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Gender Dysphoria in looked-after and adopted young people in a gender identity development service
No full textThis research investigated the prevalence of looked-after and adopted young people within a case file review of 185 young people referred to a UK gender identity development service over a 2-year period (1 April 2009 to 1 April 2011). Data were extracted from referral letters, clinical notes and clinician letters. Looked-after young people were found to represent 4.9% of referrals in this cohort, which is significantly higher than within the English general population (0.58%). Adopted young people represented 3.8% of referrals. In addition, the findings showed that looked-after young people were less likely to receive a diagnosis of gender dysphoria compared with young people living within their birth family. There were no statistically significant differences in the gender ratio or age of first gender dysphoric experience between groups. Looked-after and adopted young people were also not found to be experiencing greater impairment in overall functioning compared to other young people referred to the gender identity development service. In conclusion, there are a substantial proportion of referrals pertaining to looked-after or adopted young people, and it appears the referral route and process through the service may be distinct, particularly for looked-after young people. This may be understood by considering the possible complexities in the presentation of these groups, alongside the established higher levels of complexity generally for those experiencing feelings of gender dysphoria
The unconscious at work: A Tavistock approach to making sense of organizational life
No full textWhy do our organizations so often seem to be less than the sum of their parts? What undermines effectiveness and morale, and gets in the way of achieving what we set out to do?
The Unconscious at Work, Second Edition, draws on a body of thinking and practice which has developed over the past 70 years, often referred to as 'the Tavistock approach' or 'systems-psychodynamics'. All the contributors are practising consultants who draw on this framework, bringing it alive and making it useful to any reader – manager, leader or consultant, regardless of whether they have any prior familiarity with the underlying concepts – who is curious about what might be driving the puzzling or stressful situations they find in their workplace.
The First Edition was addressed to people working in 'the human services': health, social care and education. Since it was published in 1994, there has been growing interest in the business world, and in understanding more about the 'irrational' side of organizational life. Therefore, this Second Edition includes an entirely new section where the key ideas are revisited and illustrated with case studies from a wide range of business organizations, from large corporations to start-ups and family businesses.
The aim, however remains the same: to enlarge readers' existing sense-making 'tool-kits' so that they can look at themselves and their organizations with fresh eyes, deepening the emotional intelligence they bring to bear on the challenges they face and providing new possibilities for action. The Unconscious at Work, Second Edition is for managers, leaders, consultants, and anyone working in organizations who has been puzzled, disturbed or challenged by their experiences at work
A fragmented doll: Madness in hysteria
No full textThe author describes the process of a once‐weekly psychodynamic psychotherapy with a hysterical patient. In the initial phase, the patient responded well and there was a sense of progress in the therapy. However, the author gradually began to feel stuck. He was under strong pressure to act as a good understanding therapist. At a later stage, the patient complained of severe physical pain and demanded cure. When she was absent from the treatment without notice, her fear of death and madness which had been denied so far was massively projected into the author who was overtaken by the fear of her death. It became clear that in her phantasy, the patient was a princess waiting to be rescued by her White Knight/therapist. However, to understand the transference situation fully, it was necessary for the author to acknowledge and relinquish his narcissistic satisfaction in being an omnipotent rescuer. The author argues that the difficulty in this process reflected her desperate need for an omnipotent illusion to hold herself, in which the author acted a part. He finally states the importance of acknowledging the underlying fragmentation in hysteria which is often hidden behind the façade of ostensible integrity
Facing a tricky ‘sickie’
No full textBeing asked by a patient to issue an ‘unfit for court’ certificate is a complex and emotive area that can lead to difficulties if doctors are unaware of the possible pitfalls, warns Gabrielle Pendlebury
Therapeutic interventions with babies and young children in care. Observation and attention
No full textTherapeutic Approaches for Babies and Young Children in Care: Observation and Attention is about the value of observation and close attention for babies and young children who may be vulnerable to psychological and attachment difficulties. Case studies explore the potential for observation-based therapeutic approaches to support caregivers, social workers, and professional networks. A third theme in the book is the roots of observation-based approaches in psychoanalytic infant observation and the contribution of these ways of working to professional training and continuing development.
