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Publications starting with T

The Mask of Sanity

Hervey Cleckley, M.D, Emily, S. Cleckley

  • The Mask of Sanity was written by a physician called Hervey Cleckley, and was first published in 1941. It is a classic text describing Cleckley’s clinical observations from interviews he undertook with prison inmates who were considered to be psychopaths. The “mask” he refers to in the title is the semblance of normality, even charm, he believed these individuals were able to assume, despite their fundamental lack of inner emotions.

The difficult patient

Hinshelwood RD

  • In this paper, Hinshelwood (Professor of Psychoanalysis at the Centre for Psycho-analytic Studies, University of Essex) argues that staff dealing with “difficult patients” retreat from their inevitable but uncomfortable emotional responses into an objectified stance that can mask their significance. He explores how, in fact, these feelings can provide important information about such patients, if we can face up to thinking about them.

The Ailment

T. F. Main

  • This classic paper was written by Tom Main in 1957. Main, who worked at the Cassell Hospital in Richmond, South West London, for 30 years, set up a twice-weekly work discussion group after a number of staff began to show signs of stress. Its purpose was to make a retrospective study of those patients whose treatment could be considered a serious failure. What emerged was that each of these individuals had managed to form a “special” relationship with a member of staff. Over time, the group came to recognise how this had happened, and to understand better the evasions and distortions in their team working that had led to this situation developing.

The Response Aroused by the Psychopath

Neville Symington

  • What do we mean by 'psychopath'? We need to know this before we can understand the response which he arouses. The term 'psychopath' or 'psychopathic' covers a wide range of observable phenomena but there is one common denominator: the overriding determination to attain certain goals, and these by flouting the values which the society holds sacred. This was a point made succinctly by Edward Glover (1960): 'Moral obliquity is in fact the hallmark of the psychopaths who engage the attention of the courts.'

The Future of Quality in Healthcare Provision and the role of the Peer ReviewProcess: Quality Networks

Gilluley, P., Tucker, S., & Hillier, B.

  • In this paper the authors discuss the history, motivation and policy development behind the quality agenda in healthcare, and summarise the challenges and current work on developing quality standards and indicators. They review the development of the principle of peer review of services and finally, they use the example of the Quality Network for Forensic Mental Health Services to explain how the Quality Network concept can be used to benchmark quality on a national level and lead to improvements in services.

Toxic Couples: The Psychology of Domestic Violence

Anna Motz

  • Domestic violence is a major public health concern, affecting millions worldwide. It is underreported, often devastating and sometimes ends in murder. In Toxic Couples: The Psychology of Domestic Violence, Anna Motz integrates psychological and criminological data with clinical illustrations and discussion of current high-profile cases.

The Therapeutic Milieu Under Fire: Security and Insecurity in Forensic Mental Health

John Adlam

  • This book offers fresh, original and stimulating approaches to engagement with individuals who have been multiply excluded from society and who present challenges to traditional psychiatric models of assessment and treatment. 

The Violent True Believer as a "Lone Wolf" - Psychoanalytic Perspectives on Terrorism

Meloy, J.R. & Yakeley, J.

  • The existing research on lone wolf terrorists and case experience are reviewed and interpreted through the lens of psychoanalytic theory.

Treating the untreatable: The evolution of a psychoanalytically informed service for antisocial personality disorder

Jessica Yakeley

  • Jessica Yakeley's article appears in Contemporary Developments in Adult and Young Adult Therapy: The Work of Tavistock and Portman Clinics: Vol 1.


The dreaded and dreading patient and therapist

Carine Minne

  • Chapter by Carine Minne in Psychic Assaults and Frightened Clinicians: Countertransference in Forensic Settings edired by John Gordon and Gabriel Kirtchuk.

The Psychotic Wavelength: A Psychoanalytic Perspective for Psychiatry

Richard Lucas

  • The Psychotic Wavelength provides a psychoanalytical framework for clinicians to use in everyday general psychiatric practice and discusses how psychoanalytic ideas can be of great value when used in the treatment of seriously disturbed and disturbing psychiatric patients with psychoses, including both schizophrenia and the affective disorders. 

Treatment continuity in discontinuous worlds

Carine Minne

  • This chapter by Carine Minne appears in Contemporary Developments in Adult and Young Adult Therapy: The Work of the Tavistock and Portman Clinics: Volume 1 edited by Alessandra Lemma.

The inpatient treatment of personality-disordered offenders: multidisciplinary successes and tensions

Taylor, C

  • This article was published in the International Journal of Applied Psychoanalytic Studies 12(2): 122-133.

    It is available through the Wiley Online Library.


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