The Therapeutic Milieu Under Fire

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The Therapeutic Milieu Under Fire

Author : John Adlam
Publisher : Jessica Kingsley Publishers
ISBN 13 : 0857005340
Total Pages : 258 pages
Book Rating : 4.8/5 (57 download)

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Book Synopsis The Therapeutic Milieu Under Fire by : John Adlam

Download or read book The Therapeutic Milieu Under Fire written by John Adlam and published by Jessica Kingsley Publishers. This book was released on 2012-06-15 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking book explores the psychodynamics and socio-politics of the forensic therapeutic milieu, addressing some of the most difficult and complex issues facing practitioners. It sets out a psycho-social framework for understanding the predicament and the needs of those who live in and those who work in forensic mental health settings. It brings to life the thinking of those working on the frontline in an increasingly difficult and hostile environment, and draws together fresh and stimulating approaches to engagement with highly complex individuals who present challenges to traditional models of psychiatric assessment and treatment. Contributors with considerable clinical experience and expertise from a range of disciplines consider the ethical, emotional and intellectual challenges of their work, and describe ways in which genuine containment and change can be achieved despite numerous perceived assaults on therapeutic relationships, and on the therapeutic milieu itself. Combining clinical case studies with organisational perspectives and clear descriptions of theoretical processes, they explore key issues including the challenges of maintaining role-appropriate, 'boundaried' relationships; the tensions between public protection and individual confidentiality; questions of risk and responsibility; duty of care and respect for individual liberty; the challenges posed by inter-professional tensions and rivalries; as well as specific clinical dilemmas. The difficulties they experience in fulfilling specific therapeutic roles in the face of uncertainties about the funding and commissioning of their services are addressed, and the final part of the book outlines some of the ways in which individuals, particular services and whole organisations may protect themselves when under attack. This unique and highly original book is essential reading for all those working, or training to work, in both forensic and non-forensic inpatient therapeutic milieux and for academics and lay readers interested in the societal dynamics of inclusion and exclusion that are replicated and magnified in these settings.

Art Psychotherapy Groups in The Hostile Environment of Neoliberalism

Author : Sally Skaife
Publisher : Routledge
ISBN 13 : 1000529061
Total Pages : 182 pages
Book Rating : 4.0/5 (5 download)

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Book Synopsis Art Psychotherapy Groups in The Hostile Environment of Neoliberalism by : Sally Skaife

Download or read book Art Psychotherapy Groups in The Hostile Environment of Neoliberalism written by Sally Skaife and published by Routledge. This book was released on 2022-02-23 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores how ‘the hostile environment’ of neoliberalism affects art therapy in Britain. It shows how ambiguity in art and in psychoanalytically understood relationships can enable art psychotherapy groups to engage with class dynamics and aspire to democracy. The book argues that art therapy needs to become a political practice if it is to resist collusion with a system that marginalises collectivity and holds individuals responsible for both their suffering and their recovery. It provides accounts of the contradictions that are thrown up by neoliberalism in art therapists’ workplaces as well as accounts of art therapy groups with those affected by the fire at Grenfell Tower, in an acute ward, a women’s prison, a community art studio and in a refugee camp. Written by art psychotherapists for arts therapists and other mental health workers, the book will bring political awareness and consideration of resistance into all art therapy relationships, whatever the context and client group.

Forensic Psychotherapy

Author : Jessica Yakeley
Publisher : Routledge
ISBN 13 : 1351838687
Total Pages : 300 pages
Book Rating : 4.3/5 (518 download)

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Book Synopsis Forensic Psychotherapy by : Jessica Yakeley

