Therapeutic engagement in medium-secure care: an interpretative phenomenological analysis of service users’ experiences

Service users (SUs) detained in forensic hospitals are usually required to engage in psychological therapies aimed at reducing mental distress and/or for preventing further offending. Poor therapeutic engagement (TE) can lead to adverse clinical outcomes and reoffending, at a cost to the individual, staff, the service provider, and the public. To understand what factors influence TE from a SUs’ perspective, the experiences of 10 male residents of a medium-secure hospital were explored. Using a service-user informed design, interpretative phenomenological analysis of interview data was completed. Four superordinate themes emerged: different worlds; what the individual brings; what the therapy entails; and control. Consideration of how these factors may be of use to professionals working in secure care settings is discussed in relation to existing theory and research.     

The Philosophy of the Gift and the Psychology of Advocacy: Critical Reflections on Forensic Mental Health Intervention

This article examines mental health advocacy,exploring the philosophy of the gift and thepsychology of forensic intervention. Byselectively, though strategically, reviewing the workof Hobbes, Emerson, and Nietzsche,we argue that egoism, charity, and pity displace altruistic, selfless gift-giving. To furtherlegitimize our analysis, we consider Derrida's semiotic deconstructionism and Lacan's psychoanalytic semiotics. Derrida points outhow gift-giving is an aporetic reality; that is,it represents an (im)possibility. Lacandemonstrates how the mirror stage of development givesrise to the self-other ego, in which the subjectis always and already divided. We subsequentlyexplain, therefore, how the gift of mental healthadvocacy must necessarily proceed, in part, from self-interests (i.e., egoism), making the virtuousact of mental health advocacy an (im)possibility.     

Policing football crowds in Sweden

The policing of football crowds in Sweden is underpinned by a national coordination approach based upon a set of conflict reducing principles and supported by crowd theory. The approach is referred to as the Special Police Tactic (SPT). While focused on police capacity to exercise force, the SPT also gives primacy to tactics based upon communication, in the form of Dialogue Police. Existing research on the SPT focuses exclusively on the policing of protest crowds. This paper extends the existing literature by reporting on a large scale three-year observational research project examining the SPT as it is applied to football fixtures involving several of Sweden’s major football clubs. On the basis of our analysis we draw out how policing operations in line with facilitation and communication were associated with effective outcomes. However, we also highlight deficiencies in national coordination and coherence as well as highlighting important innovations with regard to approaches to dialogue with football fans. We explore the implications of our analysis for theoretical understanding of effective football crowd management and engagement with fan culture.