{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:02:30Z","timestamp":1790776950972,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,7,28]],"date-time":"2019-07-28T00:00:00Z","timestamp":1564272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Sexuality, relationships, and intimacy are integral parts of many peoples\u2019 lives, not negated by mental distress and illness. Yet typically, these needs are not addressed adequately in mental health settings. In\u2010depth interviews were conducted with mental health clinicians with an aim of exploring their perceptions and understandings of sexuality and sexual concerns within mental health settings. Participants were 22 mental health nurses, psychologists, and psychiatrists working with people across a range of settings in four Australian cities. Sexuality or aspects of this were often not addressed in clinical practice, and this was common across participants\u2019 accounts. A critical thematic analysis was conducted to explore how participants made sense of or explained this silence in relation to sexuality. Two key themes were \u2018Sexuality is hard to talk about\u2019 and \u2018Sexuality is a \u201cperipheral issue\u201d\u2019. In positioning sexuality as a peripheral issue, participants drew on three key explanations (sub\u2010themes): that sexuality rarely \u2018comes up\u2019, that it is not pragmatic to address sexuality, and that addressing sexuality is not part of participants\u2019 roles or skill sets. A third theme captured the contrasting perception that \u2018Sexuality could be better addressed\u2019 in mental health settings. This analysis indicates that, beyond anticipated embarrassment, mental health clinicians from three disciplines account for omissions of sexuality from clinical practice in similar ways. Moreover, these accounts serve to peripheralize sexuality in mental health settings. We consider these results within the context of espoused holistic and recovery\u2010oriented principles in mental health settings.<\/jats:p>","DOI":"10.1111\/inm.12633","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T05:09:28Z","timestamp":1564376968000},"page":"1278-1287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["\u2018It's just a peripheral issue\u2019: A qualitative analysis of mental health clinicians\u2019 accounts of (not) addressing sexuality in their work"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8381-4354","authenticated-orcid":false,"given":"Kristi","family":"Urry","sequence":"first","affiliation":[{"name":"Faculty of Health and Medical Sciences School of Psychology University of Adelaide Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Chur\u2010Hansen","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences School of Psychology University of Adelaide Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole","family":"Khaw","sequence":"additional","affiliation":[{"name":"Adelaide Sexual Health Centre Infectious Diseases Unit Royal Adelaide Hospital Adelaide South Australia Australia"},{"name":"Faculty of Health and Medical Sciences School of Medicine University of Adelaide Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2016.01.021"},{"key":"e_1_2_10_3_1","volume-title":"National Practice Standards for the Mental Health Workforce 2013","author":"Australian Government","year":"2013"},{"key":"e_1_2_10_4_1","volume-title":"Mental Health Services\u2014in Brief 2018","author":"Australian Institute of Health and Welfare","year":"2018"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745506518762664"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-08-097086-8.24049-X"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022048"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17522439.2017.1330895"},{"key":"e_1_2_10_10_1","first-page":"21","volume-title":"Sexuality and Serious Mental Illness","author":"Deegan P. 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