Download or read book Forensic Psychotherapy written by Jessica Yakeley and published by Routledge. This book was released on 2019-05-16 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Forensic psychotherapy explores the roots of violent, sexual and antisocial behaviour. It is a relatively recently created discipline that applies psychoanalytic knowledge to the assessment, management and treatment of mentally disordered offenders, forming a bridge between traditional forensic psychiatry – with its focus on diagnosis and risk – and traditional psychotherapy – with its focus on understanding why things happen. As a discipline, forensic psychotherapy seeks to understand the conscious and unconscious motivations that underpin specific offending behaviours. We need to understand not only the detail of the crime, but also the offender as a whole person within his environment, including the criminal justice environment. It aims to understand the perpetrator, the victim, and the victim within the perpetrator. In this collection, leading international experts in forensic psychotherapy explore the different aspects and developments within the field. These include first hand experiences of shaping the emerging discipline within the UK, Europe and the United States; working therapeutically with high-risk offenders in prisons and secure hospitals; exploration of female violence and work with incarcerated mothers and babies; and the latest developments in forensic psychotherapy training. This book will be of interest to professionals and academics working within the fields of forensic mental health, criminal justice, psychiatry, psychology, criminology, and sociology. This book was originally published as two special issues of Psychoanalytic Psychotherapy.

Milieu Therapy

Author : Jerome M. Goldsmith
Publisher : Psychology Press
ISBN 13 : 9781560244097
Total Pages : 128 pages
Book Rating : 4.2/5 (44 download)

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Book Synopsis Milieu Therapy by : Jerome M. Goldsmith

Download or read book Milieu Therapy written by Jerome M. Goldsmith and published by Psychology Press. This book was released on 1993 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: The writings and activities of Bruno Bettelheim have forever changed perceptions of the treatment of children in residential care. His concern with milieu, or the meaning of the environment for mental health, has contributed not only to the psychoanalytic treatment of troubled children and adolescents, but also to a theory of person and environment, fostering morale and enhanced personal integration. His emphasis on the importance of the hour by hour management of children's daily living experiences and his attribution of a critical therapeutic role to the caretaker have profoundly influenced treatment as well as the recruitment and training of child care counselors and caretakers. Milieu Therapy: Significant Issues and Innovative Applications, a tribute to Bettelheim, illuminates continuing efforts to further understanding of the caring process and its impact upon healing and repair measures for disturbed children. The contributing authors of Milieu Therapy have themselves been influenced by the work of Bettelheim. In this book they: distill and clarify Bettelheim's clinical legacy survey a select group of his political and clinical articles describe how communication can be fostered between residents and staff through the architectural design of the residence, holiday celebrations, and students'choices of reading material address management issues posed by youngsters with symptoms of character disorder and provide a description and examples of a three level style of response to these children discuss the impact of the milieu of college residence on the lives of students and the problems and opportunities of group life According to D. Patrick Zimmerman, one of the contributors, " . . . [Bettelheim] was instrumental in promoting a lasting concern about discovering the best treatment methods possible for emotionally disturbed children. . . . He taught many of us . . . to deeply care and think about the fate of even the most severely impaired children. His arguments . . . continue to stimulate us to unashamedly examine ourselves in our work with troubled youth." Professionals who work with children and are interested in the impact and influence of Bruno Bettelheim and his work will find a wealth of knowledge in Milieu Therapy: Significant Issues and Innovative Applications.

Architecture for Psychiatric Environments and Therapeutic Spaces

Author : E. Chrysikou
Publisher : IOS Press
ISBN 13 : 1614994609
Total Pages : 208 pages
Book Rating : 4.6/5 (149 download)

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Book Synopsis Architecture for Psychiatric Environments and Therapeutic Spaces by : E. Chrysikou

Download or read book Architecture for Psychiatric Environments and Therapeutic Spaces written by E. Chrysikou and published by IOS Press. This book was released on 2014-12-18 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Therapeutic architecture can be described as the people-centered, evidence-based discipline of the built environment, which aims to identify and support ways of incorporating those spatial elements that interact with people physiologically and psychologically into design. Architecture is an important factor in people's lives when they are well; when they experience ill-health and are less able to cope it becomes even more important. This book explores the design of specialized residential architecture for people with mental health problems. It sets out to show how building design can support medical and health related procedures and practices, leading to better therapeutic outcomes and an enhanced quality of life. Based on almost two decades of research, it aims to understand how architectural design interacts with the therapeutic milieu, the care programs, and actually living in the spaces. The book is divided into two main parts covering theory and research. Part one consists of three chapters: a brief introduction to old practices, current medical psychosocial and architectural thinking, and alternative thinking. Part two explores the research and conclusions derived from fieldwork. This book provides a fascinating insight into the effect that architectural design can have on all of us, but particularly on those with mental health problems. "Dr. Evangelia Chrysikou explains the many aspects of mental health and its relation to the quality of the built environment and I strongly recommend this very enjoyable book to anyone who would like to find out more about this important topic." - Prof. Alan Dilani, Ph.D. , International Academy for Design and Health "This book provides important, evidence-based data that will help to drive the design of new and refurbished psychiatric facilities and will no doubt become a highly-regarded resource for medical planners and architects." - Jo Makosinski , Editor, Building Better Healthcare

