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Title: Service user and staff experiences of the therapeutic relationship after physical restraint in a secure hospital
Author: Duffy, Megan
ISNI:       0000 0004 6059 3231
Awarding Body: Cardiff University
Current Institution: Cardiff University
Date of Award: 2017
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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.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: BF Psychology