Communicating with Vulnerable Patients: A Novel Psychological Approach PDF
Preview Communicating with Vulnerable Patients: A Novel Psychological Approach
Communicating with Vulnerable Patients 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 behaviour 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. Maria Leticia Castrechini Fernandes Franieck, PhD, is a chartered counselling psychologist and a psychodynamic psychotherapist based in Germany. Her clinical practice is focused on working with highly vulnerable populations. The Forensic Psychotherapy Monograph Series Series Editor: Professor Brett Kahr The Official Publication Series of the International Association for Forensic Psychotherapy Selected titles in the series: Violence: A Public Health Menace and a Public Health Approach Edited by Sandra L. Bloom Forensic Psychotherapy and Psychopathology: Winnicottian Perspectives Edited by Brett Kahr Dangerous Patients: A Psychodynamic Approach to Risk Assessment and Management Edited by Ronald Doctor and Sarah Nettleton The Mind of the Paedophile: Psychoanalytic Perspectives Edited by Charles W. Socarides and Loretta R. Loeb Violence in Children: Understanding and Helping Those Who Harm Edited by Rosemary Campher Murder: A Psychotherapeutic Investigation Edited by Ronald Doctor Psychic Assaults and Frightened Clinicians: Countertransference in Forensic Settings Edited by John Gordon and Gabriel Kirtchuk Forensic Aspects of Dissociative Identity Disorder Edited by Adah Sachs and Graeme Galton Playing with Dynamite: A Personal Approach to the Psychoanalytic Understanding of Perversions, Violence, and Criminality Estela Welldon The Internal World of the Juvenile Sex Offender: Through a Glass Darkly then Face to Face Timothy Keogh Disabling Perversions: Forensic Psychotherapy with People with Intellectual Disabilities Alan Corbett Sexual Abuse and the Sexual Offender: Common Man or Monster? Barry Maletzky Psychotherapy with Male Survivors of Sexual Abuse: The Invisible Men Alan Corbett Consulting to Chaos: An Approach to Patient-Centred Reflective Practice Edited by John Gordon, Gabriel Kirtchuk, Maggie McAlister, and David Reiss New Horizons in Forensic Psychotherapy: Exploring the Work of Estela V. Welldon Edited by Brett Kahr The End of the Sentence: Psychotherapy with Female Offenders Edited by Pamela Windham Stewart and Jessica Collier For further information about this series please visit www.routledge.com/The‑ Forensic‑Psychotherapy‑Monograph‑Series/book‑series/KARNFPM The Forensic Psychotherapy Monograph Series Communicating with Vulnerable Patients A Novel Psychological Approach Maria Leticia Castrechini Fernandes Franieck With Contribution from Niko Bittner Designed cover image: © Maria Leticia Castrechini Fernandes Franieck First published 2023 by Routledge 4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 605 Third Avenue, New York, NY 10158 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2023 Maria Leticia Castrechini Fernandes Franieck The right of Maria Leticia Castrechini Fernandes Franieck to be identified as author of this work has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library ISBN: 978-1-032-14041-4 (hbk) ISBN: 978-1-032-14042-1 (pbk) ISBN: 978-1-003-23208-7 (ebk) DOI: 10.4324/9781003232087 Typeset in Times New Roman by Apex CoVantage, LLC To my twin sons Erick Franieck and Lucas Franieck, for making my life brighter and to my colleague Niko Bittner, for his valuable companionship Contents List of Contributors ix Series Editor’s Foreword x BRETT KAHR Preface xv Acknowledgements xvii Introduction xviii PART ONE On building communication 1 1 Handling, mastering, and integrating a personal and factual reality 3 2 On intercultural interactional communication 8 3 TICA – Transient Interactive Communication Approach 24 PART TWO TICA in forensic settings 37 4 TICA in withdrawal therapy 39 5 TICA in pretrial detention 87 PART THREE TICA in intercultural settings 113 6 TICA in short‑term therapy with traumatized refugees 115 7 TICA in multicultural team supervision 138 viii Contents PART FOUR TICA adaptations (variations) 153 8 T‑WAS – Together We Are Strong 155 WITH CONTRIBUTION FROM NIKO BITTNER 9 TICA in the COVID‑19 pandemic 186 WITH CONTRIBUTION FROM NIKO BITTNER PART FIVE Reflections on TICA 203 10 Outcomes and limitations 205 Index 234 Contributor Niko Bittner is a qualified pedagogue and Gestalt therapist. He works in youth social work and is a seminar leader at the Odenwald Institute, Germany, where he trains conflict coaches, among other things.
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