2019 Volume 28 Issue 1 Pages 1-11
AIM: This study is to clarify the process of patients with mental disorders who had committed serious offenses in regaining their positiveness during treatment in a secure unit, and to explore suggestions of nursing care.
METHOD: We conducted an interview of 5 patients consisting of questions about experiences in regaining positiveness during hospitalization. All patients had engaged in serious harm towards others under conditions of insanity or diminished responsibility. We performed a qualitative analysis, namely, the Modified Grounded Theory Approach (M-GTA)．
RESULTS: Ten concepts and five categories were generated. Categories included (1) Relief by holistic understanding of possessing both strengths and weaknesses, (2) Regeneration of emotions without maliciousness, (3) Awareness of interpersonal relationships developed with a consciousness of the existence of other people, (4) Reconstruction of self-identity in relationships with others, (5) Acceptance of the wishes of “my past self” for “my present self”, and (6) Making preparations for re-starting. (1) constitutes a foundation towards achieving the positive feeling, (2)–(4) are entangled with each other, and (5) encourages (6)．
CONCLUSION: It is considered that tracing components of recovery as a process makes positive emotions to the subjects. This experience a process is to help prevent the repetition of harm to others, and it was desired to be experienced during hospitalization.
