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Medicine, madness and murderers : the context of English forensic psychiatric hospitals
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McDonald, Ruth and Furtado, Vivek (2017) Medicine, madness and murderers : the context of English forensic psychiatric hospitals. Journal of Health Organization and Management, 31 (5). pp. 598-611. doi:10.1108/JHOM-10-2016-0202 ISSN 1477-7266.
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Official URL: https://doi.org/10.1108/JHOM-10-2016-0202
Abstract
Purpose
The purpose of this paper is to add to the understanding of context by shedding light on the relationship between context and organisational actors’ abilities to resolve ongoing challenges.
Design/methodology/approach
The authors used qualitative data collection (interviews and focus groups with staff and site visits to English forensic psychiatry hospitals) and the analysis was informed by Lefebvre’s writings on space.
Findings
Responses to ongoing challenges were both constrained and facilitated by the context, which was negotiated and co-produced by the actors involved. Various (i.e. societal and professional) dimensions of context interacted to create tensions, which resulted in changes in service configuration. These changes were reconciled, to some extent, via discourse. Despite some resolution, the co-production of context preserved contradictions which mean that ongoing challenges were modified, but not resolved entirely.
Originality/value
The paper highlights the importance of viewing context as co-produced in a continuous manner. This helps us to delineate and understand its dynamic nature and its relationship with the everyday actions and beliefs of the organisational actors concerned.
| Item Type: | Journal Article | ||||||
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| Subjects: | B Philosophy. Psychology. Religion > BD Speculative Philosophy H Social Sciences > HD Industries. Land use. Labor |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Organizational behavior, Work environment , Psychiatric hospitals -- Administration -- England, Lefèbvre, Henri, 1901-1991 | ||||||
| Journal or Publication Title: | Journal of Health Organization and Management | ||||||
| Publisher: | Emerald Group Publishing Ltd. | ||||||
| ISSN: | 1477-7266 | ||||||
| Official Date: | 21 August 2017 | ||||||
| Dates: |
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| Volume: | 31 | ||||||
| Number: | 5 | ||||||
| Page Range: | pp. 598-611 | ||||||
| DOI: | 10.1108/JHOM-10-2016-0202 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 12 June 2017 | ||||||
| Date of first compliant Open Access: | 26 September 2017 | ||||||
| Funder: | National Institute for Health Research (Great Britain) (NIHR) | ||||||
| Grant number: | Project number 11/1024/06 | ||||||
| Related URLs: |
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