Working with Violence: A Contemporary Psychoanalytic Approach

Working with Violence: A Contemporary Psychoanalytic Approach

by Jessica Yakeley


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Product Details

ISBN-13: 9780230203631
Publisher: Macmillan Education UK
Publication date: 01/15/2010
Series: Basic Texts in Counselling and Psychotherapy
Edition description: 2009
Pages: 208
Product dimensions: 5.40(w) x 8.40(h) x 0.60(d)

About the Author

JESSICA YAKELEY is Honorary Senior Lecturer in the Department of Mental and Behavioural Sciences, University College London, UK. She is a Consultant Psychiatrist in Forensic Psychotherapy at the Portman Clinic, Tavistock and Portman NHS Foundation Trust, and a Consultant Psychiatrist in Psychotherapy at the Camden Psychotherapy Service, Camden and Islington Mental Health NHS Foundation Trust. She is also a Member of the British Psychoanalytic Society.

Table of Contents

Foreword Stanley Ruszczynski viii

Acknowledgements xi

Introduction 1

1 Violence: Psychoanalytic Perspectives 7

A psychoanalytic history of aggression 8

Definitions of violence 10

Different forms of violence 11

Attachment, trauma and loss Mentalization 13

The internal object world, the role of the father and superego 14

The role of phantasy 16

Defence mechanisms and defensive systems 19

The external setting and situational factors 20

Towards a multi-dimensional framework 22

Summary 25

2 Violence, Mental Illness and Personality Disorder 26

Diagnostic classifications 27

Personality disorder 29

Psychosis 33

Summary 39

3 Psychopathy 41

Historical conceptions of psychopathy 41

Definitions of psychopathy and the Hare Psychopathy Checklist 43

Developmental origins and the internal world of the psychopath 44

Personality organisation 45

Failures of internalisation 45

Internal object relations and the grandiose self 46

The psychopathic superego 48

Countertransference reactions 50

Psychopathic violence 51

Psychopathic breakdown and the fallacy of dual diagnosis 52

Summary 54

4 Violence, Sexuality and Perversion 56

Definitions of perversion 57

Polymorphous perversion 59

Perversion as a defence against castration anxiety 60

The erotic form of hatred 62

A defence against generational and sexual 65

Difference - the facts of life 65

Summary 67

5 Violent Women 68

Violence against the body 69

Infanticide 74

Munchausen's Syndrome by Proxy 77

Domestic violence 80

Summary 82

6 Violence and Society, Race and Culture 84

Group violence 84

Racism and violence 87

Dehumanisation, genocide and terrorism 93

Summary 96

7 A Psychoanalytic Approach to Risk Assessment 97

Models of risk 98

Subjectivity 100

Violence as communication 101

Countertransference 102

Transference and the index offence 106

Towards a psychoanalytic risk formulation and framework 110

Summary 113

8 Working in Medium and High Security Settings 114

Containment 114

The sick and fragmented Institution 116

Treating the institution 118

Working in prisons 123

Summary 125

9 Individual Psychoanalytic Psychotherapy for Violent Patients 127

Assessing the violent patient 129

The setting 134

Engaging the patient 135

Transference and countertransference 140

Mourning and working through 145

Summary 149

10 Group-Analytic Psychotherapy for Violence 150

Selection for group-analytic psychotherapy 151

The group process 153

The setting, group 'rules' and boundaries 155

Transference and defence 157

Endings and beginnings 161

Summary 163

11 Working with the Wider Professional Network 164

Confidentiality 165

Multi-Agency Public Protection Arrangements 168

Working with the courts 172

Summary 176

Glossary 178

References 189

Index 204

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