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Books > Medicine > Other branches of medicine > Forensic medicine
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The Therapeutic Milieu Under Fire - Security and Insecurity in Forensic Mental Health (Paperback)
Loot Price: R1,363
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The Therapeutic Milieu Under Fire - Security and Insecurity in Forensic Mental Health (Paperback)
Series: Forensic Focus
Expected to ship within 12 - 17 working days
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This groundbreaking book explores the psychodynamics and
socio-politics of the forensic therapeutic milieu, addressing some
of the most difficult and complex issues facing practitioners. It
sets out a psycho-social framework for understanding the
predicament and the needs of those who live in and those who work
in forensic mental health settings. It brings to life the thinking
of those working on the frontline in an increasingly difficult and
hostile environment, and draws together fresh and stimulating
approaches to engagement with highly complex individuals who
present challenges to traditional models of psychiatric assessment
and treatment. Contributors with considerable clinical experience
and expertise from a range of disciplines consider the ethical,
emotional and intellectual challenges of their work, and describe
ways in which genuine containment and change can be achieved
despite numerous perceived assaults on therapeutic relationships,
and on the therapeutic milieu itself. Combining clinical case
studies with organisational perspectives and clear descriptions of
theoretical processes, they explore key issues including the
challenges of maintaining role-appropriate, 'boundaried'
relationships; the tensions between public protection and
individual confidentiality; questions of risk and responsibility;
duty of care and respect for individual liberty; the challenges
posed by inter-professional tensions and rivalries; as well as
specific clinical dilemmas. The difficulties they experience in
fulfilling specific therapeutic roles in the face of uncertainties
about the funding and commissioning of their services are
addressed, and the final part of the book outlines some of the ways
in which individuals, particular services and whole organisations
may protect themselves when under attack. This unique and highly
original book is essential reading for all those working, or
training to work, in both forensic and non-forensic inpatient
therapeutic milieux and for academics and lay readers interested in
the societal dynamics of inclusion and exclusion that are
replicated and magnified in these settings.
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