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Exploraciones familiares extendidas utilizando sueños, dibujos y juegos con un niño que no habla
No full textBringing up the bodies: Psyche–soma, body awareness and feeling at ease
No full textThis paper looks at how difficult early experiences can give rise to defences in which patients rely excessively on their minds, or on bodily activity, having little faith in good reliable objects, internal or external, and little capacity for relaxation and just being. Links are made between Winnicott's theories about mind and psyche–soma and Porges' more recent ideas about vagal tone and the parasympathetic nervous system. These ideas are illustrated with a number of clinical examples of patients who were distrustful of others and who were out of touch with their bodily states. Attention is paid to the need to become more ‘body aware’ in our clinical technique, and questions are asked as to how we might manage this
Concomitant psychiatric problems and hormonal treatment induced metabolic syndrome in gender dysphoria individuals: A 2 year follow-up study
No full textObjective:
Several studies indicate increased prevalence of metabolic syndrome (MetS) among patients with psychiatric disorders as well as among individuals with gender dysphoria (GD) treated by cross-sex hormonal treatment. However, the MetS prevalence among hormone treated GD individuals suffering from psychiatric problems has not been detected.
Methods:
From a sample of 146 GD patients we selected 122 metabolically healthy individuals in order to investigate the prevalence of MetS after the beginning of the cross-sex hormonal treatment in a 2 year follow-up assessment. Furthermore, we assessed differences in MetS prevalence between hormone treated GD patients with and without concomitant psychiatric problems.
Results:
When treated with hormone therapy, GD patients reported changes in several parameters which are clustered in MetS, with statistically significant differences compared to baseline. Glyco-insulinemic alterations were more pronounced in male to female patients (MtFs). However, weight gain, waist circumference increases, blood pressure increases, and lipid alterations were similar in MtFs and female to male patients (FtMs). 14.8% of the sample at year 1 and 17.2% at year 2 developed MetS. Among patients with concomitant psychiatric problems, 50% at year 1 and 55% at year 2 developed MetS against 8% at year 1 and 10% at year 2 of patients without concomitant psychiatric problems.
Conclusion:
This study indicates that sex hormones induce MetS in a relatively low proportion of healthy GD individuals and especially during the first year of hormonal treatment. Most importantly, concomitant psychiatric problems are associated with considerably greater MetS prevalence in hormone treated GD individuals
Towards belonging: Negotiating new relationships for adopted children and those in care
No full textThis book includes a wide range of interested observers and practitioners in the field of children in care and adoption, focusing on a core aspect of their emotional well-being and mental health. It focuses in particular on psychoanalytic, systemic and attachment theory approaches to the question of 'belonging': can these children allow themselves to belong to their new families, and also can these new families allow themselves to belong to these children? Highly innovative clinical work with these children in various settings is discussed alongside chapters that provide thought-provoking commentaries from practitioners surveying the often extremely disturbing societal and systemic landscape for the emotional lives of these children.
The book is written to be accessible to clinicians, practitioners, researchers, policy advisors and students of all disciplines who have an interest in or brief to work with fostered and adopted children. It is hoped that the book will be used for teaching purposes on courses qualifying professionals across the child development, mental health and social care spectrum
Sexualities: Contemporary psychoanalytic perspectives
No full textSexualities: Contemporary Psychoanalytic Perspectives presents a broad selection of contemporary psychoanalytic thinking on sexuality from a wide range of psychoanalytic traditions. Sexuality remains at the heart of much psychoanalytic theory and practice but it is a complex and controversial subject. Edited by Alessandra Lemma and Paul E. Lynch, this volume includes a range of international contributions that examine contemporary issues and trace common themes needed to understand any sexuality, including the basics of sexuality, and the myriad ways in which sexuality is lived
Breaking down barriers: Developing an approach to include fathers in children’s social care.
No full textThe thesis describes a piece of research undertaken by a group of social work practitioners who experimented with different techniques and practices in their work-place in an attempt to include fathers. The research took place over a thirty-six month period in a Local Authority Children’s Service in London. The research was supported by senior managers within Children Social Care and by the Local Safeguarding Children Board.
