Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-18T16:36:31.634Z Has data issue: false hasContentIssue false

Psychodynamics and Psychotherapy on an Acute Psychiatric Ward

The Story of an Experimental Unit

Published online by Cambridge University Press:  02 January 2018

Murray Jackson*
Affiliation:
King's College Hospital, Bethlem Royal and Maudsley Hospitals (Emeritus)
Robert Cawley
Affiliation:
University of London
*
Le Pous, St André-de-Roquepertuis, 30630, France

Abstract

The treatment of severely disturbed patients is strengthened in an important way by listening closely to them and by attempting to understand their experience in the depth that is made possible by the use of psychoanalytic concepts. It follows that the practice of clinical psychiatry in the UK would be greatly improved by the introduction of a psychoanalytic and psychotherapeutic perspective into the acute ward. This paper reviews the work done on a ward at the Maudsley Hospital in which this approach was the practice.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alanen, Y., Rakkolainen, V., Laakso, J., et al (1986) Towards Need-Specific Treatment of Schizophrenic Psychoses. London: Springer-Verlag.CrossRefGoogle ScholarPubMed
Benedetti, G. (1987) Psychotherapy of Schizophrenia. London: New York University Press.Google Scholar
Bion, W. R. (1967) Second Thoughts. London: Heinemann.Google Scholar
Bowlby, J. (1953) Child Care and the Growth of Love. London: Penguin Books.Google Scholar
Brown, R. (1988) A group within an institution: how one reflects and mirrors the other. Group Analysis, 21, 259266.CrossRefGoogle Scholar
Cawley, R. H. (1983) The principles of treatment and therapeutic evaluation. In Handbook of Psychiatry – 1: General Psychopathology (ed. Shepherd, M.). Cambridge University Press.Google Scholar
Ciompi, L. (1984) Is there really a schizophrenia? The long-term course of psychotic phenomena. British Journal of Psychiatry, 145, 636640.CrossRefGoogle ScholarPubMed
Croft-Jeffreys, C. & Wilkinson, G. (1989) Estimated costs of neurotic disorder in UK general practice 1985. Psychological Medicine, 19, 549558.CrossRefGoogle ScholarPubMed
Freeman, T. (1989) Psychotherapy within general psychiatry. Bulletin of the Royal College of Psychiatrists, 13, 593596.Google Scholar
Freeman, T., Cameron, J. L. & McGhie, A. (1958) Chronic Schizophrenia, p. 105 et seq. London: Tavistock Publications.Google Scholar
Furlan, P. & Benedetti, G. (1985) The individual psychoanalytic psychotherapy of schizophrenia. Yale Journal of Biology and Medicine, 58, 337348.Google ScholarPubMed
Grotstein, J. S. (1981) Splitting and Projective Identification. London: Jason Aronson.Google Scholar
Hawkins, D. R. (1979) Impressions of psychiatric education in Western Europe specialty training. Archives of General Psychiatry, 36, 713717.CrossRefGoogle ScholarPubMed
Hill, D. (1970) On the contributions of psychoanalysis to psychiatry: mechanism and meaning. British Journal of Psychiatry, 117, 609615.CrossRefGoogle ScholarPubMed
Hill, D. (1978) The qualities of a good psychiatrist. British Journal of Psychiatry, 133, 97105.CrossRefGoogle ScholarPubMed
Hinshelwood, R. D. & Manning, N. P. (eds) (1979) Therapeutic Communities: Reflections and Progress. London: Routledge.Google Scholar
Hobbs, M. (1990) The role of the psychotherapist as consultant to in-patient psychiatric units. Bulletin of the Royal College of Psychiatrists, 14, 811.Google Scholar
Holmes, J. & Lindley, R. (1989) The Values of Psychotherapy. Oxford University Press.Google Scholar
Jackson, M. (1986) A psychoanalytic approach to the assessment of a psychotic patient. Psychoanalytic Psychotherapy, 1, 1122.CrossRefGoogle Scholar
Jackson, M. (1989) Manic–depressive psychosis: psychopathology and psychotherapy in a psychodynamic milieu. In Lines of Life, Psychiatry and Humanism (eds Gilbert, S., Haugsgjerd, S. & Hjort, H.). Oslo: Tano.Google Scholar
Jackson, M. (1991) Psychotherapy in psychotic disorders. In Psychotherapy for Psychiatrists (ed. Holmes, J.). London: Churchill Livingstone.Google Scholar
Jackson, M. & Jacobson, R. (1983) Psychoanalytic hospital treatment. Psychiatry: the State of the Art, vol. 4 (eds Pichot, P., Berner, P., Wolf, R. et al). New York: Plenum Press.Google Scholar
