treating people with psychosis in institutions a psychoanalytic perspective

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Treating People With Psychosis In Institutions

Author : Belinda S. Mackie
ISBN : 9780429923340
Genre : Psychology
File Size : 90. 2 MB
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This book brings together the histories of a number of psychoanalytically-informed hospitals, and provides a synthesis of the theoretical underpinnings in the institutional practice of each. Of particular interest is how psychoanalysts and psychoanalytically-trained staff working in institutions apply their theoretical understanding, and in what ways the psychoanalytic technique has been modified or adapted to the treatment of individual patients with psychosis and to the workings of an institution in general. Here the institution is the subject of the case study. Institutions that are theoretically orientated to psychoanalysis were chosen and examined, taking into account their various approaches to the treatment. A number of institutional models that are informed by psychoanalysis offer a guide to the treatment and present a version of institutional practice that is different from the prevailing models in psychiatry. This has implications for health services in the current climate of mental health reform.Psychoanalysis has its greatest efficacy in long-term treatments and has shown its suitability for patients diagnosed with psychosis when the method is adapted to the uniqueness of each person and is conducted by an experienced clinician. The treatment of psychosis cannot usually be conceived without considering some form of institutional care, although this does depend on the level of the individual's psychopathology. This is because the majority of people with a psychotic illness, especially those with schizophrenia, will be exposed to inpatient, community or outpatient treatment, in one form or other, during the course of their lives.

Above The Ground And Beneath The Clouds

Author : Yannis Grammatopoulos
ISBN : 9780429910531
Genre : Psychology
File Size : 70. 9 MB
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Above the Ground and Beneath the Clouds examines the history, conceptualisation, and treatment of the psychotic sub-type of schizophrenia, as this is advocated by psychoanalysis of Lacanian orientation, which is contrasted to modern psychiatry. The book's main focus is the status of the schizophrenic body and language. The ways in which these concepts can be of theoretical and clinical use in contemporary clinical settings are examined throughout.The book consists of three parts. The first part comprises the theoretical investigation of schizophrenia in early 20th century psychiatry and in the theory and teaching of Freud, Lacan, and other influential psychoanalysts. The second part presents the fascinating case of the late 19th century Greek writer Georgios Vizyenos, who invented an extraordinary way to anchor the body before his admission to a psychiatric institution in 1896. The third part discusses the implications of those findings for the contemporary psychoanalytic diagnosis and treatment of schizophrenia.Assisted by examples from the author's clinical experience and from literature and art, this book sheds invaluable light on probably the most obscure sub-type of psychosis. It will be of help to academics, clinicians, trainees, and anyone who is interested in the way contemporary psychoanalysis approaches the persistently challenging subject of madness.

Suffering Insanity

Author : R. D. Hinshelwood
ISBN : 9781583918944
Genre : Medical
File Size : 30. 29 MB
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When madness is intolerable for sufferers, how do professional carers remain sane? Psychiatric institutions have always been places of fear and awe. Madness impacts on family, friends and relatives, but also those who provide a caring environment, whether in large institutions of the past, or community care in the present. This book explores the effects of the psychotic patient's suffering on carers and the culture of psychiatric services. Suffering Insanity is arranged as three essays. The first concerns staff stress in psychiatric services, exploring how the impact of madness demands a personal resilience as well as careful professional support, which may not be forthcoming. The second essay attempts a systematic review of the nature of psychosis and the intolerable psychotic experience, which the patient attempts to evade, and which the carer must confront in the course of daily work. The third essay returns to the impact of psychosis on the psychiatric services, which frequently configure in ways which can have serious and harmful effects on the provision of care. In particular, service may succumb to an unfortunate schismatic process resulting in sterile conflict, and to an assertively scientific culture, which leads to an unwitting depersonalisation of patients. Suffering Insanity makes a powerful argument for considering care in the psychiatric services as a whole system that includes staff as well as patients; all need attention and understanding in order to deliver care in as humane a way as possible. All those working in the psychiatric services, both in large and small agencies and institutions, will appreciate that closer examination of the actual psychology and interrelations of staff, as well as patients, is essential and urgent.

Psychosis Psychoanalysis And Psychiatry In Postwar Usa

Author : Orna Ophir
ISBN : 9781317584896
Genre : Psychology
File Size : 22. 88 MB
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Covering the last four decades of the 20th century, this book explores the unwritten history of the struggles between psychoanalysis and psychiatry in postwar USA, inaugurated by the neosomatic revolution, which had profound consequences for the treatment of psychotic patients. Analyzing and synthesizing major developments in this critical and clinical field, Orna Ophir discusses how leading theories redefined what schizophrenia is and how to treat it, offering a fresh interpretation of the nature and challenges of the psychoanalytic profession. The book also considers the internal dynamics and conflicts within mental health organizations, their theoretical paradigms and therapeutic practices. Opening a timely debate, considering both the continuing relevance and the inherent limitations of the psychoanalytic approach, the book demonstrates how psychoanalysts reinterpreted their professional identity by formalizing and disseminating knowledge among their fellow practitioners, while negotiating with neighboring professions in the medical fields, such as psychiatry, pharmacology and the burgeoning neurosciences. Chapters explore the ways in which psychoanalysts constructed – and also transgressed upon – the boundaries of their professional identity and practice as they sought to understand schizophrenia and treat its patients. The book argues that among the many relationships psychoanalysis sustained with psychiatry, some weakened their own social role as service providers, while others made the theory and practice of psychoanalysis a viable contender in the jurisdictional struggles between professions. Psychosis, Psychoanalysis and Psychiatry in Postwar USA will appeal to researchers, academics, graduate students and advanced undergraduates who are interested in the history of psychoanalysis, psychiatry, the medical humanities and the history of science and ideas. It will also be of interest to clinicians, health care professionals and other practitioners.

