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Chapter 15 - Psychological Approaches to the Acute Patient in PICUs

Published online by Cambridge University Press:  15 March 2024

By
Marc Jonathon Kingsley
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

This chapter highlights some important features of psychological work within the context of acute psychiatric services, specifically psychiatric intensive care unit (PICU) settings. A psychological perspective offers a valuable opportunity for mental health professions to investigate the holistic experience of ward culture and patient treatment on such wards. This chapter explores some of the key roles of a clinical psychologist on a PICU, including offering psychological assessments, psychological therapy and management to patients and their families. A relational and developmental model is used, in line with object-relations theorists such as Winnicott and Casement. The chapter reflects on the role of psychologists in offering staff support and encouraging psychological safety on wards. It explores specific challenges to psychological work on acute wards will be explored, including working with the involuntary status of patients, and the complexity and risk to self and others inherent to presentations in acute settings.

Keywords

anger managementcontainmentfamily dynamicshopelessnesspsychological assessmentpsychological mindednesssafetytherapy
Type
Chapter
Information
Psychiatric Intensive Care , pp. 187 - 204
Publisher: Cambridge University Press
Print publication year: 2024

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