Background: The deinstitutionalization of psychiatric care has led to a
concentration of patients to fewer wards. This leads to difficulties in
separating voluntarily and involuntarily admitted patients, and there
is a risk that the interest in safeguarding patients' autonomy will
decrease. Aims: The aim of this study was to elucidate the meaning care
has to patients on a locked acute psychiatric ward. The study was
performed on a ward for patients with affective and eating disorders
who were admitted both voluntarily and involuntarily. Methods:
Interviews were conducted and analysed using qualitative content
analysis. Results: The results show that to the patients, care had
contradictory qualities some alleviated their suffering while others
contributed to stress. The alleviation from suffering originated from
the experiences of strengthened integrity and self-determination, from
being supported, and having a place of refuge on the ward. In contrast
to this, there were experiences of being dependent and trapped because
of lack of influence and choice, and being controlled. Conclusions: In
conclusion, this qualitative study shows that to the patients, care can
mean being disciplined in a way that risks undermining the alleviation
of suffering that care can provide. It is thus important to be
observant when it comes to manifestations of control in care. The study
also shows that the support of fellow patients has a value as a
complement to the care given by staff members and next of kin,
something that needs to be further investigated.