The first work to illuminate and develop this scholar's ideas and agendas in the field of psychoanalysis and related areas. Contributors are well published and hold recognized positions as editors, professors and senior practitioners in their fields.

Bion remains a very fashionable and important influence in US and UK psychoanalysis * Most literature covers his theory rather than his clinical practice * This book will appeal both to practicing clinicians and to those in training.

This work presents an approach derived from direct participant observation of small units within institutions, all in the health and social services sector. A range of contributors bring together the results of their own observational projects - in settings as diverse as a mental hospital canteen, an acute psychiatric admission ward and a palliative care unit - to show how they were able to come to a psychoanalytically informed understanding of the cultures that arise within healthcare organizations, and how this understanding can be used to overcome difficulties that arise. This work should help healthcare workers, teachers and managers better understand the functioning and difficulties of their organizations and therefore help in the management and practice of the work.

The first work to illuminate and develop this scholar's ideas and agendas in the field of psychoanalysis and related areas. Contributors are well published and hold recognized positions as editors, professors and senior practitioners in their fields.

The author, who worked alongside R.D. Laing in Glasgow, seeks to put the record straight. From the contemporary perspective, Laing is admired as a pioneer of ideas and a charismatic and prominent anti-psychiatrist. Isobel Hunter-Brown reveals, however, that Laing's view of sanity and insanity as a continuum and his opposition to high-dosage anti-psychotic medication already formed part of the Scottish psychiatric tradition. Hunter-Brown argues that the culture of the Glasgow units in which Laing worked early in his career had already been strongly influenced by the Scottish psychoanalyst, Fairbairn. Furthermore, for decades prior to this, their inspiration had traditionally been drawn from Adolph Meyer, who promoted a holistic view of his patients - exploring biological, psychological and social dimensions as part of their diagnosis - an approach that is widely believed to have originated with Laing. Psychiatrists seldom write about their profession, but this author describes the inner workings of psychiatric practice in Glasgow during the 1950s and the way in which some practitioners in that allegedly barbarous era were already using psychodynamic methods to help their patients.

Bion remains a very fashionable and important influence in US and UK psychoanalysis * Most literature covers his theory rather than his clinical practice * This book will appeal both to practicing clinicians and to those in training.

Is psychoanalysis knowledge? Is psychoanalysis a science, or is it hermeneutics? Can clinical material be considered research data? Psychoanalysis is ambiguous about whether it is about meaning or about truth, and the relations between these two compelling experiences. Psychoanalysts often think of their work as closer to the humanities than to medical and natural science. The wider the gap between science and psychoanalysis appears, the more psychoanalysts feel pulled to something that respects subjectivity, the humanity of their patients themselves, and move away from the procedures of natural science. Research on the Couch is a relevant and timely contribution to the current debate about both the nature and validity of psychoanalysis and its body of knowledge. Freud always regarded his clinical material as his research data. In this book R.D. Hinshelwood aims to explore that view and defend Freud's claim whilst acknowledging the criticisms of single case studies and the inevitable problems for research into human subjectivity and personal experience. To this end the book reviews Freud's own methods of disseminating his discoveries, discusses the problem of evaluating different claims to psychoanalytic knowledge, and presents a cogent logical model for testing psychoanalytic theories clinically. This book evolves a model for the generation and justification of psychoanalytic knowledge, a 'parascience' just as rigorous as natural science, and one that addresses the subjectivity of meaning. Research on the Couch will be of interest to psychoanalysts of all schools, academics, clinicians, students and those keen to further their knowledge of psychoanalytic studies.

