There is an expectation that women will be nurturers and carers. Women who have been judged violent, destructive and criminal and who are detained in the criminal justice system can find themselves perceived through a distorted lens as unwomanly. This book explains how they become hypervisible in their difference, while the histories of trauma and suffering that are communicated through their offending and other risk behaviour remain hidden, and so are unseen. Bringing together authors uniquely placed as experts in their fields, Invisible Trauma argues that it is essential to trace the traumatic roots of women's violence and criminality. Powerful intergenerational factors perpetuate the cycles of offending and trauma re-enactment that current sentencing practice overlooks. The authors present a psychoanalytically informed account of the development of violence and other offending, identifying pathways for change to address trauma within the lives of these women and their children, and also to create a responsive, effective and sensitive workforce. Invisible Trauma highlights the role of emotional, social and cultural forces in traumatising women who come into contact with the criminal justice system and uncovers areas of their lives that are all too often hidden from view. It will be invaluable to those working in clinical and forensic psychology, mental health nursing, psychotherapy, social work, medical practice and women's health, as well as frontline practitioners in the criminal justice system, the health service and third sector organisations and for anyone with an interest in racism, equality and social justice.

There is an expectation that women will be nurturers and carers. Women who have been judged violent, destructive and criminal and who are detained in the criminal justice system can find themselves perceived through a distorted lens as unwomanly. This book explains how they become hypervisible in their difference, while the histories of trauma and suffering that are communicated through their offending and other risk behaviour remain hidden, and so are unseen. Bringing together authors uniquely placed as experts in their fields, Invisible Trauma argues that it is essential to trace the traumatic roots of women's violence and criminality. Powerful intergenerational factors perpetuate the cycles of offending and trauma re-enactment that current sentencing practice overlooks. The authors present a psychoanalytically informed account of the development of violence and other offending, identifying pathways for change to address trauma within the lives of these women and their children, and also to create a responsive, effective and sensitive workforce. Invisible Trauma highlights the role of emotional, social and cultural forces in traumatising women who come into contact with the criminal justice system and uncovers areas of their lives that are all too often hidden from view. It will be invaluable to those working in clinical and forensic psychology, mental health nursing, psychotherapy, social work, medical practice and women's health, as well as frontline practitioners in the criminal justice system, the health service and third sector organisations and for anyone with an interest in racism, equality and social justice.

Working in any area of mental health nursing presents complex issues regarding the nurse-patient relationship. For those working in prolonged clinical contact with offenders, relationships with patients and colleagues can be particularly emotionally intense and sometimes difficult to express. This book attempts to understand and articulate the emotional labour of forensic nursing and explores the challenge of establishing and maintaining therapeutic relationships with offenders. The first book to consider the emotional and relational component of forensic mental health nursing, the chapters cover a number of specialist forensic areas from this psychodynamic perspective, such as women's services, services for people with personality disorders, intensive care, high security psychiatric hospitals, medium secure units and services for adolescent offenders. A chapter on therapeutic communities is also included, along with chapters on challenging relational phenomena such as working with hate and the difficulties of managing difference when working in environments that produce high levels of anxiety. Therapeutic Relationships with Offenders provides essential information for mental health nurses working in the forensic field and will be of interest to any professionals working with challenging populations and people with personality disorders.

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.

Written by experts in the growing field of forensic mental health care, this book explores current and emerging interventions in forensic nursing and the care of the mentally disordered offender, with an emphasis on clinical practice and clinical competence. It explores the practical issues facing forensic nurses, such as environment and safety issues, as well as the possible emotional trauma of such a role. It examines a range of intervention strategies, such as exercise, which has often been used as an occupational time-filler, but also offers real therapeutic benefits. The contributors cover a range of diverse perspectives from the care of women in secure services, severely assaultive patients and sex offenders, the role of inpatient therapy and nurse therapists and the importance of spiritual nursing and educational interventions. The book also examines the client group itself and considers new roles for nurses in the light of recent research. The contributors to this volume take a wide-ranging approach, providing a comprehensive overview of current and future therapeutic interventions for forensic mental health care. Therapeutic Interventions for Forensic Mental Health Nurses is essential reading for all practitioners, nurses and educators in the forensic nursing field.

People who use forensic mental health services are defined by the fact that they have violated boundaries, often in many ways. For clinicians employed to work therapeutically with this client group however, the capacity to initiate and maintain boundaries is critical to safety as well as to good treatment outcomes. This book provides a thorough introduction to the subject of professional and therapeutic boundaries and their particular complexities within forensic mental health settings. The contributors, all experts in their respective fields, address the challenges of establishing working boundaries within forensic mental health services from multiple perspectives. They explore the ways in which boundaries can be initiated and maintained in different areas of forensic mental health work, including in psychotherapy, mental health nursing, arts therapies, forensic psychiatry and family therapy, and when working with different client groups, including children and adolescents, offenders with severe personality disorders in high security settings and sex offenders. Consideration is also given to boundaries and homicide, maternal boundary violations and boundaries in a forensic learning disability service. This authoritative, interdisciplinary resource will support all forensic mental health practitioners in this crucial aspect of their work.