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Venus: victim or violator?
This article explores sexual boundary violations and their clinical implications in forensic settings. In particular, the authors consider whether female professional and male patient relationship transgressions have similar clinical meanings as the inverse, or whether there is an inherent or perceived difference between genders. Furthermore, attention is brought to the problematic aspects of reductive, dichotomous interpretations of victim–violator relationships.
Composite cases of such clinical "accidents" are presented. These are set within secure environments in the United Kingdom. The scope of these cases encompasses incidents between clinician and patient, as well as inter-professional boundary violations. By discussing these vignettes, the authors demonstrate the risk of a subtle, gradual, and insidious erosion of boundaries, alongside more overt incidents of a sexual nature and abuse of power. Contemporary societal factors that may influence conscious and unconscious biases will also be considered in the post #MeToo world.
Where clinical examples are given, they are composites of cases reported in the public domain known to the authors. They are clinically accurate but do not involve actual identifiable people and cases
Dismantling institutional racism in social work: 20 years after Macpherson
Anti-racism will be explored in the social work profession by Wayne Reid, in partnership with BASW. This is a part of a series of centenary events exploring racial inequality in the mental health professions.
Following the murder of black teenager Stephen Lawrence in 1993, William Macpherson led the public inquiry into the fatal stabbing and found that the Metropolitan police force was ‘institutionally racist’. Macpherson defined institutional racism as “the collective failure of an organisation to provide an appropriate and professional service to people because of their colour, culture or ethnic origin”.
The Macpherson report sparked debate about institutional racism across all of society and included recommendations not just for the police force but also public sectors organisations. Taking the report as a historical reference point, this presentation and discussion will explore institutional and structural racism in the social work profession.
After setting the scene, Wayne will talk about BASW’s anti-racist work and priorities to promote equality for Black, Asian and Ethnic Minority social workers and allied professionals. Wayne’s perspective is based on the premise white supremacy is inherent, to some degree, in all institutions and organisations. As a black male Social Worker, Wayne understands some of the challenges that service-users and practitioners from different minority groups face. He will talk about the need for Black, Asian and Ethnic Minority professionals to be better supported and protected in the workplace to ensure equality and social justice. He believes this approach can only improve the experiences of Black and Ethnic Minority service-users too. Wayne feels academic and ‘life education’ are essential to improve an individual’s quality of life and life chances.
Since the indiscriminate killing of George Floyd, Wayne has strongly championed anti-racism in social work in various forums and on wide-ranging platforms. He is committed to action and change in the social work profession through education, empowering and equipping Black and Ethnic Minority professionals, organisations and potential allies.
Chair Paul Dugmore will open the talk and highlight the steps that the Tavistock and Portman is taking to becoming an anti-racist organisation in clinical work with patients and training curriculum. Irene Henderson will then provide an institutional perspective and Steve Bambrough will provide a clinical perspective respectively. After Wayne's presentation, there will be a chance to engage in a Q&A and audience discussion. This talk will appeal to practitioners and students of social work, as well as anyone interested in racial equality and mental health
Finding your own voice without drowning anyone else's
Sebastian Kraemer will explore the Tavistock Clinic thread through the half century after WWII. Social psychologists and psychoanalysts discovered how groups could create something different from the sum of the members’ contributions. While social meetings privilege agreement, working together means looking out for, and acknowledging, a variety of apparently incompatible perspectives. In the second half of the talk, Lopa Winters will share narrative experiences of facilitating work discussion groups within the NHS and not-for profit sectors in an attempt to bring the theory to life; speaking to her experiences as a facilitator in both settings
Inside and outside: The evolution of systemic approaches in mental health
Gill Gorrell-Barnes will focus on how and why a systemic approach evolved from a framework that connected the well-being of individuals to the wider functioning of a healthy society through the Welfare state. She will introduce the discussion about the ways in which families as well as therapists themselves were changing in a post-world war global system with the ongoing development of social media.
Sara Barratt will describe the evolution of the profession of family therapy at the Trust and will talk about the development within and outside of the clinic, to include systemic approaches to working in the GP surgery and the value of the relationship between GP and therapist in providing an effective and supporting environment for patients in crisis.
Jenny Altschuler’s presentation will begin by discussing the establishment of a service for families facing life limiting medical conditions and disabilities at the Tavistock Clinic, the particular challenges posed by parental illness and the development of a multidisciplinary course on working with families for healthcare professionals. Particular attention will be paid to the current challenges that loss, trauma, migration, living apart from close family and experiences of ‘othering’ pose to caring and being cared for when unwell
An exploration of culture in the UK financial services
This thesis explores dimensions of culture in the UK financial services. Through narrative interviews, it considers the experience of the industry and examines how culture can be formed through influences stemming both from the industry’s internal dynamics and wider societal contexts. The study analyses how the dimensions of culture might influence behaviours that have had an effect on the UK’s economy, such as the global financial crisis of 2008. The study further questions whether the crash was the product of the culture that existed before the crisis and which persists within the industry. The overall system – consisting of consumers, firms, regulators and governments – is taken into consideration. This is a select yet focused study and the unit of analysis is individual narrative interviews, through which the study attempts to access some of the systemic dynamics that may be present in the industry. The study does not claim to define culture in a singular sense, in what is a complex and diverse industry; instead, it attempts to draw out key themes from the data set that could shed light on the dimensions of culture. This study uses a systems psychodynamics approach, which takes into account the idea of unconscious group dynamics and open systems. Grounded theory has been employed to analyse the data and form a theoretical understanding
Corporate culture - grasping the ungraspable
Can corporate culture be measured? It’s a thorny question and the subject of lively debate in boardrooms and academia and also here on Insight. The authors of our latest article argue for a nuanced approach