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A Question of Technique: Independent Psychoanalytic Approaches with Children and Adolescents
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A Question of Technique
A Question of Technique focuses on what actually happens in the therapy room and on
the technical decisions and pressures that are faced daily.
Coming from the Independent tradition in British psychoanalysis, the contributors, a
range of experienced practitioners and teachers, describe how their technique has quietly
changed and developed over the years, and put this process in its theoretical context.
This book will appeal to child and adolescent psychotherapists, analysts and
counsellors who wish to explore more Winnicottian approaches to therapeutic work.
Monica Lanyado is a training supervisor at the British Association of
Psychotherapists. She is co-editor with Ann Horne of The Handbook of Child and
Adolescent Psychotherapy and author of The Presence of the Therapist .
Ann Horne trained as a child and adolescent psychotherapist in the Independent
tradition at the British Association of Psychotherapists. She lectures, supervises and
teaches in the UK and abroad.
“This is a welcome and much needed book, describing how child psychotherapists
engage with troubled children, young people and their families, carers and the wider
community. The reader is offered a unique glimpse of child therapists at work, how
and what they say to their patients in the different settings in which child therapists
now work.
The contributors, most of whom trained at the British Association of
Psychotherapists—either as child and adolescent therapists or, having completed their
child training elsewhere, undertook additional BAP training in work with adults—have as
their theoretical and technical frame of reference the Independent tradition of British
psychoanalysis. The authors meticulously spell out the ‘whys and wherefores’ of
changing, extending or adapting technique to meet the therapeutic needs of those patients
who are not susceptible to more ‘orthodox’ interventions.
Of all the pioneers of child analysis, it is Winnicott whose voice resonates most clearly
throughout the book. It will surely become essential reading for teachers and trainees of
child and adolescent psychotherapy. Seasoned practitioners will find much to refresh
their thinking. It has also much to offer to other professionals working in the field of
mental health.
The editors are to be congratulated on bringing together such wide-ranging and
illuminating papers, which put the work and thinking of child psychotherapists trained
and working in the Independent tradition firmly on the map.”
Lydia Tischler, Consultant Child Psychotherapist, British Association of
Psychotherapists
A Question of Technique
Independent psychoanalytic approaches
with children and adolescents
Edited by
Monica Lanyado and Ann Horne
Independent Psychoanalytic Approaches with Children and
Adolescents series
Series Editors: Ann Horne and Monica Lanyado
LONDON AND NEW YORK
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First published 2006
by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
Copyright © 2006 selection and editorial matter, Monica Lanyado and
Ann Horne; individual chapters, the contributors
Simultaneously published in the USA and Canada
by Routledge
270 Madison Avenue, New York, NY 10016
Routledge is an imprint of the Taylor & Francis Group, an informa business
This edition published in the Taylor & Francis e-Library, 2007.
“To purchase your own copy of this or any of
Taylor & Francis or Routledge’s collection of thousands of
eBooks please go to www.eBookstore.tandf.co.uk.”
Paperback cover design by Sandra Heath
All rights reserved. No part of this book may be reprinted or reproduced or
utilised in any form or by any electronic, mechanical,
or other means, now known or hereafter invented, including
photocopying and recording, or in any information storage or
retrieval system, without permission in writing from the publishers.
This publication has been produced with paper manufactured
to strict environmental standards and with pulp derived from sustainable
forests.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A question of technique: independent psychoanalytic approaches with
children and adolescents/edited by Monica Lanyado & Ann Horne.
p. cm.
Includes biographical references and index.
ISBN 0–415–37913-X—ISBN 0–415–37915–6 (pbk.)
1. Child analysis. 2. Adolescent analysis. 3. Child psychotherapy.
4. Adolescent psychotherapy. I. Lanyado, Monica, 1949- II.
Horne, Ann, 1944
RJ504.2.Q84 2006
2005056282
ISBN 0-203-96516-7 Master e-book ISBN
ISBN13:978–0-415–37913–7 (hbk)
ISBN13:978–0-415–37915–1 (pbk)
ISBN10:0-415-37913-X (hbk)
ISBN10:0-415-37915-6 (pbk)
Contents
Contributors
vi
Foreword
BERNARD BARNETT
Acknowledgements
xiv
A note on confidentiality
xvi
1 Introduction
1
2 The Independent position in psychoanalytic psychotherapy with
children and adolescents: roots and implications
ANN HORNE
15
3 Not simply ‘doing’: thoughts from the literature on technique
JANINE STERNBERG
29
PART I Parent–infant work
52
4 ‘The capacity to be alone’: rediscovering Winnicott and his relevance to
parent–infant psychotherapy
DEIRDRE DOWLING
54
5 The concept of mourning and its roots in infancy (1988)
VICTORIA HAMILTON
69
6 Reflections on ‘The concept of mourning and its roots in infancy (1988)’
VICTORIA HAMILTON
87
PART II Latency and adolescence
97
7 A question of balance: working with the looked-after child and his
network
IRIS GIBBS
99
8 The playful presence of the therapist: ‘antidoting’ defences in the
therapy of a late adopted adolescent patient
MONICA LANYADO
112
9 Brief communications from the edge: psychotherapy with challenging
adolescents
ANN HORNE
128
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