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Severe dissociative states involving the experience of being in parts, typically associated with diagnosis such as dissociative identity disorder and other specified dissociative disorders, continue to be a controversial and rarely studied area of research. However, because persons with severe dissociative states are at risk of being harmed instead of helped within psychiatric care, their experiences of living with such states warrant further examination, while innovative ways to include them in research remain necessary. Against that background, this study aimed to illuminate the meanings of living with severe dissociative states involving the experience of being in parts. This is a phenomenological hermeneutic study with data collected from three social media sources, one personal blog and two Instagram accounts, in February and March 2023. The results were illuminated in light of four themes; Striving to remain in the world, Balancing exposure and trust, Balancing belonging and loneliness and Owning oneselves. The interpretation of the themes suggests that living with severe dissociative states means being a human under inhuman conditions, striving for coherence and meaning in a world that is often unsupportive. This calls for a trauma-informed care to better support recovery for persons with severe dissociative states.

Forming therapeutic relationships is considered important within psychiatric and mental health nursing. One way of achieving this is through social interaction when engaging in joint activities. However, introducing and using nursing interventions based on joint activities in psychiatric inpatient care has proven challenging. Since staff motivation is important, researching the meaning of engaging in joint activities from the nursing professional's point of view can provide information that is relevant in this area. This study aims to illuminate the meaning of participating in joint activities with patients as narrated by nursing professionals in psychiatric inpatient care. Narrative interviews with 14 nursing professionals with experience from psychiatric inpatient care were conducted. Data were analysed using phenomenological hermeneutics and reported following the consolidated criteria for reporting qualitative research (COREQ) guidelines. Results illuminate that engaging in joint activities means being open to a process of learning. Four themes contributed to this understanding: Struggling with uncertainty, discovering aspects of the other, unfolding paths to self-fulfilment and sharing personhood. Being open to a process of learning means being willing to face uncertainty when engaging in activities as well as being open to learning about oneself as well as the other. Through openness to this process of learning, a sharing of personhood can be achieved, where the nursing professional and the patient approach becoming two persons. Illuminating the meaning of joint activities from the nursing professionals' perspective may provide valuable insights related to introducing and using interventions focusing on joint activities.

PurposeThe suicidal process contains both observable and non-observable phases, and patients have described the process as characterized by loneliness and darkness. Ambulance clinicians encounter patients in all phases of the suicidal process but little is known on what meaning this encounter has to the patients. The aim of this study was to elucidate meanings of encountering ambulance clinicians while being in a suicidal process.MethodsData were collected through fifteen individual interviews with eight participants who had lived experiences of encountering ambulance clinicians. Inductive design using phenomenological hermeneutical approach was used.FindingsPatients are impacted by the clinicians, both in how they find their value in the situation, but also in expected trajectory. Three themes; 'Being impacted by representatives of society', 'Being unsure of one<acute accent>s own value' and 'Regaining hope in moments of togetherness' generated the main theme <acute accent>Navigating oneself through the eyes of the other<acute accent>.ConclusionThe way ambulance clinicians communicate impacts how patients navigate themselves in the ambivalence about living or dying, and the encounter either consolidate a feeling of being a burden, or instil hope of an endurable life. Through conversation, clinicians could support the patients in taking the first steps in the journey of recovery.

Boken presenterar översiktlig kunskap om psykisk ohälsa, psykiatriska sjukdomar och personers problematik rörande psykisk ohälsa. Den fokuserar på omvårdnad vid psykisk ohälsa företrädesvis inom psykiatrisk vård men även inom annan vård. Boken belyser även områden som har betydelse för hur vården för personer med psykisk ohälsa kan förstås och hanteras. Det handlar om vårdens miljö och organisation, etiska dilemman, närståendes medverkan och kvalitetsarbete inom psykiatrisk vård. I denna fjärde upplaga har tidigare kapitel uppdateras med ny forskning och utvecklats med tanke på att sjuksköterskor träffar personer som lider av psykisk ohälsa också i andra former av vård än inom den psykiatriska vården. Några nya kapitel har tillkommit.

Boken har ett omvårdnadsfokus och anknytning till omgivande områden såsom medicin, sociologi, farmakologi och psykologi. Det genomgående perspektivet utgår från sjuksköterskan och omvårdnad vid psykisk ohälsa. Det som beskrivs kan även inspirera och vägleda andra professioner i deras arbete för personer med psykisk ohälsa.

Omvårdnad vid psykisk ohälsa vänder sig främst till studenter som studerar till sjuksköterska, men den kan med fördel även användas inom utbildningar med inriktning mot vård samt av kliniskt verksamma sjuksköterskor inom kommunal vård och primär­- eller specialistvård.