This book centers on the problem of psychosis, understood from a psychoanalytic perspective, as it manifests itself in different contexts and different levels of organization: from the individual psychoanalytic session, through work with couples, groups and institutions and wider levels of social organization. Beginning with a discussion of the psychoanalytic approach to psychosis centering on the work of Freud, Klein and the Post-Kleinians, it goes on to cover individual, couple and group therapy with psychotic patients. It draws on clinical material and theoretical discussion to explore the links between psychotic processes on different levels. This work is aimed at different professionals working within the psychodynamic frame of reference: individual psychotherapists, couple and family and group psychotherapists; organizational consultants and trainees in different therapies. As well as this it will be a useful resource to nurses, doctors and social workers who work with very disturbed patients and wish to learn about psychotic processes. Contents: Series editor’s preface
Acknowledgements
About the editors and contributors Introduction
Foreword 1 The psychoanalytic approach to the treatment of psychotic patients, Hanna Segal
2 Reflections on “meaning” and “meaninglessness” in post-Kleinian thought, Margot Waddell
3 Rigidity and stability in a psychotic patient: some thoughts about obstacles to facing reality
in psychotherapy, Margaret Rustin
4 Forms of “folie-à-deux” in the couple relationship, James Fisher
5 Psychotic and depressive processes in couple functioning, Francis Grier
6 The Frozen Man: further reflections on glacial times, Salomon Resnik
7 Psychotic processes: a group perspective, Aleksandra Novakovic
8 Psychotic processes in large groups, Caroline Garland
9 A community meeting on an acute psychiatric ward: observation and commentaries Ward observation
Commentary I, David Kennard
Commentary II, Julian Lousada
Commentary III, Mary Morgan
Commentary IV, Wilhelm Skogstad 10 Asylum and society, Elizabeth Bott Spillius
11 Schizophrenia, meaninglessness, and professional stress R. D. Hinshelwood
12 Brilliant stupidity: madness in organizational life— a perspective from organizational consultancy, Tim Dartington
13 The dynamics of containment, David Bell References
Index The Editors: David Bell is a training and supervising analyst at the British Psychoanalytic Society and consultant medical psychotherapist at the Tavistock Clinic. He is well-known as a teacher of psychoanalysis and for his publications on the theory of narcissism, the work of Bion, and the psychoanaltyic approach to serious mental illness. He has published Reason and Passion (jointly with Hanna Segal) and edited Psychoanalysis and Culture: A Kleinian Perspective, both published in the Tavistock Clinic Series. Aleksandra Novakovic is a group analyst, a couple psychoanalytic psychotherapist, and consultant clinical psychologist in St Anne's Hospital. She is Joint Head of Adult Mental Health CMHT and inpatient Psychology Services and works full time in the NHS.
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