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Psychoanalytic Crisis Work with Adolescents: An Independent Approach offers a clinical and theoretical examination of the seemingly omnipresent and ever-growing mental health difficulties and crises that teenagers face today.
The book starts by grounding the reader in a contemporary perspective on adolescent development, exploring the adolescent mental health crisis as it is experienced today. Integrating psychoanalytic and sociocultural perspectives, it explores adolescent crises and risk-taking behaviours, including suicidality, overdose, and self-harm by cutting. The book then outlines practical ways of working clinically with the adolescent, alongside their parents, carers, and educators. Core themes throughout the chapters include the primacy of identity and belonging in adolescence and the impact of the external world on internal emotional reality, such as peer relations, the media and internet, family, and wider political and social realities.
This book is essential reading for psychotherapists and psychoanalytically trained clinicians working with teenagers struggling with these difficulties, as well as other health professionals and parents looking for guidance on handling troubling behaviour.
Contents
Editors x
List of contributors xii
Preface xvi
Acknowledgements xviii
Introduction 1
PART 1
1 Adolescence at the intersection of inner and outer realities: A conceptualisation 7
FLAVIA ANSALDO
2 The search for identity: Working therapeutically with adolescents in crisis 34
RACHEL ACHESON AND MARIA PAPADIMA
3 'Too late for me': The adolescent mental health crisis in time 62
JOCELYN CATTY
PART 2
4 Considering crisis and risk in psychoanalytic work with adolescents 85
MARIA PAPADIMA
5 Meanings of adolescent overdose 106
HILLEL MIRVIS
6 The multifaceted meanings of a symptom: A psychoanalytic exploration of self-harm in contemporary culture 120
MARIA PAPADIMA
7 Moving towards a psychoanalytic formulation when assessing the risk of suicide in adolescents in crisis 149
NIKOLAOS TZIKAS
PART 3
8 Reconfiguring adolescent-parent psychotherapy: Empowering relational dynamics to promote adolescent health and growth 171
RUTH SCHMIDT NEVEN
9 Reaching for the unreachable: Working with parents of adolescents who struggle to engage 187
VICTORIA HAYWARD AND PAUL BELL
10 Working with schools to support adolescents in crisis 206
RACHEL ACHESON AND CATHERINE CAMPBELL
11 Ripples of containment: How CAMHS teams manage anxiety in the midst of adolescent crisis 227
REBECCA BOLAM
12 Cries in crisis: Holding looked-after adolescents and their networks in mind 241
EFTYCHIA APOSTOLIDOU, VICTORIA NICOLODI, AND NIKOLAOS TZIKAS
PART 4
13 Brief psychodynamic psychotherapy for adolescents and their families in crisis: A pilot study 265
MARIA PAPADIMA, CATHERINE CAMPBELL, NIKOLAOS TZIKAS, AND FEMBE NANJI-ROWE
14 Playing with fire: Or how do we play when we're scared? the nature and function of play in psychotherapy with high-risk adolescents 293
KATE MILLS
15 'To dream is to live': The therapist's function for representation in work with at-risk adolescents 309
NIKOLAOS TZIKAS
Index 330
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