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Transference in Institutional Work with Psychosis and Autism
presents Pierre Delion's extensive experience in psychiatric
institutions, focusing on the concept of the transferential
constellation. Delion first discusses the pioneering work of
Francois Tosquelles at the Saint Alban psychiatric hospital, which
enabled psychoanalytic treatment to be applied in cases of severe
psychopathologies. The book then explains how the transferential
constellation can provide a deeper and more effective understanding
of a patient's needs by engaging all caregivers within an
organisation over the course of the patient's treatment history.
Delion describes how regular meetings of all the team participants
allow them to express different and even divergent views of the
patient and to appreciate their complementary contributions to the
institution. The transferential constellation is presented as an
important development in the history of patient-centered
psychiatric care and a touchstone for its ongoing humanistic
development. Transference in Institutional Work with Psychosis and
Autism will be of great interest to psychiatrists and
psychotherapists in practice and in training. It will also be key
reading for other practitioners and caregivers working in mental
health institutions.
Pierre Delion is Professor Emeritus in the faculty of medicine at
Lille, a child psychiatrist, and a psychoanalyst. His work is as
straightforward as it is affecting but is little read in the
English-speaking world due to a lack of translation into English.
Matthew Bowker, in his excellent translation, rectifies this
unfortunate deficit to introduce English-language readers to the
affecting and wide-ranging work of Pierre Delion through two of his
best-known essays. What is Institutional Psychotherapy? examines
the psychiatric establishment and institution, arguing that for
institutional psychotherapy to be effective, we must "care for the
institution" just as we must attend to the "transferential
constellation" of the patient, the latter of which emerges only
when the institution respects all the voices (including the
patient's) involved in the patient's care. And, as Delion duly
notes: "What holds for person-to-person psychiatry also holds true
for democracy." The Republic of False Selves maintains that our
social bonds have been damaged or destroyed to the extent that the
practice and meaning of democracy itself are now in question.
Democracy, for Delion, "refers not only to forms of government, but
also to a society based on freedom and equality, or more generally
still, to a set of values: political, social, or cultural ideals
and principles." The democratic project, then, is threatened by
contemporary political events, media images, neoliberal and
techno-bureaucratic interventions, and even or especially the
treatment of the mentally ill. The combination of these two works
into a single text invites readers to consider the broader
political connections between the clinical institution and society
as a whole. Delion's careful thoughtfulness paired with his vast
experience and understanding opens up new avenues of discovery to
the reader.
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