Purpose

The purpose of this paper is to explore non-violent pornography within secure hospital settings.

Design/methodology/approach

It includes a systematic review (n = 40 papers), followed by a qualitative study comprising semi-structured interviews (n = 24, 6 patients and 18 staff) and staff focus groups (n = 22 staff).

Findings

The systematic review identified six themes, as follows: pornography is inconsistently defined, pornography exposure can increase general aggression, pornography exposure may increase the risk for sexual aggression, pornography exposure can increase aggression supportive beliefs, pornography exposure impacts negatively on those with a violent predisposition and pornography is educational for men not identifying as heterosexual. The semi-structured interviews and focus groups revealed four themes as follows: staff members hold diverse beliefs about pornographic material, pornography is difficult to obtain and use for patients who do not identify as heterosexual, pornography is used for specific functions, and frequent exposure to pornography can have negative effects for staff members.

Practical implications

Trying to obtain consensus on the impacts of pornography on forensic patients is not possible; material access decisions should be on a case-by-case basis. Policy decisions should be based on fully represented views, including the LGBTI community. The impacts on staff of their occupational exposure to such material should be recognised and support provided. Clinical decision-making in this area should consider not only if access should be allowed but also how it can be managed safely, if at all. This includes for all those who could be exposed to such material, inadvertently or otherwise.

Originality/value

It addresses the under-researched area of patient access to pornography, capturing a poorly considered sample, namely, high secure psychiatric.

中文翻译：

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在安全的法医医院获取非暴力色情内容

目的

本文的目的是探索安全医院环境中的非暴力色情内容。

设计/方法/方法

它包括系统评价（n = 40 篇论文），然后是由半结构化访谈（n = 24，6 名患者和 18 名员工）和员工焦点小组（n = 22 名员工）组成的定性研究。

发现

系统审查确定了六个主题，如下所示：色情内容的定义不一致，色情暴露会增加一般攻击性，色情暴露可能会增加性侵犯的风险，色情暴露会增加攻击性支持信念，色情暴露会对具有暴力倾向的人产生负面影响色情对于没有被认定为异性恋的男性具有教育意义。半结构化访谈和焦点小组揭示了以下四个主题：工作人员对色情内容持有不同的信念，色情内容难以被非异性恋患者获取和使用，色情内容用于特定功能，以及频繁接触色情内容。色情制品会对工作人员产生负面影响。

实际影响

试图就色情对法医患者的影响达成共识是不可能的；材料获取决策应根据具体情况而定。政策决定应基于充分代表的观点，包括 LGBTI 社区。应承认员工职业接触此类材料对员工的影响并提供支持。该领域的临床决策不仅应考虑是否应允许访问，而且还应考虑如何安全管理（如果有的话）。这包括所有可能无意或以其他方式接触此类材料的人。

原创性/价值

它解决了研究不足的患者访问色情内容的领域，捕获了一个考虑不周的样本，即高度安全的精神病学。