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Young people in difficulty with Internet sex and pornography
No full textThis chapter describes some of the ways in which engagement with internet sex can impact on young people’s sexual development and become problematic and some of the clinical challenges of working with these issues. The developmental processes specific to adolescence are complex and subject to disruption by adverse experiences. Immersion in internet sex can provide a refuge, not just from anxieties about the body and sexuality, but from the challenges of intimate relationships. Compulsive use of internet sex is only a symptom, and as such, the underlying drivers can be many, varied and idiosyncratic. The case illustrations which follow are not intended to be comprehensive nor to represent best practice, but to offer a snapshot of the kind of issues that emerge in treatment. Because this is a highly sensitive area of work, case illustrations are from our own and others’ practice, and are disguised or composites of a number of cases
Seeing and being seen: The psychodynamics of pornography through the lens of Winnicott's thought
No full textThe excessive use of internet pornography, so easily available now, with increasingly extreme images, can cause young people to become isolated from others, alienated from reality, and psychologically harmed. Referrals to the Portman for the problematic use of pornography have increased dramatically in recent years, so that many patients come with such problems. Children in therapy report that these images can be deeply traumatizing; the pornography concentrates on adult sexual organs, often in acts of penetration, and presents a mechanical kind of sexual activity, devoid of human or personal interaction. The escalating behaviour that results from compulsive use of pornography seems to derive from some digging down, as it were, into deeper layers of the personality, uncovering impulses and desires that hitherto have been dormant or would otherwise remain so. Psychotherapists could be more active in supporting the interventions recommended by Manning in order to provide a better holding environment for children
Is there a need for legislation to ban out-of-hours emails?
No full textWe need to change working cultures and educate leaders and teams so they understand the impact of their behaviour on the environment around them
The next 100 years: Innovations and insights for the 21st century
No full textFor our closing centenary event we will explore the mental health landscape in our post-Covid world.
About this Event:
In the wake of a global pandemic and the mobilisation of Black Lives Matter, countries across the world are facing the consequences of widening inequalities laid bare and an escalating mental health crisis.
What can we do as individuals and as part of our personal and professional communities to spread kindness? Our keynote speaker Julia Unwin will talk about kindness in public life and provide perspectives on the upheaval and uncertainties of the last year. With talk of a ‘mental health pandemic’, what can we do to foster wellbeing as we navigate the post-COVID-19 world?
The Tavistock and Portman has been a leader of innovation in practice and public policy over the last 100 years. It has been at the forefront of providing compassionate and contemporary responses to the major events of the 20th and 21stcentury. How should the Tavistock and Portman best apply its psychoanalytic and systemic thinking to respond, at both the practice and public policy levels, to these challenges and opportunities?
Dinesh Sinha will paint a picture of the mental health landscape and how the distinctive Tavistock perspective can shape it for the better. He will explore emerging approaches and innovations in our mental health work.
Chaired by Paul Burstow, Chair of the Trust Board, and Louise Lyon, Chair of the Centenary Programme, we are delighted to be joined by Julia and Dinesh for what will be an inspirational and stimulating closing centenary talk. Our audience will be invited to respond and to provide their own reflections on our contemporary and future mental health challenges
Using the autism lens: Millie's story. A multidisciplinary health professional team approach in supporting an autistic female with anorexia nervosa
No full text
Reflecting on clinical work and supervision during the COVID-19 pandemic through the lens of Barry Mason’s concepts of safe uncertainty, relational risk-taking and transparency
No full textIt is a great privilege to be contributing to this continuation of the special issue about Barry Mason's contribution, as many aspects of Barry's work underpin my professional and personal experience, particularly during the pandemic. Although we did not meet very often, our shared interest in the impact of illness and disability on relationships and identity, including gendered identity, meant these brainstorms were opportunities to extend my understanding of the intersection between the physical and psychological