<p>Fear among caregivers in mental health care has always existed. Fear is a basic feeling that will protect us from dangerous situations and it makes itself constantly reminded in the care of mentally ill patients. The feeling makes the carer distanced in the relationship. A distancemean consequences for the patient. When the caregiver don´t relieve the patients suffering, the health process stops and she remains in her suffering. The study is a qualitative literature review with latent content analysis of seven scientific articles. The results revealed three categories that describe the meaning of the caregivers fear and how it affects the caring relationship. The first category is about that caregivers is forced by their duty where it is found that caregivers, despite their fear, acts out of her duty as a constraint, or inside as a virtue. The second category includes the other's frightening world where caregivers is fear ofwhat is experienced as and incomprehensible. The third and final category is about mutual powerlessness where caregiver experience fear for the unpredictable and uncontrollable that can´t be foreseen. The powerlessness make the caregiver to question her professionalism andcompetence. The result showed that carers experienced fear of people with mental illness. Carers had difficulty understanding the patients life-world when it experienced incomprehensible and frightening. There was also fear in carers losing control and not to be sufficiently skilled in their profession. When the caregiver felt that she could not maintaincontrol, she was compelling in its approach to the patient and took the control to respond to her, witch affected the relationship negatively. It was found that caregivers were feared of being injured by patients. The results also showed that fear was making the caregiver rejective. This fear blocks the caring relationship. When the caregiver instead affirms her fearand accept it the conditions increase for the establishment of a caring relationship with the patient.</p>

Fear among caregivers in mental health care has always existed. Fear is a basic feeling that will protect us from dangerous situations and it makes itself constantly reminded in the care of mentally ill patients. The feeling makes the carer distanced in the relationship. A distancemean consequences for the patient. When the caregiver don´t relieve the patients suffering, the health process stops and she remains in her suffering. The study is a qualitative literature review with latent content analysis of seven scientific articles. The results revealed three categories that describe the meaning of the caregivers fear and how it affects the caring relationship. The first category is about that caregivers is forced by their duty where it is found that caregivers, despite their fear, acts out of her duty as a constraint, or inside as a virtue. The second category includes the other's frightening world where caregivers is fear ofwhat is experienced as and incomprehensible. The third and final category is about mutual powerlessness where caregiver experience fear for the unpredictable and uncontrollable that can´t be foreseen. The powerlessness make the caregiver to question her professionalism andcompetence. The result showed that carers experienced fear of people with mental illness. Carers had difficulty understanding the patients life-world when it experienced incomprehensible and frightening. There was also fear in carers losing control and not to be sufficiently skilled in their profession. When the caregiver felt that she could not maintaincontrol, she was compelling in its approach to the patient and took the control to respond to her, witch affected the relationship negatively. It was found that caregivers were feared of being injured by patients. The results also showed that fear was making the caregiver rejective. This fear blocks the caring relationship. When the caregiver instead affirms her fearand accept it the conditions increase for the establishment of a caring relationship with the patient.

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Bakgrund: Mentalsjukhus upprättades på 1900-talet runt om i västvärlden för att separera obildbara sinnesslöa från samhället. Mentalsjukhusen hade ett uppfostrande syfte, men generellt blev det förvaring av patienterna. Mentalsjukhusen byggdes på moraliska samhälls-ideologier som motiverades med hjälp av medicinsk vetenskap. Med framsteg i antipsykotiska farmaka minskade behoven för mentalsjukhusen, som börjades avvecklas på 1960-talet. Syfte: Syftet är att belysa skötares upplevelser av det patientnära arbetet på Sankta Maria mentalsjukhus i Helsingborg. Metod: Tematisk analys av semistrukturerade intervjuer. Slutsats: Skötare både acklimatisera sig till rollen som skötare och kände sig motstridig till den. Utöver personal hierarkier var kunskap var en faktor till skötarnas arbete och metod / Background: Asylums were established in the 2000 - century around the western world to separate the feeble minded from society. Asylums hade a fostering purpose, but generally it became storage of patients. Asylums was foundation om society’s moral ideology and was legitimatise with the help of medical science. Progress in pharmaceuticals diminish the need for asylums, which started to get dismantled in the 1960’s. Purpose: Purpose is to enlighten psychiatric aids experience of the close patient work in Saint Marys asylum in Helsingborg.Method: A thematic analysis of semi structured interviews. Conclusion: Psychiatric aids both acclimated to the role as psychiatric aids and felt contradictory to it. Knowledge was a key factor, besides staff hierarchy, to the psychiatric aids work and method.