Johnston, J, Luthra, VS, Mzizi, L et al. (1 more author) (2016) Medical psychotherapy consultation: psychoanalytic psychiatry for the patient and professional. Psychoanalytic Psychotherapy, 30 (3). pp. 204-222. ISSN 0266-8734
Abstract
An NHS Mental Health Trust Medical Psychotherapy Consultation Service using psychoanalytic psychiatry to help the patient and professional is described. The Consultation Service established in 2000 is offered to secondary acute and community mental health teams and primary care. The service was evaluated as a basis for regional and national development. Between 2006 and 2013, 87 consultations from 210 were sampled to ascertain demographic and diagnostic profiles and outcomes of the consultation process. We conducted an online survey of local consultant psychiatrists’ views about the service, and undertook a thematic analysis of the free text comments. We also conducted a survey of members of the Royal College of Psychiatrists’ Medical Psychotherapy Faculty to ascertain whether similar consultation services existed elsewhere in the UK and had been evaluated. The Leeds model of psychoanalytic consultation – a ‘consultation sandwich’ – is described. From a psychoanalytic perspective, the work of consultation is seen as an extension of the dynamic field of the analytic situation. This paper develops the concept of a bastion – an omnipotent reserve in and between the patient and professional derived from adhesive identifications leading to stuck relationships. The adhesive identification in the patient and professional acts like a ‘grievance glue’ – a mutual manifestation in a last bastion of painful limitations not faced, losses not grieved.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 The Association for Psychoanalytic Psychotherapy in the NHS. This is an Accepted Manuscript of an article published by Taylor & Francis in Psychoanalytic Psychotherapy on 4 May 2016, available online: http://www.tandfonline.com/10.1080/02668734.2016.1141613 |
Keywords: | medical psychotherapy, psychoanalytic consultation, countertransference, dynamic field, being stuck, adhesive identification, the last bastion of the patient and professional |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Jan 2017 12:48 |
Last Modified: | 04 May 2017 00:38 |
Published Version: | https://doi.org/10.1080/02668734.2016.1141613 |
Status: | Published |
Publisher: | Taylor & Francis |
Identification Number: | 10.1080/02668734.2016.1141613 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:110387 |