"This challenging and ambitious book captures the variety and richness of contemporary clinical developments in the Tavistock and Portman Clinics in relation to work with adults and young adults. It sets these developments in the context of the collective psychoanalytic and systemic principles that are the central underpinning of the Clinics’ work, built up over their long and distinguished history. The book sets the scene for the challenges that face the Clinics from the evidence-based practice approach and from competition for resources with forms of practice that are validated by this approach. The book outlines the adaptive and innovative ways in which the Clinics have responded to this competitive situation, for example by the development of an internet-based service for young adults, the application of mentalisation-based therapy for antisocial patients, and the use of dynamic interpersonal therapy as a brief therapy. This book will be an inspiring guide and rallying call for practitioners in the mental health field, who face the same inexorable competition for resources in providing therapy in the NHS and public services."
Contemporary Developments in Adult and Young Adult Therapy: The Work of the Tavistock and Portman Clinics, Volume 1by Alessandra Lemma
"Nature dictates that as individuals we are conceived, are born, and then at some point later die. The shape of the arc that we follow, involving growth and development with eventual decline, is something that we might all like to influence. It has been argued that the same basic curve, however, is followed by societies, civilisations and indeed organisations. How does an organisation influence its trajectory? How do organisations avoid the pull towards conservatism and protectionism associated with the developmental plateau found at the top of the curve?
…. I think that in this book Professor Alessandra Lemma has given us something of an insight into this process within one organisation, the Tavistock and Portman NHS Foundation Trust.
… In bringing together this collection of papers, Professor Lemma has undertaken the role of skilled gardener herself. The work of the Trust is now broad. Training and education makes up almost half of the activity, while Child and Adolescent Mental Health Services over half of the clinical work. Professor Lemma has, in this first volume, broadly focused her attention on our work with Adolescents and Adults … She has clearly selected her authors for their quality and supported them with similar care. All of this is evident in the chapters that comprise this book, and in the description of an organisation struggling to evolve in a manner that links it inextricably to the communities and society within which it is situated as much as to its own history."
From the foreword by Dr Matthew Patrick, Chief Executive, Tavistock and Portman NHS Foundation Trust
Meet the Author
Alessandra Lemma is a psychoanalyst and a consultant clinical psychologist working in the Adolescent Department of the Tavistock and Portman NHS Foundation Trust, where she is also the Head of Psychology. She is a Senior Member of the British Association of Psychotherapists and a Member of the British Psychoanalytical Society. She has published several books on psychotherapy and psychoanalysis.
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