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Finding a place for the baby: Complexity and congestion in the transition to parenthood
No full textThis paper describes the setting up and the work of the first year of a therapeutic service for teenage parents who are expecting their first baby and embarked on the transition to parenthood. The importance of early intervention to support parents to develop their capacity to be sensitive and attuned to their babies and the importance of supporting the relationships around the new parent is emphasised. The paper describes three broad groups of referrals and the complexity of engaging teenage parents in therapeutic work
Finding a voice: A journey towards being assertive
No full textThis is a case study of two depressed women who were able to benefit from a 16-week course of InterpersonalPsychotherapy. This well-established brief psychotherapy has become increasingly available throughout the UK. The focus of this biopsychosocial approach that is on change within the patients interpersonal world means a more active goal-focused approach that addresses symptomatic and emotional concerns using the individuals narrative. In both cases, there was a significant reported change in their depression, initial presenting problems, understanding of their difficulties and interpersonal functioning
The significance of dreams: Bridging clinical and extraclinical research in psychoanalysis
No full textThis book looks at dreams from a twenty-first century perspective. It takes its inspiration from Freud’s insights, but pursues psychoanalytic interest into both neuroscience and the modern psychoanalytic consulting room. The book looks at laboratory research on dreaming alongside the modern clinical use of dreams and links together clinical and empirical research, integrating classical ideas with the plurality of psychoanalytic theoretical constructs available to modern researchers.
Psychoanalysts writing about dreams have traditionally represented the cutting edge of clinical and theoretical development, and this book is no exception. Many of the contributions, as well as the epistemological position taken by the writers, represent a kind of radical openness to new ways of thinking about the clinical situation and about theory. In line with the ambition of the editors, this volume represents an integration of theories and disciplines, and a scientific context for modern psychoanalysis.
The link between clinical research and extraclinical research via the royal road of dreaming is a theme that runs through all the contributions. These cover dreaming as it sheds light on clinical conditions such as depression and trauma, or dreams as they form a core aspect of clinical work; be that as a co-construction, or as shared play between therapist and patients. The book provides insight through dreams to understanding mental functions in all clinical situations and across all conditions
Neglect and its effects: Understandings from developmental science and the therapist's countertransference
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Response to Alessandra Lemma – APP Lecture. Research off the couch: Revisiting the transsexual conundrum
No full textThese comments are based on a developmental perspective as my experience derives primarily from work with children, adolescents and their families attending a gender identity development service.
The paper stresses the importance of empirical research, in this case qualitative, as a complementary source of evidence to that derived from psychotherapeutic or psychoanalytic work. This stance is in my view valuable and needs to be well supported. The empirical observation in this paper contributes to a better understanding of the development of atypical gender identity which in some forms is addressed as transsexualism. The language to define these experiences is complex and controversial as it refers to a multitude of different experiences regarding one's own perceptions of gender identity in relationship to the sexual appearance of the body. In childhood, definitions of atypical gender development have gone from ‘gender identity disorder’ to the more acceptable definitions by families and professionals of Gender Dysphoria, Gender Diversity or Gender Variance. The paper stresses the importance of regarding transsexual experience as varied. A fitting metaphor for this would be the Ai Wey Wey Sun Flower Seeds Installation at the Tate Modern. This work is composed of about 120 million porcelain seeds individually painted by a number of workers. At a distance they all look the same, but at a closer look, in spite of the communality of some features, they all differ because of the individual difference of the paint strokes, as Ai Wey Wey himself emphasised in an introductory interview for the Tate exhibition.
From the experiences reported by the trans people involved in a television programme, Lemma put forward a hypothesis that a lack of experience of mirroring of their perceived gender identity by the attachment figure contributes to their need for acceptance, particularly in the visual field. This becomes an ongoing pursuit
Collaborating, containing, and inspiring confidence: Physiotherapy with a child who does not talk, walk, or eat
No full textThe portrayal of autism in Hollywood films
No full textFilms are a powerful medium for entertainment and often educate without intending to do so. In this paper we highlight 23 recent films that portray autistic spectrum disorders. We study the impact of these films on public understanding, drawing similarities and highlighting common themes in their depictions. Increasingly, films are being utilised to teach medical students and psychiatric trainees. We consider which of these films provide the best opportunities for medical education