When madness is intolerable for sufferers, how do professional carers remain sane? Psychiatric institutions have always been places of fear and awe. Madness impacts on family, friends and relatives, but also those who provide a caring environment, whether in large institutions of the past, or community care in the present. This book explores the effects of the psychotic patient's suffering on carers and the culture of psychiatric services. Suffering Insanity is arranged as three essays. The first concerns staff stress in psychiatric services, exploring how the impact of madness demands a personal resilience as well as careful professional support, which may not be forthcoming. The second essay attempts a systematic review of the nature of psychosis and the intolerable psychotic experience, which the patient attempts to evade, and which the carer must confront in the course of daily work. The third essay returns to the impact of psychosis on the psychiatric services, which frequently configure in ways which can have serious and harmful effects on the provision of care. In particular, service may succumb to an unfortunate schismatic process resulting in sterile conflict, and to an assertively scientific culture, which leads to an unwitting depersonalisation of patients. Suffering Insanity makes a powerful argument for considering care in the psychiatric services as a whole system that includes staff as well as patients; all need attention and understanding in order to deliver care in as humane a way as possible. All those working in the psychiatric services, both in large and small agencies and institutions, will appreciate that closer examination of the actual psychology and interrelations of staff, as well as patients, is essential and urgent.

Is psychoanalysis knowledge? Is psychoanalysis a science, or is it hermeneutics? Can clinical material be considered research data? Psychoanalysis is ambiguous about whether it is about meaning or about truth, and the relations between these two compelling experiences. Psychoanalysts often think of their work as closer to the humanities than to medical and natural science. The wider the gap between science and psychoanalysis appears, the more psychoanalysts feel pulled to something that respects subjectivity, the humanity of their patients themselves, and move away from the procedures of natural science. Research on the Couch is a relevant and timely contribution to the current debate about both the nature and validity of psychoanalysis and its body of knowledge. Freud always regarded his clinical material as his research data. In this book R.D. Hinshelwood aims to explore that view and defend Freud's claim whilst acknowledging the criticisms of single case studies and the inevitable problems for research into human subjectivity and personal experience. To this end the book reviews Freud's own methods of disseminating his discoveries, discusses the problem of evaluating different claims to psychoanalytic knowledge, and presents a cogent logical model for testing psychoanalytic theories clinically. This book evolves a model for the generation and justification of psychoanalytic knowledge, a 'parascience' just as rigorous as natural science, and one that addresses the subjectivity of meaning. Research on the Couch will be of interest to psychoanalysts of all schools, academics, clinicians, students and those keen to further their knowledge of psychoanalytic studies.

There are an increasing number of publications concerned with the work of Wilfred Bion (1897-1979). Many have sought new ideas from his writing however, little attention has been paid to the intellectual context in which Bion wrote. Bion's Sources traces where Bion's new ideas came from, what job he required of them, how successfully he used his context and how that has fertilised psychoanalysis. Expert contributors provide chapters on areas of the intellectual context separate from or adjacent to clinical psychoanalysis in Britain which have clearly influenced the texts Bion left (those published in his life time, or subsequently). Chapters explore the influences deriving from Wilfred Trotter, Henri Bergson and process philosophy, Kurt Lewin and group dynamics, Immanuel Kant, R. B. Braithwaite and the philosophy of science, the mathematics of notation and transformation, as well as the work of psychoanalysts who have applied their theories to social science, psychosomatics, and literature and the humanities. By contextualising Bion in the wider culture of ideas, and removing him from the exclusive world of Psychoanalysis, Bion's Sources aims to moderate his 'genius' by showing how it was shaped by very wide influences. This book will be of interest to psychoanalysts, clinicians and those interested in the history of psychoanalytic ideas.

There are an increasing number of publications concerned with the work of Wilfred Bion (1897-1979). Many have sought new ideas from his writing however, little attention has been paid to the intellectual context in which Bion wrote. Bion's Sources traces where Bion's new ideas came from, what job he required of them, how successfully he used his context and how that has fertilised psychoanalysis. Expert contributors provide chapters on areas of the intellectual context separate from or adjacent to clinical psychoanalysis in Britain which have clearly influenced the texts Bion left (those published in his life time, or subsequently). Chapters explore the influences deriving from Wilfred Trotter, Henri Bergson and process philosophy, Kurt Lewin and group dynamics, Immanuel Kant, R. B. Braithwaite and the philosophy of science, the mathematics of notation and transformation, as well as the work of psychoanalysts who have applied their theories to social science, psychosomatics, and literature and the humanities. By contextualising Bion in the wider culture of ideas, and removing him from the exclusive world of Psychoanalysis, Bion's Sources aims to moderate his 'genius' by showing how it was shaped by very wide influences. This book will be of interest to psychoanalysts, clinicians and those interested in the history of psychoanalytic ideas.

