Get The Internal and External Worlds of Children and PDF

By Lesley Day, Denis Flynn

ISBN-10: 1855759284

ISBN-13: 9781855759282

"The Cassel medical institution deals a truly diverse type of therapy from that supplied by way of "traditional" psychiatry. The stakes are excessive, and this may create anxiousness and ambivalence in regards to the paintings in employees and emotions of anger, wish, and hopelessness within the sufferers. The chapters during this Monograph provide testimony to those emotions and in addition discover how they are often labored with and inside the health center group structures." -- Lesley Day from the advent

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Extra info for The Internal and External Worlds of Children and Adolescents: Collaborative Therapeutic Care

Example text

As the months progressed she became an active member in the group, able to confront appropriately and challenge others in a constructive fashion. She came to see aspects of herself in others and obviously struggled with these split-off parts of herself reflected in others. The containing nature of the institution and the therapy were allowing a progressive integration. For example, when instances of child abuse were discussed in the group, Ms Smith would rise to her full height and admonish such mothers for abuse of their children.

Nevertheless, as the treatment proceeded, she became more able to consider this aspect, although mostly with a certain degree of MUNCHHAUSEN SYNDROME BY PROXY 27 disdain. We were frequently aware of her greedy desire to keep us all to herself and her difficulty in sharing us with others in the group. Early in the second year of treatment, rehabilitation was begun formally. This meant that a flat was found locally for her, and she was able to prepare for the eventual discharge from the Cassel. Soon it was agreed that she could spend increasingly longer periods at home, on some weekends, with Jane.

This can be seen to be a reflection of the patient’s hostility towards the child in certain cases. In this particular case, the nurse and I could form a couple that could exclude the child psychotherapist in some ways. This seemed a reflection of Ms Smith’s psychopathological tendency to form tight and smothering relationships with objects based on envy, greed, and lack of individuation. Her nurse often felt drained by the patient’s incessant demanding nature and expectation that the nurse had no other patients.

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The Internal and External Worlds of Children and Adolescents: Collaborative Therapeutic Care by Lesley Day, Denis Flynn


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