Psychiatric Rehabilitation: A Psychoanalytic Approach to RecoveryRecovering from severe mental illness is one of the most terrifying human experiences in health care. Often conventional rehabilitation approaches focus on helping the patient with his or her symptoms and maximising the external world through supportive interventions. However, often little attention is paid to the internal world of the patient. This subjective experience of recovery is the focus of this book. It describes a particular psychoanalytic model that best captures this distressful state of mind and suggests particular processes that have to be put in place to ensure the patient gets the best opportunity to have his or her fears and hopes addressed. The book also addresses "real world" issues such as management, leadership and training, as well as highlighting key research findings from relevant studies. Outcome measures are suggested that could be adopted to measure the benefits of this particular approach. The chapters give many clinical, organisational and research descriptions from the real world of psychiatry and social care. |
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aggressive alpha processing Analysis anxiety approach behaviour Bion Bion’s Brenman capture Chapter characteristics clinical psychologist complex consulting room contained countertransference depressive position functioning described destructive effect emotional envious envy everyday experience explore external consultant group leader group members group psychotherapy health and social highlight Hobson hospital hostility human idea idealisation individual inter-rater reliability internal world International Journal interpersonal interpretation interventions issues Kapur Karnac keyworker Kleinian London manager maximising Melanie Klein member of staff mental health professional mentally ill patients mind narcissism narcissistic needs negative object relations occur organisation overall paranoid paranoid-schizoid functioning paranoid-schizoid position particular phantasy potentially processes projective identification psychiatric psychiatric hospital Psychological psychosis psychotic patients psychotic personality recognise recovery rehabilitation relationships responsibility Routledge scale schizophrenia setting severe mental illness Sinason staff member style theoretical framework Theory therapeutic atmosphere therapeutic community therapist therapy Threshold transference treatment understanding Wilfred Bion Yalom
