This book charts the ways in which psychoanalytic psychotherapy has been implemented, developed and researched within the public sectors of twelve different countries around the world. It discusses how psychoanalytic practitioners locally have responded to the challenge of evidence-based practice. For each country the authors describe: • How people can access talking therapies as part of the national healthcare system, including a brief history of how this system has developed and the place of psychoanalytic psychotherapy inside/outside of this system historically • How clinicians train and qualify as a psychoanalytic practitioner, and demographic profiles of their communities of psychoanalytic practice • How evidence-based practice has impacted the mental health system and, in particular, access to and provision of talking therapies e.g. through the development and implementation of treatment guidelines • How outcome monitoring and reporting of access, waiting times and recovery rates are used in the commissioning and provision of psychological therapies • What is needed to secure a viable future for psychoanalytic psychotherapy The first of two volumes, this book will be of great interest to all practicing psychoanalysts and psychoanalytic psychotherapists. The chapters in these volumes were originally published as special issues of Psychoanalytic Psychotherapy.

This book, the second of the two volumes, continues to chart the ways in which psychoanalytic psychotherapy has been implemented, developed and researched within the public sectors of six different countries around the world. It discusses psychoanalytic practitioners locally have responded to the challenge of evidence-based practice. For each country the authors describe: • How people can access talking therapies as part of the national healthcare system, including a brief history of how this system has developed and the place of psychoanalytic psychotherapy inside/outside of this system historically • How clinicians train and qualify as a psychoanalytic practitioner, and demographic profiles of their communities of psychoanalytic practice • How evidence-based practice has impacted the mental health system and, in particular, access to and provision of talking therapies e.g. through the development and implementation of treatment guidelines • How outcome monitoring and reporting of access, waiting times and recovery rates are used in the commissioning and provision of psychological therapies • What is needed to secure a viable future for psychoanalytic psychotherapy The book concludes with a comprehensive review of changes in public sector psychoanalytic psychotherapy across Europe over the last thirty years and will be of great interest to all practicing psychoanalysts and psychoanalytic psychotherapists. The chapters in these volumes were originally published as a special issue of Psychoanalytic Psychotherapy.

2020 marked the one-hundredth anniversary of the first patient being seen at the world-renowned Tavistock Clinic. Over the following year, the Tavistock & Portman NHS Foundation Trust marked this centenary with a series of events celebrating its history and exploring issues of identity, relationships and society. This book is a collection of essays from these celebrations, which describe the historical and contemporary work of various departments and services, and consider how to draw on this heritage to provide valuable responses to current and future challenges. The twelve chapters describe the organisation's thinking, educational and clinical work with children, young people and their parents, adults, organisations and wider society, documenting the influence of clinicians such as Balint, Bick, Bowlby, Garland, Glover, Malan and Pailthorpe. The authors outline the development of services for people who have experienced trauma, neurodiversity, complex and enduring mental health problems, and paraphilias or forensic behaviours. They address issues such as gender identity, the impact of couple relationship difficulties on parenting, systemic racism within the psychotherapeutic professions and the societal health inequalities revealed by COVID-19. The book concludes with a chapter exploring leadership and followership in organisations and how this can be applied to work in the NHS. This book was originally published as two special issues of Psychoanalytic Psychotherapy.

Terrorism is no longer woven into the backdrop of our daily lives, but rather it has been pushed to centre stage - an ongoing tragedy in which comprehension of the perpetrators' motivations is eclipsed by the impact of horror and devastation on its victims and wider society. Attempting to make sense of these atrocities and their antecedents, a body of literature has accumulated since 9/11 which offers a psychoanalytic perspective on terrorism. This research provides a reflective space within which the unconscious motivations, primitive conflicts, fantasies and impulses that underpin the extreme mindsets and violent actions of the individuals and groups involved may be explored, offering insights complementary to those of different disciplines - sociological, political, cultural and other. This book brings together contemporary psychoanalytic writers and practitioners involved in the study of radicalisation, fundamentalism and terrorism. Some of the authors have worked with terrorists, thus grounding their reflections and insights in direct clinical contact with these individuals. Understanding the motivations of the perpetrators includes elucidation of the wider group dynamics of minority populations, where the perpetuation of violence that is seen as terrorism may be viewed by its perpetrators as a justifiable response to collective experiences of subjugation, humiliation and injustice suffered over generations. Understanding such perspectives is not colluding with the aggressors, but rather it may contribute to interventions at both individual and global levels that attempt to break the deadly cycle of violence. This book was originally published as two special issues of Psychoanalytic Psychotherapy.

