A concept analysis of ‘forensic’ nursing
Alyson McGregor Kettles and Phil Woods . . . . . . . . . . . .16
Julia Keen
The journal for all members of the
Forensic Psychiatric Nurses Association.
The views and opinions expressed by the authors are their own.
They do not necessarily reflect the views of their employers,
Motivating convicted sex offenders into treatment: a pilot study
Eleni Theodosi and Mary McMurran . . . . . . . . . . . . . .28
A cognitive behavioural group-based educational programme for psychotic symptoms in a low secure setting: a pilot evaluation
Erica McInnis, William Sellwood and Clair Jones . . . . .36
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practice
Inducing traumatic attachment in adults with a history of child abuse: forensic applications
Felicity de Zulueta
TRAUMATIC STRESS SERVICE, MAUDLSEY HOSPITAL,
LONDON
ABSTRACT
Introduction
Childhood trauma is very likely to produce ill-health and psychiatric disorder in adulthood. The paper discusses attachment theory and various forms of insecure attachment to the parent/caregiver, particularly disorganised attachment behaviour and the traumatic attachment response. Eliciting the (usually hidden) traumatic attachment in adults can give access to the patient’s representational models of their parents, allowing a basis for treatment of disorders. The paper describes and illustrates the use of the TAIT technique for eliciting such models.
The importance of childhood trauma in the genesis of violence and adult ill-health in general can no longer be ignored. The Adverse
Childhood Experience (ACE) study carried out in the USA showed that adverse childhood experiences (such as emotional abuse, neglect and family dysfunction) were much more common than previously acknowledged, and that they have a powerful relationship with illhealth 50 years later (Felitti et al, 1998).
Of 17,337 adults responding to a questionnaire, 11% reported being emotionally abused as a child, 30.1% reported physical abuse and 19.9% sexual abuse. In
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