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Psychiatric intensive care nursing - psychoanalytic perspectives

Winship, G. (1998) Psychiatric intensive care nursing - psychoanalytic perspectives. Journal of Psychiatric and Mental Health Nursing, 5 (5). pp. 361-365. ISSN 1365-2850


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Based on unobtrusive observations a parallel is drawn between general and psychiatric intensive care milieu. The correlation between the bedside skills and incidence of phyical contact is considered in each setting. The phenomena of physical attacks on nursing staff and other carers is considered, as is the process of restraint in the psychiatric intensive care unit (PICU). It is suggested that the attack and subsequent process of physical restraint is a re-enactment of a skin-on-skin object relation and can be functional in re-establishing a sense of bodily ego in the psychotic patient. Some thoughts are offered on how the intensive care of psychotic patients might be carried forward in the future.

Item Type: Article
Copyright, Publisher and Additional Information: © 1998 Blackwell Science Ltd. http://www.blackwellpublishing.com/subs.asp?ref=1351-0126
Keywords: intensive care, psychoanalytic theory, psychosis
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > Mental Health Section (Sheffield)
Depositing User: G Winship
Date Deposited: 04 Apr 2006
Last Modified: 05 Jun 2014 10:26
Published Version: http://www.blackwell-synergy.com/doi/abs/10.1046/j...
Status: Published
Refereed: Yes
Identification Number: 10.1046/j.1365-2850.1998.00150.x
URI: http://eprints.whiterose.ac.uk/id/eprint/1129

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