Communicating with Vulnerable Patients explores ways to improve the communication process between highly vulnerable patients and the therapist, based on the assumption of the permanent presence of an 'outsider' or potential space in the communication field between them. In this space, the therapist and highly vulnerable patients can undergo transitional states of mind established between and within their relationship. Leticia Castrechini-Franieck, also known as Maria Leticia Castrechini Fernandes Franieck, presents practical methods to overcome communication issues and engage therapeutically with highly vulnerable patients suffering from personality disorders, addiction, and trauma, as well as with deprived children. Communicating with Vulnerable Patients is presented in five parts, with Part one focused on building communication through a Transient Interactive Communication Approach (TICA) and Part two applying TICA in forensic settings with five case studies illustrating the approach in a range of contexts. Part three considers TICA in intercultural settings, including work with refugees, and Part four outlines adaptations of the approach, including T-WAS (Together We Are Strong), which aims to avoid an increase of antisocial behavior in deprived children, and the use of TICA in the COVID-19 pandemic. The book concludes in Part five with reflections on outcomes and limitations of both TICA and T-WAS. Communicating with Vulnerable Patients will be invaluable reading for professionals, psychotherapists, group therapists, and group analysts working with at-risk populations.

Communicating with Vulnerable Patients explores ways to improve the communication process between highly vulnerable patients and the therapist, based on the assumption of the permanent presence of an 'outsider' or potential space in the communication field between them. In this space, the therapist and highly vulnerable patients can undergo transitional states of mind established between and within their relationship. Leticia Castrechini-Franieck, also known as Maria Leticia Castrechini Fernandes Franieck, presents practical methods to overcome communication issues and engage therapeutically with highly vulnerable patients suffering from personality disorders, addiction, and trauma, as well as with deprived children. Communicating with Vulnerable Patients is presented in five parts, with Part one focused on building communication through a Transient Interactive Communication Approach (TICA) and Part two applying TICA in forensic settings with five case studies illustrating the approach in a range of contexts. Part three considers TICA in intercultural settings, including work with refugees, and Part four outlines adaptations of the approach, including T-WAS (Together We Are Strong), which aims to avoid an increase of antisocial behavior in deprived children, and the use of TICA in the COVID-19 pandemic. The book concludes in Part five with reflections on outcomes and limitations of both TICA and T-WAS. Communicating with Vulnerable Patients will be invaluable reading for professionals, psychotherapists, group therapists, and group analysts working with at-risk populations.

Der in diesem Buch vorgestellte Ansatz - " Together We Are Strong" bzw. T-WAS - ist eine Form der präventiven Gruppenarbeit mit benachteiligten Kindern zur Stärkung ihrer Resilienz. Die Methoden beruhen primär auf der Entwicklung von Objektbeziehungen, indem die Kinder in fortlaufenden kreativen Spielen neue Erfahrungen mit sich selbst im Verhältnis zu anderen machen. Dabei werden kreative Spiele, wie sie im pädagogischen Bereich üblich und auf Teamarbeit ausgerichtet sind, mit therapeutischen Elementen aus der Gestalttherapie und der ontologischen Psychoanalyse ergänzt, um die Dimensionen der Ich-Stärkung und der Aggressionsbewältigung zu erarbeiten. Besonders hervorgehoben wird die Rolle des Gruppenleiters als interdisziplinärer Paarleitung, der das Spannungsfeld ihrer persönlichen Unterschiede bewusst nutzt, um die Gruppe in Bewegung zu bringen. T-WAS wurde in drei verschiedenen Flüchtlingsunterkünften auf der Basis von wöchentlichen 90-minütigen Gruppeninterventionen durchgeführt. Mehr als 70 Kinder haben daran teilgenommen und einen stabilen Zustand des emotionalen Wohlbefindens erreicht, während sich ihre sozialen und schulischen Leistungen verbessert haben.