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Farhad Dalal On the Quietness of the Therapist Rex Haigh Personality Disorders Richard Mizen The Embodied Mind Julian Lousada and Jo Rosenthal What is Falling in Love Martin Weegmann The substance in question: psychodynamic approaches to addiction and recovery Edith Hargreaves From Separteness to Sublimation Francis Dale 'Primitive Forms of Communication' Sarah Nettleton Some thoughts on the origins of musical giftedness
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On the Quietness of the Therapist Farhad Dalal Tel: 01803 867 413 14 June 2008 What do we think we are doing? Why do we try to do it? What are we actually doing? Ironically, in the so-called talking therapies, the therapist does not talk much at all. Why is this? And why do we think it a good thing? I will argue that some of the rationales for this view arise out of (mistakenly) conceiving of the human condition in profoundly individualistic terms. This leads the therapist to relate to the patient as either scientist, engineer, or guide. I will offer alternatives that draw on psychological and sociological theories of relationality; I will then think about what this alternative might suggest about the forms of psychotherapy practice and technique. I will suggest that therapy might be better thought of as conversation (which includes quietness) in which the therapist is a much more involved participant than we would like to believe. And so, the ideologies subscribed to by the therapist, cannot be kept out of the clinic despite one’s best attempts. |
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Rex Haigh Saturday 27th September 2008 To get the full text of the talk click here Personality Disorders, Therapeutic Communities and Well-Being: Whose Personality – Whose Problem? Rex is a consultant psychiatrist, clinical advisor to the National Personality Disorder Development Programme, and training lead for the new National Personality Disorder Institute at Nottingham University. He is involved with several third sector organisations including the Association of Therapeutic Communities (of which he was Chair 1998-2004), Borderline UK (currently Vice Chair), Personality Plus, Community Housing and Therapy, the Society for Psychotherapy Research and the British and Irish Group for the Study of Personality Disorder. He is also founder and project lead of “Community of Communities” – an international quality network of therapeutic communities. He has written and published numerous articles about therapeutic communities and personality disorder, and is co-editor of both the Jessica Kingsley “Community, Culture and Change” book series and the International Journal of Therapeutic Communities. His clinical work is in Berkshire where, together with his wife, he co-runs a small therapeutic community of four children and a dog and works for the local NHS mental health foundation trust.
He was inspired by psychoanalysis, anti-psychiatry and critical theory when a medical undergraduate at Cambridge in the early 1980s, but has kept to an orthodox medical career since qualification. He first trained as a GP in Cornwall, then as a psychiatrist in Oxford and an NHS psychotherapist and group analyst in Birmingham and London. When he was appointed as NHS consultant to Winterbourne Therapeutic Community in Reading in 1994, he had almost ‘come home’ to his psychoanalytic, anti-psychiatry and critical theory roots.
His current passion at work is developing awareness that a new sort of relationship is needed between professionals and service users. This can be so easily prevented by ‘professional asymmetry’ when attitudes such as zero tolerance, risk control and paternalistic care prevail |
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November 8, 2008 Richard Mizen The Embodied Mind
When Freud wrote his paper ‘The Unconscious’ in 1915 he described two sorts of unconsciousness, the ‘repressed’ and the ‘unrepressed’. It was the operations and dynamics of the former that he spent his life explicating but in the process the latter was relatively ignored by him. In part this may have been a consequence of the rivalries and schisms that beset the psychoanalytic ‘movement’ as Jung’s theories emphasised those aspects of the unconscious which are not repressed. From time to time attempts have been made to address the theoretical and clinical implications of failing to take into account both repressed and unrepressed mental contents and develop a model which contains both for example by the South American psycho-analyst Matte Blanco. Earlier, Wilfred Bion created a model which implicitly included an idea of the ‘unrepressed’ in his descriptions of ‘alpha function’ and ‘beta elements’. More recently still, again implicitly, Peter Fonagy has developed his concept of ‘Mentalization’ which does something of the same albeit in a rather different kind of way. In my talk I want to consider some of the implications of the limitations of our models which fails to integrate both the repressed and the unrepressed”. Richard Mizen is a Professional Member of the Society of Analytical Psychology. He worked for over twenty years in Health and Social Services including adult mental health, forensic psychiatry and child protection. He is the author of a number of published papers and is co-editor with Jan Wiener and Jenny Duckham of ‘Supervising & Being Supervised’ (2003 Palgrave) and is co-author with Mark Morris of ‘On Aggression and Violence; an Analytic perspective’ (2007 Palgrave). He is in private practice as an analyst and supervisor at Exeter and also organises and leads post graduate courses in Psychoanalytic Psychotherapy in the School of Psychology at the University of Exeter. |
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What is falling in love?