The World Health Organisation recently confirmed that mental Illness was set to become the biggest threat to human well-being in the twenty first century. Mental illness accounts for more disability adjusted life years lost per year than any other health condition in the UK. No other health condition matches mental ill health in the combined extent of prevalence, persistence and breadth of impact. Modern Mental Health offers an alternative and thought-provoking perspective to the conventional and orthodox understanding of mental health and how to help those suffering with mental illness. The individual contributors to this book share a passion for needs-informed person-centred care for those people affected by mental ill- health and a deep scepticism about the way help and support is organised and provided to the 1 in 4 people in the population who at some time will suffer mental health problems. The chapters include a diverse and rich mixture of stark personal testimony, reflective narrative, case studies in user-informed care, alternative models of intervention and support, rigorous empirical research and a forensic analysis of mental health law-making. Although the overarching philosophy of this book is critical of contemporary psychiatric care, each chapter offers an individual perspective on an aspect of provision. This book will appeal to social workers in mental health contexts as well as students on post qualifying courses and the Masters Degree in Social Work. Doctors, psychologists, psychotherapists, counsellors and nurses will also find much of value.

In this, the sixth volume in the highly successful monograph series produced under the auspices of the European Federation for Psychoanalytic Psychotherapy in the Public Health Services (EFPP), the clear distinctions which once existed between psychoanalysis proper and the psychoanalytic psychotherapies are strongly debated and re-assessed in the light of contemporary paradigm shift.."..Certainties about the distinct enough compartmentalizations of psychoanalysis and psychoanalytic psychotherapies no longer exist. The borders between them are now blurred, and they shift constantly, depending on one's vantage point and one's theoretical predelictions...This range of uncertainty and contention is clearly illustrated, and very sharply, in the present volume."- Robert S. Wallerstein from his foreword.

Since the early 1990s, Enrico Pedriali with R. D. Hinshelwood organised workshops in Italy known as the learning from action workshops. This novel approach evolved from applying the principles of therapeutic communities to a group relations form of experiential conference. The group relation tradition, however, does not focus particularly on mental health organisations and tends to focus on senior management issues of leadership and authority. In contrast, the learning from action workshops are tailored to the care workers engaged in the direct work, in particular for those working with clients and patients with significant problems with verbal and symbolic communication. The workshops also include an element of research into the unconscious messaging systems employed in making relations, which contribute to therapeutic and other mental health care services. There are also chapters on a related form of workshop - the living and learning experience - which was established primarily for learning about therapeutic communities, which bring further insight to working practices. The book brings together a community of 21 authors: Giada Boletti, Louisa Diana Brunner, Davide Catullo, Heather Churchill, John Diamond Donna M. Elmendorf, Giovanni Foresti, Rex Haigh, R. D. Hinshelwood, Yuko Kawai, Eriko Koga, Jan Lees, Simona Masnata, Luca Mingarelli, Gilad Ovadia, Mario Perini, Barbara Rawlings, Antonio Sama, Edward R. Shapiro, Lili Valko, and Zsolt Zalka. It will be a must-read for those working in mental health care. The information within will be of use to those new to the profession, for whom there is often very little preparation or reading material, and also to more senior members to use not only for their own development but also in training and research activities in mental health.

This book explores the concept of certainty, a term which is widely used in everyday language to designate a psychological experience or feeling but is rarely considered controversial or politically charged. The Feeling of Certainty argues that conversely this most ordinary of feelings plays a key role in shaping identity formation, social exclusion, prejudice, and commitment to political causes. The authors question what it means for the subject to feel certainty about her or his relationships to self and others. From where does the feeling of certainty originate, and how does it differ from modes of thought that are open to scepticism about the order of things? They draw on a wide range of theories, including those of Freud, Klein, Lacan, Wittgenstein, Bion, and Jung, challenging readers to consider the world of ideologies, symbols, and stereotypes in which certainty is entrenched, as well as the inter- and intra-psychic processes and defence mechanisms which form the unconscious foundation of the experience of certainty. This collection will offer valuable insight to scholars of psychology, politics, social science and history.

