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Mental nurses and their patients, 1935–74

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.

DGH psychiatric nurses at Withington General Hospital, 1971-91

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

in Mental health nursing
Perspectives on audiences and impact

Historians interact with a variety of audiences. In the history of medicine – our focus – audiences include government committees and commissions dealing with ethical issues in biomedicine; journalists asking for historical perspectives on new discoveries as well as abuses and controversies in medicine; curators and visitors at museums; sometimes even medical researchers utilizing historical material. A particularly prominent audience for historians of medicine is in health care, students as well as practitioners. An important aim of the book is to challenge the idea that communication between researchers and their audiences is unidirectional. This is achieved by employing a media theoretical perspective to discuss how historians create audiences for academic knowledge production (‘audiencing’). The theme is opportune not least because the measurement of ‘impact’ is rapidly becoming a policy tool. The book’s 10 chapters explore the history of medicine’s relationships with its audiences, from the early twentieth century to the present. Throughout the authors discuss how historians of medicine and others have interacted with and impacted audiences. Topics include medical education, policy-making, exhibitions and museums, film and television.

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

in The economics of disability
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Designing and road testing new measurement scales

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

in A research handbook for patient and public involvement researchers

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

in A research handbook for patient and public involvement researchers

, 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

in A research handbook for patient and public involvement researchers
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Architecture, asylum and community in twentieth-century mental health care

The Mansions in the Orchard project, funded by a Wellcome Trust People Award for Public Engagement, ran from September 2013 to March 2015. On behalf of the Bethlem Museum of the Mind, the authors carried out new historical research and documentation, alongside public engagement activities. The project addressed the largely undocumented twentieth-century history of inpatient mental health care in Britain through the

in Communicating the history of medicine
The role of country of origin

policy, A Vision for Change (Expert Group on Mental Health Policy, 2006: 48), also highlighted this group, noting that the mental health needs of specific groups such as refugees, asylum-­seekers and ‘other immigrant populations will be addressed by the provision of comprehensive mental health services that are based on care planning taking all the needs of the individual into account’. How does this altered pattern of mental health need among migrants and non-­native populations translate into access to mental health care and, specifically, rates of involuntary

in Ethical and legal debates in Irish healthcare
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this finding to advocate the development of increased cultural competence among mental health care providers. Mental health is also the subject of Darius Whelan’s chapter, which analyses the oversight of the operations of mental health tribunals provided by the courts. Whelan argues that the courts have not engaged in robust supervision of tribunals and that the judicial approach has been to endorse tribunal decisions which deprive people of liberty and to limit interventions by the courts to the most serious violations of procedural rights. Whelan expresses

in Ethical and legal debates in Irish healthcare