Psychoanalytic Thinking in Occupational Therapy

Title Page\r......Page 2
Copyright\r......Page 3
Contents......Page 4
Foreword......Page 5
Foreword......Page 7
Acknowledgements......Page 9
1. Introduction......Page 10
Finding our way......Page 11
Conclusions......Page 19
References......Page 20
Section 1: Psychoanalytic Theory Interwoven with Occupational Therapy......Page 21
2. The ‘Therapeutic Use of Self’in Occupational Therapy\r......Page 22
Conscious and unconscious communication......Page 24
‘The important thing is to connect’......Page 25
Client-centred practice in occupational therapy......Page 26
The illness narratives......Page 28
A story without animals......Page 30
On not liking a patient......Page 33
On becoming a therapist......Page 35
References......Page 36
Introduction......Page 39
Freud 1856?1939......Page 40
Free association, free-floating attention......Page 41
Transference......Page 44
The unconscious......Page 46
Klein 1882?1960......Page 48
The internal object and the inner world......Page 50
Projective identification......Page 52
Bion 1897?1979......Page 55
Thinking thoughts: learning from experience......Page 56
The container-contained model......Page 57
No memory, no desire......Page 59
Conclusions......Page 61
References......Page 62
Introduction......Page 64
Inhabiting the intermediate space......Page 65
Adding doing to the transitional space......Page 66
References......Page 74
Introduction......Page 75
Beginning with Bowlby......Page 76
Towards well-being......Page 78
Careseeking......Page 80
Exploratory interest sharing......Page 81
Affectionate sexuality......Page 84
Internal and External Supportive and Unsupportive Systems......Page 85
The External Supportive/Unsupportive System......Page 86
Restoring occupational well-being......Page 87
Assisting caregiving awareness......Page 89
Conclusions......Page 90
References......Page 91
Introduction......Page 94
The lasting concepts introduced by Fidler: occupation and relationship......Page 95
The unconscious: fear and fascination......Page 97
Psychoanalytically trained occupational therapists......Page 98
Changes in psychoanalysis itself......Page 99
An enlarged field: from the Fidler approach to the development of the MOVI......Page 100
The transformation process: standing in the spaces with Anna......Page 102
Choice as a fixed part of the structure of the setting: Valeria......Page 103
The importance of the therapist’s feelings: the therapy process with Lucia......Page 105
References......Page 107
Section 2: Psychoanalytic Occupational Therapy: A Relational Practice Model and Illuminating Theory in Clinical Practice......Page 109
Introduction: how MOVI was developed......Page 110
What is MOVI?......Page 111
Specific characteristics of MOVI......Page 112
Evaluation......Page 113
The use of activities in the evaluation process......Page 114
The relationship in evaluation......Page 115
The interactive process......Page 116
The setting ? space and time......Page 118
Choice......Page 120
Play......Page 123
Materials and transformations......Page 125
Sensory experience and thought......Page 126
The nonhuman environment......Page 128
References......Page 131
Introduction......Page 133
Could Freud be responsible?......Page 135
Was mum or dad the culprit?......Page 138
The language of unnamed emotions......Page 139
The malleable mind......Page 140
The toxic narrative......Page 141
Let the children speak......Page 144
Conclusions......Page 145
References......Page 146
9. Working with Difference......Page 150
Learning from the other......Page 152
Employing the split position: evoking admiration and/or fear of contamination......Page 153
Apartheid: the exploitation of difference and the personal price of racism......Page 156
Avoiding difference: a need for fusion......Page 159
Containing difference: finding oneself in relation to the other......Page 162
Some further thoughts on working with difference......Page 164
References......Page 165
Section 3: Further Psychoanalytic Thinking:Research and Training......Page 167
10. Psychoanalytic Thinking in Research......Page 168
The regeneration of psychoanalytic theory in social science......Page 170
Psycho-social research methods......Page 173
Participant observation: creating an internal map of psycho-social work......Page 175
Interviews, interpretation and ethical endeavours......Page 179
Beneath the surface......Page 181
Ethical endeavours......Page 183
Learning from the participant......Page 184
References......Page 186
Introductory considerations......Page 189
The therapists......Page 190
MOVI as a change agent for the therapist......Page 191
Emotions about doing......Page 192
Choice of activity by the patient......Page 193
Acceptance and closeness in the relationship......Page 194
Reflections on the first study......Page 195
Turning point in the therapy......Page 196
Emotional expression......Page 198
Symbolic meaning......Page 199
Competency feelings......Page 200
Reflections on the second study......Page 201
Part 3: Closing reflections on what we learned from listening to therapists’ narratives......Page 202
References......Page 203
Introduction......Page 205
What is psychodrama?......Page 206
How MOVI uses analytical psychodrama......Page 207
The emergence of a reflective group......Page 211
Learning from baby observation......Page 215
The ‘inner world’......Page 217
Conclusions......Page 222
References......Page 223
Introduction......Page 225
The traditional role of supervision in occupational therapy......Page 226
The psychodynamic influence to supervision......Page 227
The landscape of possibility......Page 228
Reflective practice......Page 230
The supervisory space......Page 231
Considering boundaries in supervision......Page 233
Enlightening the supervisory process: the means by which the client is brought to supervision......Page 234
On reflection......Page 237
References......Page 238
Index......Page 241