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New Discoveries in Child Psychotherapy: Findings from Qualitative Research PDF

379 Pages·2019·6.531 MB·English
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“What a treasure trove we have in this book. It exemplifies my belief that psychoanalysis should be viewed as the natural history approach to psychology much as Darwin's study of the natural world opened up biology. This method of work requires sustained observation and builds theory from the observed data as the writers in this volume have done, across a wide range of topics of clinical interest. I recom- mend it most warmly.” Ronald Britton, psychoanalyst and author, past President of the British Psychoanalytic Society “At a time when the need for novel interdisciplinary approaches to mental health research is increasingly recognised, this excellent book provides a compelling account of the distinctive tradition of qualitative child psychotherapy research. It is a fascinating read, offering rich insights from the frontline of children’s services.” Eilis Kennedy, Director of Research, Tavistock and Portman NHS Foundation Trust “This impressive collection of papers is testimony to the rich tradition of research into child psychotherapy undertaken at the Tavistock Clinic over the last 20 years. It will be of great interest to those working therapeutically with children, as well as those seeking inspiration regarding psychoanalytic research methods.” Nick Midgley, Associate Professor, UCL, and the Anna Freud National Centre for Children and Families NEW DISCOVERIES IN CHILD PSYCHOTHERAPY NewDiscoveriesinChildPsychotherapy presents eleven new contributions to child psychoanalytic research, most of them based on the experience of the clinical consulting room. Each chapter is the work of an experienced child psychotherap- ist or child analyst, vivid in their description of the children and families they encountered.Theirunderstandingofthe“innerworlds”ofpatientsandtheclinical consultingroomisclearlyevidencedintheiranalysisofclinicalpresentations. The chapters are the result of the psychoanalytic clinical and observational prac- ticesoftheirauthors,alliedtotheiruseofrigorousqualitativeresearchmethods,in particular Grounded Theory and interpretative phenomenological analysis (IPA). They describe developments of child psychoanalytic knowledge in several fields, including autism, psychotherapy with severely deprived children, and the study of early infancy. They demonstrate advances in child psychoanalytic theories and methodsandthedevelopmentofnewformsofclinicalserviceprovision.Contested issuesinpsychoanalyticresearcharethoroughlyevaluated,showinghowitcanbe mademoreaccountableandrigorousthroughtheadaptationofestablishedqualita- tiveresearchmethodstothestudyofunconsciousmentalphenomena. New Discoveries in Child Psychotherapy will be an essential text in the field of child psychoanalysis and will be highly useful in psychotherapy and psychoanaly- sistrainingcoursesandforpsychoanalyticresearchers,aswellasforpractitioners. Margaret Rustin is a prominent child psychotherapist and child psychoanalyst. She was Head of Child Psychotherapy at the Tavistock Clinic for many years and con- tinues to teach and supervise there. She contributed significantly to the IMPACT researchstudyonadolescentdepression.Sheistheauthorandeditorofmanybooks, including, mostrecently,with colleagues,Short-TermPsychoanalyticPsychotherapy forAdolescentswithDepression,and,withMichaelRustin,ReadingKlein. Michael Rustin is Professor of Sociology at the University of East London and a Visiting Professor at the Tavistock Clinic where he has taught for many years. He has written widely on psychoanalysis and its applications. His book Researching the Unconscious: Principles of Psychoanalytic Method has also recently been published by Routledge in the Tavistock Clinic Series. Tavistock Clinic Series MargotWaddell,Jocelyn Catty,&KateStratton(SeriesEditors) Recent