Handbook of Child and Adolescent Psychotherapy

492 Pages·1999·3.97 MB·English

by  Monica Lanyado

The handbook of child and
adolescent psychotherapy
Focusing on the development and practice of psychoanalytic psychotherapy with children and young
people, this handbook provides both an introduction to this specialist profession and an insight into recent
developments in technique and practice.
It includes:
•
history, development and training
•
theoretical underpinnings
•
the process of work and the varied contexts in which it is carried out
•
the application of psychoanalytic approaches to different settings and client groups
•
in-depth expert overviews of current areas of specialist clinical interest
•
a review of research
•
an overview of international developments in the profession.
The Handbook of Child and Adolescent Psychotherapy: Psychoanalytic Approaches is an essential
resource for all professionals interested or working in Child, Adolescent and Family Mental Health, as
well as those working in counselling and adult psychotherapy. Students of psychoanalysis will learn
much from the detailed accounts of this specialised application of psychoanalytic thinking and
technique.
Monica Lanyado helped to found the Child and Adolescent Psychotherapy training in Scotland and
remains involved with training issues at the British Association of Psychotherapists in London. Ann
Horne was Head of the Child and Adolescent Psychotherapy training at the British Association of
Psychotherapists. She works at the Portman Clinic, London, where she is co-editor of the Portman Series.
Contributors: Chriso Andreou; Dilys Daws; Sira Dermen; Judith Edwards; Denis Flynn; Barbara
Gaffney; Viviane Green; Trevor Hartnup; Jill Hodges; Juliet Hopkins; Ann Horne; Carol Hughes;
Margaret Hunter; Monica Lanyado; Meira Likierman; Sheila Melzak; Niki Parker; Marianne Parsons;
Pat Radford; Sandra Ramsden; Susan Reid; Paulina Reyes; Margaret Rustin; Valerie Sinason; Elizabeth
Urban; Peter Wilson.

