The treatment of 'difficult' patients in a secure unit of a specialized psychiatric hospital: The patient's perspective

Journal of Psychiatric and Mental Health Nursing

Volumn 19, Issue 6, 2012, Pages 528-535

  Bos, M ^a,d   Kool Goudzwaard, N ^b,c   Gamel, C J ^b   Koekkoek, B ^e   Van Meijel, B ^f  

^a UNIVERSITY OF APPLIED SCIENCES UTRECHT   (Netherlands)

^b UTRECHT UNIVERSITY   (Netherlands)

^c INHOLLAND UNIVERSITY OF APPLIED SCIENCES   (Netherlands)

^d PARNASSIA BAVO GROEP   (Netherlands)

^e Pro Persona Mental Health Care ^*  (Netherlands)

^f HAN UNIVERSITY OF APPLIED SCIENCES   (Netherlands)

Author keywords

'difficult' patients; Counter transference; Recovery; Structure; Treatment

Indexed keywords

ADOLESCENT; ADULT; AGGRESSION; ARTICLE; FEMALE; HOSPITAL; HUMAN; HUMAN RELATION; INTERVIEW; MALE; MENTAL DISEASE; MENTAL HOSPITAL; METHODOLOGY; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; PATIENT SATISFACTION; PSYCHOLOGICAL ASPECT; SELF CONCEPT;

ADOLESCENT; ADULT; AGGRESSION; FEMALE; HOSPITALS, PSYCHIATRIC; HOSPITALS, SPECIAL; HUMANS; INTERVIEWS AS TOPIC; MALE; MENTAL DISORDERS; MIDDLE AGED; PATIENT SAFETY; PATIENT SATISFACTION; PROFESSIONAL-PATIENT RELATIONS; SELF CONCEPT; YOUNG ADULT;

EID: 84863320097     PISSN: 13510126     EISSN: 13652850     Source Type: Journal    
DOI: 10.1111/j.1365-2850.2011.01827.x     Document Type: Article

References (19)

1. Adler D.A. (2006) Difficult patients: within themselves and with caregivers. Psychiatric Services 57, 767.
2. American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. DSM IV, American Psychiatric Association, Washington, DC.
3. Bowers L., Carr-Walker P., Paton J., etal. (2005) Changes in attitudes to personality disorder on a DSPD unit. Criminal Behaviour and Mental Health 15, 171-183.
4. Breeze J.A. & Repper J. (1998) Struggling for control: the care experiences of 'difficult' patients in mental health services. Journal of Advanced Nursing 28, 1301-1311.
5. Cleary M., Siegfried N. & Walter G. (2002) Experience, knowledge and attitudes of mental health staff regarding clients with a borderline personality disorder. International Journal of Mental Health Nursing 11, 186-191.
6. Glaser B. & Strauss A. (1967) The Discovery of Grounded Theory. Aldine, Chicago, IL.
7. Holloway I. & Wheeler S. (2006) Qualitative Research in Nursing. Blackwell Science, Oxford.
8. James P.D. & Cowman S. (2007) Psychiatric nurses' knowledge, experience and attitudes towards clients with borderline personality disorder. Journal of Psychiatric and Mental Health Nursing 14, 670-678.
9. van Kessel W. & van der Linden P. (1991) Leerboek Gesprekstechniek: De Cliëntgerichte Benadering. [Communication: The Patient-Centred Approach.]. (Swildens H., red). Acco, Amersfoort/Leuven.
10. Koekkoek B. (2011) Ambivalent Connections: Improving Community Health Care for Non-Psychotic Chronic Patients Perceived As 'Difficult'. Radboud Universiteit, Nijmegen.
11. Koekkoek B., van Meijel B. & Hutschemaekers G. (2006) 'Difficult patients' in mental health care: a review. Psychiatric Services 57, 795-802.
12. Koekkoek B., van Meijel B., van Ommen J., etal. (2010) Ambivalent connections: a qualitative study of the care experiences of non-psychotic chronic patients who are perceived as 'difficult' by professionals. BMC Psychiatry 10, 96-107.
13. Koekkoek B., Hutschemaekers G., van Meijel B., etal. (2011) How do patients come to be seen as 'difficult'? A mixed-methods study in community mental health care. Social Science & Medicine 72, 504-512.
14. Kool N., van Meijel B., Koekkoek B., etal. (2009) The Centre for Intensive Treatment of Disruptive Relationships in Psychiatry, Preliminary Evaluation. Parnassia Bavo Group, The Hague.
15. Markham D. & Trower P. (2003) The effects of the psychiatric label 'borderline personality disorder' on nursing staff's perception and causal attributions for challenging behaviours. The British Journal of Clinical Psychology 42, 243-256.
16. Mayer M.L. (2008) On being a 'difficult' patient. Health Affairs (Project HOPE) 27, 1416-1421.
17. van Meekeren E. (2009) De multidisciplinaire richtlijn persoonlijkheidsstoornissen; een kritische beschouwing. [The multidisciplinary guideline personality disorders: a critical review.]. Maandblad Geestelijke Volksgezondheid 64, 286-297.
18. Sonneborn C.K.M. & Dijkstra J.B. (2003) Moeilijke psychiatrische patiënten: een retrospectief follow-uponderzoek. [Difficult patients in psychiatry: a retrospective follow-up study.]. Tijdschrift Voor Psychiatrie 45, 5-14.
19. Stringer B., van Meijel B., de Vree W., etal. (2008) User involvement in mental health care: the role of nurses. A literature review. Journal of Psychiatric and Mental Health Nursing 15, 678-683.