titles in the Tavistock Clinic Series ChildhoodDepression:APlaceforPsychotherapy,editedbyJudithTrowell,withGillianMiles Conjunctions:SocialWork,Psychoanalysis,andSociety,byAndrewCooper ConsultationsinPsychoanalyticPsychotherapy,editedbyR.PeterHobson ContemporaryDevelopmentsinAdultandYoungAdultTherapy.TheWorkoftheTavistock andPortmanClinics,Vol.1,editedbyAlessandraLemma CoupleDynamics:PsychoanalyticPerspectivesinWorkwiththeIndividual,theCouple,and theGroup,editedbyAleksandraNovakovic DoingThingsDifferently:TheInfluenceofDonaldMeltzeronPsychoanalyticTheoryand Practice,editedbyMargaretCohen&AlbertoHahn InsideLives:PsychoanalysisandtheGrowthofthePersonality,byMargotWaddell InternalLandscapesandForeignBodies:EatingDisordersandOtherPathologies,byGianna Williams LivingontheBorder:PsychoticProcessesintheIndividual,theCouple,andtheGroup, editedbyDavidBell&AleksandraNovakovic MakingRoomforMadnessinMentalHealth:ThePsychoanalyticUnderstandingof PsychoticCommunication,byMarcusEvans MelanieKleinRevisited:PioneerandRevolutionaryinthePsychoanalysisofYoung Children,bySusanSherwin-White NewDiscoveriesinChildPsychotherapy:FindingsfromQualitativeResearch,editedby MargaretRustin&MichaelRustin OedipusandtheCouple,editedbyFrancisGrier OnAdolescence:InsideStories,byMargotWaddell OrganizationintheMind:Psychoanalysis,GroupRelations,andOrganizational Consultancy,byDavidArmstrong,editedbyRobertFrench PsychoanalysisandCulture:AKleinianPerspective,editedbyDavidBell ResearchingtheUnconscious:PrinciplesofPsychoanalyticMethod,byMichaelRustin ReasonandPassion:ACelebrationoftheWorkofHannaSegal,editedbyDavidBell Short-TermPsychoanalyticPsychotherapyforAdolescentswithDepression:ATreatment Manual,editedbyJocelynCatty SiblingMatters:APsychoanalytic,Developmental,andSystemicApproach,editedby DebbieHindle&SusanSherwin-White SocialDefencesagainstAnxiety:ExplorationsinaParadigm,editedbyDavidArmstrong& MichaelRustin SurvivingSpace:PapersonInfantObservation,editedbyAndrewBriggs TalkingCure:MindandMethodoftheTavistockClinic,editedbyDavidTaylor TheAnorexicMind,byMarilynLawrence TheGroupsBook.PsychoanalyticGroupTherapy:PrinciplesandPractice,editedby CarolineGarland TherapeuticCareforRefugees:NoPlaceLikeHome,editedbyRenosPapadopoulos ThinkingSpace:PromotingThinkingaboutRace,Culture,andDiversityinPsychotherapy andBeyond,editedbyFrankLowe TowardsBelonging:NegotiatingNewRelationshipsforAdoptedChildrenandThosein Care,editedbyAndrewBriggs TurningtheTide:APsychoanalyticApproachtoMentalIllness.TheWorkoftheFitzjohn’s Unit,editedbyRaelMeyerowitz&DavidBell UnderstandingTrauma:APsychoanalyticApproach,editedbyCarolineGarland WaitingtoBeFound:PapersonChildreninCare,editedbyAndrewBriggs “WhatCantheMatterBe?”:TherapeuticInterventionswithParents,Infants,andYoung Children,editedbyLouiseEmanuel&ElizabethBradley YoungChildObservation:ADevelopmentintheTheoryandMethodofInfantObservation, editedbySimonettaM.G.Adamo&MargaretRustin NEW DISCOVERIES IN CHILD PSYCHOTHERAPY Findings from Qualitative Research Edited by Margaret Rustin & Michael Rustin Firstpublished2019 byRoutledge 2ParkSquare,MiltonPark,Abingdon,OxonOX144RN andbyRoutledge 52VanderbiltAvenue,NewYork,NY10017 RoutledgeisanimprintoftheTaylor&FrancisGroup,aninformabusiness ©2019selectionandeditorialmatter,MargaretRustinandMichaelRustin;individualchapters, thecontributors TherightofMargaretRustinandMichaelRustintobeidentifiedastheauthorsoftheeditorial material,andoftheauthorsfortheirindividualchapters,hasbeenassertedinaccordancewith Sections77and78oftheCopyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthisbookmaybereprintedorreproducedorutilisedinanyform orbyanyelectronic,mechanical,orothermeans,nowknownorhereafterinvented,including photocopyingandrecording,orinanyinformationstorageorretrievalsystem,without permissioninwritingfromthepublishers. Trademarknotice:Productorcorporatenamesmaybetrademarksorregisteredtrademarks,andare usedonlyforidentificationandexplanationwithoutintenttoinfringe. BritishLibraryCataloguing-in-PublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary LibraryofCongressCataloging-in-PublicationData Names:Rustin,Margaret,editor.