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Containment? An investigation into psychoanalytic containment in the NHS in relation to someone with a diagnosis of personality disorder
Psychoanalytic Psychotherapy Pub Date : 2019-10-02 , DOI: 10.1080/02668734.2019.1709537
Elizabeth Weightman 1 , Janet Smithson 1
Affiliation  

This research investigated the psychoanalytic idea of containment in the context of NHS staff responses to a person diagnosed with personality disorder. The aim was to identify what, if any, containment was provided by staff for someone diagnosed with personality disorder by recording staff responses to an assessment and analysing the discourse. The research was undertaken with participants selected to represent a cross section of staff in the organisation. The discourse analysis of the interviews examined defences against containment such as splitting, projective identification and idealisation and the positions people occupied in relation to the material and the researcher, as well as looking for examples of containment. Reflexivity was a key part of the methodology, forms a significant part of the thesis and is used to contribute to the discussion. Reflexivity, findings from the review of the literature and the analysis of the interviews form the basis of the discussion and conclusions. The research showed that containment, in its psychoanalytic sense, is often avoided and defended against. Key difficulties with developing the capacity for containment were found to be conflict between the personal and professional in staff and anxiety in relation to the power of others in the organisation.

中文翻译:

遏制?关于NHS中与诊断出人格障碍的人有关的心理分析遏制的调查

这项研究调查了NHS工作人员对被诊断患有人格障碍的人的反应情况下的遏制心理分析观念。目的是通过记录员工对评估的回应并分析论述,来确定员工为诊断为人格障碍的人提供了什么遏制。这项研究是在与会人员中选出的,这些人员代表组织中的各个部门。访谈的话语分析检查了诸如隔离,预测性识别和理想化以及人们在材料和研究人员中所占据的位置等对遏制的防御措施,并寻找了遏制的实例。自反性是该方法的关键部分,构成了论文的重要部分,并被用来为讨论做出贡献。反身性,文献回顾的结果以及访谈的分析构成了讨论和结论的基础。研究表明,从心理分析的意义上讲,遏制通常是可以避免和防御的。人们发现,发展收容能力的主要困难是工作人员的个人和专业人员之间的冲突,以及与组织中其他人的能力有关的焦虑。
更新日期:2019-10-02
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