Topic C - Forensic Nursing > Section C.1.0. Forensic History > Unit.C.1.2. Philosophies/Theories

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Unit.C.1.2. Philosophies/Theories

[Unit.A.1.2.] [Unit.B.1.2.] [Unit.C.1.2.] [Unit.D.1.2.] [Unit.E.1.2.]


Australia
focus points

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Canada
focus points

"There are number of conceptual models that are shared across disciplines. Theoretical models influence the way particular disciplines function and direct their approach to care. Theoretical frameworks guide the ways professionals gather information about their forensic clients and assist victims and perpetrators in the coping and changing process. Theories bring significant understanding to clinical practice and provide frameworks for organizing and labeling perceptions of behavior" (Kent-Wilkinson, 1999).

"It is a challenge to integrate into practice an epistemology that explains behavior, affect, mood, and other known symptoms of human conduct, mental illness and criminal behavior. It is also a challenge to articulate the philosophy of our forensic practice, develop and define our therapeutic roles, identify our own philosophical beliefs, and expand our body of theoretical knowledge for the promotion of quality care in our specialized areas of forensic practice" (Kent-Wilkinson, 1996).

"Our philosophy of forensic nursing is constantly evolving, yet it is an evolution that grows from the four central concepts of nursing's metaparadigm: person, society, health and nursing" (Fawcett, 1984; Flaskerud & Halloran, 1980, cited in Kent-Wilkinson, 1993, p. 23).

"While using the models of primary nursing and therapeutic milieu, our philosophical base identifies with humanism, existentialism and holism" (Kent-Wilkinson, 1993, p. 26).

"The advantages of this approach is that it answers the question of how we would want to be treated were we the patient. Understanding events in a person's life that have resulted in their alleged offences reinforces our philosophical approach" (Kent-Wilkinson, 1993, p. 26).

"A disadvantage of our approach is that the humanistic value of the mental health system constantly clash with the control and security goals of the criminal justice system. In our practice we sometimes find it difficult to project a humanistic approach when security, an important component of forensic nursing, has to be constantly kept in mind" (Kent-Wilkinson, 1993, p. 26).

International
focus points

Insert forensic focus points here

New Zealand
focus points

"The basic philosophy of occupational therapy is that each person has needs of work, rest and play. They are entitled to opportunities to maximize potential, within cultural, family and community environments. This domain of concern is one that many professionals are aware of especially as it relates to prison settings" (Seek, 1989, p. 18).

United Kingdom
focus points

"Prison Health Nursing is predicted, like all nursing upon a basic ethic of humanitarianism" (Alexander-Rodriguez, 1983, p. 115).

"In an attempt to apply scientific qualification, many efforts have begun in philosophical reflection on the process of nursing. Forensic nursing is no exception, but unfortunately this has been undertaken by the saturation of theories and models from the general literature of nursing, rather than 'fixing the knowledge from within the field'"(Mason & Chandley, 1990, p. 669).

"This attempt at adopting appropriate theoretical frameworks is a reactive response to "professionalism 'rather than an a credible effort to understand the nature of special hospital nursing" (Mason & Chandley, 1990, p. 669).

'The first definition of 'care' was offered by Florence Nightingale in 1859. "Putting the patient in the best possible conditions for nature to act upon him'' (Abel-Smith, 1960, cited in Mason & Chandley, 1990, p. 669).

"This appears to be the first philosophical stance offered by a nurse to define the concept of care and it seems that the origin of nursing in Nightingale recognized the need for holistic concern rather than the reductionistic task-oriented practice that developed" (Mason & Chandley, 1990, p. 669).

"If the origins of nursing derive from the works of Nightingale (Tarbuck, 1994), the ideological framework of thought and practice is entrenched in the medical reductionism of the nineteenth century asylum" (Mason, & Mercer, 1996, 155).

"It is essential that nurses working in this field are aware of the power/knowledge equation that frames their practice, research and education" (Mason & Mercer, 1996, 153).

"There is a increasing recognition that the epistemological basis of the dangerous, mentally abnormal offender pivots on techniques of psychiatric surveillance. These role constructs include the forensic psychiatric nurse as an agent of social control, with historical antecedents which both contribute to an understanding of contemporary practices and offer clear signposts for future developments" (Mason & Mercer, 1996, p. 154).

United States
focus points

The goals of American prisons in 1983 were: "care, custody and control" or security, security, security" (Alexander-Rodriguez in 1983, p. 116).

"The development of the theoretical base for forensic social work draws from the fields of social work, criminal justice, and psychiatry: case studies are presented to demonstrate the varied roles of the forensic social worker" (Brennan et al, 1986, p. 341).

