{"title":"The psychoanalytic frame and the consent situation: the child patient’s position in the publication dilemma","authors":"M. Garcia","doi":"10.1080/0075417X.2023.2204337","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2204337","url":null,"abstract":"ABSTRACT The author explores the current dilemma regarding consent standards for the publication of child patient clinical material, and the psychic impact on the child when seeking permission to publish. It is proposed that a psychoanalytic view creates an additional dimension to the more universal ethic of ‘do no harm’, requiring clinicians to consider the unconscious experience of the patient as the core of the matter. The term consent situation is introduced to describe the way in which providing a draft of the clinician’s writing about the patient’s experience in treatment, and then asking the patient and family for permission to publish it, subjects them to external realities of an oedipal nature, compromising the frame around the treatment, and the vital cycle of the containing function in the treatment. The frame could potentially be compromised from the beginning in the form of a leaky container, during the treatment as a betrayal of the frame, or after the treatment has ended as an intrusion into the containing object. The author shows how this is a burden to all young patients that could be collectively carried by the professional community, by using creative modifications to systems of professional development and publishing.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"253 - 262"},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46950887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thinking about a playroom1","authors":"B. Joseph","doi":"10.1080/0075417X.2023.2226523","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2226523","url":null,"abstract":"ABSTRACT This paper discusses how thinking about a playroom involves our thinking about the setting in psychoanalytical work with children in general the physical as well as the human aspects and how this encourages us to rethink some of the basic aims in psychoanalytic work. The paper describes the importance of the setting being such as to help the therapist to have the freedom to think and to feel what is going on in the child and himself. Links are then made with aspects of transference and counter transference, and brief examples given.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"301 - 307"},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47176650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Finding a way to the child – selected clinical papers 1983–2021","authors":"Francesca Calvocoressi","doi":"10.1080/0075417x.2023.2225103","DOIUrl":"https://doi.org/10.1080/0075417x.2023.2225103","url":null,"abstract":"","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"347 - 349"},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43815546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research digest: looking beyond the IMPACT study to further our understanding of adolescent depression and its treatment","authors":"Rachel Acheson","doi":"10.1080/0075417X.2023.2214194","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2214194","url":null,"abstract":"This issue of the research digest lists the abstracts of studies from the past seven years that have utilised data compiled as part of the Improving Mood with Psychoanalytic And Cognitive Therapies (IMPACT) randomised controlled trial (RCT), and the IMPACT-My Experience (IMPACT-ME) study that was nested within IMPACT. This ambitious project is the largest clinical trial of psychological therapies for adolescent depression ever to have taken place in Europe and explored the effectiveness of three therapeutic interventions – cognitive-behavioural therapy (CBT), short-term psychoanalytic psychotherapy (STPP), and brief psychosocial intervention (BPI) – in the treatment and relapse prevention of depression in young people. IMPACT-ME explored young people’s experience of overcoming depression and of treatments they received as part of the IMPACT trial. This Journal is pleased to have published several papers that have used data from the IMPACT study, including one in this issue. However, this edition of the Research Digest focusses on studies","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"332 - 346"},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47342213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernanda Sampaio de Carvalho, Nicole Vliegen, I. Reiss, M. van Dijk
{"title":"Supporting early parenthood of hospitalised women with severe pregnancy problems and their partners: rationale, principles and exploration of a psychotherapeutic programme","authors":"Fernanda Sampaio de Carvalho, Nicole Vliegen, I. Reiss, M. van Dijk","doi":"10.1080/0075417X.2023.2206885","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2206885","url":null,"abstract":"ABSTRACT This paper describes the rationale and treatment principles of an in-hospital psychotherapeutic programme for pregnant women with pre-eclampsia or HELLP syndrome, and their partners. This psychotherapeutic programme focuses on making improvements in the experience of early parenthood, through improving reflective capacity under stress, emotional availability, bonding with the infant, and supporting the overall transition to parenthood. The medical and psychosocial consequences of pre-eclampsia and HELLP syndrome, which can result in the preterm birth of infants, are numerous, and can be detrimental to the early parent-infant relationship. Parents may experience anxiety, guilt, depression and post-traumatic stress, and it is important to address these problems preventatively, from pregnancy onwards. This programme is innovative in its offer of continued in-hospital support to pregnant women and their partners, at the obstetric as well as at the neonatology ward. In addition, a small and descriptive study of the programme is presented in this paper. We perceived that the participating parents were committed to attending the sessions, which addressed their major concerns regarding parenthood. No participants dropped out of the programme before discharge. Mentalization-based psychotherapeutic work was done during PLUS consultations, and parents showed a need to express, reflect upon and process the concerns they experienced during the frightening period of hospitalisation.