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A young mother suspected of abusing her toddler, a severely
behavior-disordered teenager who faces expulsion from his community
residence, a depressed and illiterate homeless man who fears
psychiatric evaluation. These clients populate the caseloads of
most mental health professionals, who often view them as too
crisis-ridden, deprived, and overwhelmed with concrete needs to
benefit from an in-depth approach to their problems. However,
without this kind of treatment, such people continually reappear at
social service agencies, their core psychological issues left
unaddressed and their life situations unraveling. What can
psychoanalytic theory offer practitioners working with these
challenging clients? Although the helping professions have enjoyed
a long and fruitful association with psychoanalysis, often the
application of this theory has focused on treating motivated,
articulate, financially secure clients in private practice. In The
Facilitating Partnership, Jeffrey Applegate and Jennifer Bonovitz
show how D. W. Winnicott's therapeutic ideas and technique are
particularly relevant to a agency-based psychodynamic treatment of
clients whose histories of deprivation and trauma historically have
made them unlikely and reluctant candidates for in-depth clinical
services. Winnicott's concepts are especially powerful in capturing
the "silent," supportive, sustaining, relationship-based dimensions
of clinical work and the authors provide an accessible language for
explicating these invaluable activities. Through extensive case
vignettes, Applegate and Bonovitz demonstrate that interventions
emerging from Winnicott's key concepts the good enough mother, the
holding environment can bolster clients' ego strengths and coping
capacities while promoting their psychosocial development in ways
that help them profoundly alter maladaptive life patterns. A Jason
Aronson Book"
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