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Surviving an Alternative Reality: A Qualitative Analysis of Adolescents’ Experiences of Psychiatric Hospitalisation.

By Catherine Painter

Abstract

Part One: Literature Review\ud Purpose: To explore current knowledge about the psychological impact of psychiatric\ud hospitalisation.\ud Method: A Computerised literature search was completed using six publication databases.\ud Relevant papers were identified and reference list and prospective citation searches were conducted. Particular inclusion and exclusion criteria were employed.\ud Results: Very little literature has explicitly investigated the psychological impact of psychiatric hospitalisation. However, findings around psychological concepts such as identity, stigma, coercion and trauma have started to indicate the nature and extent of psychological responses.\ud The majority of studies are atheoretical in nature and lack methodological rigour.\ud Conclusions: Further research is needed to incorporate psychological theory into an\ud understanding of the experience of psychiatric inpatients. Future research should include rigorous empirical studies within acute adult populations and exploratory qualitative studies with other\ud age/client groups.\ud Part Two: Research Report\ud Objectives: To explore adolescents’ experiences of psychiatric hospitalisation, including the psychological impact of the experience and coping mechanisms.\ud Method: The data from semi-structured interviews with ten adolescents was analysed using the grounded theory method (Glaser & Strauss, 1967).\ud Results: A process model was developed around the core category ‘Living in an Alternative Reality’. Contributory categories highlighted the possible impact of hospitalisation and outcome categories suggested the ways in which adolescents coped.\ud Discussion/Conclusions: The results suggest that the experiences of adolescent inpatients may be similar to adult experiences. The clinical implications of the findings, such as the need to maintain connections with family and friends and foster supportive relationships within the ward environment, highlight the need to prioritise the service-user perspective in clinical settings and future research.\ud Part Three: Critical Appraisal\ud A reflection on the overall research process is provided. Practical and theoretical issues of interest are discussed, including the influence of the self in qualitative research, the editing process, and power and control

Publisher: University of Leicester
Year: 2008
OAI identifier: oai:lra.le.ac.uk:2381/4141

