1st Edition

Psychoanalytic Thinking in Mental Health Settings

By Marcus Evans Copyright 2021
    156 Pages
    by Routledge

    156 Pages
    by Routledge

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    This book demonstrates the use of psychoanalytic thinking in front-line mental health settings and aims to make an approach to working with emotional and mental disturbance available to a wide range of clinicians within psychiatric and other mental health settings.

    Rooted in the author’s extensive clinical experiences, the approach explored in this book applies psychoanalytic thinking and discusses this in relation to the mental health conditions regularly encountered in psychiatric settings, such as Schizophrenia, Manic Depression, Psychotic Depression, Anorexia, Deliberate Self Harm, and Personality Disorder. The book therefore provides valuable and practical ways of working with these difficult, complex, and problematic conditions. It further makes sense of the relationships and emotions encountered when working in these settings and introduces possibilities for more effective and rewarding ways of working, including a model of support through supervision, reflective practice, and clinical discussion.

    Illustrated by clinical examples from more than four decades of experience in the field, this book is ideal for the interested mental health practitioner.

    1. Introduction 2. Theory in Practice 3. Supervision and Consultation: turning in to psychotic communications in frontline mental health settings 4. Therapeutic and Anti-Therapeutic Factors in Therapeutic Relationships 5. Psychoanlaytic Understanding of Depressional and Suicidal Risk 6. Psychotherapeutic work with Emotionally Unstable Personality Disorder 7. Turning in to Psychotic Communication on a Psychiatric Intensive Care Unit 8. Therapeutic work with treatment resistant patients 9. The Contribution of Psychanalytic Perspectives on the patient’s relationship with their bodies 10. Social Systems and Social Defence


    Marcus Evans is a psychoanalyst and former consultant psychotherapist at the Tavistock & Portman NHS Foundation Trust. After qualifying there as a psychotherapist, he was appointed Head of Nursing and subsequently Associate Clinical Director of the Adult & Adolescent Departments, 2011–2015. He has given outreach courses to front-line staff in several Mental Health Trusts, including Camden and Islington, the Bethlem and Maudsley, and Broadmoor. His other book, Making Room for Madness in Mental Health, was published by Routledge in 2016.