| The Therapeutic Milieu Under Fire: Security and Insecurity in Forensic Mental Health Contributor(s): Adshead, Gwen (Contribution by), Adlam, John (Editor), Wrench, Martin (Contribution by) |
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ISBN: 1849052581 ISBN-13: 9781849052580 Publisher: Jessica Kingsley Publishers OUR PRICE: $47.50 Product Type: Paperback - Other Formats Published: June 2012 |
| Additional Information |
| BISAC Categories: - Psychology | Forensic Psychology - Psychology | Psychotherapy - General - Medical | Forensic Medicine |
| Dewey: 614.15 |
| LCCN: 2011053058 |
| Series: Forensic Focus |
| Physical Information: 0.7" H x 5.9" W x 8.9" (0.83 lbs) 256 pages |
| Descriptions, Reviews, Etc. |
| Publisher Description: This groundbreaking book explores the psychodynamics and socio-politics of the forensic therapeutic milieu, addressing some of the most difficult and complex issues facing practitioners. It sets out a psycho-social framework for understanding the predicament and the needs of those who live in and those who work in forensic mental health settings. It brings to life the thinking of those working on the frontline in an increasingly difficult and hostile environment, and draws together fresh and stimulating approaches to engagement with highly complex individuals who present challenges to traditional models of psychiatric assessment and treatment. Contributors with considerable clinical experience and expertise from a range of disciplines consider the ethical, emotional and intellectual challenges of their work, and describe ways in which genuine containment and change can be achieved despite numerous perceived assaults on therapeutic relationships, and on the therapeutic milieu itself. Combining clinical case studies with organisational perspectives and clear descriptions of theoretical processes, they explore key issues including the challenges of maintaining role-appropriate, 'boundaried' relationships; the tensions between public protection and individual confidentiality; questions of risk and responsibility; duty of care and respect for individual liberty; the challenges posed by inter-professional tensions and rivalries; as well as specific clinical dilemmas. The difficulties they experience in fulfilling specific therapeutic roles in the face of uncertainties about the funding and commissioning of their services are addressed, and the final part of the book outlines some of the ways in which individuals, particular services and whole organisations may protect themselves when under attack. This unique and highly original book is essential reading for all those working, or training to work, in both forensic and non-forensic inpatient therapeutic milieux and for academics and lay readers interested in the societal dynamics of inclusion and exclusion that are replicated and magnified in these settings. |
Contributor Bio(s): Adlam, John: - John Adlam is Consultant Adult Forensic Psychotherapist in Reflective Practice and Team Development with S London and Maudsley Foundation NHS Trust and also Principal Adult Psychotherapist and Lead for Group Therapies with St George's Adult Eating Disorders Service. He trained in Psychoanalytical Group Psychotherapy at the Tavistock Centre and in Forensic Psychotherapeutic Studies at the Portman Clinic. He was formerly Vice-President of the International Association for Forensic Psychotherapy.Aiyegbusi, Anne: - Dr Anne Aiyegbusi is Deputy Director of Nursing, Specialist and Forensic Services within West London Mental Health NHS Trust. She has worked as a nurse in forensic mental health services for many years and is interested in integrating forensic psychotherapy with the nursing role. Additionally, she is interested in attachment theory and its application within forensic services.Motz, Anna: - Anna Motz is a Consultant Clinical and Forensic Psychologist based within Thames Valley Forensic Mental Health Service and Past President of the International Association for Forensic Psychology.Scanlon, Christopher: - Christopher Scanlon is a Consultant Psychotherapist at St Thomas Hospital, London, and Consultant to Forensic Services within South London and Maudsley Mental Health NHS Trust. |