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The art of leading and following: A workplace tango
No full textThis article describes my experiences of leading a commissioned child mental health service through a process of change in my role as manager. The article uses the metaphor of the Argentine tango to conceptualize my efforts to implement leadership in my work. I look at the influence of the music, the relationship between leadership and followership, and the idea of mutual presence to draw out aspects of my experience.
In so doing, I relate theory to practice and bring together various theories of leadership in a creative synthesis. The article draws away from realist notions of management theory to ask how it is that we perform leadership. It suggests that we do so by the provision of an ‘intelligible formulation’ of chaotic events. This can be reached through the reflective understanding of the nature of the work. It can also be striven toward through creative acts of ‘discernment’ of the practices of the agency. These acts are fostered through the distribution of leadership that simultaneously dissolves yet persists. The need for mutual presence is highlighted and the role of leadership outside the immediate circle of authority is examined. The use of the Argentine tango as a metaphor draws together these various strands and provides a clear conceptual framework in this autoethnographic article
Internet pornography and paedophilia
No full textVarious indices of use of Internet pornography have drawn attention to the extent of adult sexual interest in children; clinical experience and now research evidence are accumulating to suggest that the Internet is not simply drawing attention to those with existing paedophilic interests, but is contributing to the crystallisation of those interests in people with no explicit prior sexual interest in children. Drawing on clinical experience in a specialist NHS outpatient psychotherapy service, the author argues that a dichotomous notion of paedophilia is no longer tenable, and any model of paedophilia needs to take account of eruptions of a sexual interest in children in those who appear not to be consistently paedophilic and who have had adult-to-adult sexual relationships. This phenomenon is analysed in two ways: first, by considering how it is that the adult sexual adaptation might ‘unravel’ under the influence of Internet sex to reveal underlying paedophilic currents and second, by revisiting general and psychoanalytic theories of paedophilia and by considering how predisposing factors to paedophilia might be amplified through access to Internet pornography
A school in mind: An investigation of the stresses, pressures and challenges faced by primary school head teachers in a context of organizational change in schools
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Transformation: Jung's legacy and clinical work today
No full textThe book offers a challenging reading of the legacy of C.G. Jung, who offered fascinating insights into the psyche but did not provide a theoretical framework for clinical work. Thus, clinicians are faced with both the richness and lacunae of Jung’s legacy and how to work with it.
This challenge is taken up by distinguished post-Jungian thinkers from Britain, Europe and the US who, in fertile contact with psychoanalysis, reassess Jung’s work and propose new tools for clinical practice. By looking anew at concepts such as maternal containment, affect, ego formation and ego strength, infantile loss, envy and friendship they find ways of working that integrate Jung’s thought with Post-Jungian developments and a psychoanalytic approach.
By bringing together contemporary clinicians who approach their work from the lived experience in the consulting room, rather than adherence to particular theories, the book is intended for clinicians of different schools who are interested in a deeper understanding of the relationship between patient and analyst and in integrating ideas that might be useful.
Transformation will be essential reading for all those interested in exploring various approaches to clinical work and the application of Jung’s ideas, including experienced clinicians in work with adults and children as well as students of psychotherapy and counselling
Rethinking placebo in psychiatry: How and why placebo effects occur
No full textThis article outlines proximate (physical and mental) and ultimate mechanisms of placebo effects. Interpersonal processes contributing to placebo effects are reviewed and illustrated through research into the process of psychotherapy. Evolutionary theories of how and why the capacity for placebo effects might have evolved are described. The components of treatment and placebo effects are defined. It is concluded that maximising therapeutic placebo effects is effective and a valid clinical goal