{"title":"Defensive care","authors":"Ricardo Readi","doi":"10.1111/bjp.12975","DOIUrl":null,"url":null,"abstract":"<p>This work consists of an approach to the concept of Social Defences, which consolidates one way of applying psychoanalytic thinking to human institutionality. The author briefly describes the path psychoanalytic theory takes towards the outline of this concept, to emphasise later the implications it has for health institutions. There is a statement about the importance of considering the ways in which individual defences tend to collude with the institutionalized group's unconscious mechanisms, where certain conditions will be determined for the containment of primitive states of mind. Emphasis is made about the possibility that these dynamics have concrete effects on the workers' capacities and health, on the patients' treatment, and mainly on the loss of meaning that these people experience in their link with this institution. Two vignettes are included to attempt an illustration of these dynamics.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 3","pages":"384-394"},"PeriodicalIF":0.4000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Psychotherapy","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjp.12975","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
This work consists of an approach to the concept of Social Defences, which consolidates one way of applying psychoanalytic thinking to human institutionality. The author briefly describes the path psychoanalytic theory takes towards the outline of this concept, to emphasise later the implications it has for health institutions. There is a statement about the importance of considering the ways in which individual defences tend to collude with the institutionalized group's unconscious mechanisms, where certain conditions will be determined for the containment of primitive states of mind. Emphasis is made about the possibility that these dynamics have concrete effects on the workers' capacities and health, on the patients' treatment, and mainly on the loss of meaning that these people experience in their link with this institution. Two vignettes are included to attempt an illustration of these dynamics.
期刊介绍：
The British Journal of Psychotherapy is a journal for psychoanalytic and Jungian-analytic thinkers, with a focus on both innovatory and everyday work on the unconscious in individual, group and institutional practice. As an analytic journal, it has long occupied a unique place in the field of psychotherapy journals with an Editorial Board drawn from a wide range of psychoanalytic, psychoanalytic psychotherapy, psychodynamic, and analytical psychology training organizations. As such, its psychoanalytic frame of reference is wide-ranging and includes all schools of analytic practice. Conscious that many clinicians do not work only in the consulting room, the Journal encourages dialogue between private practice and institutionally based practice. Recognizing that structures and dynamics in each environment differ, the Journal provides a forum for an exploration of their differing potentials and constraints. Mindful of significant change in the wider contemporary context for psychotherapy, and within a changing regulatory framework, the Journal seeks to represent current debate about this context.
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