Psychoanalytic Perspective On A Turbulent World

Author : Halina Brunning
ISBN : 9781855758100
Genre : Psychology
File Size : 62. 29 MB
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This is a much needed book, giving a readable, insightful and constructive perspective on many of today's societal, political and economic ailments. It is my fervent hope that it finds a large readership in the leadership echelons of our society. Whoever reads it will have difficulty putting it down, as the content is gripping.'-Anton Obholzer, psychoanalyst and organisational consultant, former Director Tavistock Centre, London 'At a time when our world badly needs thinking that takes us out of our conventional boxes, these papers bravely and thoughtfully offer new perspectives on key problems. The authors gathered together in this important volume show how terrorism, war, financial crisis, and corporate irresponsibility gain much of their intractable power by drawing on unconscious motives and working through unseen mechanisms. They also help us to understand the extraordinary demands placed on our leaders.' Ken Eisold, former President, The International Society for the Psychoanalytic Study of Organizations (ISPSO); founding faculty and former Director, Organization Program, The William-Alanson White Institute; award winning author of What You Don't Know You Know This impressive book should convince even the most hardened sceptic that psychoanalysis is not dead! It clearly demonstrates that it is alive, fresh and relevant to the most challenging problems facing the world today. This book shows that systems-psychodynamic thinking, in the hands of leading academics and practitioners in our field, can be applied to situations of war and conflict, including terrorism; institutions in crisis, including the world financial crisis; and to changing ways of approaching leadership, power and authority. Both breathtaking insights and unexpected and creative ways of intervening are revealed throughout.'-Clare Huffington, organisational consultant and executive coach, President of ISPSO 'In the line of Freud's Civilization and its Discontents, this book is a remarkable attempt to apply psychoanalytic knowledge to the external reality, a task which is far from being easy. Here, the quality of the various chapters and authors gathered by Halina Brunning and Mario Perini help throw an original and meaningful light on key, and sometimes dramatic, aspects of our present society. One of the merits of this book, and not the least, is the authors' ability to articulate psychoanalysis with other social sciences.'-Gilles Amado, Professor of Organisational Sociopsychology at HEC School of Management, Paris, a founding member of ISPSO and a member of the French Society for Psychoanalytic Group Psychotherapy (SFPPG) 'In a world marked by political violence and economic chaos this book offers a sustained, imaginative and critical challenge to rationalist models of understanding and intervention. Global in its range of authors and case studies, Psychoanalytic Perspectives on a Turbulent World reaffirms the continued relevance of psychoanalysis to the understanding of social, political and economic life today.'-Paul Haggett, Professor of Politics, Director of the Centre for Psycho-Social Studies, University of the West of England, Bristol

Making Room For Madness In Mental Health

Author : Marcus Evans
ISBN : 9781782203292
Genre : Psychology
File Size : 30. 7 MB
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In this book, Marcus Evans argues that in addition to providing a helpful treatment for patients who suffer from serious psychological difficulties, psychoanalytic thinking can also help mental health staff develop a better understanding of their patients and complement other ways of thinking about mental disturbance. Mental health professionals need to be receptive to their patients’ projections and communications, but these powerful projections can become overwhelming, especially for clinicians who are in direct contact with their patients for long periods of time. A psychoanalytic model which puts the understanding of the relationship between the clinician and patient at the centre of its preoccupations can also give mental health professionals a language for describing their experiences of, and interactions with, their patients. This model is developmental and provides a dynamic picture of the ways in which different parts of the patient’s self wrestle for control of the patient’s mind over time. Evans argues that this framework for understanding can help in the day-to-day management of these changes and fluctuations. Evans believes that the diagnosis and active interventions employed by psychiatry need to be accompanied by a receptive approach to treatment and care. Mental health professionals need to be interested in the meaning of their patient’s symptoms and verbal and physical communications. These may convey important information about the patient’s internal world and underlying conflicts. This receptive approach requires mental health professionals to make a switch from the active state of mind demanded by active interventions, to the receptive state of mind required by the need to take in the patient’s emotional state and underlying personality structure. Making Room for Madness in Mental Health draws on the author’s extensive experience of working psychoanalytically with people with severe and enduring mental illness, as well as providing psychoanalytic supervision and consultation in a range of mental health settings to show how psychoanalytic ways of thinking may complement other approaches to mental disturbance by highlighting the communication and meaning of such disturbance. This is illuminated by lively clinical vignettes, supported by accessible accounts of key psychoanalytic theory. Working with people with mental illness can be rewarding and enlightening. It can also be disturbing, frightening, boring, frustrating, anxiety provoking and stupefying. Evans argues that we need to provide room and space for mental health professionals to reflect upon and think about their experiences on a day-to-day basis, and to train clinicians to senior levels in order that they can offer clinical supervision to front-line staff, which can help them develop ideas about the meaning of their patients’ symptoms and behaviours. Psychoanalysis offers a model for thinking about and providing meaning for, the anxieties that drive us ‘out of our minds’, and this can reduce the risk of thoughtless action. To some extent this involves putting the madness back into mental health.