Forensic psychotherapy explores the roots of violent, sexual and antisocial behaviour. It is a relatively recently created discipline that applies psychoanalytic knowledge to the assessment, management and treatment of mentally disordered offenders, forming a bridge between traditional forensic psychiatry - with its focus on diagnosis and risk - and traditional psychotherapy - with its focus on understanding why things happen. As a discipline, forensic psychotherapy seeks to understand the conscious and unconscious motivations that underpin specific offending behaviours. We need to understand not only the detail of the crime, but also the offender as a whole person within his environment, including the criminal justice environment. It aims to understand the perpetrator, the victim, and the victim within the perpetrator. In this collection, leading international experts in forensic psychotherapy explore the different aspects and developments within the field. These include first hand experiences of shaping the emerging discipline within the UK, Europe and the United States; working therapeutically with high-risk offenders in prisons and secure hospitals; exploration of female violence and work with incarcerated mothers and babies; and the latest developments in forensic psychotherapy training. This book will be of interest to professionals and academics working within the fields of forensic mental health, criminal justice, psychiatry, psychology, criminology, and sociology. This book was originally published as two special issues of Psychoanalytic Psychotherapy.

Terrorism is no longer woven into the backdrop of our daily lives, but rather it has been pushed to centre stage - an ongoing tragedy in which comprehension of the perpetrators' motivations is eclipsed by the impact of horror and devastation on its victims and wider society. Attempting to make sense of these atrocities and their antecedents, a body of literature has accumulated since 9/11 which offers a psychoanalytic perspective on terrorism. This research provides a reflective space within which the unconscious motivations, primitive conflicts, fantasies and impulses that underpin the extreme mindsets and violent actions of the individuals and groups involved may be explored, offering insights complementary to those of different disciplines - sociological, political, cultural and other. This book brings together contemporary psychoanalytic writers and practitioners involved in the study of radicalisation, fundamentalism and terrorism. Some of the authors have worked with terrorists, thus grounding their reflections and insights in direct clinical contact with these individuals. Understanding the motivations of the perpetrators includes elucidation of the wider group dynamics of minority populations, where the perpetuation of violence that is seen as terrorism may be viewed by its perpetrators as a justifiable response to collective experiences of subjugation, humiliation and injustice suffered over generations. Understanding such perspectives is not colluding with the aggressors, but rather it may contribute to interventions at both individual and global levels that attempt to break the deadly cycle of violence. This book was originally published as two special issues of Psychoanalytic Psychotherapy.

Good communication between the doctor and patient is essential for the patient to establish a trusting relationship with their doctor and to make the best use of the appropriate treatment. Traditional methods for teaching communication skills have focused on simulated clinical situations in which students learn how to improve their communication, with actors playing the part of the patients, rather than from live experiences with patients. Psychodynamic psychotherapy, with its emphasis on learning to reflect on experiences, offers the student the possibility of learning from a real experience with a patient. Such opportunities allow students to learn directly about patients' emotions, as well as to appreciate their own emotional responses to illness and to communicate better with their patients. In this book, Peter Shoenberg, Jessica Yakeley, and their contributors who include students and teachers, discuss two different teaching approaches developed at University College London to help medical students understand the role of emotions in illness, communicate more effectively, and gain a deeper understanding of the doctor patient relationship. The benefits of Ball, Wolff and Tredgold's Student Psychotherapy Scheme are considered alongside Shoenberg and Suckling's short term student Balint discussion group scheme to provide clear guidance about how psychotherapeutic understanding can be used to inform medical education, with positive results. At a time when medicine is becoming increasingly technological and there is a growing demand by the public for more psychologically minded doctors, this book will be a key resource for physicians, general practitioners, psychologists, psychiatrists and psychotherapists who are involved in medical teaching and for medical students.

