1st Edition

Containment in the Community Supportive Frameworks for Thinking about Antisocial Behaviour and Mental Health

Edited By David Reiss, Alla Rubitel Copyright 2011
    296 Pages
    by Routledge

    296 Pages
    by Routledge

    This book is aimed at all practitioners working in healthcare and criminal justice community settings with individuals displaying antisocial, offending, and challenging behaviours, at times complicated by severe mental disorders. Despite risk assessment policies and procedures, we all know how disorientated we can feel when trying to make sense of what is going on in the course of our work. Contributors to this book describe familiar anxiety-provoking situations. Most importantly, they illustrate ideas and perspectives that can help you to rediscover meaning and purpose in your roles and tasks, with the ultimate objective of enabling service-users to manage more effectively the emotional turbulence that invariably lies behind their challenging behaviours.

    Preface , Foreword , Introduction , Working with hard-to-reach patients in difficult places: a democratic therapeutic community approach to consultation , The lived experience of rehabilitation work with forensic patients in the community , Sustainable organizations in health and social care: developing a team mind , Bearing and not bearing unbearable realities: the limits of understanding , Thinking about antisocial behaviour and mental health in Youth Offending Services , An alternative to slapping: multi-agency working with excluded young people exhibiting antisocial behaviour , Managing difficulty: a journey with a murderous adolescent by a CAMHS psychiatrist and team , The interface between forensic psychiatry and general adult psychiatry , Multi-agency public protection arrangements (MAPPA): can we work with them? , Gut feelings , Work discussion group for trainees working in forensic settings , Valuing the splits and preventing violence , The healthy and the unhealthy organization: how can we help teams to remain effective?


    Alla Rubitel MRCPsych, is a consultant psychiatrist in forensic psychotherapy at the Portman Clinic and consultant psychiatrist in psychotherapy at the Gordon Hospital, Central and North West London NHS Foundation Trust. Her clinical research interests include psychoanalytic approaches to understanding and treating patients suffering from perversions, violence and delinquency in the context of cumulative trauma and distrurbed attachment, as well as supervision and the teaching medical and non medical staff. She is also a psychoanalyst in private practice.

    David Reiss, MA, MBBChir, MPhil, PgD, FRCPsych, FAcadMEd, is a Consultant Forensic Psychiatrist, West London Mental Health NHS Trust and Honorary Clinical Senior Lecturer, Imperial College London. His research interests are in the interface between clinical forensic psychiatry and public policy, including work on personality disorder, recidivism, homicide inquiries and educational issues. His clinical and educational work focuses on enabling the multidisciplinary team to gain an enhanced understanding of patients, thereby improving care and reducing risk.

    This book sets out to establish a role for psychoanalytic understanding in contemporary psychiatric services, particularly at the interface of psychiatry and the criminal justice system … (it) is a good and thought-provoking book and its subject matter is important. Receptive clinicians will find it useful in their daily clinical practice within existing services. Those involved in service development, whether in-patient or community-based, would do well to consider it too.

    Tom Clark Consultant Forensic Psychiatrist, British Journal of Psychotherapy