Jackson, M. & Pines, M. (1986) The borderline personality: concepts and criteria. Neurologia et Psychiatrica, 9, 5467.Google Scholar
Jackson, M., Pines, M. & Stevens, B. (1986) The borderline personality: psychodynamics and treatment. Neurologic et Psychiatrica, 9, 6688.Google Scholar
Jackson, M. & Tarnopolsky, A. (1990) The borderline personality. In The Principles and Practice of Forensic Psychiatry (eds Bluglass, R. & Bowden, P.). London: Churchill Livingstone.Google Scholar
Jacobson, R., Jackson, M. & Berelowitz, M. (1986) Self-incineration: a controlled comparison of inpatient suicide attempts. Psychological Medicine, 16, 107116.CrossRefGoogle Scholar
James, O. (1984) The role of the nurse-therapist in the therapeutic community. International Review of Psychoanalysis, 11, 151159.Google Scholar
Karon, B. (1988) The treatment of acute schizophrenic patients in private practice. British Journal of Psychotherapy, 4, 135140.CrossRefGoogle Scholar
Karon, B. & Vandenbos, O. (1981) Psychotherapy of Schizophrenia. London: Aronson.Google Scholar
Kennedy, R., Heymans, A. & Tischler, L. (1987) The Family as In-Patient. London: Free Association Books.Google Scholar
Kernberg, O. (1976) Object Relations Theory and Clinical Psychoanalysis. New York: Aronson.Google Scholar
Kubie, L. S. (1971) The retreat from patients. Archives of General Psychiatry, 24, 98106.CrossRefGoogle ScholarPubMed
Mahler, M., Pine, F. & Bergman, A. (1975) The Psychological Birth of the Human Infant. London: Hutchinson.Google Scholar
Main, T. (1946) The hospital as a therapeutic instrument. Bulletin of Menninger Clinic, 10, 6670.Google Scholar
Main, T. (1989) The Ailment and Other Essays. London: Free Association Books.Google Scholar
Menzies, I. (1988) Containing Anxiety in Institutions. London: Free Association Books.Google Scholar
Nemiah, J. (1989) The varieties of human experience. British Journal of Psychiatry, 154, 459466.CrossRefGoogle ScholarPubMed
Oldham, J. & Russakoff, L. (1987) Dynamic Therapy in Brief Hospitalisation. New York: Aronson.Google Scholar
Pylkkanen, K. (1989) A quality assurance programme for psychotherapy: the Finnish experience. Psychoanalytic Psychotherapy, 4, 1322.CrossRefGoogle Scholar
Reiser, M. F. (1988) Are psychiatric educators ‘losing the mind’? American Journal of Psychiatry, 145, 148153.Google ScholarPubMed
Rey, J. H. (1979) Schizoid phenomena in the borderline. In Advances in Psychotherapy of the Borderline Patient (eds le Boit, J. & Capponi, A.). London: Jason Aronson.Google Scholar
Rey, J. H. (1986) Reparation. Journal of the Melanie Klein Society, 4, 535.Google Scholar
Ritter, S. (1984) Does the team think? Nursing Times, 79, 5355.Google Scholar
Ritter, S. (1985) Primary nursing in psychiatry. Nursing Mirror, 160, 1617.Google Scholar
Ritter, S. (1988) A care plan study. In Person to Person (ed. Collester, B.). London: Edward Arnold.Google Scholar
Ritter, S. (1989) The Bethlem Royal and Maudsley Hospital Manual of Nursing Procedures. London: Harper & Row.Google Scholar
Schulz, C. G. (1975) An individualised psychotherapeutic approach with the schizophrenic patient. Schizophrenia Bulletin, 13, 4669.CrossRefGoogle Scholar
Segal, H. (1964) Introduction to the Work of Melanie Klein. London: Heinemann.Google Scholar
Segal, H. (1981) A psychoanalytic approach to the treatment of psychosis. In The Work of Hanna Segal. London: Jason Aronson.Google Scholar
Spillius, E. (ed.) (1988) Melanie Klein Today. London: Routledge. Stern, D. N. (1985) The Interpersonal World of the Infant. New York: Basic Books.Google Scholar
Ugelstad, E. (1979) Possibility of organising psychotherapeutically oriented treatment programmes for schizophrenia within sectorized psychiatric service. In Psychotherapy of Schizophrenia (ed. Muller, C.). Amsterdam: Excerpta Medica.Google Scholar
Whiteley, J. S. (1972) Dealing with Deviants. London: Hogarth Press.Google Scholar
Wilkinson, G. (1988) ‘I don't want you to see a psychiatrist.’ British Medical Journal, 297, 11441155.CrossRefGoogle Scholar
Winnicott, D. W. (1965) The Maturational Processes and the Facilitating Environment. London: Hogarth.Google Scholar
Yorke, C. (1968) A defect in training. British Journal of Psychiatry, 152, 159163.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.