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Anecdotal evidence of the testimonies of patients who received treatments for sexual deviations and medical attitudes towards them are scattered in the recorded accounts of gay, lesbian, bisexual, transgendered, intersex and queer/questioning (GLBTIQ) people. This book examines the plight of men who were institutionalised in British mental hospitals to receive 'treatment' for homosexuality and transvestism, and the perceptions and actions of the men and women who nursed them. It explores why the majority of the nurses followed orders in administering the treatment - in spite of the zero success-rate in 'straightening out' queer men - but also why a small number surreptitiously defied their superiors by engaging in fascinating subversive behaviours. The book is specifically about the treatments developed for sexual deviations in the UK. Transvestism was also treated fairly widely; however, not to the same extent as homosexuality. After an examination of the oppression and suppression of the sexual deviant, the introduction of aversion therapies for sexual deviance is considered. During the 1930s-1950s, mental health care witnessed a spirit of 'therapeutic optimism' as new somatic treatments and therapies were introduced in mental hospitals. The book also examines the impact these had on the role of mental nurses and explores how such treatments may have essentially normalised nurses to implement painful and distressing 'therapeutic' interventions . The book interprets the testimonies of these 'subversive nurses'. Finally, it explores the inception of 'nurse therapists' and discusses their role in administering aversion therapy.
under psychiatric geneticist Franz Kallmann explored these questions at the New York State Psychiatric Institute (NYSPI) Department of Medical Genetics. Their mental health project for deaf people established genetic and mental health care services that – for the first time in the US – considered deaf people a social minority who should receive care in their own, native sign language. Today, such health care services that consider the specific needs of linguistic or cultural minorities are relatively common in the US. Fifty years ago, however, this was a novelty
cent received only pharmacological treatments. Access to care is scarce and above all unequal, with poor people and those living in low-resource areas having less access to mental health care than other people (Lopes et al., 2016 ). Beyond the problem of access, there are several reasons for the limited engagement with mental health care among low-income populations. These include the failure to acknowledge that one has a significant problem, the belief that the disorder will resolve itself spontaneously, a desire to deal with the problem by oneself or not knowing
hospital is where the action is.4 This chapter briefly examines the origins and development of DGH units, and the concept of DGH psychiatry espoused by Kessel. It explores how the units in general, and Withington in particular, are situated within the broader history of post-war mental health care. Given their importance in policy terms, it is surprising that so little has been written about them. To date, the historiography has been particularly silent about their nurses. This chapter recognises that nurses were central to the running of the Withington unit, and seeks
, 1916–19’, 33–40. 143 Reid, Broken Men , 24; Long, Destigmatising Mental Illness? , 4. 144 Alice Brumby, ‘From “Pauper Lunatics” to “Rate-Aided Patients”: Removing the Stigma of Mental Health Care, 1888–1938’ (PhD Thesis, University of Huddersfield, 2015), 11
mental health problems incorporating biological, psychological and social aspects. A person-centred inclusive approach to mental health care was an important part of this view, and the report argued that much more attention should be given to the process and locus of care. A Vision for Change was an important landmark for the development of services for people with mental health problems in Ireland. A formal implementation plan, covering the period from 2009 to 2013, was issued by the Health Service Executive (HSE) in 2009. A series of valuable annual reports up to
.’ 1 The discourse of human rights has a long genealogy in relation to the treatment of persons with mental illness and has become a central narrative in the transnational networks and activities which have come to be characterized as global mental health. Indeed, appeals to the human rights of persons with mental illness have formed a moral argument for intervention to improve mental health care worldwide (Patel, Saraceno and Kleinman, 2006 ). The reform of mental health law in Ghana would seem to be of
Involvement Researchers Evaluating and Quantifying User and Carer Involvement in Mental Health Care Planning (EQUIP): Co-development of a new Patient-Reported Outcome Measure (PROM) Items for the EQUIP PROM were developed from 74 interviews and 9 focus groups conducted with service users, carers and mental health professionals recruited from two large NHS Trusts. From these data, 70 items (potentially relevant questions) were developed. First, face validity was examined with a mixed sample of 16 members of a Service User and Carer Advisory Group (SUCAG). Nine items were
involvement be instilled • How in the care planning process? is the role and influence of individuals, teams and organisational • What factors in achieving high quality user-involved care planning? are carers’ experiences of the care planning process for people • What with severe mental illness? are professionals’ perceptions and experiences of delivering • What mental health care planning and involving service users and carers A Research Handbook for Patient and Public Involvement Researchers In relation to EQUIP, qualitative research methods were used to explore current
, you’re not expected to know what all this jargon means. Carer 1013, male, 27, cares for a brother with a diagnosis of bipolar disorder A Research Handbook for Patient and Public Involvement Researchers Figure 26 Examples of themes from an EQUIP paper exploring the role of carers within the care planning process Confidentiality as a barrier to involving carers in mental health care planning So it was like huge barricades up around this trivial information, trivial stuff. So… that in itself as you can imagine, was intensely upsetting and, and infuriating. But it