{"title":"Isabel Menzies Lyth revisited institutional defences in public health nursing in South Africa during the 1990s","authors":"H. Walt, L. Swartz","doi":"10.1080/13533339908404985","DOIUrl":"https://doi.org/10.1080/13533339908404985","url":null,"abstract":"Abstract In this paper we revisit Isabel Menzies Lyth's work which sheds light on institutional defences in British hospital nurses during the 1960s. Today this work continues to inform dynamic organizational consultation in diverse areas, but to our knowledge it is not well known or applied by the nursing profession. We describe clinical examples of the work patterns of nurses in a tuberculosis-control programme in the Western Cape, South Africa, to illustrate examples of splitting, detachment and depersonalization. We discuss the tension between caring for the sick individual and containing an epidemic which threatens public health. We argue that Menzies Lyth's framework still serves as a useful tool for understanding the dynamics of relationships between health providers and patients, and that it is robust enough to provide useful insights in the South African public-health context.","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"483-495"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404985","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789578","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":"Containment in theory and practice","authors":"Marilyn Miller-pietroni","doi":"10.1080/13533339908404980","DOIUrl":"https://doi.org/10.1080/13533339908404980","url":null,"abstract":"Abstract This article selects the term ‘containment’ as a vehicle for an exploration of multi-professional work and communication in the general practice setting. The term was selected because of its widespread use by and relevance to the different professionals who work in general practice. It is sufficiently elastic to be applied to one-to-one work between patients and GPs, counsellors, nurses or complementary therapists, and to a multi-professional teamwork process. The exploration of the concept in use at Marylebone Health Centre is complicated by the multi-professional nature of the team and then-wide range of belief systems and language groups. In the process of exploring the term, members of the team had to cope with their discovery that it was being used in contradictory ways. They decided that a new and more grounded definition in shared and ordinary (nonprofessional) language was needed, if the term were to become a vehicle for inter-professional collaboration and if unhelpful, anti-task social ...","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"407-427"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404980","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789903","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":"Individual and institutional defences against primitive anxieties: Counselling in prison","authors":"L. Smith","doi":"10.1080/13533339908404981","DOIUrl":"https://doi.org/10.1080/13533339908404981","url":null,"abstract":"Abstract This paper describes a counsellor's attempts to understand the unconscious dynamics affecting the process of counselling women in prison. The social system of the prison serves to defend both prisoners and officers against powerful anxieties about the potential for sadistic attack originating from primitive states of mind, that is persecution, helplessness and destructiveness. The implications of the rigid means of defence are considered, and die role of unconscious guilt motivating the need for external punishment is briefly explored. Emphasis is placed on the role of splitting and projection in the management of potentially overwhelming feelings of guilt, and fear of punishment. The author develops the premise that there is in effect an institutional requirement that prisoners remain in the paranoid-schizoid position because of the feared consequences were they to experience depressive anxieties.","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"429-442"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404981","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789917","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":"Reply to Stephen Gross","authors":"L. O'carroll","doi":"10.1080/13533339908404147","DOIUrl":"https://doi.org/10.1080/13533339908404147","url":null,"abstract":"","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"375-379"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789542","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":"Working with body storylines","authors":"Maggie Turp","doi":"10.1080/13533339908404142","DOIUrl":"https://doi.org/10.1080/13533339908404142","url":null,"abstract":"Abstract The author considers the appearance in a therapeutic setting of a ‘body storyline’, involving a client account of using or experiencing the body in a particular way. For example, a client may describe taking up a physical activity such as running or seeking out a ‘hands on’ therapy such as massage. While such activities may stand in opposition to thoughtfulness and symbolization, the author argues against any tendency automatically to regard them as psychologically unhelpful. Such activities also have the potential to support the operation of tlioughtfulness and symbolization, contributing to a coming together of action, thinking and feeling. Where they operate in this way, the author suggests that they play an important role in supporting psychosomatic health. A case study is included, to illustrate how the beneficial potential of body storylines can be brought into play within a psychodynamic setting.","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"301-317"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789433","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":"Erratum: Re: Dr Charles Socarides' visit to England in 1995","authors":"L. O'carroll","doi":"10.1080/13533339908404146","DOIUrl":"https://doi.org/10.1080/13533339908404146","url":null,"abstract":"","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"373-373"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789533","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":"Increasing undergraduate students' capacity to complete their degree programme successfully: Brief psychodynamic counselling intervention","authors":"B. Rickinson","doi":"10.1080/13533339908404143","DOIUrl":"https://doi.org/10.1080/13533339908404143","url":null,"abstract":"This article is drawn from a larger study exploring the relationship between undergraduate student counselling and successful degree completion. The article explores the interaction between academi...","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"319-337"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789448","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":"Student essay competition prize winner basket weaving: Sharing stories in a group setting","authors":"Kate Compston","doi":"10.1080/13533339908404145","DOIUrl":"https://doi.org/10.1080/13533339908404145","url":null,"abstract":"Abstract Participating in a self-awareness group (in this case for counsellors in training) is an exercise in give and take - an interweaving of stories - through which we share ourselves with our peers. This paper explores some personal discoveries about the processes at work in (a) listening to others, (b) relating my own story - and assessing thereby the extent of my belonging, role and investment in the group. A dream alerted me to our shifting to another dimension of story-sharing by the end of forty sessions. The imagery I use is of basket weaving and creating a mandala.","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"148 1","pages":"357-372"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789500","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":"Brief dynamic counselling: Making the right choice","authors":"B. Richards","doi":"10.1080/13533339908404141","DOIUrl":"https://doi.org/10.1080/13533339908404141","url":null,"abstract":"Abstract Brief dynamic counselling has become a frequently practised method of treatment. This paper examines the usefulness of short-term therapy for certain clients and describes the relevant selection criteria. However, it is argued that there exists a real danger to the client should they be inappropriately referred for this work. Demands upon therapy services often mean that therapists are under pressure to have a rapid ‘through-put’ of clients. This may lead to some clients being treated in a way that is unsuitable and inadequate for their needs. It is suggested that, more than being inadequate, such a situation could cause additional harm to the client. Professional assessment is considered to be of vital importance. Case material is included in order to illustrate the difference between clients who are likely to benefit from short-term counselling work and those for whom the longer time duration is an essential part of the therapeutic relationship and process. In terms of therapy service provision...","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"285-300"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789398","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":"Games - a behavioural manifestation of projective identification?","authors":"John Nuttall","doi":"10.1080/13533339908404144","DOIUrl":"https://doi.org/10.1080/13533339908404144","url":null,"abstract":"Abstract The phenomenon of unconscious interaction between people was developed extensively following Melanie Klein's conception of projective identification. The same phenomenon, although described differently, may have been elucidated by Eric Berne in his theory of games. Games have a significant behavioural component, but are played unconsciously by the participants. Projective identification, on the other hand, is conceived as an intra-psychic phantasy, which, when externalized, ‘often does cause some impact on the other person’. This paper explores the form and phenomenology of games and projective identification and summarizes their relational meaning by comparing the different types of games with the different categories of projective identification elaborated by Cashdan; and clinical examples of this are described. In particular, the ‘switch’, the defining characteristic of a game, seems to be a mechanism by which the individual can share a secondary experience with, or maintain some form of contr...","PeriodicalId":85362,"journal":{"name":"Psychodynamic counselling","volume":"5 1","pages":"339-355"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13533339908404144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59789489","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}