Psychotherapy with Young People in Care: Lost and Found

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ISBN: 9780415191906 | 0415191904
Cover: Hardcover
Copyright: 7/5/2001

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Whilst there is a wealth of literature on working with children and adolescents, very little focuses on those who are in residential or foster care. Psychotherapy with Young People in Care is a practical guide to working with this group from a psychoanalytic therapeutic perspective.Drawing on the author's years of experience and illustrated with a wealth of clinical examples, as well as a comprehensive glossary, the book tackles those issues most relevant to those working with children and adolescents:* the place of psychotherapy in residential/foster care* ethical considerations: confidentiality and sexual abuse* particular problems faced by young people: ADHD; trauma; PTSD.This refreshing and valuable book is an essential teaching text for all those who work with young people in the care system, including child and adolescent psychotherapists, psychiatrists, clinical psychologists and social workers.

Foreword

viii

Peter Wilson

Acknowledgements

xiii

Introduction

(8)

Beginnings

(13)

First impressions -- what gets communicated -- the psychotherapeutic task -- debates about interpretation -- and the ego -- the use of psychotherapy as an assessment -- the importance of preventive work

A view from the bridge

(15)

Children in transition -- external and internal worlds -- the value of professional alliance -- deficiencies in practice -- networking -- treatment length -- multiple points of view -- when therapy is not necessary

Confidentiality

(14)

The work of liaison -- internal and external links -- the need for seclusion -- aggression and its containment -- therapy and the Children Act -- suicidal ideation -- sexual, emotional and physical abuse -- child protection and when therapists have to `tell'

Joseph--a therapy in pictures

(19)

The effects of neglect and abuse -- confidentiality and duty of care -- defences of denial and omnipotence -- resilience -- siblings in therapy -- interpreting children's pictures -- super-heroes -- transference -- projection of unwanted feelings -- denial and mistrust -- progress in therapy -- partnership -- therapeutic gains

Charlotte

(18)

Early deprivation and abuse -- aggression and fear of retaliation -- body and ego boundaries -- use of the manic defence -- child's view of sexuality -- the Oedipus complex -- interpretation and containment -- rivalry and perversity -- diagnostic difficulties

Child sexual abuse

(14)

Defence mechanisms -- placation and denial -- a legacy of lies -- the role of power and control -- counter-transference experiences -- projective -- identification in abuse -- bullying -- rules and boundaries -- borderline personality disorder -- dissociation and splitting -- false memory -- self-abuse

The longing in belonging

102

(15)

Analytic neutrality -- attachment disorders -- adhesive relationships -- therapy in transition -- therapeutic breaks revive earlier losses -- adaptation of therapy rules in taking things out of sessions -- identification with the aggressor -- counter-transference of trauma -- pacing interpretation

Identity in crisis

117

(20)

Damaged attachments -- negative identifications with parents -- abusive attachment -- internalised guilt -- the omnipotent defence -- persecutory anxiety -- repetition compulsion -- splitting -- reverence for the perpetrator -- long-term treatment needs -- resilience -- mental illness in a parent

Restless children

137

(20)

Hyperkinetic disorder -- ADHD -- medication dilemmas -- anxiety -- emotional containment -- introjection of maternal object -- greeting cards in therapy -- joint working with colleagues -- hyper-vigilance or hyperactivity -- trans-racial placement -- self-soothing

Trauma and its treatment

157

(15)

Post-traumatic stress disorder -- necessary caution in treatment -- multiply traumatised children -- identification with the aggressor -- defences of mistrust, denial, control and denigration -- traumatic memories during therapy -- double deprivation -- disorientation as a defence -- bullying and re-enactment of abuse -- trauma in the professionals -- conflicts acted out in the network -- therapy setting is crucial -- idealisation as a necessary angel -- ending and looking back

Epilogue

172

(4)

Adaptation of technique -- interpretations in positive mode -- destructive defences -- joint working -- long-term therapy -- weekly and twice-weekly therapy -- a child's capacity for linking -- lost and found

Glossary

176

(6)

Training schools of child psychotherapy

182

(1)

References

183

(4)

Index

187

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Psychotherapy with Young People in Care: Lost and Found

Summary

Author Biography

Table of Contents

Supplemental Materials

FREE SHIPPING

Rent More, Save More! Use code: BBRENTAL

5% off 1 book, 7% off 2 books, 10% off 3+ books

Psychotherapy with Young People in Care: Lost and Found

Summary

Author Biography

Table of Contents

Supplemental Materials

Digital License