'Your personality is the intervention': a grounded theory of mental health nurses’ beliefs about hope and experiences of fostering hope within a secure setting

Hope is an important factor in psychological resilience and change, and recovery from mental health difficulties. Recently, there has been an increased focus on recovery-oriented practice within forensic mental health settings. Several policies include calls for mental health practitioners to inspire hope for recovery in the individuals they work with. However, there is little suggestion of how to implement such recommendations in practice or research exploring how staff foster hope in forensic settings. This study used grounded theory to explore nurses’ perspectives and experiences of hope within a medium secure setting. A model was developed from the data that integrated nurses’ beliefs about hope, practices to develop service users’ hope and the emotional impact of this work. The nurses’ values played a significant role in their work to develop hope. Recommendations are made to help manage the emotional impact and address challenges unique to fostering hope within forensic settings.     

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.     

青年的概念

文章讨论了"青年"概念的使用和有用性,讨论了年轻人被概念化的方式,探讨了青年向成年过渡的假设,提出将青年概念看作是一个社会过程的观点.青年时期是重要的,它是成年的临界点,同时它又有很大的问题.媒体话语中的青年流行概念不仅再现了青年而且实际上建构了青年的经历和意义.     

Budgeting for Social Security Or: When Are Savings Really Savings?

Policy and budgetary debate about Social Security is greatly affected by understandings of how the program is financed and, therefore, what steps would make it more affordable in the future. Unfortunately, both the standard justifications for and criticisms of buildups in the Social Security trust funds do not reflect the extent to which such buildups in fact would help finance future program costs. This article argues for a different standard, based explicitly on the fiscal capacity of the federal government and the effect of the government's obligations to pay interest on that capacity. I explain how both this definition of the role of the trust funds, and a broader understanding of fiscal capacity, would affect analysis of Social Security's condition and of possible reforms.     

Me Voici,here I Am,Here I Stand,I Can Do No Other

This article offers a Levinasian reading of the case of Airedale N.H.S. Trust v Bland (1993). My contention is that the judicial reasoning that gave rise to the decision that Anthony Bland should die was driven by an ontological imperative I submit from a Levinasian perspective the decision was ethically indefensible because it failed to recognise Anthony Bland as the other. This revised version was published online in July 2006 with corrections to the Cover Date.     

Self-efficacy and substance use outcomes for women in single gender versus mixed-gender group treatment

OBJECTIVE: This study examined baseline self-efficacy as a moderator of outcomes comparing women receiving either the Women's Recovery Group (WRG), a new manualized group treatment for substance use disorders combining single-gender group composition and women-focused content, or Group Drug Counseling (GDC), an empirically supported mixed-gender group treatment. METHODS: To understand the relationship of baseline scores of abstinence self-efficacy measured by the Drug-Taking Confidence Questionnaire (DTCQ) to outcome, we included the interaction of group by phase by continuous DTCQ scores in the outcome analyses. Women were split into groups of high versus low abstinence self-efficacy based on the clinical cutoff score of 80 on DTCQ. RESULTS: We found a significant 3-way interaction effect of treatment condition, time, and baseline DTCQ scores on drinking days and days of any substance use per month. Women in WRG had greater reduction in substance use from baseline to post-treatment than women in GDC, and women in WRG with low self-efficacy had the best outcomes overall. CONCLUSION: The findings suggest that women with low self-efficacy may have enhanced treatment outcomes in a single-gender substance use treatment group.