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From optimism to pessimism: A case study of a psychiatric patient
Mittuniversitetet & Umeå universitet.ORCID iD: 0000-0002-1614-7379
Mittuniversitetet & University of Tromsø, Norway.
Umeå universitet & University of North Dakota, Grand Forks, ND, USA.
Umeå universitet.
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1998 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 7, no 4, p. 360-370Article in journal (Refereed) Published
Abstract [en]

This article focuses on the results of a single case study which illuminates an understanding of phases in nursing care for a patient in a psychiatric setting in Sweden. The focus of this study is a fifty year old man who showed progressive deterioration from increased motor activity to oral, sexual, destructive and aggressive actions. The data collection using five methods occurred during a 21 months period. Results of the content analyses processes identified four distinct but indiscreet phases of the patient’s complex condition. The medical and nursing care was categorised in three approaches: optimistic, strategic and resigned. The results raise the question whether there is action that is without any meaning as an expression of the patient´s wishes, thoughts and feelings. It seems clear that the patient in this study felt really angry and in despair. However, during moments of lucidity, he also indicated that he felt this was not an authentic expression of his "real" self. His experience was that of a splintered world.

Place, publisher, year, edition, pages
1998. Vol. 7, no 4, p. 360-370
Keywords [en]
Bizarre actions, Nursing care, Psychiatry, Physical milieu, Single-case design, Treatment resistance
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5579DOI: 10.1046/j.1365-2702.1998.00152.xISI: 000074944600009PubMedID: 9830977OAI: oai:DiVA.org:esh-5579DiVA, id: diva2:1055616
Available from: 2008-09-30 Created: 2016-11-30 Last updated: 2017-11-29Bibliographically approved

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Hellzén, OveAsplund, KennethNorbergh, Astrid
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