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  • 1. Bülow, Per
    et al.
    Andersson, Gunnel
    Denhov, Anne
    Stockholm University, Faculty of Social Sciences, Department of Social Work. Research and Development Unit, Psychiatry South Stockholm, Sweden.
    Topor, Alain
    Stockholm University, Faculty of Social Sciences, Department of Social Work. Research and Development Unit, Psychiatry South Stockholm, Sweden; University of Agder, Norway.
    Experience of Psychotropic Medication - An Interview Study of Persons with Psychosis2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 11, 820-828 p.Article in journal (Refereed)
    Abstract [en]

    Psychotropic drugs, particularly antipsychotic types, are a cornerstone of the treatment of people with psychosis. Despite numerous studies showing that drug treatment with psychotropic drugs initially alleviates psychiatric symptoms, the proportion of people with mental health problems and symptoms that do not follow doctors' prescriptions, thus exhibiting so-called non-adherence, is considerable. Non-adherence is predominantly seen as a clinical feature and as a patient characteristic that is especially due to patients' poor understanding that they are ill. There is also a widespread notion that non-adherence is of great disadvantage to the patient. This article is based on interviews with 19 persons diagnosed with psychosis. It challenges the notion of patients being either adherent or non-adherent to the doctor's orders. The findings show that persons with psychosis are active agents when it comes to adjusting medication. The interviewees created their own strategies to gain power over treatment with psychotropic drugs. The most common strategies were to adjust the doses or take breaks of varying lengths from the medication. These deviations from prescriptions were important to conceal, not only from their own psychiatrists, but from all psychiatric staff.

  • 2.
    Ewalds-Kvist, Béatrice
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology.
    Algotsson, Martina
    Bergström, Annelie
    Lützén, Kim
    Karolinska Institutet.
    Psychiatric Nurses’ Self-Rated Competence2012In: Issues in Mental Health Nursing, ISSN 0161-2840, Vol. 33, no 7, 469-479 p.Article in journal (Refereed)
    Abstract [en]

    This study explored the self-rated competence of 52 Swedish psychiatric nurses in three clinical environments: forensic psychiatry, general psychiatric inpatient care, and clinical non-residential psychiatric care. A questionnaire wtih 56 statements from nine areas of expertise was completed. Forensic nurses were more skilled in safety and quality and in dealing with violence and conflicts. Non-specialist nurses appreciated their skills more so than specialist nurses in health promotion and illness prevention and conduct, information, and education. Women were inclined to invite patients’ relatives for education and information. Men attended to a patients’ spiritual needs; they also coped with violence and managed conflicts.

  • 3. Ljungberg, Amanda
    et al.
    Denhov, Anne
    Stockholm University, Faculty of Social Sciences, Department of Social Work. Psychiatry South Stockholm, Sweden.
    Topor, Alain
    Stockholm University, Faculty of Social Sciences, Department of Social Work. Psychiatry South Stockholm, Sweden; University of Agder, Norway.
    A Balancing Act-How Mental Health Professionals Experience Being Personal in Their Relationships with Service Users2017In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 7, 578-583 p.Article in journal (Refereed)
    Abstract [en]

    Background: Although being personal in relationships with service users is commonly described as an important aspect of the way that professionals help people with severe mental problems, this has also been described to bring with it a need to keep a distance and set boundaries. Aims: This study aims to explore how professionals working in psychiatric care view being personal in their relationships with users. Method: Qualitative interviews with 21 professionals working in three outpatient psychiatric units, analyzed through thematic analysis. Results: Being personal in their relationships with users was described as something that participants regarded to be helpful, but that also entails risks. Participants described how they balanced being personal by keeping a distance and maintaining boundaries in their relationships based on their experience-based knowledge to counter these risks. While these boundaries seemed to play an important part in the way that they act and behave, they were not seen as fixed, but rather as flexible and dynamic. Boundaries could sometimes be transgressed to the benefit of users. Conclusions: Being personal was viewed as something that may be helpful to users, but that also entails risks. Although boundaries may be a useful concept for use in balancing these risks, they should be understood as something complex and flexible.

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