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Not just a talking shop: practitioner perspectives on how communities of practice work to improve outcomes for people experiencing multiple exclusion homelessness
No full textWithin homelessness services recent policy developments have highlighted the need for integration and improved collaborative working and also, the need for 'Psychologically Informed Environments' (PIES) in which workers are better equipped to manage the 'complex trauma' associated with homelessness. Drawing on the findings of an evaluation of a multi-site development programme, this paper demonstrates how both these policy aspirations might be implemented through a single delivery vehicle (a community of practice). The paper describes how organizational, educational and psychosocial theory was used to inform programme design and reflects on the utility of these approaches in the light of the evaluation findings. It is reported that communities of practice can deliver significant performance gains in terms of building collaborative relationships and opening-up opportunities for interprofessional education and learning. Filling an important knowledge gap, it also suggested how (professional) participation in a community of practice might work to improve outcomes for service users. Most likely we see those outcomes as being linked to tackling exclusion by sustaining the workforce itself, that is in motivating workers to remain engaged and thinking positively in what is an emotionally challenging and stressful job role
Resource-ful consulting: Working with identity and presence in consulting to change
No full textConsultants and practitioners working with change can feel at a loss as to how to help their clients move forward. Organisations get stuck in routine ways even when they have innovations in mind. Consultants get stuck in familiar interventions which no longer prove stimulating or effective. Such challenges to practice can preoccupy and reinforce these stuck positions. Drawing on the authors' experiences of working with the professional development of consultants and change-agents over many years, this book provides an asset-based approach to consulting, where the resources to work at this 'stuckness' come from the way that we think about and use ourselves: our Identity and our Presence. The authors propose that developing capacities to recognise and analyse who we bring into our consulting, and how we bring ourselves is central to resource-ful practice. Without a skill-ful integration of these resources, the potential for change can be compromised. In handbook format, the book is structured in seven sections: Potential Space, Identity, Presence, Role Space, Practice, Change, and Future Developments. Focussing on practitioners' preoccupations, the authors offer models, theories, tales and activities to help describe and analyse your Identity and your Presence. They tell stories which question how your Practice supports or compromises change, and suggest playful experimentation as a route to Change, and the development of a more resource-ful approach to your consulting practic
Contrainte a mourir: Psychotherapie d’une jeune fille qui ne parle pas, ne marche pas, ne s’alimente pas
No full textExplorations familiales approfondies à l’aide de rêves, de dessins et de jeux lorsque l’enfant qui nous est adressé ne parle pas
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Psychoanalytically-informed clinical supervision of staff in probation services
No full textAt a time of considerable organisational change within Probation Services, the authors describe a new initiative to offer psychoanalytically-informed clinical supervision to frontline probation officers, linked to the development of a care pathway for offenders with personality disorders. An analysis of feedback forms from supervisors during the first months of this project highlighted the typical countertransference challenges of probation work. In subsequent months, concerns about organisational change were increasingly evident in supervision, possibly amplifying existing concerns about risk, formulation and management of countertransference responses. The complexities of offering containment and supervision to probation officers, at a time when they were anxious about the security of their organisational ‘container’, are explored
Working with problems of perversion
No full textPsychoanalytic psychotherapists increasingly find themselves treating patients who present with problems of compulsive sexual behaviour or sexual perversions. Drawing from clinical examples and theoretical perspectives, the author delineates six key themes which encapsulate her own learning when commencing work with perverse patients. The first is the heterogeneity of this group of patients, both in terms of symptoms and presentation, but also in terms of the depth and developmental implications of the pathology. Further themes are the patient's fear of the object and the inability to bear separation. The author explores the significance of negative countertransference which may be experienced in relation to perverse patients, as well as the risks of being drawn into exhibitionistic or voyeuristic dynamics. Finally, the nature of the superego in perverse patients and the impact of this on the transference are discussed drawing on O'Shaughnessy's notion of the abnormal superego
The inner world of Doctor Who: Psychoanalytic reflections in time and space
No full textAs Doctor Who approaches its fiftieth anniversary recent series have taken the show to new heights in terms of popular appeal and critical acclaim.The Doctor and his TARDIS-driven adventures, along with companions and iconic monsters, are now recognised and enjoyed globally. The time is ripe for a detailed analytic assessment of this cultural phenomenon.
Focussing on the most recent television output The Inner World of Doctor Who examines why the show continues to fascinate contemporary audiences. Presenting closely-observed psychoanalytic readings of selected episodes, this book examines why these stories of time travel, monsters, and complex human relationships have been successful in providing such an emotionally rich dramatization of human experience. The Inner World of Doctor Who seeks to explore the multiple cultural and emotional dimensions of the series, moving back and forth from behind the famous sofa, where children remember hiding from scary monsters, and onto the proverbial psychoanalytic couch. The approach that the authors take recognizes the richness that Doctor Who contains, episode by episode and in its culture and mythos, in order to show how Doctor Who adventures can be appreciated in the acknowledgement that both sofa and couch provide lively places from which to enjoy the stories as they continue to unfold for the next fifty years
Engaging with psychosis: A psychodynamic developmental approach to social dysfunction and withdrawal in psychosis
No full textEngaging and sustaining constructive relationships with people affected by psychosis is a challenge for clinicians, services and carers. Social dysfunction, withdrawal, negativity and hopelessness are inherent and intractable features of psychosis. We propose that the social difficulties experienced by people affected by psychosis can be addressed through the psychodynamic identification of a psychotic part of mind. In this view, people vulnerable to psychosis are affected by problems that originated during their early psychosocial development. This results in an encapsulation of omnipotent processes, which are a normal and necessary part of infant and child development; however, using these omnipotent processes in adulthood compromises social functioning. Drawing on clinical examples from our work in psychosocial recovery services, we demonstrate how the impact of the psychotic part of mind is expressed in ‘negative omnipotence’ and ‘ethical reversals’, and how ‘diplomatic interventions’ can help sustain engagement and improve psychosocial outcomes for people with psychosis