The handbook of child and
adolescent psychotherapy
Psychoanalytic approaches
Edited by
Monica Lanyado and Ann Horne
London and New York
First published 1999 by Routledge
11 New Fetter Lane, London EC4P 4EE
Simultaneously published in the USA and Canada
by Routledge
29 West 35th Street, New York, NY 10001
Routledge is an imprint of the Taylor & Francis Group
This edition published in the Taylor & Francis e-Library, 2001.
Editorial matter and selection © 1999 Ann Horne and Monica Lanyado; individual chapters © 1999
individual contributors
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.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloguing in Publication Data
The handbook of child and adolescent psychotherapy/[edited by] Monica Lanyado and Ann Horne.
p. cm.
Includes bibliographical references and index.
1. Psychodynamic psychotherapy for children. 2. Psychodynamic psychotherapy for teenagers.
3. Child analysis. 4. Adolescent analysis. I. Lanyado, Monica, 1949– . II. Horne, Ann,
1944– .
RJ505.P92H36 1999
618.92′8914–dc21 98–48880
CIP
ISBN 0–415–17258–6 (hbk)
ISBN 0–415–17259–4 (pbk)
ISBN 0-203-13534-2 Master e-book ISBN
ISBN 0-203-18296-0 (Glassbook Format)
Contents
Contributors ix
Foreword xiii
MARY BOSTON AND DILYS DAWS
Acknowledgements xvi
1 Introduction 1
ANN HORNE AND MONICA LANYADO
PART I
Theoretical foundations 17
2 The roots of child and adolescent psychotherapy in
psychoanalysis 19
MEIRA LIKIERMAN AND ELIZABETH URBAN
3 Normal emotional development 31
ANN HORNE
4 Some contributions on attachment theory 43
JULIET HOPKINS
PART II
The child and adolescent psychotherapist in practice 53
5 The therapeutic relationship and process 55
MONICA LANYADO AND ANN HORNE
6 Some intercultural issues in the therapeutic process 73
CHRISO ANDREOU
vi Contents
7 The child and adolescent psychotherapist and the family 81
(a) The family context
JULIET HOPKINS
(b) The place of consultation with parents and therapy
of parents in child psychotherapy practice 87
MARGARET RUSTIN
8 The therapeutic setting: the people and the place 93
TREVOR HARTNUP
9 Research in child and adolescent psychotherapy:
an overview 105
JILL HODGES
PART III
The child and adolescent psychotherapist in different
therapeutic environments 125
10 The child and adolescent psychotherapist in the
community 127
MARGARET HUNTER
11 The child and adolescent psychotherapist in a
hospital setting 141
SANDRA RAMSDEN
12 Therapy and consultation in residential care 159
PETER WILSON
13 The challenges of in-patient work in a therapeutic
community 167
DENIS FLYNN
14 International developments 183
JUDITH EDWARDS
PART IV
The diversity of treatments 197
15 Traditional models and their contemporary use 199
(a) Intensive psychotherapy
VIVIANE GREEN
Contents vii
(b) Non-intensive psychotherapy and assessment 215
MARIANNE PARSONS WITH PAT RADFORD AND
ANN HORNE
16 Brief psychotherapy and therapeutic consultations: how
much therapy is ‘good-enough’? 233
MONICA LANYADO
17 The group as a healing whole: group psychotherapy with
children and adolescents 247
SUSAN REID
18 Brief psychotherapy with infants and their parents 261
DILYS DAWS
PART V
Special clinical interests 273
19 The treatment of traumatisation in children 275
MONICA LANYADO
20 Deprivation and children in care: the contribution of
child and adolescent psychotherapy 293
CAROL HUGHES
21 Delinquency 311
PETER WILSON
22 The violent child and adolescent 329
MARIANNE PARSONS AND SIRA DERMEN
23 Sexual abuse and sexual abusing in childhood and
adolescence 347
ANN HORNE
24 Gender identity dysphoria 369
BARBARA GAFFNEY AND PAULINA REYES
25 Eating disorders 387
NIKI PARKER
viii Contents
26 Psychotherapeutic work with child and adolescent
refugees from political violence 405
SHEILA MELZAK
27 Autism: clinical and theoretical issues 429
JUDITH EDWARDS AND MONICA LANYADO
28 The psychotherapeutic needs of the learning disabled
and multiply disabled child 445
VALERIE SINASON
Appendix: Further information 457
Index 461
Contributors
Chriso Andreou is a founder member of Nafsiyat, an intercultural therapy centre in London.
She has undertaken clinical research into sexually abusive behaviour in young adolescent
boys at Great Ormond Street Hospital, and worked at the Adolescent Unit in Wandsworth,
London.
Dilys Daws is a consultant child psychotherapist at the Tavistock Clinic, London, where her
work includes being part of the Under Fives Counselling Service. She has also for the last
twenty years visited weekly the Baby Clinic at the James Wigg Practice in the Kentish
Town Health Centre, London. She was Chair of the Child Psychotherapy Trust and is
founding Chair of the Association for Infant Mental Health.
Sira Dermen is a child psychotherapist and a Member of the British Psycho-analytical
Society. She has a private psychoanalytic practice, and also works at the Portman Clinic,
London, where her special interest is in violence.
Judith Edwards is a consultant child and adolescent psychotherapist in a Family Centre and
teaches child development at the Tavistock Clinic. She is currently joint editor of the
Journal of Child Psychotherapy. She has published in professional journals and
contributed chapters to books including Autism and Personality (Routledge 1999).
Denis Flynn has worked as Head Child Psychotherapist at the Cassel Hospital, London, and
is now Head of the Adolescent In-patient Unit at the Cassel Hospital. He is a psychoanalyst
in private practice.
Barbara Gaffney trained as a child psychotherapist with the British Association of Child
Psychotherapists having previously worked with deprived and abused children at the
Mulberry Bush Residential School. She worked at the Gender Identity Development
Clinic, St George’s Hospital, South London (which subsequently moved to the Portman
Clinic) from 1992–7. She currently works in the Child and Adolescent Mental Health
Service within Pathfinder NHS Trust, London.