Psychoanalytic Thinking in Mental Health Settings

Psychoanalytic Thinking in Mental Health Settings

"This book demonstrates the use of psychoanalytic thinking in front line mental health settings and aims to make available an approach to working with emotional and mental disturbance to a wide range of clinicians within psychiatric and other mental health settings. Rooted in the author's...

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Bibliographic Details
Main Author: Evans, Marcus
Format: eBook
Language:English
Published: Milton : Taylor & Francis Group, 2020.
Subjects:
Psychotherapy.
Mental health personnel and patient.
Psychoanalytic interpretation.
Mental health services.
Mental health personnel and patient
Mental health services
Psychoanalytic interpretation
Psychotherapy
Online Access:Click for online access
Table of Contents:
  • Cover
  • Half Title
  • Title Page
  • Copyright Page
  • Dedication
  • Table of Contents
  • Foreword
  • Preface
  • Acknowledgements
  • Background
  • Chapter 1 Introduction
  • Relationship with management
  • Support for clinical staff
  • References
  • Chapter 2 Theory in practice
  • Freud's structural theory of the mind
  • The transference and the counter-transference
  • The paranoid-schizoid and depressive positions
  • Reparation and manic reparation
  • Projective identification
  • The container and the contained
  • The Oedipal triangle and symbolic thinking
  • Symbolisation and concrete thinking
  • The psychotic and non-psychotic parts of the mind
  • The internal narcissistic gang
  • Conclusion
  • References
  • Chapter 3 Supervision and consultation: Tuning in to psychotic communications in front-line mental health settings
  • Case example 1: The differentiation between health and illness
  • Case example 2: Denial and rationalisation
  • Case example 3: The psychotic and non-psychotic parts of the self
  • Case example 4: The psychotic patient's murderous attack on sanity
  • Attempts to eradicate the psychosis
  • Discussion
  • Conclusion
  • References
  • Chapter 4 Therapeutic and anti-therapeutic factors in therapeutic relationships
  • Psychotic defences
  • Therapeutic relationships
  • Case example 1: Transference enactment
  • Over identification
  • Case example 2: The effect of projective identification on the therapeutic relationship
  • Case example 3: Responding to psychotic forces in the counter-transference
  • Case example 4: The infectious nature of psychotic communications
  • Discussion
  • Conclusion
  • References
  • Chapter 5 Psychoanalytic understanding of depression and suicidal risk
  • Assessment of suicidal risk
  • Therapeutic engagement
  • Case example 1: Pre-suicidal state-breakdown of an illusion
  • Case example 2: Collapse of an illusion
  • Case example 3: Pressure on the clinician to be the ideal object
  • Case example 4: The role of unconscious phantasy in the therapeutic relationship
  • Case example 5: States of chronic suicidality
  • Discussion
  • Conclusion
  • References
  • Chapter 6 Psychotherapeutic work with emotionally unstable personality disorder
  • Case example 1: Paranoid-schizoid position
  • Case example 2: The concrete nature of communication
  • Case example 3: The search for a supportive relationship
  • Case example 4: Separation from a tyrannical internal figure
  • Technical challenges
  • Discussion
  • Conclusion
  • References
  • Chapter 7 Tuning in to psychotic communication on a psychiatric intensive care unit
  • Case example 1: Breakdown in symbolic thinking
  • Case example 2: Assault on sanity
  • Case example 3: The delusion as a defence against depressive breakdown and fragmentation
  • Case example 4: The in-patient unit as a container that helps the patient bear psychic pain
  • Discussion
  • Conclusion
  • References

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