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Biomedical subjects

G Winship

Publications and source records attributed to G Winship.

9 recordsLinked to original sources
PubMed2006

Further thoughts on the process of restraint.

The physical restraint of a disturbed person is a subject constant of psychiatry and is a challenge that particularly faces nurses working in acute inpatient settings. While other approaches to psychiatric treatment have been discarded (e.g. punishment, blood letting, trepanation, deep insulin therapy and so on) or evolved into new treatments (the use of medication), the act of physical restraint has remained largely unmodified. Given the ubiquity of physical restraint in psychiatry, particularly as a nursing procedure, the absence of a sustained body of research is notable. This essay examines some of the historical underpinnings of the use of restraint in psychiatry brought into sharp focus by the David Bennett Inquiry Report (2003) and the National Institute of Clinical Effective (NICE) guidelines (2005) on the management of violence.

Evidence-Based Medicine↗
PubMed1999

Disentangling dynamics: group sensitivity and supervision.

In order to contextualize Altschul's interest in group dynamics we present a brief history of staff group work approaches in the UK and USA. Using case examples, the work of staff group sensitivity and group supervision is described. The difficulties of working in staff groups are highlighted and the antipathy towards group practice is discussed. It is argued that learning about conflict resolution in staff groups prepares nurses for dealing with conflicts in clinical practice. The case for re-invigorating interest in group theory and practice is presented. In presenting our reflections on staff group work, we hope not only to re-kindle the type of interest in groups that inspired Altschul but also to represent the case that it is ill conceived to attempt the work of mental health nursing without recourse to the supervisory resources of group theory, practice and support. It is through group feedback that mental health nurses and other health professionals can extend their learning about interpersonal relations, achieve quality standardization through peer feedback and reflect on practice in truly collaborative ways (Schon 1983).

Burnout, Professional↗
PubMed1998

Intensive care psychiatric nursing--psychoanalytic perspectives.

Based on unobtrusive observations, a parallel is drawn between general and psychiatric intensive care nursing. The correlation between bedside skills and the incidence of physical contact between nurse and patient in each setting is considered. The phenomenon of physical attacks by patients on carers and the process of restraint in the psychiatric intensive care unit (ICU) is then examined. It is suggested that attack by and subsequent restraint of a disturbed patient may be considered in terms of an unconscious re-enactment of an early skin-on-skin object relation. It is argued that the physical holding of a psychotic patient is functional in re-establishing their bodily ego. Some thoughts are offered on how the intensive care of psychotic patients might be carried forward in the future.

Critical Care↗
PubMed1995

The unconscious impact of caring for acutely disturbed patients: a perspective for supervision.

This paper is concerned with the emotional experience of working with acutely disturbed patients. It examines how the disturbance of the patient unconsciously impacts upon the nurse. Using a model of the unconscious, based upon classical psychoanalytic theory, a psychodynamic approach to clinical supervision in a group setting is described. This supervision process was found to be helpful in the therapeutic process, identifying unconscious dynamics as well as alleviating some of the distress of the clinical work. Vignettes illustrating this process of psychodynamic group supervision are presented.

Attitude of Health Personnel↗
PubMedDate not supplied

Establishing the role of the nurse psychotherapist in the United Kingdom.

TOPIC: The role of the nurse psychotherapist in the U.K. PURPOSE: To explore the barriers and future possibilities of nurse psychotherapists in the U.K. SOURCE: A review of the literature, communication with nurse leaders in the U.K., the author's own experience. CONCLUSION: There is a body of nurses in the U.K. that has begun to meet regularly and uses psychodynamic theory either in clinical practice or to teach students. The plan is to develop specific standards of training and registration.

Humans↗
PubMedDate not supplied

Health education and safer sex.

Recent studies (e.g. Klee et al, 1991) of human immunodeficiency virus prevalence among drug users indicate that the greatest increase in transmission rates has been a result of sexual contact. This article examines safer sex health education and the development of a programme of education that aims to confront negative attitudes towards condoms.

Adult↗
PubMedDate not supplied

The crisis within.

Explore the source record for details and available documents.

Adaptation, Psychological↗
PubMedDate not supplied

HIV/AIDS. Counselling drug users.

This paper examines the uptake of the HIV test in a busy London drug dependency unit and looks at some of the specialist aspects of HIV counselling with drug users. HIV pre-test counselling is an important health education opportunity. The current guidelines for HIV pre-test counselling with drug users suggest that practitioners should adopt a more encouraging attitude.

Acquired Immunodeficiency Syndrome↗