Joanna Rosenthall & Julian Lousada We are all ‘experts’ when it comes to couple relationships. At the same time many of us feel helpless and afraid in the face of a warring couple. It is nevertheless often an extremely potent site for offering therapeutic help and, importantly, one that is often overlooked or avoided as the treatment of choice. In Ronald Britton’s words: “the idea of the couple coming together to produce a child is central in our psychic life, whether we aspire to it, object to it, realise we are produced by it, deny it relish or hate it.“ * In this paper we will consider what constitutes the powerful unconscious draw which underlies a ‘falling in love’ experience. We will also touch on the issues essential to thinking about couple relationships, especially how to manage the delicate and constantly shifting balance between maintaining each partner’s individuality at the same time as finding as much intimacy as the two people can tolerate. We shall begin by a short demonstration of the complexities of couple communication * Britton R.1989: “The missing link, parental sexuality in the Oedipus complex.” In J Steiner (ed) The Oedipus Complex Today P83-101
Joanna Rosenthall was a senior staff member for many years at the Tavistock Centre for Couple Relationships, where she ran the clinical training and professional doctorate programme in couple psychoanalytic psychotherapy. She now runs the Clinical Service for couples in the Adult Department of the Tavistock and Portman NHS Trust and is in private practice. She teaches and lectures both in Britain and abroad on the psychoanalytic theory and practice of working with couples. She has published a number of papers in this area; recent ones have focussed on couples who function as if they are fused, violent couples and couples who hate each other. She is currently training to be a psychoanalytic psychotherapist at the British Association of Psychotherapy. Julian Lousada is the former Clinical Director of the Adult Department at the Tavistock & Portman NHS Foundation Trust. He is currently the Chair of the British Psychoanalytic Council (BPC). He is a psychoanalyst in private practice and a principal organisational consultant. He teaches and supervises. His publications include :-2003 ‘Specialist Personality Disorder Services: a case for managed clinical networks’ Psychiatric Bulletin 2005: Cooper & Lousada. ‘Borderline Welfare’ Feeling and the fear of feeling in modern welfare. Karnac 2006 : ‘Glancing over the Shoulder’ Racism, the fear of the stranger and the Fascist state of mind. Psychoanalytic Psychotherapy Vol 20
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Martin Weegmann “The substance in question: psychodynamic approaches to addiction & recovery” May 9, 2009 Martin overviews a psychodynamic approach to addiction, with an emphasis on integrating ideas from different traditions: object-relations, attachment theory, self-psychology and group. Rather than see addiction as a state that resides simply within the individual, he will note the importance of the social unconscious life of substance users- cultures of delinquency, getting ‘out of it’, normalized boozing, etc. A contemporary psychodynamic perspective helps client, worker and agency alike to tackle those ‘forces’ that demand immediate action or satisfaction and that kill reflection; this can be a great aid to mainstream approaches, such as motivational interviewing, relapse prevention, 12 Step facilitation. Martin Weegmann is a Consultant Clinical Psychologist and Group Analyst, working at the Henderson (for personality disorders). Previously he worked in the specialities of Substance Misuse and Psychotherapy in Ealing, West London. He has taught widely and published in a range of journals, currently working on A Perspectical World, a book that draws upon historical and philosophical approaches to understanding the practices of modern psychotherapy. He has co-edited/authored within; Psychodynamics of Addiction (2002, J. Wiley) and Group Psychotherapy of Addiction (2004, John Wiley). Martin enjoys the creative side of life- art, music (is he trapped in a time-bubble known as ‘the early 70’s?’) and writing.
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St Petersburg: A case study in the influence of external and internal factors in psychic development. Speaker: Sheila Ernst October 3, 2009
She says: Training Group Analysts in St Petersburg brings up questions which are of specific and general interest. After three years of participating in this programme, I am left wondering if anything that I do or teach, can in any way counteract the experiences of living under a totalitarian communist regime that these students, or their parents and grandparents have had. I wonder whether I should be attempting to counteract the legacy of these experiences, or whether I should limit myself to exploring them. My talk will be focussed around the following question: What are the influences of external and internal factors on psychic development? I will draw on experiences of the work in St. Petersburg to develop my arguments and illustrate the issues that they throw up.
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From Separateness - to Symbol Formation - to Sublimation: Finding Meaning Edith Hargreaves
It sprang from my interest and puzzlement about a particular group of patients who, although highly educated and successful in their working lives, have difficulty in forming intimate relationships and have few interests and little joy in life. Following Hanna Segal’s ideas on symbol formation, I relate this to their difficulties in bearing separateness and mourning loss, i.e. in negotiating the depressive position, and, therefore, in finding ways to transform painful anxieties and conflicts symbolically into creative and sustaining sublimations – interests, activities and relationships in the external world.”
Edith Hargreaves is a Training Analyst of the British Psychoanalytic Society with a particular interest in teaching psychoanalytic ideas and supervising clinical work. She has been actively involved for many years in the training organisations of the Institute of Psychoanalysis and other psychoanalytic-psychotherapy organisations and is committed to the strengthening of psychoanalysis outside London, and the application of psychoanalytic ideas in the NHS. For the past five years she has taken part in week long teaching seminars in the Ukraine. She is co-editor of In Pursuit of Psychic Change: The Betty Joseph Workshop, Brunner-Routledge, 1994.
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'Primitive Forms of Communication' Francis Dale - An exploration of non-verbal communication between mothers and babies and its application and relevance to the therapeutic relationship
Outline: In their everyday work with patients, psychodynamic therapists - quite rightly - connect with and seek to understand their clients primarily through the use of interpretations - that is, by way of verbal communication. However, implicit in every verbal communication there are non verbal components which can be masked or go unnoticed by our cultural over dependence on language to communicate with each other. Babies don't have words or cultural experience to draw on; yet to survive, they have to be able to communicate their needs with urgency and immediacy. In looking at how babies use non verbal communication to express their needs - and how mothers learn to 'read' and respond to their baby's 'language', I will be drawing parallels between the therapeutic and nurturing processes and looking at ways in which, we as therapists, can increase our sensitivity and awareness of non verbal modes of communication.
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Some thoughts on the origins of musical giftedness Sarah Nettleton May 15, 2010 In this paper, the phenomenon of musical giftedness is explored from a psychodynamic perspective. The role of sound is examined - in the earliest physiological stirrings of auditory perception in the womb, in the sensitivity to sensory modes in the young infant and his mother, and in the growing complexity of object relations and transitional phenomena as they develop during childhood. The author presents the hypothesis that musically gifted children retain a primary auditory cathexis. This colours both the relationship with the primary object and the child’s sense of self, highlighting certain abstract elements in the internal world. It is suggested that these children retain a continuous connection with the roots of their intrapsychic experience, but that they may encounter particular idiosyncratic difficulties in integrating their self-experience with external reality.
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