title: Nursing so-called monsters: on the importance of abjection and fear in forensic psychiatric nursing.
abstract: Forensic psychiatric nurses work with individuals who may evoke feelings of empathy as well as feelings of disgust, repulsion, and fear. The main objective of this theoretical paper is to engage the readers in a theoretical reflection regarding the concepts of abjection and fear since they both apply to the experiences of caring for mentally ill individuals in forensic psychiatric settings. Our contention is with the potential impact of feelings such as disgust, repulsion, and fear on the therapeutic relationship and, more particularly, with the boundaries imposed on this relationship when these feelings are unrecognized by nurses. Acknowledging that patients may evoke feelings of disgust, repulsion, and fear is essential if nurses wish to understand the implications of these emotions in the therapeutic process. In forensic psychiatric settings, caring for so-called "monsters" in the face of abjection and fear is not an easy task to achieve given the lack of theoretical understanding regarding both concepts. Given the actual state of knowledge in forensic nursing, we argue that theoretical (conceptual) analyses, as well as ethical and political discussions, are paramount if we wish to understand the specificities of this complex field of nursing practice.
authors.affiliation: SSHRC Doctoral Fellow, University of Ottawa, Faculty of Health Sciences, School of Nursing, Ottawa, Ontario, Canada.
authors.forename: Jean Daniel
authors.initials: JD
authors.lastname: Jacob
authors.forename: Marilou
authors.initials: M
authors.lastname: Gagnon
authors.forename: Dave
authors.initials: D
authors.lastname: Holmes
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D004645:Empathy; D005239:Fear; D053604:Forensic Nursing / Q000458:organization & administration*; D006801:Humans; D009341:Negativism; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D009742:Nursing Theory; D011287:Prejudice; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012929:Psychological Distance; D011582:Psychological Theory; D012059:Rejection, Psychology; D012938:Social Perception; D012951:Socialization