Outpatient Treatment Of Psychosis

Author : David L. Downing
ISBN : 9781782203346
Genre : Psychology
File Size : 35. 54 MB
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This book offers a practitioner’s guide to evidence-based practice in working with psychotic patients in an outpatient setting by clinicians and scholars who are internationally recognized for their work in treating severe psychopathology. Topics cover conceptual, technical, and practical considerations in the parameters of working with adult and adolescent populations that exhibit thought disorder, delusions, hallucinations, borderline organizations, trauma, and schizoid phenomena. Different theoretical models are presented from psychoanalytic traditions that introduce the student and practitioner to eclectic ways of conceptualizing and treating these challenging clinical groups. Concrete approaches to establishing a proper treatment environment, working alliance, symptom management, managing countertransference, and facilitating a therapeutic framework are provided. Various psychodynamic techniques are demonstrated by master clinicians through the extensive use of clinical case material culled from outpatient settings that illustrate how psychoanalytic perspectives enrich our understanding of the psychotic spectrum and lead to therapeutic efficacy.

Treating Attachment Disorders

Author : Karl Heinz Brisch
ISBN : 9781462504831
Genre : Psychology
File Size : 73. 81 MB
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Organized around extended case illustrations—and grounded in cutting-edge theory and research—this highly regarded book shows how an attachment perspective can inform psychotherapeutic practice with patients of all ages. Karl Heinz Brisch explores the links between early experiences of separation, loss, and trauma and a range of psychological, behavioral, and psychosomatic problems. He demonstrates the basic techniques of attachment-based assessment and intervention, emphasizing the healing power of the therapeutic relationship. With a primary focus on treating infants and young children and their caregivers, the book discusses applications of attachment-based psychotherapy over the entire life course. New to This Edition*Incorporates advances in research on neurobiology, genetics, and psychotraumatology.*Expanded with a section on inpatient treatment for traumatized children, including in-depth cases.*Describes two promising prevention programs for expectant couples, families, and young children.*The latest knowledge on disorganized attachment, attachment disorders, and assessments.

The Shadow Of The Second Mother

Author : Prophecy Coles
ISBN : 9781317578369
Genre : Psychology
File Size : 22. 97 MB
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The Shadow of the "Second Mother" explores why has there been such little interest, in psychology, social history and biography, in the important contribution that ‘second mothers’, such as wet nurses and nannies, have had upon the emotional life of the children they have nursed. For the last three thousand years and throughout most civilisations they have nurtured the children of the privileged, and kept alive the abandoned and unwanted child, and yet there has been a profound silence surrounding the influence they may have had. The author explores the lives of several well-known people who have been wet nursed, such as Michelangelo, Rousseau, Jack London, Nabokov and Klein. She speculates that they all were affected emotionally by their ‘second mother’, and concludes that a universal feature of such delegated mothering seems to be that the bond between mother and child is broken, and the child may be left with a life-long distrust of close relationships. In The Shadow of the "Second Mother", Coles combines an exploration of attachment theory with neurology, making it possible to give an explanation as to why these important figures have lain unnamed and ignored in our social and psychological consciousness. This intriguing new approach to an ancient practice will be fascinating reading for psychotherapists, psychoanalysts, sociologist and students of social history.

Living On The Border

Author : David Bell
ISBN : 9781855756014
Genre : Psychology
File Size : 48. 34 MB
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This book centers on the problem of psychosis, understood from a psychoanalytic perspective, as it manifests itself in different contexts and different levels of organization: from the individual psychoanalytic session, through work with couples, groups and institutions and wider levels of social organization. Beginning with a discussion of the psychoanalytic approach to psychosis centering on the work of Freud, Klein and the Post-Kleinians, it goes on to cover individual, couple and group therapy with psychotic patients. It draws on clinical material and theoretical discussion to explore the links between psychotic processes on different levels. This work is aimed at different professionals working within the psychodynamic frame of reference: individual psychotherapists, couple and family and group psychotherapists; organizational consultants and trainees in different therapies. As well as this it will be a useful resource to nurses, doctors and social workers who work with very disturbed patients and wish to learn about psychotic processes.

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