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.

What social change has been achieved over the past 30 years? What have been the main barriers to progress? What great achievements can we identify and celebrate today? Marking Jessica Kingsley Publishers' 30th year of publishing books on social and behavioural issues, this book gathers together over 30 leading thinkers from diverse disciplines - from autism specialists and social workers through to trans rights activists and complementary therapists. Contributors provide a thoughtful account of how their field of expertise has changed over the past 30 years, and how they see it evolving in the future. Offering a unique insight into many professions, 30 Years of Social Change highlights much of the positive social change achieved in the past 30 years across these fields and the challenges we face in the future.

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.

As a psychodynamic theory of both normal development and psychopathology, attachment theory has particular utility for forensic psychiatry. A Matter of Security provides an attachment theory based account of the development of arousal and affect regulation, which offers a new way of thinking about mental disorders in offenders. This book also discusses the development of personality in terms of interpersonal functioning and relationships with others, which is essential to understanding both interpersonal violence and abnormal personality development. Attachment theory also offers a model of therapeutic work with patients that have particular resonance with forensic work because it uses the language of security. This collection focuses on attachment theory applied to forensic psychiatry and psychotherapy.

Personality Disorder offers a comprehensive and accessible collection of papers that will be practically useful to practitioners working in secure and non-secure settings with patients who have personality disorders. This book brings together fourteen classic papers, which address the impact that working with personality disorder patients can have on staff. It also offers theoretical explanations for personality disorder, and explores other issues such as the concept of boundaries in clinical practice, psychiatric staff as attachment figures and the relationship between severity of personality disorder and childhood experiences. Each paper is introduced with contextual material, and is followed by a series of questions that are intended to be used as educational exercises. This book will be essential reading for clinical and forensic psychologists, psychiatrists, community psychiatric nurses, social workers and students.

Forgiveness has often viewed as a religious obligation but is increasingly being advocated as a means of healing, release and promoting wellbeing. Forgiveness is variously viewed as a duty, virtue or cure, but when it comes to practising forgiveness in real life we find it is always caught up in the complexity of the situation. This book shines a light on how we tend to think about forgiveness in practice, including examples from social work, family therapy, chaplaincy and criminal justice. The book contains many different perspectives on how we think about forgiveness, including overviews of four major religions and reflections from those working in the healing professions. Without advocating a particular approach this book raises important questions around self-forgiveness and forgiving institutions and encourages the reader to think again about forgiveness and how it impacts, challenges and transforms relationships.

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.