Therapeutic Uses of Rap and Hip-Hop

Author : Susan Hadley
Publisher : Routledge
ISBN 13 : 1136652329
Total Pages : 419 pages
Book Rating : 4.1/5 (366 download)

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Book Synopsis Therapeutic Uses of Rap and Hip-Hop by : Susan Hadley

Download or read book Therapeutic Uses of Rap and Hip-Hop written by Susan Hadley and published by Routledge. This book was released on 2012-05-22 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: In perceiving all rap and hip-hop music as violent, misogynistic, and sexually charged, are we denying the way in which it is attentive to the lived experiences, both positive and negative, of many therapy clients? This question is explored in great depth in this anthology, the first to examine the use of this musical genre in the therapeutic context. The contributors are all experienced therapists who examine the multiple ways that rap and hip-hop can be used in therapy by listening and discussing, performing, creating, or improvising. The text is divided into three sections that explore the historical and theoretical perspectives of rap and hip-hop in therapy, describe the first-hand experiences of using the music with at-risk youth, and discuss the ways in which contributors have used rap and hip-hop with clients with specific diagnoses, respectively. Within these sections, the contributors provide rationale for the use of rap and hip-hop in therapy and encourage therapists to validate the experiences for those for whom rap music is a significant mode of expression. Editors Susan Hadley and George Yancy go beyond promoting culturally competent therapy to creating a paradigm shift in the field, one that speaks to the problematic ways in which rap and hip-hop have been dismissed as expressive of meaningless violence and of little social value. More than providing tools to incorporate rap into therapy, this text enhances the therapist's cultural and professional repertoire.

International Journal of Therapeutic Communities

Author :
Publisher :
ISBN 13 :
Total Pages : 328 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis International Journal of Therapeutic Communities by :

Download or read book International Journal of Therapeutic Communities written by and published by . This book was released on 1986 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Psycho-social Explorations of Trauma, Exclusion and Violence

Author : Christopher Scanlon
Publisher : Routledge
ISBN 13 : 1000536246
Total Pages : 197 pages
Book Rating : 4.0/5 (5 download)

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Book Synopsis Psycho-social Explorations of Trauma, Exclusion and Violence by : Christopher Scanlon

Download or read book Psycho-social Explorations of Trauma, Exclusion and Violence written by Christopher Scanlon and published by Routledge. This book was released on 2022-01-06 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: The central theme of this book is the operation of intersecting discourses of power, privilege and positioning as they are revealed in fraught encounters between in-groups and out-groups in our deeply fractured world. The authors offer a unique perspective on inter-group dynamics and structural violence at local, societal, cultural and global levels, dissecting processes of toxic ‘othering’ and psychosocial (re-)traumatisation. The book offers the Diogenes Paradigm as a unique conceptual tool with which to analyse the ways in which those of us who come to be located outside or on the margins of dominant social structures are, in one way or another, the inheritors of the legacies of centuries of oppression and exclusion. This analysis offers a distinctive psycho-social redefinition of trauma that foregrounds the relationship between the inhospitable environments we generate and the experiences of un-housedness that we thereby perpetuate. Written in an engaging and accessible style, Psycho-social Explorations of Trauma, Exclusion and Violence directly addresses pressing global issues of racial trauma, human mobility and climate disaster, and offers a manifesto for the creative re-imagining of the places and spaces in which conversations about restructuring and reparation can become sustainable. This is an essential and compelling book for anyone committed to social justice, especially for all practitioners working in health, social care and community justice settings, and researchers and academics across the behavioural and social sciences.

