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As some of the psychoanalytic world still struggles to give due weight to psychosocial factors in our patients' difficulties, Rustin presents us with both a straightforwardly sensible and a subtle awareness of the complexity of the interactions between a child's internal world and their external world. As I embarked on reading this selection of past papers by Margaret Rustin, I set about it in the way I have often used in book reviews - copying particularly inspiring or insightful phrases into a document so I could refer to them or quote them in the review to come. Finding a Way to the Child: Selected Clinical Papers 1983-2021 Margaret Rustin. [Extracted from the article]

This paper starts from the thought that we cannot take for granted that a society's highest values will survive in the long term as effective motivators within that society. By 'highest values' I mean values such as justice, concern for members of weak and minority groups, and respect for promises and for the attempt to speak truthfully - values that apply at the highest level of generality. If they are to survive and to be effective, two things may be necessary: firstly, unpredictable 'epiphanic' moments in which the power of these values is emotionally experienced by individuals, and secondly, institutions and a vocabulary in which these values can be remembered, discussed and affirmed in emotionally and imaginatively impactful ways. I shall suggest, with reference in particular to the thought of Emmanuel Levinas and Ronald Dworkin, that the second of these factors, the remembering and affirmation of values, marks out the crucial, perhaps even the irreplaceable, contribution of a 'religion' to a society. The failure, within psychoanalysis and also more widely, to appreciate the working of this function in a society over generations may mean that the consequences of 'growing out of religion' (Winnicott) have not yet been adequately recognized. [ABSTRACT FROM AUTHOR]

abstract Isabel Menzies Lyth's seminal paper on social systems as a defence against anxiety is so well known and frequently cited that it risks acquiring mythic or legendary status. But what explains its phenomenal influence? In this contribution I suggest that it is a model example of the psychoanalytic case study, deriving its power from a deep engagement with organizational particularities as a basis for general theorizing. Its continued influence depends upon the way in which it is used to conceptualize new organizational experiences. An example from an institutional observation undertaken as part of an advanced social work training at the Tavistock illustrates this. Institutional observation is one of a range of non-clinical psychoanalytically informed methods of training at the Tavistock, and in the final part of the paper I discuss new applications of Menzies Lyth's work that aim to illuminate the irrational forces shaping modern social policy. Death and anxieties about death emerge as a subtext of the present paper, perhaps reflecting the fact that it was prepared as part of a memorial conference to Menzies Lyth herself, and also that the paper taught us to think better about death as an aspect of organizational experience. [ABSTRACT FROM AUTHOR]

This paper reports on the work of a peer supervision group engaged in simultaneous research and clinical supervision. During an 18‐month period, the group met to discuss 22 individual treatments of people diagnosed with psychosomatic disorders to identify common patterns of resistance and to assist therapists to effectively manage resistance. The aim of the present study was to identify and better understand psychological challenges the group experienced during this research process and its impact on their capacity to work effectively in their tasks. Supervision meetings were recorded and two types of qualitative analyses, derived from the work of Pichon‐Rivière and Bion, were performed to study the group work and processes. Analysis showed fluctuations and compromise formations between the tendency to work objectively and to regress during critical periods of the research process. Factors that pulled the group in both directions are identified and discussed. We believe many of the processes observed in this study are applicable to other peer supervision groups. An understanding of such group processes is likely to enhance group work. [ABSTRACT FROM AUTHOR]

It is a great privilege to publish Estela Welldon's remarkable meditation on living and dying, a paper she has worked on over many years. The Estela Welldon Prize will complement our established Rozsika Parker Prize, which, as readers know, focuses on a critical engagement with questions of creativity in clinical or applied analytic work. Please contact Joan Fogel and Sue Hirst, BJP Editorial Boardjoan@fogel.co.ukhirstsuem@gmail.com ESTELA WELLDON PRIZE The I British Journal of Psychotherapy i is delighted to announce the establishment of the Estela Welldon Prize. [Extracted from the article]

In his paper 'Communicating and not communicating leading to a study of certain opposites' (1963), Donald Winnicott suggests that there is a silent, non‐communicating area of experience at the core of the self. Poetic expression takes a prominent role in the text. In this article, I concentrate on the aesthetic dimension of Winnicott's text and use it to explore the role of aesthetic experience in the development of self‐experience. I suggest that the paper's aesthetic dimension—form, quality and structure—expresses essential characteristics of the core of the self and the mature self's communication with it. I furthermore suggest that Winnicott, by use of poetic expression, offers the idea that the core, defined here as pre‐reflective experience, can be approached through aesthetic means. Building on George Hagman and Giuseppe Civitarese, I argue that aesthetic experience creates a bridge between pre‐reflective and reflective aspects of self‐experience and thus contributes to the integration of self. I suggest that forming a connection with the core can be seen as an aesthetic act where the intention is not to transform pre‐reflective experience into reflective. Since aesthetic experience includes reflection, the effort to represent the core of the self remains paradoxical. [ABSTRACT FROM AUTHOR]

