitutes the legal authority that legitimizes the deprivation of liberty. A better understanding about how patients experience these proceedings can contribute with important knowledge about how forensic psychiatric care can be understood from a patient perspective. The aim of the study was to describe patients’ lived experiences of participating in oral hearings in an administrative court concerning the continuation of their forensic psychiatric care.

Materials and methods: This is a phenomenological study performed in a Swedish context with a total of 20 interviews conducted with a Reflective Lifeworld Research (RLR) approach.

Results: The results reveal three themes; A significant, correct but meaningless formality; An imbalance of power within the hearings; and Existential and practical disorientation.

Conclusion: The findings show how these court proceedings concerning the continuation of forensic psychiatric care are often experienced as challenging. This is partly due to the care structure in forensic psychiatry and that the purpose of the hearings is difficult to comprehend and is perceived as unjust by patients. Another challenge is of a more existential dimension, where the main character in a hearing is most likely in a situation that would be stressful for anyone. However, the focus on danger can make this experience even more intense. An increased transparency on this legal process along with more discussion and education for both patients and staff is called for based on the results.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023. Vol. 14, article id 1151554
Keywords [en]
administrative court proceeding, forensic psychiatry, patient perspective, phenomenology, psychiatry
National Category
Psychiatry Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-119848DOI: 10.3389/fpsyt.2023.1151554ISI: 000959018400001PubMedID: 37009104Scopus ID: 2-s2.0-85151943917OAI: oai:DiVA.org:lnu-119848DiVA, id: diva2:1744368
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018–01409Medical Research Council of Southeast Sweden (FORSS), 2019–930801Region Kronoberg, 2019-933814Region Kronoberg, 2019-930775Available from: 2023-03-18 Created: 2023-03-18 Last updated: 2024-10-17Bibliographically approved
In thesis
1. Patientdelaktighet i rättspsykiatrisk vård: Vårdprocess och vårdvardag
Open this publication in new window or tab >>Patientdelaktighet i rättspsykiatrisk vård: Vårdprocess och vårdvardag
2024 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Purpose: The overall purpose of this dissertation is to describe how patient participation can be understood in the context of high-security care in forensic psychiatry, where individuals are subjected to compulsory care.

Design and method: The dissertation is primarily based on a phenomenological foundation, employing a reflective lifeworld approach. Three studies were conducted using interviews, and one study utilized questionnaires with descriptive and comparative statistics.

Main result: In many ways, both patients and staff share a consensus regarding patient participation in forensic psychiatric care. From their respective perspectives, similar obstacles and challenges are described, while good care and the experience of participation are strongly linked to what occurs within the caring relationship. However, it cannot be ignored that participation is not solely about good treatment and meaningful relationships. Forensic psychiatric care is carried out under compulsion within a legal system that is difficult for patients to understand and may be perceived as unjust. Participation must therefore be understood from a broader perspective than just everyday care, as everyday care is part of a larger care process.

Conclusions: Caregivers and patients associate patient participation in a high-security forensic psychiatric environment with significant caring relationships. A strong caring relationship seems to partially compensate for many situations characterized by non-participation. The studies suggest that staff need support in understanding the complexities of forensic psychiatry in order to better support patients throughout the care process. Therefore, a clinical implication is to help caregivers understand the forensic psychiatric system themselves so that they can explain it to patients and engage in discussions about jurisprudence related to forensic care.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2024. p. 85
Series
Linnaeus University Dissertations ; 545
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-133033 (URN)10.15626/LUD.545.2024 (DOI)9789180822091 (ISBN)9789180822107 (ISBN)
Public defence
2024-11-08, Newton, hus C, Växjö, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2024-10-18 Created: 2024-10-17 Last updated: 2024-10-24Bibliographically approved

Open Access in DiVA

fulltext(431 kB)212 downloads
File information
File name FULLTEXT01.pdfFile size 431 kBChecksum SHA-512
28144c20c9e023c4cae64bc6560ebea05a16fd85597a1d6ec0d11e63f63034d73a825e41404ab3f54756d862c4264fb94436374ddbfd187432b1dc3f809a365c
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Söderberg, AndreasRask, MikaelHörberg, Ulrica

Search in DiVA

By author/editor
Söderberg, AndreasWallinius, MärtaMunthe, ChristianRask, MikaelHörberg, Ulrica
By organisation
Department of Health and Caring Sciences
In the same journal
Frontiers in Psychiatry
PsychiatryNursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 212 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 528 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf