Book contents
- Cambridge Guide to Psychodynamic Psychotherapy
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Psychodynamic Psychotherapy
- Copyright page
- Dedication
- Contents
- Foreword
- Preface
- A Note from the Series Editor
- Acknowledgements
- Part 1: An Overview of the Model
- Part 2: The Model of Psychodynamic Psychotherapy into Practice
- Part 3: Application for Mental Health Presentations
- Part 4: Application of Psychodynamic Psychotherapy in Different Populations and in Different Settings
- Beyond 1:1 Therapy: Working Psychodynamically with Clinicians, Teams, and Organisations
- Chapter 15 Applications of Psychodynamic Theory and Principles outside of Specialist Psychotherapy Settings
- Chapter 16 An Introduction to the Dynamics of Anger, Aggression, and Violence
- Chapter 17 Psychologically Informed Organisations and Services
- Chapter 18 Psychodynamic Reflective Practice Groups
- Chapter 19 Psychodynamic Consultation to Clinical Teams
- Other Forms and Settings of Psychotherapeutic Work
- Glossary of Terms
- Index
- References
Chapter 15 - Applications of Psychodynamic Theory and Principles outside of Specialist Psychotherapy Settings
from Beyond 1:1 Therapy: Working Psychodynamically with Clinicians, Teams, and Organisations
Published online by Cambridge University Press: 25 August 2023
Book contents
- Cambridge Guide to Psychodynamic Psychotherapy
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Psychodynamic Psychotherapy
- Copyright page
- Dedication
- Contents
- Foreword
- Preface
- A Note from the Series Editor
- Acknowledgements
- Part 1: An Overview of the Model
- Part 2: The Model of Psychodynamic Psychotherapy into Practice
- Part 3: Application for Mental Health Presentations
- Part 4: Application of Psychodynamic Psychotherapy in Different Populations and in Different Settings
- Beyond 1:1 Therapy: Working Psychodynamically with Clinicians, Teams, and Organisations
- Chapter 15 Applications of Psychodynamic Theory and Principles outside of Specialist Psychotherapy Settings
- Chapter 16 An Introduction to the Dynamics of Anger, Aggression, and Violence
- Chapter 17 Psychologically Informed Organisations and Services
- Chapter 18 Psychodynamic Reflective Practice Groups
- Chapter 19 Psychodynamic Consultation to Clinical Teams
- Other Forms and Settings of Psychotherapeutic Work
- Glossary of Terms
- Index
- References
Summary
This chapter provides an introduction to psychodynamic theory as applied to settings outwith the specialist psychotherapy clinic, paving the way for the chapters that follow in Part 4. An individual’s internal world affects how they relate to others. Others may be unconsciously invited into playing old roles that are familiar to the individual (such as rejecting, not listening, criticising), even though these roles bring difficulty and distress to both sides. This chapter explores how these powerful but sometimes ‘invisible’ interpersonal dynamics may play out between service users and staff in settings where the human relationship is at the fore (such as schools, social service agencies, and hospitals). We also discuss splitting within a clinical team and other system dynamics. In circumstances where services and professionals can sustain a good-enough therapeutic environment in the face of unconscious invitations to repeat a problematic relationship, trust may develop between service user and service and many people are able to discover new ways of forming relationships. This depends partly on the capacities and current state of the person using a service, but also, crucially, on the capacity of the professionals and services to observe and be reflective about both sides of the relationship.
