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Clinical audit can be a powerful tool for change, but is often perceived as externally-imposed time-wasting. Focusing on applications of clinical audit in psychoanalytic psychotherapy NHS services, the authors examine why audit is resented, how it can be 'reconstructed' as a useful tool for clinicals, and provide real-life examples of good practice. More than a simple 'how-to', this book provides new rnderstanding of a persistent problem in health-care organisations and will be of interest to all mental health staff, trainees and service managers.
Forensic Psychiatry has expanded over the last twenty years with a dramatic increase in forensic psychiatry posts and medium secure unit beds. There has been increased concern with the treatment, which is seen by many to be of great importance, and management of mentally ill offenders which has led to more interest in understanding.
This book belongs to a long tradition at the Tavistock Clinic of work focused on the mental and emotional well-being of the elderly. It applies psychoanalytic thinking to areas that have generally attracted very little sustained attention over the years.
The first authoritative reference on clinical psychology and aging, the Handbook of the Clinical Psychology of Ageing was universally regarded as a landmark publication when it was first published in 1996. Fully revised and updated, the Second Edition retains the breadth of coverage of the original, providing a complete and balanced picture of all areas of clinical research and practice with older people. Contributions from the UK, North America, Scandinavia and Australia provide a broad overview of the psychology of aging, psychological problems (including depression, anxiety, psychosis, and dementia), the current social service context, and assessment and intervention techniques.
More than 800,000 people in the UK are currently affected by dementia, a figure set to increase as the population ages. This book, addressed to carers and loved ones, explores how to handle the difficult emotions involved in looking after a loved one with dementia, such as denial, shame, anger, guilt and grief. It examines the harrowing process of effectively losing a person on a day-to-day basis, and suggests the best ways to maintain psychological health and well-being. Topics include: · Understanding the changes in memory, personality and behaviour · Developing an understanding of personal challenge · Overcoming loneliness and isolation · How family dynamics may affect the caring experience · ‘The long goodbye’ - coping with progressive decline · Severe dementia and end of life care · Finding meaning in the experience – is there a ‘positive’ side of looking after someone with dementia?
Clinical Psychoanalytic Case Studies with Complex Patients is a collection of key case studies that provides a rich resource of information and inspiration for clinicians working psychoanalytically with complex and disturbed patients in a range of contexts. The book is presented in six parts, each introduced with commentary that puts the material into context. It covers a range of topics including autism, violence and perversion, psychosomatics, hysteria, dementia, psychosis and assessment of gender dysphoria. Each chapter presents either a single case study or a selection of case vignettes, examines necessary context and presents additional detail about subsequent treatment. The depth and range of the cases presented provide key insight into and detailed consideration of risk assessment, safe settings and other important preliminary issues. Clinical Psychoanalytic Case Studies with Complex Patients will be of great interest to psychoanalysts in practice and in training, psychoanalytic psychotherapists and other clinicians seeking an introduction to psychoanalytic work.
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Clinicians, managers and researchers - as well as politicians and religious leaders - are worrying about a lack of compassion and humanity in the care of vulnerable people in society. In this book The author explores the dynamics of care. He argues that we know how to do it, but somehow we seem to keep getting it wrong. Poor care in hospitals and care homes is well documented, and yet it continues. Care for people in their own homes is seen as an ideal, but the reality can be cruel and isolating. The author describes research over forty years in thinking why institutional and community care are both subject to processes of denial and fear of dependency. His examples include children in hospital, people with disabilities living in the community, and the care of older people and those with dementia.
'Talking Over the Years' illuminates the psychodynamic theories of the 20th century & turns its attentions to the thorny issues of ageing & the complications of later life. It provides detailed descriptions of psychoanalytic theory together with the use of psychodynamic concepts in clinical practice.