Fountain House

Author : Alan Doyle
Publisher : Columbia University Press
ISBN 13 : 023115710X
Total Pages : 218 pages
Book Rating : 4.2/5 (311 download)

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Book Synopsis Fountain House by : Alan Doyle

Download or read book Fountain House written by Alan Doyle and published by Columbia University Press. This book was released on 2013-11-05 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 1948, people suffering from mental health issues, mental health professionals, and committed volunteers have gathered at Fountain House in New York City to find relief from stigmatization and social alienation. Its “working community” approach has earned the organization vast critical recognition, enabling it to replicate its methods across the world. This volume describes the humanity, social inclusivity, personal empowerment, and perpetual innovation of the Fountain House approach. Evidence-based, cost-effective, and transferable, this model achieves crosscultural results by supporting the principles of personal choice, professional and patient collaboration, and the need to be needed, achieving substantive outcomes in employment, schooling, housing, and general wellness.

Professional and Therapeutic Boundaries in Forensic Mental Health Practice

Author : Anne Aiyegbusi
Publisher : Jessica Kingsley Publishers
ISBN 13 : 0857003283
Total Pages : 292 pages
Book Rating : 4.8/5 (57 download)

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Book Synopsis Professional and Therapeutic Boundaries in Forensic Mental Health Practice by : Anne Aiyegbusi

Download or read book Professional and Therapeutic Boundaries in Forensic Mental Health Practice written by Anne Aiyegbusi and published by Jessica Kingsley Publishers. This book was released on 2012-07-15 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: People who use forensic mental health services are defined by the fact that they have violated boundaries, often in many ways. For clinicians employed to work therapeutically with this client group however, the capacity to initiate and maintain boundaries is critical to safety as well as to good treatment outcomes. This book provides a thorough introduction to the subject of professional and therapeutic boundaries and their particular complexities within forensic mental health settings. The contributors, all experts in their respective fields, address the challenges of establishing working boundaries within forensic mental health services from multiple perspectives. They explore the ways in which boundaries can be initiated and maintained in different areas of forensic mental health work, including in psychotherapy, mental health nursing, arts therapies, forensic psychiatry and family therapy, and when working with different client groups, including children and adolescents, offenders with severe personality disorders in high security settings and sex offenders. Consideration is also given to boundaries and homicide, maternal boundary violations and boundaries in a forensic learning disability service. This authoritative, interdisciplinary resource will support all forensic mental health practitioners in this crucial aspect of their work.

Psychotherapy with African American Women

Author : Leslie C. Jackson
Publisher : Guilford Press
ISBN 13 : 9781572305854
Total Pages : 330 pages
Book Rating : 4.3/5 (58 download)

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Book Synopsis Psychotherapy with African American Women by : Leslie C. Jackson

Download or read book Psychotherapy with African American Women written by Leslie C. Jackson and published by Guilford Press. This book was released on 2000-07-11 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on the breadth of issues that affect psychotherapy with African American women, this unique volume is designed to help clinicians develop a broader understanding of what is useful and what is problematic when applying psychodynamic concepts to their clients. From an array of seasoned clinicians, chapters present innovative and creative reformulations of theory and technique that build upon and challenge existing models. Issues addressed include the psychological dilemmas confronting diverse African American women as they negotiate a society that is hostile to them on multiple levels; how ethnicity, class, gender, sexual orientation and other differences come into play within the therapeutic dyad; and approaches to unraveling the complex interplay of sociopolitical, intrapsychic, and interpersonal concerns in treatment. Filled with illustrative clinical material and pointers for practice, the volume will enhance the cultural competence of mental heath practitioners and students across a range of disciplines.