Good communication between the doctor and patient is essential for the patient to establish a trusting relationship with their doctor and to make the best use of the appropriate treatment. Traditional methods for teaching communication skills have focused on simulated clinical situations in which students learn how to improve their communication, with actors playing the part of the patients, rather than from live experiences with patients. Psychodynamic psychotherapy, with its emphasis on learning to reflect on experiences, offers the student the possibility of learning from a real experience with a patient. Such opportunities allow students to learn directly about patients' emotions, as well as to appreciate their own emotional responses to illness and to communicate better with their patients. In this book, Peter Shoenberg, Jessica Yakeley, and their contributors who include students and teachers, discuss two different teaching approaches developed at University College London to help medical students understand the role of emotions in illness, communicate more effectively, and gain a deeper understanding of the doctor patient relationship. The benefits of Ball, Wolff and Tredgold's Student Psychotherapy Scheme are considered alongside Shoenberg and Suckling's short term student Balint discussion group scheme to provide clear guidance about how psychotherapeutic understanding can be used to inform medical education, with positive results. At a time when medicine is becoming increasingly technological and there is a growing demand by the public for more psychologically minded doctors, this book will be a key resource for physicians, general practitioners, psychologists, psychiatrists and psychotherapists who are involved in medical teaching and for medical students.

Originally published as a special issue of Psychoanalytic Psychotherapy, this collection was timed to coincide with the publication of the new NICE guideline for the treatment of depression, which will shape the context of NHS talking therapy services for the next decade. In 2005, Professor Lord Layard demonstrated for the first time that mental health should matter to the UK Treasury. Layard showed that the cost of untreated depression was huge due to welfare spending on invalidity benefits, and that this was a social problem rising across the OECD, but more so in the UK. NICE had already published a clinical guideline recommending several talking therapies that were cost-effective. Why could no one still get them? In 2007, under New Labour, the world's first universal free-at-the-point-of-need service was launched to remedy this: IAPT Improving Access to Psychological Therapies. Thus began a race against depression, predicted by the World Health Organisation to become the leading cause of disability worldwide by 2020. But on the eve of NICE's new guideline for depression, due in 2021, it is now clear that across large parts of the UK we are set to lose this race. Badly. Why? What went wrong? Clarke, Cundy and Yakeley have brought together a group of researchers and experts in this collection who address some of the fundamental flaws in the policy design for IAPT. By drawing attention to neglected social and interpersonal origins of depression, pointing us towards more effective approaches, and seeking to pinpoint some of the gaps in thinking during IAPT's first decade, this book offers alternative answers to what still remains Britain's biggest social problem.

Forensic psychotherapy explores the roots of violent, sexual and antisocial behaviour. It is a relatively recently created discipline that applies psychoanalytic knowledge to the assessment, management and treatment of mentally disordered offenders, forming a bridge between traditional forensic psychiatry - with its focus on diagnosis and risk - and traditional psychotherapy - with its focus on understanding why things happen. As a discipline, forensic psychotherapy seeks to understand the conscious and unconscious motivations that underpin specific offending behaviours. We need to understand not only the detail of the crime, but also the offender as a whole person within his environment, including the criminal justice environment. It aims to understand the perpetrator, the victim, and the victim within the perpetrator. In this collection, leading international experts in forensic psychotherapy explore the different aspects and developments within the field. These include first hand experiences of shaping the emerging discipline within the UK, Europe and the United States; working therapeutically with high-risk offenders in prisons and secure hospitals; exploration of female violence and work with incarcerated mothers and babies; and the latest developments in forensic psychotherapy training. This book will be of interest to professionals and academics working within the fields of forensic mental health, criminal justice, psychiatry, psychology, criminology, and sociology. This book was originally published as two special issues of Psychoanalytic Psychotherapy.