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Understanding how the psychological and relational processes of a psychodynamic reflective group contribute to recovery on a medium secure ward

Understanding how the psychological and relational processes of a psychodynamic reflective group... This study aimed to explore the psychological and relational processes of a service user reflective group on a medium secure forensic ward. The group was conceptualised by the service as a component of the therapeutic offer contributing to the patients’ journey towards recovery and this study aimed to explore whether the group was being experienced as beneficial, by service users and staff, in relation to recovery concepts.Design/methodology/approachQualitative data were collected using semi-structured interviews from 10 participants who had experience of an existing service user reflective group on a medium secure forensic ward. Participants in the study were patients who attended the group (6) and staff members who facilitated the group (4). The data collected were analysed using constructivist grounded theory methodology.FindingsResults formed a flexible, cyclical model based on five key categories: “Group Identity”, “Linking Self with Others”, “The Changing Self”, “Living Visibly in a System” and “Moving On.”Practical implicationsFindings indicate that service user reflective groups in forensic inpatient settings can contribute to increased interpersonal effectiveness and personal recovery.Originality/valueThe role of service user reflective groups in secure recovery has not been explored empirically to date, although they are a suggested intervention to enhance relational security and to aid therapeutic progress within a secure recovery framework. This study aimed to begin to address this gap in research and understanding. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Forensic Practice Emerald Publishing

Understanding how the psychological and relational processes of a psychodynamic reflective group contribute to recovery on a medium secure ward

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References (52)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2050-8794
eISSN
2050-8794
DOI
10.1108/jfp-12-2023-0073
Publisher site
See Article on Publisher Site

Abstract

This study aimed to explore the psychological and relational processes of a service user reflective group on a medium secure forensic ward. The group was conceptualised by the service as a component of the therapeutic offer contributing to the patients’ journey towards recovery and this study aimed to explore whether the group was being experienced as beneficial, by service users and staff, in relation to recovery concepts.Design/methodology/approachQualitative data were collected using semi-structured interviews from 10 participants who had experience of an existing service user reflective group on a medium secure forensic ward. Participants in the study were patients who attended the group (6) and staff members who facilitated the group (4). The data collected were analysed using constructivist grounded theory methodology.FindingsResults formed a flexible, cyclical model based on five key categories: “Group Identity”, “Linking Self with Others”, “The Changing Self”, “Living Visibly in a System” and “Moving On.”Practical implicationsFindings indicate that service user reflective groups in forensic inpatient settings can contribute to increased interpersonal effectiveness and personal recovery.Originality/valueThe role of service user reflective groups in secure recovery has not been explored empirically to date, although they are a suggested intervention to enhance relational security and to aid therapeutic progress within a secure recovery framework. This study aimed to begin to address this gap in research and understanding.

Journal

Journal of Forensic Practice – Emerald Publishing

Published: Aug 6, 2024

Keywords: Forensic; Reflective group; Secure recovery; Treatment; Mentally disordered; Offender; Service user; Psychodynamic; Recovery

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