What is it like working with psychotic children and adolescents? A study of child and adolescent psychotherapists’ experience

Galvin, Hannah Marie (2023) What is it like working with psychotic children and adolescents? A study of child and adolescent psychotherapists’ experience. Professional Doctorate thesis, Tavistock and Portman NHS Foundation Trust/University of Essex. Full text available

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Abstract

This study explores the lived experiences of a small sample of clinically experienced Child and Adolescent Psychotherapists regarding their work with psychotic children and young people. The research question is phenomenological in nature; the study seeks to understand what it feels like to work with these children. The method employed is IPA (Interpretative Phenomenological Analysis) owing to its compatibility with a small-scale qualitative study concerned with an idiographic approach, which aims to understand the ‘world view’ of individual participants. The following themes will be described: 1. Definition and Aetiology 2. Working with primitive states: the cost for the therapist, child, and family 3. Rival babies 4. What’s required – setting, technique, and personal qualities. The themes will be discussed in relation to psychoanalytic literature. The study concludes that a sub-group of overtly destructive psychotic children continue to be under-represented in the literature and require significant individual therapeutic support in addition to the active involvement of a wider network. Psychotherapists require considerable support to sustain the work with these children and intense emotional involvement ensues. Recommendations are made for further research.

Item Type: Thesis (Professional Doctorate)
Additional Information: Thesis submitted in partial fulfilment of the requirements of the Tavistock and Portman NHS Foundation Trust and the University of Essex for the degree of Professional Doctorate in Child and Adolescent Psychoanalytic Psychotherapy.
Uncontrolled Keywords: Professional Doctorate in Child and Adolescent Psychoanalytic Psychotherapy
Subjects: Children, Young People and Developmental Pyschology > Child Psychotherapy
Children, Young People and Developmental Pyschology > Adolescents - Psychotherapy
Disabilities & Disorders (mental & physical) > Psychoses
Department/People: Children, Young Adult and Family Services
Research
URI: https://repository.tavistockandportman.ac.uk/id/eprint/2853

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