‘I can see it and I can feel it, but I can’t put my finger on it’: A Foucauldian discourse analysis of experiences of relating on psychiatric inpatient units

Journal article


Cheetham, J., Holttum, S., Springham, N. and Butt, K. 2017. ‘I can see it and I can feel it, but I can’t put my finger on it’: A Foucauldian discourse analysis of experiences of relating on psychiatric inpatient units. Psychology and Psychotherapy: Theory Research and Practice. 2017. https://doi.org/10.1111/papt.12162
AuthorsCheetham, J., Holttum, S., Springham, N. and Butt, K.
Abstract

Objectives. Research has shown interpersonal relationships influence experiences of inpatient psychiatric services. This study explored inpatient staff and service users’ talk about relating, and consequences on available/limited social actions.

Design. A Foucauldian discourse analysis was used to analyse transcribed semistructured interviews and focus groups with current inpatient staff members and members of a service-user involvement group.

Method. Two focus groups (service users n = 10; staff n = 6) and five interviews (service users n = 2; staff n = 3) were held, with participants responding to questions regarding the discursive object of ‘experiences of relating on inpatient wards’.

Results. A dominant ‘medical–technical–legal’ discourse was seen, alongside a counter discourse of ‘ordinary humane relating’. Through the tensions between these discourses emerged a discourse of ‘collaborative exploration’.

Conclusion. The medical–technical–legal discourse perpetuates notions of mental illness as impenetrable to relating. Staff fear of causing harm and positions of legal accountability generate mistrust which obstructs relating, whilst patients expect to be asked their opinions on their experiences and to be involved in deciding what treatment to accept, and experience frustration and alienation when this is not forthcoming. Ordinary humane relating was described as vital for service users in regaining a sense of self, although not considered enough in itself to promote recovery/wellness. ‘Treatment for my problems’ was constructed by service users as emerging through the collaborative exploration discourse, where therapeutic relationships can develop, enabling change and a return to safety.

Year2017
JournalPsychology and Psychotherapy: Theory Research and Practice
Journal citation2017
PublisherBritish Psychological Society
ISSN1476-0835
Digital Object Identifier (DOI)https://doi.org/10.1111/papt.12162
Publication dates
Print27 Oct 2017
Publication process dates
Deposited05 Jan 2018
Accepted09 Oct 2017
Accepted author manuscript
Output statusPublished
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https://repository.canterbury.ac.uk/item/8879w/-i-can-see-it-and-i-can-feel-it-but-i-can-t-put-my-finger-on-it-a-foucauldian-discourse-analysis-of-experiences-of-relating-on-psychiatric-inpatient-units

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