Working with hard-to-reach patients in difficult places: a Democratic Therapeutic Community approach to clinical consultation

Edited Book Chapter

Title: Working with hard-to-reach patients in difficult places: a Democratic Therapeutic Community approach to clinical consultation
Year: 2011
Author Adlam, J. Scanlon, C.
Abstract:

The difficult relationship between the forensic patient and the system of care is characterised by the giving and taking of offence. The capacity of the individual to act out violently an offended state of mind is what has resulted in his entry into the forensic system, rather than any more conscious motivation for treatment or recovery. In relation to the offender, the wider social systems in turn, for the most part, cannot help but be offended. Those who offend and those who are offended then enter into a reciprocal relationship in which violence and offence of different sorts are transacted in both directions (Scanlon and Adlam, 2009a). In this chapter we attempt to examine the quality of hostile dependency that lies at the heart of this relationship, most obviously in the case of recidivist offenders and chronically disturbed and excluded personality disordered individuals

Keywords: Containment, Therapeutic community, anti-social
Language: English


Publisher: Karnac
Publisher Location: London
ISBN:
Editors: Rubitel, A. & Reiss, D.
Title of Book: Containment in the Community: Supportive Frameworks for Thinking about Antisocial Behaviour and Mental Health
Start page: 1
End page: 22

Submitted by:
Christopher Scanlon
Consultant Psychotherapist and Organizational Consultant
NHS Mental Health Services

Corresponding author: Christopher Scanlon

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