In this interview by email, Ann Scott, Editor‐in‐Chief of the British Journal of Psychotherapy from 2009 to 2022, is in conversation with Brett Kahr, responding to questions put to her by him and the Journal's Editorial Board. The interview focuses on Scott's background and its influence on her work; her early role at Free Association Books and her role as Deputy Editor of the BJP. She identifies papers from the Journal, on her watch as Editor‐in‐Chief, that have resonated particularly powerfully for her, commenting that all convey a sense of urgency and immediacy. She is asked to comment on the relationship between clinical and research approaches; current debates about informed consent; the Journal's title; the impact of online as well as print publication; whether published topics have changed over time; and the Journal's international standing. She describes the editorial principles that have governed her approach to the editorship, drawing on work by Britton, Turquet, Rey and Gabbard. She comments on some challenges she has faced as an editor, and shares the highlights of her tenure. Lastly, she is asked whether the editorship has impacted on her clinical practice, whether she has any regrets, and how she would like to be remembered in relation to her editorial work. [ABSTRACT FROM AUTHOR]

Domestic violence is a prevalent public health concern, affecting millions worldwide. The presence of domestic violence affecting women and couples experiencing homelessness both continue to be underreported areas of clinical work and commissioning within the sector. This paper explores the difficulties of trying to house and contain unhoused couples with reference to the psychoanalytic ideas of attachment and the claustro‐agoraphobic dilemma. The paper argues that more wrap‐around support, such as temporary alternative housing options, are required to manage instances of domestic abuse and instances of attachment anxiety. Flexible options are also required to account for the likelihood that a couple may return to the streets when perpetrators are evicted based upon the implementation of blanket policies. The paper also attempts to offer some nuance into the complexities of relational dynamics, which are amplified by two unhoused minds coming into intimate contact with one another in front of a professional audience. The paper concludes with drawing attention to the lack of therapeutic support and lack of appetite to commission this to enable couples to explore the roles each partner can play when enmeshed in destructive forms of relating. [ABSTRACT FROM AUTHOR]

This paper proposes a Lacanian theory of shame linked to the era of Lacan's work starting with Seminar X and the invention of the object a. From a Lacanian perspective, shame is not evoked by the exposure of a deficit, but rather by the exposure and witnessing of the divided subject's constitutive lack. This paper proposes that the affect of shame is an index pointing to the divided subject's structural lack when it is exposed and witnessed by object a instantiated as the gaze of the scopic drive and the voice of the invocatory drive. Since shame can freeze speech as well as provoke flight from the analytic work, we suggest that it is helpful for the clinician to understand how the structure of shame manifests in the patient's speech and in the transference. Clinical examples are given throughout. The paper concludes with a case discussion of Lacanian analytic work with a female patient confronted with multiple existential dilemmas that evoked shame in relationship to her body, sexuality and death. [ABSTRACT FROM AUTHOR]

Many individuals who have been through transition struggle to obtain the necessary medical and psychological support. This paper explores the importance of psychological support for post‐transition individuals. In my experience, there is a subgroup of patients who struggle to come to terms with life post‐transition, particularly the losses involved. They remain stuck in the mourning process. There is a loss of fantasies regarding an ideal transition, and the gap between the hoped‐for transition outcomes and the post‐transition reality can be painfully large. In addition, issues that the transition was meant to address remain in some form for some people, and they may also be haunted by misgivings about how the transition occurred. This paper employs a heavily anonymised composite case to illustrate and elaborate on how these issues emerged and were dealt with in the context of a psychotherapeutic process. Working through issues that led to transition and grievances about perceived and actual failures in care from the past allowed the patient to mourn the loss of her pre‐transition image. The patient was able to come to terms with the reality of her transfer from male to trans‐female and her body and life post‐transition and to shift from a preoccupation with the past to move on with her life. [ABSTRACT FROM AUTHOR]

Students or qualified clinicians are invited to submit original papers on adult, child, couple, or group psychotherapy or psychoanalysis, on clinical, theoretical, applied or research topics. The British Journal of Psychotherapy's Prize established in 2013 in memory of Rozsika Parker focuses on a critical engagement with questions of creativity. The Prize has two entry routes: a Student Path and a Post-Qualification Path. [Extracted from the article]

The attainment of unit status or I AM is a crucial stage in Winnicott's theory of development and arguably ranks amongst Winnicott's more well known ideas, such as transitional object, true and false self, and primary maternal preoccupation. Using Winnicott's 1968 paper 'Sum, I am', the author traces the dangers inherent in attaining I AM and what might hamper this achievement, the personal significance of numbers and divisibility, and how this links with his subsequent ideas on monotheism and a radical revision of Freud's dual drive theory. Returning to the 'Sum, I am' paper, the author briefly explores the importance Winnicott places on play in pedagogy and the significance of an intermediate space followed by Winnicott's thoughts about death, dissociation, and the importance of a mouse! Four clinical examples are used to illustrate difficulties in achieving I AM. Finally, the author suggests the spatula game in 'Observation of infants in a set situation' published over a quarter of a century earlier is a prime example of an I AM experience, with a beginning, middle and end. [ABSTRACT FROM AUTHOR]