Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Trauma and Dissociation on 30/09/2016, available online: http://www.tandfonline.com/10.1080/15299732.2016.1241852
Accepted author manuscript, 788 KB, PDF document
Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License
Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Experiences of therapeutic relationships on hospital wards, dissociation and making connections
AU - Parry, Sarah
AU - Lloyd, Mike
AU - Simpson, Jane
PY - 2017/6
Y1 - 2017/6
N2 - An interpretive phenomenological analysis sought to explore how people reporting moderate to high levels of dissociation experienced relationships with multidisciplinary hospital ward staff. Three superordinate themes were developed. First, the theme “multiple me and multiple them” explores the instability experienced by the participants as they managed their dissociative experiences alongside many inconsistencies. Second, “recognizing, meeting, or neglecting interpersonal and care needs” reflects on participants’ needs within therapeutic relationships. Third, “between the needs of the internal system: navigating between ‘better on my own’ and ‘someone to talk to’” discusses the confusion and understanding around dissociation and the importance of working with parts, not around them. Findings suggested that the current culture of some hospital wards directly influenced participants’ distress, which could lead to further dissociation as a means of coping with perceived threats. Reflections on relational complexities and developing ward-based treatment are discussed.
AB - An interpretive phenomenological analysis sought to explore how people reporting moderate to high levels of dissociation experienced relationships with multidisciplinary hospital ward staff. Three superordinate themes were developed. First, the theme “multiple me and multiple them” explores the instability experienced by the participants as they managed their dissociative experiences alongside many inconsistencies. Second, “recognizing, meeting, or neglecting interpersonal and care needs” reflects on participants’ needs within therapeutic relationships. Third, “between the needs of the internal system: navigating between ‘better on my own’ and ‘someone to talk to’” discusses the confusion and understanding around dissociation and the importance of working with parts, not around them. Findings suggested that the current culture of some hospital wards directly influenced participants’ distress, which could lead to further dissociation as a means of coping with perceived threats. Reflections on relational complexities and developing ward-based treatment are discussed.
KW - Dissociation
KW - inpatient
KW - therapeutic relationship
KW - ward
U2 - 10.1080/15299732.2016.1241852
DO - 10.1080/15299732.2016.1241852
M3 - Journal article
VL - 18
SP - 544
EP - 558
JO - Journal of Trauma and Dissociation
JF - Journal of Trauma and Dissociation
SN - 1529-9740
IS - 4
ER -