{"id":22064,"date":"2025-12-09T10:58:11","date_gmt":"2025-12-09T09:58:11","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=22064"},"modified":"2025-12-09T15:35:12","modified_gmt":"2025-12-09T14:35:12","slug":"casestudie-en-kvindes-oplevelse-af-isolation-som-tvangsforanstaltning-i-retspsykiatrien","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/12\/09\/casestudie-en-kvindes-oplevelse-af-isolation-som-tvangsforanstaltning-i-retspsykiatrien\/","title":{"rendered":"Casestudie: En kvindes oplevelse af isolation som tvangsforanstaltning i retspsykiatrien"},"content":{"rendered":"

\"\"<\/p>\n

Hansen A, Rosina R, Hazelton M, Inder KJ. Hear My Voice: One Woman’s Experience of Seclusion: A Case Study in a Secure Forensic Hospital. In: International Journal of Mental Health Nursing. 2025.<\/span> DOI: 10.1111\/inm.70185<\/a><\/p>\n

Af Martin Locht Pedersen. Sygeplejerske, Cand.cur., Ph.d.-studerende, Retspsykiatrisk Forskningsenhed Middelfart, Institut for Regional Sundhedsforskning, Syddansk Universitet & Psykiatrisk Afdeling Middelfart, Psykiatrien i Region Syddanmark.<\/span><\/em> martin.locht.pedersen@rsyd.dk<\/a><\/p>\n

Download Resume som pdf<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Brug af isolation som tvangsforanstaltning kan medf\u00f8re skade og re-traumatisering. Eksisterende forskning viser, at oplevelsen af isolation ofte er negativ og forbundet med frygt. Derudover kan isolation opfattes som en form for straf for adf\u00e6rd. Form\u00e5let med studiet var at unders\u00f8ge oplevelsen af isolation for en kvinde i retspsykiatrien.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Der blev anvendte et enkelt-casestudie-design baseret p\u00e5 data fra en prospektivt kohortestudie p\u00e5 en retspsykiatrisk afdeling for kvinder i Australien. Demografiske, kliniske og isolationsrelaterede data blev indsamlet fra journaler og beskrevet deskriptivt. Et semi-struktureret interview blev gennemf\u00f8rt for at udforske kvindens oplevelse af isolation.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Casepersonen var en 38-\u00e5rig, single, ikke-indf\u00f8dt australsk kvinde med diagnoserne borderline og paranoid personlighedsforstyrrelse samt en omfattende traumahistorik. Hun oplevede isolation to gange under indl\u00e6ggelsen i retspsykiatrien.
\nFire temaer fremkom fra interviewet:
\n\ud83d\udd39Defensiv praksis
\n\ud83d\udd39Tortur og straf
\n\ud83d\udd39Ydmygende pr\u00f8velse
\n\ud83d\udd39H\u00e5rde l\u00e6repenge.<\/span><\/p>\n

Konklusion<\/strong>
\nIsolation blev oplevet som b\u00e5de straf og tortur, hvilket resulterede i f\u00f8lelser af skam og degradering. Casen tyder p\u00e5, at negative oplevelser af isolation kan forv\u00e6rre traumer hos kvinder med omfattende traumahistorik.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Med indf\u00f8relsen af nye typer af tvang i Danmark jf. Folketingets 10-\u00e5rsplan for psykiatrien, er det vigtigt at v\u00e6re opm\u00e6rksom p\u00e5 potentielle konsekvenser. Tvangsforanstaltninger som arealbegr\u00e6sning p\u00e5 patientstue eller afl\u00e5sning i retspsykiatrien kan opleves som isolation og dermed medf\u00f8re skade eller re-traumatisering.<\/span><\/p>\n

Det understreger behovet for strategier, der minimerer negative oplevelser og fremmer velv\u00e6re, ogs\u00e5 n\u00e5r tvang anvendes. Studiet fremh\u00e6ver desuden vigtigheden af at tage kvinders oplevelser i retspsykiatrien alvorligt. Kvinder udg\u00f8r en ofte overset minoritetsgruppe i forskning, og en \u00f8get forst\u00e5else af deres pleje og behandling, herunder anvendelsen af tvang, kan v\u00e6re n\u00f8dvendig for at fremme respektfulde og traumebevidste praksisser.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Hansen A, Rosina R, Hazelton M, Inder KJ. Hear My Voice: One Woman’s Experience of Seclusion: A Case Study in 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