Using case examples, Jenifer Wakelyn illustrates observational ways of working that can be practised by professionals and family members to help children express themselves and feel understood. The interventions focus on the early stages of life in care and on the "golden thread" of relationships with caregivers. The book explores contemporary neuroscience and child development research alongside psychoanalytic theory to explore the role of attention in helping children to develop the internal continuity that sustains the personality and protects against the fragmenting impact of trauma.
Therapeutic Approaches for Babies and Young Children in Care is written for social workers, teachers, medical staff, and other professionals whose work brings them in contact with the youngest children in care; it will also be relevant for commissioners, managers, and trainers as well as mental health clinicians who are starting to work with children in care. It will provide a valuable insight into the lives of infants and young children in the care system and the applications of psychoanalytic infant observation
Sexuality and gender now: Moving beyond heteronormativity
No full textSexuality and Gender Now uses a psychoanalytic approach to arrive at a more informed view of the experience and relationships of those whose sexuality and gender may not align with the heterosexual "norm". This book confronts the heteronormative bias dominant in psychoanalysis, using a combination of theoretical and clinical material, offering an important training tool as well as being relevant for practicing clinicians.
The contributors address the shift clinicians must make not only to support their patients in a more informed and non-prejudicial way, but also to recognise their own need for support in developing their clinical thinking. They challenge assumptions, deconstruct theoretical ideas, extend psychoanalytic concepts, and, importantly, show how clinicians can attend to their pre-conscious assumptions. They also explore the issue of erotic transference and countertransference, which, if unaddressed, can limit the possibilities for supporting patients more fully to explore their sexuality and gender. Theories of psychosexuality have tended to become split off from the main field of psychoanalytic thought and practice or read from an assumed moral high ground of heteronormativity. The book specifically addresses this bias and introduces new ways of using psychoanalytic ideas. The contributors advocate a wider and more flexible attitude to sexuality in general, which can illuminate an understanding of all sexualities, including heterosexuality.
Sexuality and Gender Now will be essential reading for professionals and students of psychoanalysis who want to broaden their understanding of sexuality and gender in their clinical practice beyond heteronormative assumptions
'You’ll get used to it': Pupils’ with speech, language and communication needs experience of readiness for secondary school
Get PDFThe aim of this study was to explore the experience of secondary school readiness with a group of Year Six pupils with Speech, Language and Communication Needs (SLCN) in the final term of primary school. Data was collected from six pupils who had an Education Health and Care Plan (EHCP) for SLCN using visually supported semi-structured interviews. Their individual experiences were analysed using Interpretive Phenomenological Analysis (IPA). The research questions were: • RQ1: What sense do pupils with SLCN make of their experience of primary school? • RQ2: What sense do pupils with SLCN make of their experience of secondary school following their induction days? • RQ3: What are the pupils’ perceptions of secondary school readiness? The findings identified four overarching themes: • Concept of Self, Family and Life Experience • Risk and Resiliency and Coping tools • Language Skills and the Impact on Personal Narratives • Experiences of the Education System. The themes and research questions are explored further in the discussion chapter with reference to previous research and psychological theory. Limitations of the research and implications for Educational Psychology practice are also discussed. This study contributes to the understanding of the phenomena of school readiness from the perspective of pupils with SLCN and also to involving pupils with communication difficulties in research
Laverne Antrobus on 5 News Tonight. How you can save the planet. 16 August 2019, Channel 5 [Starts at 0:43 with interview at 4:04]
No full textBritain's naughtiest nursery. 16 Oct 2019, Channel 5
No full textDay-to-day life at a nursery for challenging three-to-five year olds, set up by psychologist Laverne Antrobus. Tegan’s tantrums are enough to take your breath away, Frankie’s hyperactive behaviour has left his mum exhausted, and Daisy has driven her parents to despair with her stroppy outbursts