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Citations

  1. (1992). A Coercive Interactive Style as an Antecedent to Aggression and Violence in Psychiatric Inpatients.
  2. (1996). A Comparison of Voluntary and Involuntary Patients Admitted to Hospital.
  3. (2004). A Safe Place? Service Users’ Experiences of an Acute Mental Health Ward.
  4. (1960). A Sociological Concept of Patienthood.
  5. (1986). A Study of Violent Behaviour Among Inpatients in a Psychiatric Hospital.
  6. (1954). A theory of Social Comparison Processes.
  7. (1999). Acute Hospital Care: Ineffective, Inefficient and Poorly Organised.
  8. (1994). Adolescent Inpatient Units.
  9. (2003). Adolescent Units: A Need for Change? Psychiatric
  10. (2004). Adolescents Perceptions of the Meaningfulness of Psychiatric Hospitalisation.
  11. (2004). Adolescents’ Experiences of Inpatient Treatment for Anorexia Nervosa.
  12. (2003). Aggression on a Psychiatric Acute Ward.
  13. (1998). Alternative Interpretations: Valid or Not? Theory
  14. (1998). An Exploratory Investigation Into Women’s Experiences in a Mixed Sex Psychiatric Admission Unit.
  15. (1990). An Increase in Violence on an Acute Psychiatric Ward: A Study of Associated Factors.
  16. (1995). An Overview of Issues in Research on Consumer Satisfaction with Child and Adolescent Mental Health Services.
  17. (2000). Assessing Quality in Qualitative Research.
  18. (1968). Assessment of the Social Atmosphere of Psychiatric Wards.
  19. (1969). Attachment and Loss. Vol 1: Attachment.
  20. (1994). Attitudes of Adolescents Towards Psychiatric Treatment.
  21. (1992). Basics of Grounded Theory Analysis: Emergence Vs Forcing. Mill Valley,
  22. (1998). Basics of Qualitative Research. Techniques and Procedures for Developing Grounded Theory.
  23. (1998). Catching Goldfish: Quality in Qualitative Research.
  24. (2001). Causes of Posttraumatic Stress Disorder in Psychotic Patients.
  25. (1993). Child and Adolescent Outcomes of Inpatient Psychiatric Services: A Research Agenda.
  26. (2005). Children’s Understanding of a Psychiatric Inpatient Admission.
  27. (1994). Clients Perceptions of Involuntary Hospitalisation.
  28. (1993). Coercion and “Voluntary” Admission: An Examination of Psychiatric Patient Views.
  29. (2005). Cognitive Behaviour Therapy within Acute Mental Health Care: A Critical Appraisal.
  30. (2006). Constructing Grounded Theory. A Practical Guide Through Qualitative Analysis.
  31. (1995). Consumer Perceptions of Pressure and Force in Psychiatric Treatments.
  32. (2001). Consumer Satisfaction at a Child and Adolescent State Psychiatric Hospital. Psychiatric Services,
  33. (1992). Customer Satisfaction in Adolescent Psychiatry.
  34. (2007). December). Is Interview Data Any Use? Lecture presented to the
  35. (1997). Dementia Reconsidered. Buckinghamshire:
  36. (2004). Depression, Low Self Esteem and Mindfulness.
  37. (2003). Distribution and Characteristics of In-Patient Child and Adolescent Mental Health Services in England and Wales.
  38. (2000). Effectiveness of Inpatient Drug Detoxification.
  39. (2000). Environmentally Unfriendly: Patient’s Views of Conditions on Psychiatric Wards.
  40. (1999). Ethical Issues on Coercion Research in Mental Health.
  41. (1997). Ethnic Differences in Satisfaction with Mental Health Services Among Representative People With Psychosis in South London.
  42. (1999). Evaluating Qualitative Research.
  43. (1999). Evolving Guidelines for the Publication of Qualitative Research Studies in Psychology and Related Fields.
  44. (2004). Family Engagement, Consumer Satisfaction and Treatment Outcome in the New Era of Child and Adolescent InPatient Psychiatric Care. Clinical Child Psychology and Psychiatry,
  45. (1997). First Onset Psychotic Illness: Patients’ and Relatives’ Satisfaction with Services.
  46. (2006). From the Editors: What Grounded Theory is Not.
  47. (1998). Grounded Theory Methodology: The Pressing Need for a Coherent Logic of Justification.
  48. (1990). Grounded Theory Research: Procedures, Canons and Evaluative Criteria. Qualitative Sociology,
  49. (1988). Grounded Theory: A Promising Approach to Conceptualisation in Psychology?
  50. (2006). Grounded Theory: An Exploration
  51. (2003). Grounded Theory: Objectivist and Constructivist Methods.
  52. (1996). Grounded Theory: Practical Implementation. In
  53. (1996). Grounded Theory: Theoretical Background. In
  54. (2003). Grounded Theory.
  55. (2004). Grounded Theory. In
  56. (1975). Helplessness: On depression, development and death.
  57. (1985). Hospitalisation and First-Contact Mental Patients: Stigma and Changes
  58. (2003). Hospitalisation as Experienced by the Psychiatric Patient: A Therapeutic Jurisprudence Perspective.
  59. (1994). I Just Needed a Rest’: Women’s Experiences of Psychiatric Hospitalisation.
  60. (2001). Imperative Ideals and the Strenuous Reality: Focussing on Acute Psychiatry.
  61. (1998). In the Public Interest: Developing a Strategy for Public Participation in the NHS. London: Department of Health.
