{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T03:40:09Z","timestamp":1777088409003,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T00:00:00Z","timestamp":1509062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Research has shown interpersonal relationships influence experiences of inpatient psychiatric services. This study explored inpatient staff and service users\u2019 talk about relating, and consequences on available\/limited social actions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A Foucauldian discourse analysis was used to analyse transcribed semi\u2010structured interviews and focus groups with current inpatient staff members and members of a service\u2010user involvement group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Two focus groups (service users\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a010; staff\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a06) and five interviews (service users\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02; staff\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a03) were held, with participants responding to questions regarding the discursive object of \u2018experiences of relating on inpatient wards\u2019.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A dominant \u2018medical\u2013technical\u2013legal\u2019 discourse was seen, alongside a counter discourse of \u2018ordinary humane relating\u2019. Through the tensions between these discourses emerged a discourse of \u2018collaborative exploration\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The medical\u2013technical\u2013legal discourse perpetuates notions of mental illness as impenetrable to relating. Staff fear of causing harm and positions of legal accountability generate mistrust which obstructs relating, whilst patients expect to be asked their opinions on their experiences and to be involved in deciding what treatment to accept, and experience frustration and alienation when this is not forthcoming. Ordinary humane relating was described as vital for service users in regaining a sense of self, although not considered enough in itself to promote recovery\/wellness. \u2018Treatment for my problems\u2019 was constructed by service users as emerging through the collaborative exploration discourse, where therapeutic relationships can develop, enabling change and a return to safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Discourse analysis of how we talk can help us understand the complexities of being, working, and relating on psychiatric inpatient units.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Relating as constructed through the medical\u2013technical\u2013legal discourse is seen as the most legitimized but least fulfilling for staff and service users alike.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Both staff and service users want purposefully therapeutic, collaborative relationships<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>however, the environment does not currently appear to support these ways of relating emerging with legitimacy.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Some simple steps might be taken to begin the shift towards more fulfilling and therapeutic ways of relating being privileged in psychiatric inpatient environments.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12162","type":"journal-article","created":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T06:42:11Z","timestamp":1509086531000},"page":"317-331","source":"Crossref","is-referenced-by-count":14,"title":["<i>\u2018<\/i>\n                    I can see it and I can feel it, but I can't put my finger on it\n                    <i>\u2019<\/i>\n                    : A Foucauldian discourse analysis of experiences of relating on psychiatric inpatient units"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1738-5707","authenticated-orcid":false,"given":"John","family":"Cheetham","sequence":"first","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust Mental Health in Learning Disabilities Team CTC, Maudsley Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Holttum","sequence":"additional","affiliation":[{"name":"Salomons Centre for Applied Psychology Canterbury Christ Church University Canterbury UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Springham","sequence":"additional","affiliation":[{"name":"Oxleas NHS Foundation Trust Dartford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Butt","sequence":"additional","affiliation":[{"name":"Oxleas NHS Foundation Trust Dartford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,27]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Environmentally friendly? 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