Forensic Music Therapy

Author : John Adlam
Publisher : Jessica Kingsley Publishers
ISBN 13 : 0857005391
Total Pages : 258 pages
Book Rating : 4.8/5 (57 download)

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Book Synopsis Forensic Music Therapy by : John Adlam

Download or read book Forensic Music Therapy written by John Adlam and published by Jessica Kingsley Publishers. This book was released on 2012-10-15 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Forensic Music Therapy demonstrates diverse and innovative approaches, which include live, improvised and pre-composed music, from music therapy teams working in secure treatment settings. The book covers clinical development, research, supervision and discussion of institutional and multi-disciplinary team dynamics. It will inform professionals about different ways to manage challenging situations in order to deliver music therapy with adults and adolescents who have committed offences, men and women with personality disorders and mental health problems, as well as men who have killed. The book also describes the development of Cognitive Analytic Music Therapy: the first manualised form of music therapy to be used in the rehabilitation of offenders. Chapters include case studies and service developments informed by theories from an established range of psychological therapies including psychoanalysis, cognitive analytic therapy, musicology and forensic psychotherapy. The significant variations and considerations when working in low, medium and high secure treatment settings are also clarified. This book will give music therapists, forensic and clinical psychotherapists and psychologists, cognitive analytic therapists, psychiatrists, and others working in the field a wider understanding of choices, as well as demonstrating the effectiveness of tailored music therapy programmes for this complex client group.

Sexual Boundary Violations

Author : Andrea Celenza
Publisher : Rowman & Littlefield
ISBN 13 : 0765708531
Total Pages : 308 pages
Book Rating : 4.7/5 (657 download)

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Book Synopsis Sexual Boundary Violations by : Andrea Celenza

Download or read book Sexual Boundary Violations written by Andrea Celenza and published by Rowman & Littlefield. This book was released on 2011-02 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses training, supervisory, and therapeutic issues related to the consequences from sexual boundary violations among mental health professionals and clergy. These problems are discussed on theoretical and practical levels aimed at understanding, recovery, rehabi...

Violent States and Creative States (Volume 2)

Author : John Adlam
Publisher : Jessica Kingsley Publishers
ISBN 13 : 178450968X
Total Pages : 266 pages
Book Rating : 4.7/5 (845 download)

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Book Synopsis Violent States and Creative States (Volume 2) by : John Adlam

Download or read book Violent States and Creative States (Volume 2) written by John Adlam and published by Jessica Kingsley Publishers. This book was released on 2018-05-03 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a provocative collection exploring the different types of violence and how they relate to one another, examined through the integration of several disciplines, including forensic psychotherapy, psychiatry, sociology, psychosocial studies and political science. By examining the 'violent states' of mind behind specific forms of violence and the social and societal contexts in which an individual act of human violence takes place, the contributors reveal the dynamic forces and reasoning behind specific forms of violence including structural violence, and conceptualise the societal structures themselves as 'violent states'. Other research often stops short at examining the causes and risk factors for violence, without considering the opposite states that may not only mitigate, but allow for a different unfolding of individual and societal evolution. As a potential antidote to violence, the authors prescribe an understanding of these 'creative states' with their psychological origins, and their importance in human behaviour and meaning-seeking. Making a call to move beyond merely mitigating violence to the opposite direction of fostering creative potential, this book is foundational in its capacity to cultivate social consciousness and effect positive change in areas of governance, policy-making, and collective responsibility. Volume 2: Human Violence and Creative Humanity explores violent states of mind, behavioural or subjective, interpersonal violence (including self-injury) and the fine distinctions between violent and creative states of mind.

The Zen of Therapy

Author : Mark Epstein, M.D.
Publisher : Penguin
ISBN 13 : 0593296613
Total Pages : 321 pages
Book Rating : 4.5/5 (932 download)

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Book Synopsis The Zen of Therapy by : Mark Epstein, M.D.