Keywords
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- Chapter
- Information
- Cambridge Guide to Psychodynamic Psychotherapy , pp. 231 - 243Publisher: Cambridge University PressPrint publication year: 2023
References
Seglow, R, Canham, H. Intra-uterine life and the experience of birth. In Personality Development. London: Routledge; 1999. p. 13–32.Google Scholar
Fraiberg, S, Adelson, E, Shapiro, V. Ghosts in the nursery: a psychoanalytic approach to the problems of impaired infant-mother relationships. Journal of the American Academy of Child Psychiatry 1975;14(3):387–421.Google Scholar
McWilliams, N. Psychoanalytic Diagnosis, Second Edition: Understanding Personality Structure in the Clinical Process. 2nd edition. New York: The Guilford Press; 2011.Google Scholar
Craissati, J, Minoudis, P, Shaw, J et al. Working with offenders with personality disorder, A practitioner’s guide. Ministry of Justice, National Offender Management Service; 2015.Google Scholar
Adshead, G, Sarkar, J. The nature of personality disorder. Advances in Psychiatric Treatment 2012;18(3):162–72.Google Scholar
Moore, E. Personality disorder: its impact on staff and the role of supervision. Advances in Psychiatric Treatment 2012;18(1):44–55.CrossRefGoogle Scholar
Melchior, ME, Bours, GJ, Schmitz, P et al. Burnout in psychiatric nursing: a meta-analysis of related variables. J Psychiatr Ment Health Nurs 1997;4(3):193–201.Google Scholar
Patrick, J, Kirkland, J, Maclean, C et al. Reflective practice paper and competency guidelines framework. Forensic Network Matrix Group; 2018.Google Scholar
Gabbard, GO. Long-term psychodynamic psychotherapy: a basic text. In Long-term Psychodynamic Psychotherapy: A Basic Text. Washington, DC: American Psychiatric Pub.; 2010.Google Scholar
Hinshelwood, RD. Abusive help – helping abuse: the psychodynamic impact of severe personality disorder on caring institutions. Crim Behav Ment Health 2002;12(2 Suppl):S20-30.CrossRefGoogle ScholarPubMed
Evans, M. Making Room for Madness in Mental Health: The Psychoanalytic Understanding of Psychotic Communication. Karnac Books; 2016.Google Scholar
Boag, I. Elastic tolerance. In Psychologically Informed Environment Principles in Adult Residential Care. Routledge; 2020.CrossRefGoogle Scholar
O’Connor, S. An analytic approach in a psychiatric intensive care unit. Psychoanalytic Psychotherapy 1998;12(1):3–15.Google Scholar
Colson, DB, Allen, JG, Coyne, L et al. An anatomy of countertransference: staff reactions to difficult psychiatric hospital patients. Hosp Community Psychiatry 1986;37(9):923–8.Google Scholar
Watts, D, Morgan, G. Malignant alienation: dangers for patients who are hard to like. The British Journal of Psychiatry 1994;164(1):11–15.CrossRefGoogle Scholar
Haigh, R, Harrison, T, Johnson, R et al. Psychologically informed environments and the ‘Enabling Environments’ initiative. Housing, Care and Support 2012;15(1):34–42.CrossRefGoogle Scholar
Johnson, R, Haigh, R. Social psychiatry and social policy for the 21st century ‐ new concepts for new needs: the ‘psychologically‐informed environment’. Mental Health and Social Inclusion 2010;14(4):30–5.Google Scholar
Thorndycraft, B, McCabe, J. The challenge of working with staff groups in the caring professions: the importance of the ‘team development and reflective practice group’. British Journal of Psychotherapy 2008;24(2):167–83.Google Scholar
Johnston, J, Paley, G. Mirror mirror on the ward: who is the unfairest of them all? Reflections on reflective practice groups in acute psychiatric settings. Psychoanalytic Psychotherapy 2013;27(2):170–86.CrossRefGoogle Scholar
Rinsley, DB. Treatment of the Severely Disturbed Adolescent. Northvale; London: J. Aronson; 1994.Google Scholar
Skynner, ACR. Institutes and How to Survive Them: Mental Health Training and Consultation. London: Routledge; 1989.Google Scholar
Moylan, D. The dangers of contagion: projective identification processes in institutions. In The Unconscious at Work: Individual and Organizational Stress in the Human Services by Obholzer A & Roberts V. London: Routledge; 1994.Google Scholar
Menzies, IEP. A case-study in the functioning of social systems as a defence against anxiety: a report on a study of the nursing service of a general hospital. Human Relations 1960;13(2):95–121.Google Scholar
Whittaker, A. Social defences and organisational culture in a local authority child protection setting: challenges for the Munro Review? Journal of Social Work Practice 2011;25(4):481–95.Google Scholar