"The basic philosophy underlying the standards is that health care provided in the correctional facility should be equivalent to that available in the community and subject to the same regulations" (A.N.A., 1995).

"Correctional institution function is based on these aims. If the aims of a correctional administration include retribution of crime and deterrence of future crimes, the environment will reflect those aims by its disciplinary and punishment-oriented nature. This atmosphere creates health risks and exists in opposition of to the provision of health care" (Reeder & Meldman, 1991, p. 41).

"Health care and security can be perceived as competing interests in the correctional institution. These competing interests may also be perceived as sources of conflict because each interest aims at divergent goals" (Reeder & Meldman, 1991, p. 44).

"The crime control policies pursued in the context of the War on Drugs rest largely on the philosophy of deterrence. As developed by eighteenth-century utilitarian philosophers such as Jeremy Bentham (1948) and Cesare Beccaria (1963 [1764]), deterrence theory suggests that crime results from a rational calculation of the costs and benefits of criminal activity: Individuals commit crimes when the benefits outweigh the costs. Because an important "cost" of crime is apprehension and punishment, deterrence theorists suggest that "persons will refrain from committing offenses if they perceive that they are certain to be punished, with a severe penalty, and soon after the crime has been committed" (Paternoster, 1991:219). Deterrence can be either specific or general. Specific deterrence occurs when those who have been punished "cease offending, commit less serious offenses, or offend at a lower rate because of the fear of some future sanction" (Paternoster and Piquero, 1995:251). General deterrence occurs when potential offenders "learn of the consequences of criminal involvement (for actual offenders) and decide not to risk subjecting themselves to such punishment" (Durham, 1994, p. 134, cited in Spohn, & Holleran, 2002, p. 329).

Focus Points Reference

Alexander-Rodriguez, T. (1983). Prison health: A role for professional nursing. Nursing Outlook, 31 (2), 115-118.

American Nurses Association. (1995). Scope & Standards of Nursing Practice in Correctional
Facilities.
(Publication # NP-104). Washington, DC.: Author.

Brennan, T.P., Gedrich, A.. E., Jacoby, S. E., Tardy, M. J., & Tyson, K. B. (1986). Forensic social work: Practice and vision. Social Casework: The Journal of Contemporary Social Work, (6), 340-350.

Kent-Wilkinson, A. (1993). After the crime, before the trial. Canadian Nurse, 89 (11), 23- 26.

Mason, T. & Chandley, M. (1990). Nursing models in a special hospital: A critical analysis of efficacy. Journal of Advanced Nursing, 15, 667-673.

Mason, T. & Mercer, D. (1996). Forensic psychiatric nursing: Vision of social control. Australian and New Zealand Journal of Mental Health Nursing, 5, 153-162.

Reeder, D. & Meldman, L. (1991). Conceptualizing psychosocial nursing in a jail setting. Journal of Psychosocial Nursing, 29 (8), 40-44.

Seek, N. (1989). The New Zealand Prison System: The Potential Role of Occupational Therapy. Journal of Occupational Therapy in Mental Health, 4, 17-23.

Spohn, C., & Holleran, D. (2002). The effect of imprisonment on recidivism rates of felony offenders: A focus on drug offenders. Criminology, 40(2), 329-359. Retrieved December 19, 2002, from Academic Search Premier database:
http://search.epnet.com/direct.asp?an=6951638&db=aph


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From 'forensic presentations' in the forensic sourcebooks the following presentations have been selected for this unit:

Unit.C.1.2. Philosophies/Theories

[Unit.A.1.2.] [Unit.B.1.2.] [Unit.C.1.2.] [Unit.D.1.2.] [Unit.E.1.2.]


Australia
Presentation(s)

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Canada
Presentation(s)

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International
Presentation(s)

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United Kingdom
Presentation(s)

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United States
Presentation(s)

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This section will continually be added to with guest presentations from forensic experts locally, nationally and internationally and with student presentations.

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From 'forensic cases' in the forensic sourcebooks the following case studies have been selected for this unit:

Unit.C.1.2. Philosophies/Theories

[Unit.A.1.2.] [Unit.B.1.2.] [Unit.C.1.2.] [Unit.D.1.2.] [Unit.E.1.2.]


Australia
case study

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Canada
case study

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International
case study

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United Kingdom
case study

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United States
case study

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From 'forensic experts' in the forensic sourcebooks the following panel of experts has been selected for this unit:

Unit.C.1.2. Philosophies/Theories

[Unit.A.1.2.] [Unit.B.1.2.] [Unit.C.1.2.] [Unit.D.1.2.] [Unit.E.1.2.]


forensic panels of experts

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Australia
authors/experts

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Canada
authors/experts

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International
authors/experts

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United Kingdom
authors/experts

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United States
authors/experts

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