  62. (1989). In-patient Psychiatric Care: The Patient’s View.
  63. (1990). Inpatient Psychiatric Treatment of Children and Adolescents: A Review of Outcome Studies.
  64. (2005). Inpatient Services.
  65. (2004). Inspecting, Informing, Improving- Patient Survey Report: Young Patients. London: Healthcare Commission.
  66. (1994). Interviewing. In
  67. (2003). Introduction to the Practice of Psychoanalytic Psychotherapy.
  68. (2002). Is Low Self-Esteem an Inevitable Consequence of Stigma? An Example from Women with Chronic Mental Health Problems.
  69. (1994). Issues of Evaluation. In
  70. (1998). Living with Mental Illness: A Personal Experience.
  71. (1999). Mental Health Consumers Experience of Stigma.
  72. (1995). Monitoring Inner London Mental Illness Services.
  73. (2004). National Service Framework: Children, Young People and Maternity Services.
  74. (2000). Objectivity and Reliability in Qualitative Analysis: Realist, Contextualist and Radical Constructionist Epistemologies.
  75. (1999). On Admitting Psychotic Adolescents to Hospital: Time to Review the Admission Process. Child Psychology and Psychiatry Review,
  76. (1973). On Being Sane in Insane Places.
  77. (1970). On Posing as Mental Patients: Reminisces and Recommendations.
  78. (1997). On Stigma and Its Consequences: Evidence from A Longitudinal Study of Men with a Dual Diagnosis of Mental Illness and Substance Abuse.
  79. (1998). One Day Survey by the Mental Health Act Commission of Acute Adult Psychiatric Inpatient Wards in England and Wales.
  80. (1991). Outcome Research On Residential Treatment: Implications and Suggested Directions.
  81. (1976). Patient Comments About Hospitalisation: Implications for Change.
  82. (1986). Patient Comments Concerning Psychiatric Hospitalisation.
  83. (1979). Patient’s Comments on Psychiatric Inpatient Treatment Experiences: PatientTherapist Relationships and Their Implications for Treatment Outcomes. Psychiatric Quarterly,
  84. (1996). Patient’s Requests and Satisfaction With Services in a Psychiatric Setting. Psychiatric Services,
  85. (1993). Patients’ Characteristics and Consumer Satisfaction on an Inpatient Child Psychiatric Unit.
  86. (1996). Patterns of Violent Incidents by Patients in a General Hospital Psychiatric Facility. Psychiatric Services,
  87. (2000). Personal Accounts of Consumer/Survivors: Insights and Implications.
  88. (1997). Personal Narrative and the Social Construction of the Lives of Former Psychiatric Patients.
  89. (1991). Posttraumatic Stress Disorder Following Recent Onset Psychosis.
  90. (2000). Practitioner Review: Preconditions and Outcome of Inpatient Treatment in Child and Adolescent Psychiatry.
  91. (2002). Provision of Intensive Treatment: Inpatient Units, Day Units and Intensive Outreach.
  92. (1972). Psychiatric Hospitals Viewed by Their Patients. London: King Edward’s Hospital Fund for London.
  93. (2004). Psychiatric Inpatient Care for Adults with Intellectual Disabilities: Generic or Specialist Units?
  94. (2001). Psychiatrists’ Views of Inpatient Child and Adolescent Mental Health Services: A Survey of Members of the Child and Adolescent Faculty of the College.
  95. (2005). Psychological Needs and Threats to Safety: Implications for Staff and Patients in a Psychiatric Hospital for Youth. Professional Psychology: Research and Practice,
  96. (1998). Psychology of Compulsory Detention.
  97. (1996). Psychology, Qualitative Methods and the Ideas of Science.
  98. (1995). Public Attitudes and Intentions Regarding Tenants of Mental Health Residences who are Neighbours.
  99. (2005). Qualitative Interviews in Psychology: Problems and Possibilities.
  100. (1992). Qualitative Research and Psychological Theorizing.
  101. (1994). Qualitative Research. In
  102. (1993). Quality control in qualitative research.
  103. (1997). Questioning Patient Satisfaction: An Empirical Investigation in Two Outpatient Clinics.
  104. (2000). Randomised Comparison of the Effectiveness and Costs of Community and Hospital Based Mental Health Services for Children With Behavioural Disorders.
  105. (1993). Recent Advances in Selected Aspects of Adolescent Development.
  106. (1998). Rejection, Stigma and Hope.
  107. (2003). Relationships Between Trauma and Psychosis: A Review and Integration.
  108. (1995). Resolving London’s Bed Crisis: There Might Be a Way, Is There the Will? Psychiatric
  109. (2004). Sainsbury Centre for Mental Health.
  110. (1999). Satisfaction with Inpatient Psychiatric Services.
  111. (2000). Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development and Well-Being.
  112. (1995). Semi-Structured Interviewing and Qualitative Analysis.
  113. (2001). Service Users’ Experience of Violence Within a Mental Health System: A Study using a Grounded Theory Approach.
  114. (2004). Service Users’ Strategies for Managing Risk in the Volatile Environment of an Acute Psychiatric Ward.
  115. (1994). Service Users’ Views of Psychiatric Nurses.
