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.
This study aimed to investigate the relationship between nurses’ Fundamental Communication Skills （expressivity, self-control, decipher ability, assertiveness, regulation, other acceptance） and, Therapeutic Communication Skills （mental skills, Intersectional skills, personal spiritual skills, nonverbal skills） as well as obtaining data to improve nurses’ Therapeutic Communication Skills. We conducted a questionnaire survey of 857 nurses working in hospitals in District A, using the Fundamental Communication Skill Scale and Therapeutic Communication Skill Scale. As a result obtained through covariance structure analysis of 575 valid responses to the survey, a combined communication skill model was adopted （CIF＝.98, AGFI＝.93, RMSEA＝.07）. Additionally, the path coefficients suggested that the factors that help nurses improve their Therapeutic Communication Skills were as follows: other acceptance .14 and regulation .14 for mental skills, other acceptance .18 and assertiveness .10 for Intersectional skills, other acceptance .23 and assertiveness .17 for personal spiritual skills, and other acceptance .29 for nonverbal skills.