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The Therapeutic Milieu Under Fire

The Therapeutic Milieu Under Fire PDF Author: John Adlam
Publisher: Jessica Kingsley Publishers
ISBN: 0857005340
Category : Psychology
Languages : en
Pages : 258

Book Description
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.

The Therapeutic Milieu Under Fire

The Therapeutic Milieu Under Fire PDF Author: John Adlam
Publisher: Jessica Kingsley Publishers
ISBN: 0857005340
Category : Psychology
Languages : en
Pages : 258

Book Description
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

Art Psychotherapy Groups in The Hostile Environment of Neoliberalism PDF Author: Sally Skaife
Publisher: Routledge
ISBN: 1000529061
Category : Psychology
Languages : en
Pages : 182

Book Description
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

Forensic Psychotherapy PDF Author: Jessica Yakeley
Publisher: Routledge
ISBN: 1351838687
Category : Psychology
Languages : en
Pages : 300

Book Description
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.

Architecture for Psychiatric Environments and Therapeutic Spaces

Architecture for Psychiatric Environments and Therapeutic Spaces PDF Author: E. Chrysikou
Publisher: IOS Press
ISBN: 1614994609
Category : Architecture
Languages : en
Pages : 208

Book Description
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

Therapeutic Uses of Rap and Hip-Hop PDF Author: Susan Hadley
Publisher: Routledge
ISBN: 1136652329
Category : Psychology
Languages : en
Pages : 419

Book Description
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.

Psycho-social Explorations of Trauma, Exclusion and Violence

Psycho-social Explorations of Trauma, Exclusion and Violence PDF Author: Christopher Scanlon
Publisher: Routledge
ISBN: 1000536246
Category : Psychology
Languages : en
Pages : 197

Book Description
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

Fountain House PDF Author: Alan Doyle
Publisher: Columbia University Press
ISBN: 023115710X
Category : Psychology
Languages : en
Pages : 218

Book Description
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

Professional and Therapeutic Boundaries in Forensic Mental Health Practice PDF Author: Anne Aiyegbusi
Publisher: Jessica Kingsley Publishers
ISBN: 0857003283
Category : Psychology
Languages : en
Pages : 292

Book Description
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.

Sexual Boundary Violations

Sexual Boundary Violations PDF Author: Andrea Celenza
Publisher: Rowman & Littlefield
ISBN: 0765708531
Category : Psychology
Languages : en
Pages : 308

Book Description
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...

Deconstructing the Therapeutic Community

Deconstructing the Therapeutic Community PDF Author: Fernando B. Perfas
Publisher: Createspace Independent Pub
ISBN: 9781475186352
Category : Social Science
Languages : en
Pages : 284

Book Description
A book like no other on the subject of Therapeutic Community (TC). The book is not only an elaboration of the principles and practices of the TC, but an exposition of its original concepts and their relevance to current practices in the treatment of addiction. It provides numerous examples that add clarity and experiential flavor to the entire presentation. There is a dearth of literature on the Concept-Based TC, particularly a standard of practice in the applications of its methods and approaches. Historically, most TC practitioners rely on experiential knowledge in implementing TC programs and disseminating information to clients. It is a book for all practitioners of the arts and science of healing and recovery from substance abuse and other addictions, including some mental afflictions. It covers a wide range of subjects related to evidence-based practices in the treatment of addiction. Besides tackling important issues and challenges facing the TC, it also provides ideas on how to bring the TC approach up to date with current understanding of addiction and treatment practices. Included in the book are client Workbooks, one on Orientation and Introduction of the TC and another on the Encounter Group, both of which are designed to help clients adapt to the TC environment more rapidly. The book is written both from experience and deep understanding of the rich traditions and philosophy of the TC and its potentials for healing addiction and other modern human maladies.