Purpose Masculinity is a core cognitive structure that plays a central role in organising attitudinal and behavioural processes. Yet there is limited research focussing upon the meaning of masculinity for men who have a past history of violent behaviour, who experience psychotic phenomena and reside in secure forensic settings. The paper aims to discuss these issues. Design/methodology/approach Q-methodology was used to elucidate the factors regarding how men who experience psychotic phenomena perceive their masculinity. Ten participants from a secure forensic setting performed a 49-statement Q-sort task. Findings Principal component factor analysis with varimax rotation was performed on the ten completed Q-sorts which revealed a three-factor solution, accounting for 57 per cent of the variance in the data. The factors were interpreted and discussed under the following headings: “assured and asserting maverick”, “calm, confident, composed conformist” and “nurturing provider in the face of adversity”. This revealed that men with psychosis have different, predominantly pro-social explanatory frameworks for their representation of masculinity. Research limitations/implications This study revealed that men with psychosis have different, predominantly pro-social explanatory frameworks for their representation of masculinity. However, the study was limited by its lack of longitudinal assessment and the inclusion of a greater number of participants may have enhanced the representativeness and generalisability of the findings. Practical implications Therapeutic discussions in respect of masculinity itself could provide men with the opportunity to develop newer, more adaptive conceptualisations of themselves, help them develop greater self-awareness and understanding of the sources of their presenting concerns, which in turn could enhance a provisional formulation of their difficulties. It would also be potentially valuable to understand how these patterns of masculinity map onto coping, recovery style and service engagement. Furthermore, services could also benefit from becoming more aware of hospitalisation being a shameful perhaps stigmatizing time for men with psychosis. Social implications It may be useful for people working in healthcare settings to be aware of how the service users they support perceive their masculinity, so the existential and deeper needs of male patients are provided with enough consideration. This is an important point, as some individuals are often reluctant or neglect to enquire about individual’s psychotic experiences and gender identification. Originality/value Although forensic psychiatric care is primarily populated by men who have committed violent acts, there is a limited research focussing upon the meaning of masculinity in this context. This is in spite of evidence which shows that maladaptive perceptions of masculinity can be reinforced during time spent residing in secure settings. The cultural constructs of masculinity and their respective impact upon the diagnosis, management and outcome of psychosis has also received little attention. Therefore, this research represents new and significant contributions to the field.

中文翻译：

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男性气质对居住在安全的法医场所中的精神病患者的影响

目的男性气质是一种核心的认知结构，在组织态度和行为过程中起着核心作用。然而，对于那些有过暴力行为历史，经历过精神病现象并居住在安全的法医环境中的男性，针对男性气质的含义的研究很少。本文旨在讨论这些问题。设计/方法/方法Q方法用于阐明有关经历精神病的男性如何感知男性气质的因素。来自安全取证环境的十名参与者执行了49项陈述的Q-sort任务。结果对10个完整的Q排序进行了方差最大旋转的主成分因子分析，揭示了三因子解决方案，占数据差异的57％。在以下标题下对这些因素进行了解释和讨论：“放心而坚定的特立独行者”，“冷静，自信，乐于助人的顺从者”和“在逆境中培育提供者”。这表明患有精神病的男性对于男性气质的表现有不同的，主要是亲社会的解释框架。研究的局限性/含义该研究表明，患有精神病的男性对于男性气质的表征具有不同的，主要是亲社会的解释框架。但是，该研究由于缺乏纵向评估而受到局限，加入更多的参与者可能会增强研究结果的代表性和普遍性。实际意义关于男性气质的治疗性讨论可以为男性提供机会，使他们有机会发展自己的更新，更适应性的观念，帮助他们增强自我意识和对自己所关注问题的根源的理解，从而反过来可以增强临时性的表述。他们的困难。了解男性气概的这些模式如何映射到应对，恢复方式和服务投入方面，也可能具有潜在价值。此外，服务也可以从更加意识到住院是精神病患者可耻的耻辱时间中受益。社会影响对于在医疗机构工作的人们来说，了解他们所支持的服务用户如何看待男性气质可能很有用，因此，充分考虑了男性患者的生存和更深层次的需求。这是很重要的一点，因为有些人通常不愿或忽视询问其精神病经历和性别认同。独创性/价值尽管法医精神病护理主要由实施暴力行为的男性组成，但在此背景下，针对男性气质的含义的研究有限。尽管有证据表明，在安全环境中度过的这段时间，男性气质的适应不良感觉可以得到加强。男性气质的文化结构及其对精神病诊断，治疗和结果的影响也很少受到关注。因此，这项研究代表了对该领域的新的重要贡献。