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Publications starting with P

Psychiatric staff as attachment figures

G Adshead

  • In this paper, Dr. Gwen Adshead looks at the importance of attachment relationships between patients, their care-givers and even the institution. These are of particular importance in forensic settings, where patients can be detained for many years. In the paper, she describes how some difficult responses – such as self-harm or violence – can be understood as attachment behaviours, and how this has implications for treatment.

Playing with Dynamite: A Personal Approach to the Psychoanalytic Understanding of Perversions, Violence, and Criminality.

Estela Welldon

  • Estela Welldon brings together a generous selection derived from her many literary gems, in which she illustrates her groundbreaking-and sometimes explosive-studies of female sexuality and perversions, perverse transference, malignant bonding, perverse motherhood, and the impact upon children of viewing domestic violence. Along with these are vivid descriptions of group analytic psychotherapy with forensic patients and, uniquely, of the joint group treatment of incest survivors and perpetrators. She also outlines the development of forensic psychotherapy as a new field of clinical and academic endeavour and her involvement in this. In a series of interviews with Brett Kahr she describes her professional journey, from being trained by Horacio Etchegoyen in her native Argentina, followed by an eye-opening period at the Menninger Clinic, then eventually to London and a distinguished career at the Portman Clinic.

Psychoanalytical approaches in practice

Curen, R. and Blackman, N.

  • This chapter by Curen and Blackman on Psychoanalytical approaches in practice is found in the book Understanding and working with people with learning disabilities who self-injure.

    Adopting a predominantly psychological approach, this book provides carers with up-to-date information and resources to provide appropriately individualised care to people with learning disabilities who self-injure.

Paraphilias and paraphilic disorders: diagnosis, assessment and management

Yakeley, J. & Wood, H.

  • In this article, the authors outline the difficulties in classifying paraphilias as mental disorder and summarise the changes to this diagnostic category in DSM-5. 

Patients' experiences of forensic psychotherapy

Yakeley, J. & Wood, H.

  • In forensic psychotherapy there may be competing goals and agendas, influenced respectively by concerns about mental health and well-being, risk reduction and psychodynamically-significant change. There has, to date, been no published study of the goals and concerns of forensic patients undergoing therapy. Semi-structured interviews with ten patients considered by their therapists as having gained from forensic psychotherapy were analysed thematically. 

Psychoanalytic aspects to the risk containment of dangerous patients

Carine Minne

  • Chapter in Lectures on Violence, Perversion and Delinquency edited by Morgan and Ruszczynski.

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