Short-term Psychoanalytic Psychotherapy for Adolescents with Depression: A Treatment Manual

289 Pages·2016·2.79 MB·English

by  Simon Cregeen

SHORT-TERM
PSYCHOANALYTIC PSYCHOTHERAPY
FOR ADOLESCENTS WITH DEPRESSION
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Developments in Psychoanalysis Series
Series Editors: Peter Fonagy, Mary Target, and Liz Allison
Tavistock Clinic Series
Series Editors: Margot Waddell and Jocelyn Catty
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SHORT-TERM
PSYCHOANALYTIC PSYCHOTHERAPY
FOR ADOLESCENTS WITH DEPRESSION
A Treatment Manual
Simon Cregeen, Carol Hughes, Nick Midgley,
Maria Rhode, & Margaret Rustin
Edited by
Jocelyn Catty
KARNAC
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First published in 2017 by
Karnac Books
118 Finchley Road
London NW3 5HT
Copyright © 2017 by Simon Cregeen, Carol Hughes, Nick Midgley, Maria Rhode,
& Margaret Rustin
The rights of Simon Cregeen, Carol Hughes, Nick Midgley, Maria Rhode, &
Margaret Rustin to be identified as the authors of this work have been asserted in
accordance with §§ 77 and 78 of the Copyright Design and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored in
a retrieval system, or transmitted, in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without the prior written
permission of the publisher.
British Library Cataloguing in Publication Data
A C.I.P. for this book is available from the British Library
ISBN: 978–1–78220–352–0
Edited, designed, and produced by Communication Crafts
Printed in Great Britain
www.karnacbooks.com
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CONTENTS
about the editor and authors ix
acknowledgements xi
series editors’ preface xiii
foreword xv
INTRODUCTION 1
Depression in adolescence 4
Treatment of adolescent depression 6
STPP and the IMPACT trial 7
The manual: STPP in practice 8
CHAPTER ONE
Psychoanalytic views of adolescent depression 11
Psychoanalytic theories of depression 12
Developmental considerations 25
Towards a psychoanalytic formulation of depression
for adolescents 34
v
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vi contents
CHAPTER TWO
Psychoanalytic child psychotherapy: principles and evidence 37
Psychoanalytic psychotherapy with children and young people 38
The evidence for psychoanalytic psychotherapy with children
and young people 42
CHAPTER THREE
Short-Term Psychoanalytic Psychotherapy
for adolescent depression: framework and process 53
Principles, aims, and techniques of STPP 53
Case management, collaborative working,
and psychiatric issues 74
Referral for STPP 78
CHAPTER FOUR
The stages of treatment in
Short-Term Psychoanalytic Psychotherapy 85
The early stages of STPP 86
The middle stages of STPP 104
The ending stages of STPP 112
Post-treatment contact 124
CHAPTER FIVE
Work with parents and carers 127
Principles of psychoanalytic work with parents and carers 127
Parent work in STPP 134
Setting-up, reviews, communication,
and routine outcome monitoring 142
The process of parent work in STPP 146
Common themes, difficulties, and variations 156
Working with adopted and looked-after children
and their carers 159
CHAPTER SIX
Supervision of Short-Term Psychoanalytic Psychotherapy 167
Principles and aims of psychoanalytic supervision 168
STPP supervision: the framework and process 173
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contents vii
Dealing with risk 176
Problems of management in STPP supervision 177
Supporting therapists’ management of countertransference 177
Parallel process in supervision 179
Supervision of parent work 181
CHAPTER SEVEN
Short-Term Psychoanalytic Psychotherapy in clinical practice 185
Managing psychiatric difficulties and risk 185
Some common problems 189
AFTERWORD 213
about the association of child psychotherapists 219
references 221
index 247
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ABOUT THE EDITOR AND AUTHORS
Jocelyn Catty is a Child and Adolescent Psychotherapist, working
with adolescents in a Child and Adolescent Mental Health Service
(CAMHS) in South London, and an adult psychotherapist in inde-
pendent practice. She is Research Lead for the doctoral training in
Child Psychotherapy at the Tavistock Centre and co-editor of the
Tavistock Clinic Series. She was previously Senior Research Fellow
in Mental Health at St George’s, University of London, with a special
interest in the therapeutic alliance, and has published in social psy-
chiatry, psychotherapy, and English literature..
Simon Cregeen is Head of Child and Adolescent Psychotherapy in
Manchester and Salford CAMHS, Central Manchester NHS Foun-
dation Trust, and a clinical tutor on the doctorate training at the
Northern School of Child and Adolescent Psychotherapy, Leeds. He
has a particular interest in work with parental couples, looked-after
children and young people, adoptive families, and their networks. He
has published a number of papers.
Carol Hughes, now retired, had a long career as a Consultant Child
and Adolescent Psychotherapist within the NHS and social care.
She worked for several teaching hospitals and in CAMHS clinics in
ix
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