This book offers fresh, original and stimulating approaches to engagement with individuals who have been multiply excluded from society and who present challenges to traditional psychiatric models of assessment and treatment. It brings to life the thinking of those working on the frontline in an increasingly difficult environment, and draws together the central themes in working with highly complex and disturbed individuals while retaining psychodynamic understanding of their histories and current circumstances. It offers readers a better understanding of the factors that help and hinder the development and maintenance of effective therapeutic relationships with the socially marginalised, dealing with social exclusion and its consequences in a variety of different treatment settings.Offering a resource of information and clinical insight, this book is essential reading for psychiatrists and psychological therapists, and will also be of interest to frontline workers including doctors, nurses and social workers.
Introduction. 1. What the Eye Doesn't See: Ethics, Boundaries and Forensic Mental Health. Gwen Adshead, Consultant Forensic Psychotherapist, Broadmoor Hospital, UK. 2. The Patient's Experience of Professional Abuse in the Psychological Therapies. Dawn Devereux, Director of Public Support, Clinic for Boundary Studies, UK. 3. Boundary Violations: Are Transgressing Professionals Beyond Help? Jonathan Coe, Managing Director, Clinic for Boundaries Studies, UK and Glen Gabbard, The Gabbard Centre, Houston, Texas, USA. 4. Therapy in Perversion: Seduction, Destruction and Keeping Balance. David Jones, Consultant Psychotherapist, DSPD Service, East London NHS Foundation Trust, UK. 5. Group Work for Offence Perpetrators with a History of Boundary Violations in the Hospital Setting. Estelle Moore, Clinical and Forensic Psychiatrist and Chartered Scientist, Broadmoor Hospital, UK and Emma Ramsden, Drama Therapist and Clinical Supervisor, Broadmoor Hospital, UK. 6. Moving with the Patient: Boundary Phenomena in Forensic Drama Therapy. Mario Guarnieri, Psychoanalytic Psychotherapist and Dramatherapist, South London and Maudsley NHS Foundation Trust, UK. 7. Music Therapy in Forensic Settings. Stella Compton-Dickinson, Lead Clinical Specialist in Arts Therapies, Rampton Hospital, UK and Dr. Andy Benn, Consultant Clinical Psychologist, Rampton Hospital, UK. 8. Working with Families in Forensic Settings: A Systemic Perspective on Boundaries. Jo Bownas, Family Therapist, WLMHT, UK. 9. Boundaries in Forensic Mental Health Nursing: Set in Stone or Shifting Sands? Gillian Kelly, Consultant Nurse, Women's Directorate, WLMHT, UK, and Emma Wadey, Consultant Nurse, DSPD, WLMHT, UK. 10. Boundaries and Desire in Forensic Mental Health Nursing. Professor Cindy Peternelj-Taylor, College of Nursing, University of Saskatchewan, Canada. 11. Boundaries and Boundary Violations in the Nurse Patient Relationship with People Diagnosed with Personality Disorders in DSPD and WEMMS: Some Findings from a Mixed Methods Research Study. Anne Aiyegbusi, Deputy Director of Nursing, Specialist and Forensic Services, West London Mental Health NHS Trust, UK. 12. Boundary Violations in Medium Secure Settings. Gabriel Kirtchuck, Consultant Forensic Psychotherapist, West London Forensic Services, UK, David Reiss, Consultant Forensic Psychiatrist, West London Forensic Services, UK and Brian Darnley, Consultant Forensic Psychiatrist, Devon Partnership NHS Trust, UK. 13. Therapeutic Boundaries in Working with Young People in an NHS Secure Adolescent Forensic Unit. Claire Dimond, Consultant Child and Adolescent Psychiatrist, WLMHT, UK and Denise Sullivan, Ward Manager, Wells Unit, Forensic Adolescent Directorate, WLMHT, UK. 14. Boundary Transgressions as a Tool for Reparation within Therapeutic Relationships. Rebecca Neeld, Group Analyst and Lead Nurse, Cassel Hospital, UK and Tom Clarke, Associate Director of Nursing, South West London and St George's NHS Trust and Honorary Lecturer, Kingston University, UK. 15. Boundaries and Borderline Personality Disorder. Kingsley Norton, Consultant Psychotherapist, WLMHT, UK. 16. Boundaries and Working with Serious Offenders who also have Severe Personality Disorder in a High Secure Setting. Professor Derek Perkins, Consultant Clinical and Forensic Psychologist, Broadmoor Hospital, UK. 17. Mothering on the Edge: Boundary Failures in Maternal Care. Anna Motz, Consultant Clinical and Forensic Psychologist, Oxford and Buckinghamshire Mental Health Trust, UK. 18. Boundaries with a Learning Disability. Richard Curen, Chief Executive, Respond, UK. 19. Dangerous Liaisons: Close Encounters of the Unboundaried Kind. Christopher Scanlon, Consultant Psychotherapist, SLAM, UK and John Adlam, Adult Psychotherapist, S-L&SG, UK. 20. Neither here nor there, not one thing or another: The Use of a Reflective Practice Group to Understand the Distortion of a Boundary. Stephen Mackie, Consultant Forensic Nurse Psychotherapist, Tavistock and Portman NHS Foundation Trust, UK. 21. Boundaries and Homicide. Ronald Doctor, Consultant Psychotherapist, WLMHT, UK and Maggie McAlister, Forensic Adult Psychotherapist, WLMHT, UK. References. Index.
This book contains a brilliant and moving series of descriptions and analyses of the special difficulties encountered by mental health professionals who attempt to help our society solve one of the most complex, dangerous and destructive problems it faces...if we are to improve our ability to optimize, rather than cripple, the institutions and professionals to whom we have delegated the responsibility to treat mentally disturbed violent offenders, then the legislators, and the voters who elect the legislators, will need to be informed about what helps and what hinders them from performing that task. That is what this book describes and explains in elegant detail, and that is why I hope it will have as wide a readership as possible.