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"209 - 229"},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46642172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflective group supervision: psychotherapists and child health centre nurses in collaboration","authors":"B. Salomonsson","doi":"10.1080/0075417X.2023.2175227","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2175227","url":null,"abstract":"ABSTRACT Postpartum depression affects every sixth mother, and emotional distress in infants is also common. The need for parent-infant consultations and psychotherapies probably greatly exceeds the number of families who in fact receive qualified help. Nurses at child health centres are the first professionals to meet distressed families. Their readiness to help them is clouded by conflicting professional attitudes, patients’ expectations, and uncertainties of how to handle patient-nurse interactions. Nurses may experience clinical impasses that need attention. Reflective group supervision can be a valuable remedy, and a method for educating nurses in daily practice. The method is illustrated by a vignette, and a review of the nursing and psychoanalytic literature. Nurses often address problems with anger, guilt, and anxiety of uncertainty, which may block their understanding of the families’ emotional entanglements. Supervision combines the supervisor’s psychodynamic competence and the nurses’ experiences, to inspire self-reflection on difficult cases. It should be provided regularly with management support, and the supervisor should preferably be a psychotherapist experienced in child and adult work. The therapist can work simultaneously as a consultant clinician at the centre, thus increasing the opportunities for families to receive adequate help.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"191 - 208"},"PeriodicalIF":0.4,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47116348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A fall from the stars: a critical psychoanalytic reading of James Gray’s film ‘Ad Astra (to the stars)’","authors":"Timothy Smith","doi":"10.1080/0075417X.2023.2167227","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2167227","url":null,"abstract":"ABSTRACT This reading of James Gray’s science fiction film ‘Ad Astra’ explores, largely from a post-Kleinian perspective, phantasised restrictions on object relations that may result in a developmental arrest in late adolescence. The phantasy of omnipotence, with its dominating impact on the mind, is considered, including how this may link with socio-contextual impingements on boys’ developing masculine identities, especially where a father is absent during their late adolescent years.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"263 - 278"},"PeriodicalIF":0.4,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49121798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Creating distance from adolescents’ anger: psychotherapists’ responses to conversational trouble in Short Term Psychoanalytic Psychotherapy","authors":"Eleni Chourdaki, J. Catty, Elena Della Rosa","doi":"10.1080/0075417X.2023.2167102","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2167102","url":null,"abstract":"ABSTRACT The exploration of negative feelings is one of the core principles of psychoanalytic psychotherapy, yet anger experienced towards the therapist may lead to increased risk, ruptures in the therapeutic relationship and dropout. This study explored the psychotherapists’ immediate responses to patients’ anger in Short Term Psychoanalytic Psychotherapy (STPP). Data came from a randomised controlled trial investigating the efficacy of three types of therapy in the treatment of adolescent depression, in which therapy sessions were audio-recorded. Purposive sampling was used to select ten extracts from four different patient-therapist couples where patients expressed anger towards their therapist. Those extracts were transcribed and analysed using conversation analysis (CA). The analysis showed that following patients’ anger expression, psychotherapists were inclined to create distance either by moving aside from the topic of conversation, or by referring to ‘other times’, past or future. In only one out of the ten extracts did the psychotherapist name the young person’s anger towards them in the moment. In all other cases, psychotherapists commented on patients’ latent feelings of anger, but were inclined to create distance from explicit and direct anger-expressions. Possible reasons for this are explored, along with both clinical and research implications.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"279 - 300"},"PeriodicalIF":0.4,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42320558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molly MacKean, Tanya Lecchi, R. Mortimer, N. Midgley
{"title":"‘I’ve started my journey to coping better’: exploring adolescents’ journeys through an internet-based psychodynamic therapy (I-PDT) for depression","authors":"Molly MacKean, Tanya Lecchi, R. Mortimer, N. Midgley","doi":"10.1080/0075417x.2023.2173271","DOIUrl":"https://doi.org/10.1080/0075417x.2023.2173271","url":null,"abstract":"","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42954977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesca Di Lorenzo, Lydia Barge, Lisa A. Thackeray, S. Peter, Isabella Vainieri
{"title":"More than I expected: a qualitative exploration of participants’ experience of an online adoptive parent-toddler group","authors":"Francesca Di Lorenzo, Lydia Barge, Lisa A. Thackeray, S. Peter, Isabella Vainieri","doi":"10.1080/0075417X.2022.2129733","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2129733","url":null,"abstract":"ABSTRACT The question of how best to support adoptive parents has been attracting increasing attention in recent years. This paper aims to explore participants’ experience of a new online intervention for adoptive parents and toddlers, which was adapted from an existing psychoanalytic Parent-Toddler Group (PTG) model. Participants were recruited from the parents attending the intervention, and four took part in a semi-structured post-intervention interview, aimed at exploring their experience of the PTG. Findings showed that, despite difficulties with the online setting of this intervention, participants overall experienced it positively, and particularly valued the supportive element of the group and the improvements in the parent-child relationship. However, challenges included engaging toddlers in the online setting, and participants’ confusion over the expectations and outcomes of the group. Based on these findings, suggestions were made for further research and adaptations of this model for future adoptive parenting interventions and support.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"49 1","pages":"230 - 252"},"PeriodicalIF":0.4,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42378915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}