Struggling for power
The main arena for this struggle was food. One way in which
participants asserted their power (and took away their
charges’ control) was by ‘choosing their foods’. Participants
wanted to help to get the patients better, but felt that they
were being hindered by the adolescents’ refusal to relinquish
control or, as they put it, to ‘co-operate’. As Sarah pointed
out, ‘…these girls are 15, 16, and they’re acting like adults
and they can…talk…and fight back normally, not like a
3-year old. And that can be hard’. Participants reported that
the adolescents saw nasogastric feeding as ‘punitive’ and they
would do anything to ‘sabotage’ it. They would fight the
nurses ‘tooth and nail’ to regain ‘control’ over their predicament.
Nurses were thus unconsciously acting like jailers;
participants understandably found this constant ‘battle for
control’ an impediment to therapeutic alliances. It caused
them great anguish, and they saw clearly those patients’
‘manipulation’ and ‘cheating’ were direct results of this
situation with regard to food. They also thought that the
struggle would continue whatever the means of re-feeding
employed
Struggling for power
The main arena for this struggle was food. One way in which
participants asserted their power (and took away their
charges’ control) was by ‘choosing their foods’. Participants
wanted to help to get the patients better, but felt that they
were being hindered by the adolescents’ refusal to relinquish
control or, as they put it, to ‘co-operate’. As Sarah pointed
out, ‘…these girls are 15, 16, and they’re acting like adults
and they can…talk…and fight back normally, not like a
3-year old. And that can be hard’. Participants reported that
the adolescents saw nasogastric feeding as ‘punitive’ and they
would do anything to ‘sabotage’ it. They would fight the
nurses ‘tooth and nail’ to regain ‘control’ over their predicament.
Nurses were thus unconsciously acting like jailers;
participants understandably found this constant ‘battle for
control’ an impediment to therapeutic alliances. It caused
them great anguish, and they saw clearly those patients’
‘manipulation’ and ‘cheating’ were direct results of this
situation with regard to food. They also thought that the
struggle would continue whatever the means of re-feeding
employed
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