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The authors propose to investigate the meaning and purpose of boundaries within and around the therapeutic experience. A boundary is more than a simple line delineating one space from another; it is an entity with properties that demand a response if they are to be negotiated. Boundaries circumscribe a space that can be viewed objectively, or experienced subjectively, as a 'container'. For the uninitiated, this therapeutic container can be difficult to penetrate. Even health professionals such as GPs and psychiatrists often do not know how to access psychotherapy organisations and their referral networks. Also, real constraints on the availability of counselling and psychotherapy within the National Health Service, and the cost of private sector services, may prohibit access to the help being sought. The book explores aspects such as the gradual evolution of therapeutic boundaries in psychodynamic work, boundary development in infancy and childhood, the role of the therapist's mind and the therapeutic setting, confidentiality and issues such as money and time.
What do you do when you run into a patient in a public place? How do you respond when a patient suddenly hugs you at the end of a session? Do you accept a gift that a patient brings to make up for causing you some inconvenience? Questions like these—which virtually all clinicians face at one time or another—have serious clinical, ethical, and legal implications. This authoritative, practical book uses compelling case vignettes to show how a wide range of boundary questions arise and can be responsibly resolved as part of the process of therapy. Coverage includes role reversal, gifts, self-disclosure, out-of-office encounters, physical contact, and sexual misconduct. Strategies for preventing boundary violations and managing associated legal risks are highlighted.
This book discusses and describes psychotherapy supervision for qualified psychiatrists and other mental health professionals. Practitioners, as well as trainees, benefit from supervision to maintain and enhance their psychotherapeutic skills; supervision is also recommended for those in practice treating difficult patients, in the prevention of boundary violations, and when personal events might have an impact upon treatment. This book delineates the ongoing role of psychotherapy supervision in the lifelong development and maintenance of professional skills and standards of practice.
"Bridges community practice and clinical practice by collecting 33 chapters from social workers, psychologists, and psychiatrists that outline and illustrate the state of the art. Designed specifically for clinicians making the transition to community-based work"--Provided by publisher.
This is the first practical book on clinical supervision for nurses. It offers ways of understanding the context of clinical supervision in nursing and pinpoints organizational and personal pitfalls that can sabotage its effectiveness.
People who use forensic mental health services are defined by the fact that they have violated boundaries, often in many ways. For clinicians employed to work therapeutically with this client group however, the capacity to initiate and maintain boundaries is critical to safety as well as to good treatment outcomes. This book provides a thorough introduction to the subject of professional and therapeutic boundaries and their particular complexities within forensic mental health settings. The contributors, all experts in their respective fields, address the challenges of establishing working boundaries within forensic mental health services from multiple perspectives. They explore the ways in which boundaries can be initiated and maintained in different areas of forensic mental health work, including in psychotherapy, mental health nursing, arts therapies, forensic psychiatry and family therapy, and when working with different client groups, including children and adolescents, offenders with severe personality disorders in high security settings and sex offenders. Consideration is also given to boundaries and homicide, maternal boundary violations and boundaries in a forensic learning disability service. This authoritative, interdisciplinary resource will support all forensic mental health practitioners in this crucial aspect of their work.
New edition of the essential text for senior nursing students transitioning to professional nursing practice. Now in its third edition, the popular Transitions in Nursing continues to recognise the issues and challenges faced by senior students making the transition to nursing practice. Transitions in Nursing, 3rd Edition: Preparing for Professional Practice offers motivating discussion and insight to facilitate the shift from university to the workplace. This third edition is restructured into three sections: From Student to Graduate; Skills for Dealing with the World of Work; and Organisational Environments. All chapters have been fully revised and updated with consistent pedagogical features. Themes addressed in the text include: learning to work in teams; understanding organisational structure; stress management for nurses; communication with patients and families; and professional development strategies. Also new to this new edition of Transitions in Nursing are two new chapters on Clinical Leadership and Continuing Competence for Practice. This new content reflects recent changes in Australian clinical practice, policies, procedures and National Registration requirements for nurses. Transitions in Nursing, 3rd Edition: Preparing for Professional Practice brings together a team of academics and clinical practitioners of the highest calibre. The text stimulates students’ and nurses’ interest in theory and concepts while providing strategies that can be tested and applied in nursing practice. • Consistent pedagogical features in each chapter, including: o Learning Objectives o Key Words o Introduction o Activities in body of the text o Conclusion o Short Case Studies followed by Reflective questions o Recommended Readings for further exploration of issues o Updated References
Supervision in Psychoanalysis and Psychotherapy demonstrates why supervision is an essential component of any psychoanalytic or therapeutic work. Drawing on Winnicott and rich clinical material, and featuring work with Patrick Casement, this book provides new guidance on psychodynamic supervision and explores how its skilful use can have a significant effect on the outcome of such work, enabling the practitioner to rethink their theoretical approach, and thereby view issues differently in the clinical setting. Built around the case study of a challenging but successful long term individual therapy, Supervision in Psychoanalysis and Psychotherapy examines how clinicians can become ‘stuck’ in their work with certain patients, struggling to find a way to get through to them. Diana Shmukler brings together a fascinating combination of various perspectives, detailing the patient’s own words, the therapists’ views and reflections and the effect of a brief introduction to Art Therapy, whilst underlining the power and impact, both theoretically and practically, of using a different approach in supervision. Shmukler superbly integrates theory and practice, underlining the validity of a two-person psychology and the therapeutic relationship, whilst also illustrating the centrality of both participant’s commitment to, and belief in, the process of therapy. Importantly, the book provides a clinical example in which the subjectivities of all the participants are shown to be clearly central to the work. Shmukler underlines the significance of supervision to complex cases, even that of a highly experienced therapist. Supervision in Psychoanalysis and Psychotherapy will appeal to psychoanalysts and psychotherapists, students and trainees in integrative psychotherapy, counsellors and psychiatrists, as well as patients seeking help for deep seated issues.