• Health and social care services for women offenders: current provision and a future model of care

      Bartlett, A.; Walker, Tammi; Harty, M.A.; Abel, K.M. (2014)
      Secure provision for women in both the Criminal Justice System and the Health Service has evolved in the last decade, in line with emerging gender-specific policy. Notable gains have been the approach to self-harm in prison and a reduction in the inappropriately high levels of secure hospital care. Although treatment pilots in UK settings are in progress, much practice remains poorly described and insufficiently evaluated. Recent strategic initiatives by both the Ministry of Justice and the Department of Health, as well as the commissioning changes that have followed the Health and Social Care Act 2012, provide a basis for reconsideration and a further paradigm shift. Suggestions for a reinvigorated model of gender-sensitive provision are made, relying on principles of resilience and autonomy.
    • Seeing beyond the battled body - An insight into self-hood and identity from women's accounts who self-harm with a diagnosis of borderline personality disorder.

      Walker, Tammi (09/06/2009)
      Background: Self-harm (self poisoning and self-injury) is broadly characterised as any act intended to harm one's own body, without a conscious intent to die. Research indicates that when practitioners encounter self-harm they often remain anxious, fearful, frustrated, and challenged about such individuals, principally because they are constrained to understand and respond to self-harm almost exclusively within a problematised discourse (Walker, 2006). That is, a problem that must be diagnosed and contained. Women who self-harm with a diagnosis of BPD are often portrayed as being risky, chaotic and their identity can be unstable. The aim of this study was to examine and explore the subjective experiences of women who self-harm with a diagnosis of BPD. Participants: Four women who had a history of self-harming behaviour with the diagnosis of BPD volunteered for the study. Method: Face-to-face, in-depth narrative interviews were undertaken and were analysed within a framework which drew upon aspects of the ¿performance¿ (Langellier, 1989; 2001) and ¿narrative thematic¿ approaches (Reissman, 1993). Findings: Two of the participant's accounts illustrate how their self-harming appeared to have affected their selfhood and sense of agency. They discuss how the external signs of self-harm may take over their identity and how others communicate and interact with them. Despite the problematic nature of self-harm implications for practice are highlighted which practitioners may draw upon in their work around self-harm.
    • Voices from the Group: Violent Women's Experiences of Intervention.

      Walker, Tammi (28/05/2013)
      This study discusses the experiences of women who participated in a program for partner-violent women by understanding their views of the treatment process, outcomes and the meanings they attached to it. This study followed a Husserlian descriptive phenomenology. Interviews were conducted with seven English women who used physical intimate partner violence in heterosexual relationships. The data were analyzed using by the method developed by Colaizzi (1978). The qualitative findings suggest the women experienced the treatment as positive and meaningful and experienced personal transformations. Deeper analysis of the data, showed that there were two key areas of benefit to the women, one involving the connections and bonds formed with other women in the group and the facilitators, and the second including the skills and strategies the women learned for managing anger and negative emotions.