ABSTRACT

This paper illustrates the role of child psychotherapists on Neonatal Units as reaching beyond the direct work with parents and babies to include an engagement with the staff's internal representations of the organisational sphere within which they are positioned. An understanding of the ‘organisation in the mind’ requires consideration of multiple levels, including the organisational and social processes that shape individuals’ experiences. Through the use of composite case studies inspired by my work on a Special Care Baby Unit (SCBU), I argue that psychoanalytically informed practice within these settings can include indirect and often unplanned interventions aimed at lessening socially structured defences and creating opportunities for thinking for both parents and staff. In my conclusions, I suggest that the role of child psychotherapists on these units, with its understanding of unconscious internal processes and organisational dynamics, can promote reflective practice and facilitate oedipal growth at both the individual and organisational level.

摘要

本文阐述了儿童心理治疗师在新生儿科的作用，它超越了与父母和婴儿的直接工作，包括与员工对他们所处的组织领域的内部表征的接触。理解“头脑中的组织”需要考虑多个层面，包括塑造个人经历的组织和社会过程。通过使用受我在特殊护理婴儿病房 (SCBU) 工作启发的复合案例研究，我认为在这些环境中进行精神分析知情实践可以包括旨在减少社会结构防御并为双方创造思考机会的间接且通常是计划外的干预措施父母和工作人员。在我的结论中，