|Rustin,Michael,editor. Title:Newdiscoveriesinchildpsychotherapy:findingsfromqualitativeresearch/editedby MargaretRustinandMichaelRustin. Description:Abingdon,Oxon;NewYork,NY:Routledge,2019.| Series:Tavistockclinicseries|Includesbibliographicalreferencesandindex. Identifiers:LCCN2019004247(print)|LCCN2019005419(ebook)|ISBN9780429282294 (Master)|ISBN9780415003858(Adobe)|ISBN9780415003971(Mobipocket)| ISBN9780415004091(ePub3)|ISBN9780367244101(hardback:alk.paper)| ISBN9780367244071(pbk.:alk.paper)|ISBN9780429282294(ebk) Subjects:|MESH:Psychotherapy—methods|Child|QualitativeResearch Classification:LCCRC480.5(ebook)|LCCRC480.5(print)|NLMWS350.2| DDC616.89/14—dc23 LCrecordavailableathttps://lccn.loc.gov/2019004247 ISBN:978-0-367-24407-1(hbk) ISBN:978-0-367-24410-1(pbk) ISBN:978-0-429-28229-4(ebk) TypesetinPalatino bySwales&Willis,Exeter,Devon,UK CONTENTS SERIESEDITORS’PREFACE ix ACKNOWLEDGEMENTS xiii ABOUTTHECONTRIBUTORS xv Introduction 1 MargaretRustin&MichaelRustin I Mainlytheoryandclinicalmethod 1 Asinglecaseofpsychoanalyticinfantobservationandwhatit revealsaboutlossandrecoveryininfancy 31 WendyShallcross 2 Findingaplaceofone’sown:agroundedtheoryapproachto reviewingthedevelopmentalimpactofchildpsychotherapy withalooked-after2-year-oldchild 63 LouiseAllnutt vii viii CONTENTS 3 Thedesert,thejungle,andthegarden:someaspectsofautistic functioningandlanguagedevelopment 84 CarlosTamm 4 Curiouserandcuriouser:researchingtheKlinkin psychoanalytictherapy 121 EmilyRyan 5 Acomparisonofprocessnotesandaudiorecordingsin psychoanalyticpsychotherapy 152 MiriamCreaser II Mainlypractice:contributionstoservicedevelopment 6 Whatdobabiesknow?Anexplorationoftheexperienceof Bangladeshimothersandtheirinfants 175 FerelythWatt 7 Breaksandsiblingfiguresinchildpsychotherapy 198 LiselotteGrünbaum 8 WhatcanItellyou?Anexplorationofchildpsychotherapy assessmentusinggroundedtheory 222 MarieBradley 9 Focusingonthecarerofthetraumatizedchild:onthebenefits ofpsychoanalyticshort-termparentwork 238 KristineTiltina 10 Anexplorationintotheimpactofachildpsychotherapist’s pregnancyonherclinicalwork 269 RajniSharma 11 Clinicalresearchandpracticewithbabiesandyoungchildren incare 293 JeniferWakelyn APPENDIXA:COMPLETEDDOCTORALTHESESINCHILDAND ADOLESCENTPSYCHOTHERAPY 310 REFERENCES 316 INDEX 341 ’ SERIES EDITORS PREFACE Since it was founded in 1920, the Tavistock Clinic—now the Tavi- stock and Portman NHS Foundation Trust—has developed a wide range of developmental approaches to mental health which have been strongly influenced by the ideas of psychoanalysis. It has also adopted systemic family therapy as a theoretical model and a clin- ical approach to family problems. The Tavistock is now one of the lar- gest mental health training institutions in Britain. It teaches up to 600 students a year on postgraduate, doctoral, and qualifying courses in social work, systemic psychotherapy, psychology, psychiatry, nursing, and child, adolescent, and adult psychotherapy, along with 2,000 multi- disciplinary clinicians, social workers, and teachers attending Continu- ing Professional Development courses and conferences on psychoanalytic observation, psychoanalytic thinking, and management and leadership in a range of clinical and community settings. The Tavistock’s philosophy aims at promoting therapeutic methods in mental health. Its work is based on the clinical expertise that is also the basis of its consultancy and research activities. The aim of this Series is to make available to the reading public the clinical, theoretical, and research work that is most influential at the Tavistock. The Series sets out new approaches in the understanding and treatment of psy- chological disturbance in children, adolescents, and adults, both as individuals and in families. ix

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