  116. (1999). Social Stigma and Self-Esteem: Situational Construction of Self-Worth.
  117. (1994). Some Unconscious Aspects of Organisational Life. Contributions from Psychoanalysis.
  118. (1979). Staff Support Systems: Task and Anti-Task in Adolescent Institutions.
  119. (1997). Standards for Research Projects and Theses Involving Qualitative Methods: Suggested Guidelines for Trainees and Courses. Clinical Psychology Forum,
  120. (1984). Stress, appraisal, and coping.
  121. (2003). Substance Use Disorder Comorbidity Among Inpatient Youths with Psychiatric Disorder.
  122. (2007). Taking Control. In
  123. (2001). The Adolescent Unit.
  124. (2002). The Aetiology of Postpsychotic Posttraumatic Stress Disorder Following a Psychotic Episode.
  125. (2001). The Consequences of Stigma for the Self-Esteem of People with Mental Illness. Psychiatric Services,
  126. (2004). The Coping of an Adolescent Who Has Been in Psychiatric Care and Her Mother in Everyday Life.
  127. (1978). The Cycle of Hospitalisation from the Patient’s Viewpoint.
  128. (1967). The Discovery of Grounded Theory: Strategies for Qualitative Research.
  129. (1999). The Effects of Coerced Psychiatric Hospitalisation and Treatment.
  130. (1998). The Effects of Stigma on the Psychological Well-Being and Life Satisfaction of Person’s with Mental Illness.
  131. (1997). The Everyday Experience of Psychiatric Hospitalisation: The User’s Viewpoint.
  132. (1998). The Experience of Hospitalised Adolescents: How Well Do We Meet Their Developmental Needs? Children’s Health Care,
  133. (1995). The Future of Adolescent Psychiatry.
  134. (2003). The Future of In-Patient Child and Adolescent Mental Health Services.
  135. (2001). The Grounded Theory Perspective: Conceptualisation Contrasted with Description.
  136. (1990). The Labelling Theory of Mental Disorder: A Review of the Evidence.
  137. (2005). The Lived Experience of Long-Term Psychiatric Hospitalisation of Four Women in Brazil. Perspectives In Psychiatric Care,
  138. (2003). The Origins of Qualitative Research.
  139. (1995). The Patients Opinions About Curative Factors in Involuntary Treatment.
  140. (1997). The Phenomenology of Traumatic Reactions to Psychotic Illness.
  141. (1979). The Psychiatric Patient: A Voice to be Heard.
  142. (1999). The Psychological Impact of Psychiatric Admission: Some Preliminary Findings.
  143. (1981). The Relevance of Attachment Theory to Child Psychiatric Practice.
  144. (2005). The Role of the Registered Nurse in an Acute Mental Health Setting in New Zealand: Perceptions Versus Reality.
  145. (1995). The Significance of Saturation.
  146. (2004). The Staffing of Inpatient Child and Adolescent Mental Health Services. Child and Adolescent Mental Health,
  147. (1973). The Stigma of Mental Hospitalisation: An Attempt to Evaluate its Consequences.
  148. (2005). The Stigma of Mental Illness: Explanatory Models and Methods for Change. Applied and Preventative Psychology,
  149. (2002). The Use of Acceptance and Commitment Therapy to Prevent the Rehospitalisation of Psychotic Patients: A Randomised Controlled Trial.
  150. (1991). The Use of Cognitive Behaviour Therapy with a Normalising Rationale in Schizophrenia.
  151. (1996). The Use of the Self in Qualitative Research.
  152. (1978). Theoretical Sensitivity. Mill
  153. (2003). Three Epistemological Stances for Qualitative Enquiry.
  154. (2003). Trauma Within the Psychiatric Setting: A Preliminary Report. Administration and Policy in Mental Health,
  155. (2000). Trauma Within the Psychiatric Setting: Conceptual Framework, Research Directions, and Policy Implications.
  156. (1995). Treatment Goal Planning: Outcome Findings of a British Prospective Multi-Centre Study of Adolescent Inpatient Units. European Child and Adolescent Psychiatry,
  157. (2007). Understanding Marginalisation as a Social Determinant of Health.
  158. (1999). Use of an Adolescent Inpatient Unit.
  159. (1995). User Satisfaction with Inpatient Mental Health Services.
  160. (2002). Verification strategies for establishing reliability and validity in qualitative research.
  161. (1998). Violence and Aggression in Psychiatric Units. Psychiatric Services,
  162. (1991). Violence by Psychiatric Inpatients: A Review.
  163. (1994). Violent Incidents in a Psychiatric Intensive Care Unit.
  164. (2004). WardWatch: Mind’s Campaign to Improve Hospital Conditions for Mental Health Patients.
  165. (2001). What Do We Know About Life on Acute Psychiatric Wards in the UK? A Review of the Research Evidence.
  166. (1985). What Patients Experience During Psychiatric Hospitalisation.
  167. (2002). What’s Therapeutic About the Therapeutic Milieu? Archives of Psychiatric Nursing,
  168. (2005). Who Benefits From Inpatient Shortterm Psychotherapy? Patient’s Evaluations and Determinants of Outcome.
  169. (1991). Who Needs an Adolescent Unit?
  170. (2002). Women’s Experiences of Hospital Admission.

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