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Book Details
Abstract
A psychoanalytic understanding of violence is key to successful treatment strategies. This book draws on the expanding discipline of forensic psychotherapy to explore the theory behind violent behaviour in adults. With key definitions and practical case studies, it offers an accessible framework for mental health workers.
JESSICA YAKELEY is Honorary Senior Lecturer in the Department of Mental and Behavioural Sciences, University College London, UK. She is a Consultant Psychiatrist in Forensic Psychotherapy at the Portman Clinic, Tavistock and Portman NHS Foundation Trust, and a Consultant Psychiatrist in Psychotherapy at the Camden Psychotherapy Service, Camden and Islington Mental Health NHS Foundation Trust. She is also a Member of the British Psychoanalytic Society.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Cover | Cover | ||
| Contents | v | ||
| Foreword | viii | ||
| Acknowledgements | xi | ||
| Introduction | 1 | ||
| 1 Violence: Psychoanalytic Perspectives | 7 | ||
| A psychoanalytic history of aggression | 8 | ||
| Definitions of violence | 10 | ||
| Different forms of violence | 11 | ||
| Attachment, trauma and loss | 13 | ||
| Mentalization | 14 | ||
| The internal object world, the role of the father and superego | 16 | ||
| The role of phantasy | 19 | ||
| Defence mechanisms and defensive systems | 20 | ||
| The external setting and situational factors | 22 | ||
| Towards a multi-dimensional framework | 24 | ||
| Summary | 25 | ||
| 2 Violence, Mental Illness and Personality Disorder | 26 | ||
| Diagnostic classifications | 27 | ||
| Personality disorder | 29 | ||
| Psychosis | 33 | ||
| Summary | 39 | ||
| 3 Psychopathy | 41 | ||
| Historical conceptions of psychopathy | 41 | ||
| Definitions of psychopathy and the Hare Psychopathy Checklist | 43 | ||
| Developmental origins and the internal world of the psychopath | 44 | ||
| Personality organisation | 45 | ||
| Failures of internalisation | 45 | ||
| Internal object relations and the grandiose self | 46 | ||
| The psychopathic superego | 48 | ||
| Countertransference reactions | 50 | ||
| Psychopathic violence | 51 | ||
| Psychopathic breakdown and the fallacy of dual diagnosis | 52 | ||
| Summary | 54 | ||
| 4 Violence, Sexuality and Perversion | 56 | ||
| Definitions of perversion | 57 | ||
| Polymorphous perversion | 59 | ||
| Perversion as a defence against castration anxiety | 60 | ||
| The erotic form of hatred | 62 | ||
| A defence against generational and sexual difference – the facts of life | 65 | ||
| Summary | 67 | ||
| 5 Violent Women | 68 | ||
| Violence against the body | 69 | ||
| Infanticide | 74 | ||
| Munchausen's Syndrome by Proxy | 77 | ||
| Domestic violence | 80 | ||
| Summary | 82 | ||
| 6 Violence and Society, Race and Culture | 84 | ||
| Group violence | 84 | ||
| Racism and violence | 87 | ||
| Dehumanisation, genocide and terrorism | 93 | ||
| Summary | 96 | ||
| 7 A Psychoanalytic Approach to Risk Assessment | 97 | ||
| Models of risk | 98 | ||
| Subjectivity | 100 | ||
| Violence as communication | 101 | ||
| Countertransference | 102 | ||
| Transference and the index offence | 106 | ||
| Towards a psychoanalytic risk formulation and framework | 110 | ||
| Summary | 113 | ||
| 8 Working in Medium and High Security Settings | 114 | ||
| Containment | 114 | ||
| The sick and fragmented institution | 116 | ||
| Treating the institution | 118 | ||
| Working in prisons | 123 | ||
| Summary | 125 | ||
| 9 Individual Psychoanalytic Psychotherapy for Violent Patients | 127 | ||
| Assessing the violent patient | 129 | ||
| The setting | 134 | ||
| Engaging the patient | 135 | ||
| Transference and countertransference | 140 | ||
| Mourning and working through | 145 | ||
| Summary | 149 | ||
| 10 Group-Analytic Psychotherapy for Violence | 150 | ||
| Selection for group-analytic psychotherapy | 151 | ||
| The group process | 153 | ||
| The setting, group 'rules' and boundaries | 155 | ||
| Transference and defence | 157 | ||
| Endings and beginnings | 161 | ||
| Summary | 163 | ||
| 11 Working with the Wider Professional Network | 164 | ||
| Confidentiality | 165 | ||
| Multi-Agency Public Protection Arrangements | 168 | ||
| Working with the courts | 172 | ||
| Summary | 176 | ||
| Glossary | 178 | ||
| A | 178 | ||
| C | 178 | ||
| D | 179 | ||
| E | 180 | ||
| F | 181 | ||
| G | 182 | ||
| H | 182 | ||
| I | 182 | ||
| L | 183 | ||
| M | 183 | ||
| O | 183 | ||
| P | 184 | ||
| R | 186 | ||
| S | 187 | ||
| T | 188 | ||
| References | 189 | ||
| Index | 204 | ||
| A | 204 | ||
| B | 204 | ||
| C | 204 | ||
| D | 204 | ||
| E | 205 | ||
| F | 205 | ||
| G | 205 | ||
| H | 206 | ||
| I | 206 | ||
| K | 206 | ||
| L | 206 | ||
| M | 206 | ||
| N | 206 | ||
| O | 206 | ||
| P | 207 | ||
| R | 207 | ||
| S | 208 | ||
| T | 208 | ||
| V | 208 | ||
| W | 208 |