Unexpected Gains: Psychotherapy with People with Learning Disabilities

Overview

Psychoanalytic psychotherapy is a new development in the treatment of people with learning disabilities and mental health problems, traditionally handled with behavioural management and limited counselling. The collected papers have evolved from the work of the pioneering Learning Disabilities Service at the Tavistock Clinic. Demonstrating the vast range of work undertaken by members of the service, covering treatment for children, adolescents and adults, it contains an in-depth...
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Unexpected Gains: Psychotherapy with People with Learning Disabilities

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Overview

Psychoanalytic psychotherapy is a new development in the treatment of people with learning disabilities and mental health problems, traditionally handled with behavioural management and limited counselling. The collected papers have evolved from the work of the pioneering Learning Disabilities Service at the Tavistock Clinic. Demonstrating the vast range of work undertaken by members of the service, covering treatment for children, adolescents and adults, it contains an in-depth look at life in residential settings and at audit and research.
This book is especially pertinent to those already engaged in work with this patient-group, and will also be of interest to general practitioners, students and also non-specialists.

The papers collected here draw on, elaborate and further explore this centrally important tradition of bringing psychoanalytic concepts to bear on the opaque, puzzling and painful states of mind of the learning disabled referred for psychotherapeutic help. These concepts are drawn from a range of professional experience, in particular, that of insight into the nature of early mother/infant interactions, and their special complexities where learning disability is concerned.
"The various chapters movingly and challengingly emphasise the impressive changes that can be achieved within the general framework of psychodynamic practice. The approach demonstrates how, through adaptations and innovations of technique, people and institutions can move towards a greater understanding of the almost unbearable difficulties of this group of patients, and also of their potentialities."-- From the Series Editor’s Preface

Contributors include Annie Baikie, Marta Cioeta, Louise Emanuel, Lydia Hartland-Rowe, Nancy Sheppard, Sally Hodges, Maria Kakogianni, Pauline Lee, Victoria Mattison, Lynda Miller, Sadegh Nashat, Nancy Pistrang, Elisa Reyes-Simpson, David Simpson
Judith Usiskin

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Product Details

  • ISBN-13: 9781855759640
  • Publisher: Karnac Books
  • Publication date: 8/28/2004
  • Series: Tavistock Clinic Series
  • Pages: 236
  • Product dimensions: 5.80 (w) x 9.00 (h) x 0.80 (d)

Meet the Author

David Simpson is joint head of the Tavistock Clinic Learning Disability Service. Following a background in paediatrics he trained in psychiatry at the Maudsley Hospital. He is a Consultant Child and Adolescent Psychiatrist and Programme Director for Specialist Training in Child and Adolescent Psychiatry at the Tavistock Clinic and is Honorary Senior Lecturer at the Royal Free and University College London Hospital, Medical School. He is a Member of the British Psychoanalytic Society and works in private practice as a psychoanalyst.

Lynda Miller is joint head of the Tavistock Clinic Learning Disability Service and Consultant Child and Adolescent Psychotherapist in the Adolescent Department of the Tavistock Clinic. She also works as Principal Child and Adolescent Psychotherapist in the Child Guidance Service in Enfield. She teaches on pre-clinical and clinical training courses at the Tavistock and in Bologna, Italy, and has published papers in the UK and in Italy.

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Table of Contents

Acknowledgements
Series editor's preface
About the editors and contributors
Introduction
Ch. 1 The psychotherapy of a little girl with a severe learning disability and a history of deprivation and neglect 1
Ch. 2 Therapeutic dilemmas when working with a group of children with physical and learning disabilities 14
Ch. 3 Some thoughts on psychotherapeutic work with learning-disabled children and their parents from orthodox religious communities 30
Ch. 4 Facing the damage together : some reflections arising from the treatment in psychotherapy of a severely mentally handicapped child 45
Ch. 5 Learning disability as a refuge from knowledge 69
Ch. 6 Adolescents with learning disabilities : psychic structures that are not conductive to learning 83
Ch. 7 The creative use of limited language in psychotherapy by an adolescent with a severe learning disability 98
Ch. 8 The question of a third space in psychotherapy with adults with learning disabilities 112
Ch. 9 When there is too much to take in : some factors that restrict the capacity to think 122
Ch. 10 An exploration of severe learning disability in adults and the study of early interaction 133
Ch. 11 The endings of relationships between people with learning disabilities and their keyworkers 149
Ch. 12 Ensuring a high-quality service : clinical audit, quality assurance, and outcome research in the Tavistock Clinic Learning Disabilities Services 167
References 187
Index 197
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