The research asks why and how fathers have been excluded from children and family social work. The research goes on to asks what strategies, methods, conditions and techniques promote inclusive practice for fathers whilst examining the role of ‘the self’ as a researcher, practitioner and participant. The research strategy was based on the participation of practitioners in a co-operative inquiry supported by ‘a before and after’ case file audit designed to test whether the co-operative inquiry, which operated within a ‘front-line’ child protection service, brought about practice change.
The aims of the research were; to design and implement a co-operative inquiry, instigate a range of inclusive targets to support the implementation of a father inclusive strategy across the whole system.
The research concluded that children and family social work is one of the few institutions to confront the perversities and abuses of traditional gender and power relations and this confrontation has led to ‘paternal alienation’.
The work of the co-operative inquiry led to an increase in fathers identified and assessed. An increase in fathers attending meetings and reviews and an increase in fathers recorded as having parental responsibility and an increase in contact arrangements for fathers. There was also a sizeable increase in social workers’ considering the father’s situation in ongoing planning for the child.
We learnt that we can include fathers if there is ‘a whole system and a participative approach’ which identifies how covert power and gender relations influence behaviour in practice. To achieve greater father inclusion social workers’ anxieties need to be contained through safety planning systems and quality reflective supervision. For fathers to be included senior managers must support the activity in the long term, (ten to fifteen years), collect data and set targets whilst strategically committing and realigning resources to meaningfully address domestic abuse.
The research identified that organisational change is possible if the conditions to foster emergence are in place, if the culture that operates in the organisation
supports emergent creativity whilst espousing staff cohesion simultaneously championing social worker empowerment.
This research adds to knowledge in the areas of; father inclusion, risk assessment in child protection, domestic abuse, management, gender and power relations, leadership, group work, participation and collaboration in achieving organisational change
Dyscalculia: Tools to help
No full textAn examination of mathematical development in children and how this is revealed in the classroom
An evaluation of group supervision in a specialist provision supporting young people with mental health needs: A social constructionist perspective
No full textThis research aimed to explore the use of group supervision with staff supporting young people with social, emotional and mental health needs in a specialist education setting. Educational Psychologists led fortnightly group supervision sessions in order to promote collaborative problem solving and to acknowledge the emotional impact of the role on staff. Method: The project was undertaken over a 12-month period and a focus group was completed in order to evaluate the experience of group supervision from key workers' perspectives. Data was analysed using thematic analysis. Findings: Findings indicated that group supervision had a positive impact on team communication and coherence. Individuals also reported becoming more self-aware in role and experiencing enhanced problemsolving skills in relation to young people's emotional presentation. The practical implementation of group supervision was also found to be important to participants and suggestions for development are discussed. Limitations: It is recognised that this was a small-scale piece of research, describing the views of particular individuals in a particular setting and that evaluation was conducted by the researchers. Further research with key stakeholders is required to identify whether data which evidences changes to key workers' practice is triangulated by information from a range of sources. Conclusion: It is proposed that using a social constructionist perspective within a group supervision context can promote shared understanding and facilitate change in a context where mental health needs are present
What is the impact of intermittent strabismus upon the therapeutic relationship?
No full textThis study asks: ‘How does intermittent strabismus impact upon the therapeutic relationship?’ A template organising style has been used to analyse child psychotherapy process records of children who suffer from intermittent strabismus during assessments for child psychotherapy. The research utilises ideas from the field of ophthalmology in order to assist in the development of a psychotherapeutic understanding of this condition. The themes that emerge from the analysis of the clinical data, together with an exploration of the relevant ophthalmic, psychoanalytic, and child development literature, have elaborated how intermittent strabismus might influence the transference and counter-transference, in a way that potentially promotes a fragmentary quality of emotional relatedness. It is suggested that this may challenge the child’s ability to maintain their relationship with the external world. It also illustrates, thematically, how child psychotherapists might respond to this negative influence by emphasising their own visual reciprocity, thereby aiding the child’s visual and emotional coherence. Also, when they do this, it might appear to correspond with the child’s ability to explore both their inner and outer environment reflectively. It is suggested that the findings might beneficially influence practice within the consulting room