Download PDF by Len Bowers: Dangerous and Severe Personality Disorder: Response and Role

By Len Bowers

ISBN-10: 0203995120

ISBN-13: 9780203995129

ISBN-10: 0415282373

ISBN-13: 9780415282376

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Sample text

Most nurses viewed PD patients as a difficult patient group to care for and treat. Less than 1 in 10 nurses considered them to pose no or mild difficulties. The large majority of nurses considered that PD patients would not engage with treatment or have a good outcome. Less than 1 in 5 nurses expressed any optimism about the treatment of PD patients. Although the balance of opinion was that PD patients should continue to be cared for in High Security Hospital settings, there was considerable divergence and little sign of any consensus among nurses on this issue.

Nurses also spoke of feeling guilty for ignoring what patients had done, for setting aside their natural negative feelings and delivering nursing care to patients. Other nurses felt that knowledge of the index offence was burdensome, and placed them under stress and pressure, without being able to articulate quite why this was so. Because at the back of our minds we know, we know that for instance on this ward that some even have killed and have committed some terrible crimes on children. Some of the most unimaginable things.

I suppose it makes you feel Trials and tribulations 37 sad really. You know whichever person it may be, that could be a life that’s been spoiled and tainted. You know that person’s direction in life’s changed, hasn’t it? Nurses, when asked their thoughts about the victims, readily expressed these feelings of hurt and sorrow. Fear was expressed in a number of different ways. It may be fear of the patients once the details of their index offences are known. Somewhere at the back of your mind you never forget, you can’t, not in a hospital like this because, I mean, okay I ain’t going to be, well I could be raped, but you’re going to get the guys who will beat you up, they will carry a chib on the ward, you know a blade or anything like that I’ve got this inordinate fear of being slashed and it worries me more than being raped on the ward.

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Dangerous and Severe Personality Disorder: Response and Role of the Psychiatric Team by Len Bowers


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