INTRODUCING guide to the pioneering child psychoanalyst. Born in Vienna in 1882, Melanie Klein became a pioneer in child psychoanalysis and developed several ground-breaking concepts about the nature and crucial importance of the early stages of infantile development. Although she was a devoted Freudian, many of her ideas were seen within the psychoanalytic movement as highly controversial, and this led to heated conflicts, particularly with Freud's daughter, Anna. Introducing Melanie Klein brilliantly explains Klein's ideas, and shows the importance of her startling discoveries which raised such opposition at the time and are only now being recognized for their explanatory power. Her concepts of the depressive position and the paranoid-schizoid position are now in common usage and her work has to be taken seriously by psychoanalysts the world over. She is also now important in many academic fields within the human sciences.

This book contains 13 main entries on the basic Kleinian concepts - splitting, paranoid-schizoid and depressive positions, projective identification, envy, internal objects - along with numerous entries on subsidiary concepts and the main post-Kleinian writers - Bion, Segal, Rosenfeld, Joseph and Meltzer.

In this book, the seminal case histories of Melanie Klein and her followers are closely scrutinised, to examine both what the clinicians were noticing in their patients, and how they conceptualized those processes. What are the contents and processes of the mind as they are revealed in the patient's speech on the couch, and what is the specific sense a Kleinian makes of them? At once a fascinating history of the Kleinian clinical approach and a superb training text, Clinical Klein is an indispensable work of reference in the burgeoning field of Klein studies.

The Clinical Paradigms of Melanie Klein and Donald Winnicott seeks to introduce the distinctive psychoanalytic basic principles of both Klein and Winnicott, to compare and contrast the way in which their concepts evolved, and to show how their different approaches contribute to distinctive psychoanalytic paradigms. The aim is twofold - to introduce and to prompt research. The book consists of five main parts each with two chapters, one each by Abram and Hinshelwood that describes the views of Klein and of Winnicott on 5 chosen issues: Basic principles Early psychic development The role of the external object The psychoanalytic concept of psychic pain Conclusions on divergences and convergences Each of the 5 parts will conclude with a dialogue between the authors on the topic of the chapter. The Clinical Paradigms of Melanie Klein and Donald Winnicott will appeal to who are being introduced to psychoanalytic ideas and especially to both these two schools of British Object Relations.

Psychoanalysis is, above all, the science of the emotions but, as yet, there is no single accepted theory of affects. Instead, there are many, all of them too limited, based, as they are, on idiosyncratic introspection. R. D. Hinshelwood presents an extensive scoping of the prominent theories from the philosophy of mind and academic psychology alongside a review of psychoanalytic ideas based on instinct theory or object relations. This wide review of divergent theories from various disciplines helps to mitigate variation and identify commonalities. From this scoping exercise, Hinshelwood creates a form of qualitative meta-analysis which enables the most common dimensions to come to the fore - namely, 113 features of affects form a more general theory with four dimensions. This more systematic view offers an affective 'space' as a model for thinking about the nature of affects, their origins, and their consequences. At the same time, Hinshelwood retains the personal. He starts with the memory which initiated his quest to understand how much we are rooted in the experience of our feelings and includes a chapter documenting his own idiosyncrasies to bring his own bias to the fore. In this way, the book preserves the especially personal and intimate quality of its universal topic.

Group processes are often surprising, bewildering, impenetrable. The author works systematically through the psychoanalytic concepts which bear on what happens in groups. His examples are drawn from many years of experience in therapeutic communities, but are relevant to any sort of group. Author of the highly-praised Dictionary of Kleinian Thought, Hinshelwood draws on the ideas of Jacques, Bion and Menzies Lyth.