The book offers an overview of how to work with some of the most damaged members of society - children and adults with intellectual disabilities who abuse others. Drawing on insight from two decades of clinical work, the author examines how to assess risk and danger in the forensic disability patient, ways of working therapeutically with patients at all ends of the disability spectrum, and how to support members of the patient's network. Combining psychoanalytic, creative, forensic and systemic thinking, the book provides a template for assessing, managing, containing and treating those who present with multiple diagnoses, including cognitive and physical disabilities, mutism, psychiatric disorders and autism. Both group and individual approaches are examined. As our awareness of the incidence of forensic patients who also have disabilities increases, this work is a timely placing of the forensic disability patient onto the clinical agenda, and has a wide application, being of use to clinicians in the private consulting room, the community, the secure setting and the prison.

New Horizons in Forensic Psychotherapy: Exploring the Work of Estela V. Welldon, edited by the author, contains many rich contributions by some of Welldon's most distinguished former students and proteges. The book consists of important chapters on the creative ways in which colleagues have utilised and expanded upon Welldon's work in the field of forensic psychotherapy in a variety of settings, including in hospitals, prisons, community mental health clinics, and, also, in private practice.

A resource for arts therapists and other clinicians on working with people who have committed sexual offences. There is a strong focus on the value of establishing a therapeutic relationship involving non-verbal media as a cornerstone, drawing upon current research and practice. Emphasis is placed on working with transference and counter-transference, being trauma-informed, and making use of effective supervision. This group of offenders can benefit hugely from the provision of arts therapies, and this book provides valuable experiences of working with people who have committed sexual offences.

This book examines the myths perpetuated by the media and by the public, by providing actual data, with case examples. It demonstrates how sexual offending occurs, who commits these acts, what might cause such crimes, how sexual offenders are assessed, supervised, treated, and prevention methods.

In clinical work, an awareness of patients' subjective experiences, particularly their perceptions of interpersonal relationships, is indispensable. The aim of this book is to improve care and treatment planning by describing a structured approach to eliciting patients' core relationship patterns. These patterns consist of the roles and scenarios into which they repeatedly cast themselves and others with whom they interact. Maladaptive patterns, in which vicious cycles and self-fulfilling prophecies of misperception, misunderstanding or provocation escalate, cause pain and havoc in personal relationships and can adversely affect both professionals' decisions and the overall delivery of treatment. This book shows how to use vital information that is often not made available to treatment teams in order to understand such potential pitfalls rather than succumb to them.

What does one do when a dangerous paedophile, nearly six feet seven inches in height, threatens to kill you? How does one manage when a brain-damaged, psychotic patient spits on the office floor two hundred times during the first consultation? And what does one say when one member of a warring couple reveals the most horrific acts of sexual cruelty? In perhaps his most gripping book to date, Professor Brett Kahr offers colleagues a detailed glimpse into the challenge of working with highly distressed and disturbing individuals in long-term psychotherapy. Kahr explains the ways in which such deeply troubled people hurl "bombs" into the consulting room, leaving considerable "psychological shrapnel" in their wake. The book contains five sensitively and compellingly written clinical chapters, followed by several historical chapters which explore the ways in which Donald Winnicott attempted to manage the bombs in his consulting room, often of his own making. Kahr then examines the pioneering contribution of Enid Eichholz (later Enid Balint) who, during the Second World War, created marital psychoanalysis as a means of dealing with couples ravaged by actual wartime bombs. The book concludes with an historico-clinical chapter on how thoughtful and sophisticated classical interpretation can reduce the impact of clinical bombs. Kahr even provides us with an examination of his favourite "top ten" interpretations in the history of psychoanalysis! A unique and helpful volume, written by a practitioner steeped equally in psychoanalysis and history, Bombs in the Consulting Room: Surviving Psychological Shrapnel will be essential reading for anyone who has ever felt frightened while treating patients.

Sadism: Psychoanalytic Developmental Perspectives is founded on the premise that paying close attention to what is happening in our internal world can help us understand the rise of sadism in the world of popular culture. Voyeuristic sadism as a form of entertainment appears to be on the rise, an increase corresponding with an upsurge in public appetite for sadomasochism as a recreational activity. This book acts as a forum in which psychotherapists present psychoanalytic perspectives on the phenomenon of sadomasochism at different stages of the human lifecycle: in childhood, adolescence, adulthood and in later life, and consider its developmental roots. Over the last half-century, through books, movies, computerized video games and drama, the stories we are being sold as representing aspects of contemporary culture market two commodities: sadism and victory. How might we understand this, and can psychoanalysis help us make meaning of this aspect of human relating?

Communicating with Vulnerable Patients explores ways to improve the communication process between highly vulnerable patients and the therapist, based on the assumption of the permanent presence of an ‘outsider’ or potential space in the communication field between them. In this space, the therapist and highly vulnerable patients can undergo transitional states of mind established between and within their relationship. Leticia Castrechini-Franieck, also known as Maria Leticia Castrechini Fernandes Franieck, presents practical methods to overcome communication issues and engage therapeutically with highly vulnerable patients suffering from personality disorders, addiction, and trauma, as well as with deprived children. Communicating with Vulnerable Patients is presented in five parts, with Part one focused on building communication through a Transient Interactive Communication Approach (TICA) and Part two applying TICA in forensic settings with five case studies illustrating the approach in a range of contexts. Part three considers TICA in intercultural settings, including work with refugees, and Part four outlines adaptations of the approach, including T-WAS (Together We Are Strong), which aims to avoid an increase of antisocial behavior in deprived children, and the use of TICA in the COVID-19 pandemic. The book concludes in Part five with reflections on outcomes and limitations of both TICA and T-WAS. Communicating with Vulnerable Patients will be invaluable reading for professionals, psychotherapists, group therapists, and group analysts working with at-risk populations.

This book provides the long history of male sexual abuse based on the author's extensive clinical experience of working with children and adult victims of sexual crime. It presents several sexual abuse studies, focusing on the challenging art of psychotherapeutic treatment.

HMP Holloway was the largest women’s prison in Europe, historically holding numerous infamous female criminals and eliciting intrigue and fascination from the public. The End of the Sentence: Psychotherapy with Female Offenders documents the rich and varied psychotherapeutic work undertaken by dedicated specialists in this intense and often difficult environment, where attempts to provide psychological security were often undermined by conflicting ideas of physical security. Women commit crime most often in the context of poverty, addiction and transgenerational violence or trauma, familial cycles of offending and imprisonment which are often overlooked. Using personal testimony and case studies, and screened through the lens of psychoanalytic theory, the book examines the enduring therapeutic and relational endeavour to find connection, closure and to experience a "good enough" ending with prisoners when the possibility of a positive new beginning often seemed remote. It also considers how the cultural and political discourse remains hostile towards women who are incarcerated, and how this may have culminated in the closure of the only female prison in London. Through insightful real-life accounts, this insightful book also emphasizes the importance of professionals finding ways of supporting one another to offer women who have entered the criminal justice system a way to leave it. It will prove fascinating reading for forensic psychotherapists, forensic psychologists and criminologists, as well as anything interested in the criminal justice system.