Download or read book The Zen of Therapy written by Mark Epstein, M.D. and published by Penguin. This book was released on 2022-01-11 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: “A warm, profound and cleareyed memoir. . . this wise and sympathetic book’s lingering effect is as a reminder that a deeper and more companionable way of life lurks behind our self-serious stories."—Oliver Burkeman, New York Times Book Review A remarkable exploration of the therapeutic relationship, Dr. Mark Epstein reflects on one year’s worth of therapy sessions with his patients to observe how his training in Western psychotherapy and his equally long investigation into Buddhism, in tandem, led to greater awareness—for his patients, and for himself For years, Dr. Mark Epstein kept his beliefs as a Buddhist separate from his work as a psychiatrist. Content to use his training in mindfulness as a private resource, he trusted that the Buddhist influence could, and should, remain invisible. But as he became more forthcoming with his patients about his personal spiritual leanings, he was surprised to learn how many were eager to learn more. The divisions between the psychological, emotional, and the spiritual, he soon realized, were not as distinct as one might think. In The Zen of Therapy, Dr. Epstein reflects on a year’s worth of selected sessions with his patients and observes how, in the incidental details of a given hour, his Buddhist background influences the way he works. Meditation and psychotherapy each encourage a willingness to face life's difficulties with courage that can be hard to otherwise muster, and in this cross-section of life in his office, he emphasizes how therapy, an element of Western medicine, can in fact be considered a two-person meditation. Mindfulness, too, much like a good therapist, can “hold” our awareness for us—and allow us to come to our senses and find inner peace. Throughout this deeply personal inquiry, one which weaves together the wisdom of two worlds, Dr. Epstein illuminates the therapy relationship as spiritual friendship, and reveals how a therapist can help patients cultivate the sense that there is something magical, something wonderful, and something to trust running through our lives, no matter how fraught they have been or might become. For when we realize how readily we have misinterpreted our selves, when we stop clinging to our falsely conceived constructs, when we touch the ground of being, we come home.

Treating Traumatic Stress in Children and Adolescents

Author : Margaret E. Blaustein
Publisher : Guilford Publications
ISBN 13 : 1462537057
Total Pages : 545 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Treating Traumatic Stress in Children and Adolescents by : Margaret E. Blaustein

Download or read book Treating Traumatic Stress in Children and Adolescents written by Margaret E. Blaustein and published by Guilford Publications. This book was released on 2019 with total page 545 pages. Available in PDF, EPUB and Kindle. Book excerpt: Packed with practical clinical tools, this guide explains how to plan and organize individualized interventions that promote resilience, strengthen child-caregiver relationships, and restore developmental competencies derailed by chronic, multiple stressors. Includes more than 45 reproducibles.

The Analyst in the Inner City

Author : Neil Altman
Publisher : Routledge
ISBN 13 : 1135468524
Total Pages : 398 pages
Book Rating : 4.1/5 (354 download)

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Book Synopsis The Analyst in the Inner City by : Neil Altman

Download or read book The Analyst in the Inner City written by Neil Altman and published by Routledge. This book was released on 2011-08-24 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1995, Neil Altman did what few psychoanalysts did or even dared to do: He brought the theory and practice of psychoanalysis out of the cozy confines of the consulting room and into the realms of the marginalized, to the very individuals whom this theory and practice often overlooked. In doing so, he brought together psychoanalytic and social theory, and examined how divisions of race, class and culture reflect and influence splits in the developing self, more often than not leading to a negative self image of the "other" in an increasingly polarized society. Much like the original, this second edition of The Analyst in the Inner City opens up with updated, detailed clinical vignettes and case presentations, which illustrate the challenges of working within this clinical milieu. Altman greatly expands his section on race, both in the psychoanalytic and the larger social world, including a focus on "whiteness" which, he argues, is socially constructed in relation to "blackness." However, he admits the inadequacy of such categorizations and proffers a more fluid view of the structure of race. A brand new section, "Thinking Systemically and Psychoanalytically at the Same Time," examines the impact of the socio-political context in which psychotherapy takes place, whether local or global, on the clinical work itself and the socio-economic categories of its patients, and vice-versa. Topics in this section include the APA’s relationship to CIA interrogation practices, group dynamics in child and adolescent psychotherapeutic interventions, and psychoanalytic views on suicide bombing. Ranging from the day-to-day work in a public clinic in the South Bronx to considerations of global events far outside the clinic’s doors (but closer than one might think), this book is a timely revision of a groundbreaking work in psychoanalytic literature, expanding the import of psychoanalysis from the centers of analytical thought to the margins of clinical need.