Entries by @dmin

Inscription into the community. A footnote on a Lacanian approach to the group treatment of psychosis

Abstract Situating psychoanalysis as the foundation of the therapeutic community and as a spiritual exercise, the author argues that contemporary approaches articulate a form of akēdia – a desire to be elsewhere – both in its focus on expectation and its misunderstanding of the nature ‘place’. This amounts to an avoidance of being-with the subject […]

Getting your tutu wet: Creativity, Destructiveness and Survival

Abstract We are constantly made aware of destructiveness and hatred at the individual and organizational levels and are exhorted to recognize,  condemn and to expel such behavior or it’s manifestations in ourselves and in our societies. However it is my belief that aspects of destructiveness are inevitable in the development of creative experience and invention.  […]

Group Psychotherapy in the Public Sector: The Impact of the Organisation on the Primary Task

Abstract In this paper we will discuss psychoanalytic group psychotherapy in the process of treating complex patients as part of their clinical management, both of which are set within the context of a large and changing public sector organisation in the United Kingdom. Included in this we will examine how the many correlative services can […]

Who do you think you are? Adolescent groups and everyday life

Abstract Adolescence is a period of change.  An existential change that is a change in the sense of who one is, a change in one’s identity.  It may be a catastrophic crisis in identity, so that there is an uncertainty about being a person at all.  Adolescence is a process of learning a new identity […]

Clinical psychology internship training and group psychological interventions in Mental Health Centres

Abstract To undertake a description of one’s own experience of internship training in clinical psychology means reflecting on the relationship between theory and practice within a process aimed to the acquisition of professional skills. In my case, this process took place within group experiences undertaken in several mental health centres in Rome, where I was […]

Supervision and the Working group

Abstract This paper, based on the most modern theories regarding evaluation and treatment of acute psychiatric crises, proposes a reflection on the sense of supervision in the acute inpatient ward (SPDC). Moreover, the current issues concerning psychiatry and drug therapy, have prompted the need to examine the approach based on the principles of Recovery, the […]

Group dimensions in an Adult Mental Health Inpatient Unit

Abstract Human beings are immersed in group settings of one kind or another all life long and even when individual mental suffering exacerbates to the point of needing hospitalization, people find themselves sharing space, time and emotions with others. A mental health crisis breaks the individual and family balance and expresses itself with acute and […]

Set up and evolution of a rehabilitation group in a Therapeutic Community: Grounded Theory

Abstract Objective: people with severe mental illness lack in communication skills and social functioning but they do have needs, goals and dreams which can be promoted and empowered. The rehabilitation program employed in this report aims at enhancing the individual’s wellbeing and the social skills of the clients of a Therapeutic Community in Rome. Method: […]

CBT-oriented group therapy for acute psychiatric inpatients: effects on aggression and emotional regulation

Abstract The treatment of different clinical presentations of the psychosis spectrum in an acute psychiatric ward, require a complex integrated intervention, in which pharmacological treatment is flanked with a psychological therapy. The aim of this study is present the results of a CBT-oriented treatment group specifically structured for acute psychiatric inpatients. From 321 consecutive patients […]

The role of psychoanalysis in the welfare state crisis: from taking care of the patient to taking care of the healthcare institutions

Abstract Recent developments in psychoanalytic outreach researches have offered ever more convincing evidences of a circular, mutual relationship between the internal world, the group and the external society. From such point of view, the author explores the current crisis scenarios of the welfare and the parallel crisis of credibility and market of the psychoanalytic therapy. […]

Extended groupality and relationship building How to deinstitutionalize institutions

Abstract This article presents the work carried out in a Therapeutic Community in a suburb of Rome. In particular, it describes significant group interventions such as: multi-family group psychoanalysis, the “hearing voices” group as well as interventions aimed at building a relationship with the neighborhood in question. In addition, it shows how a Community of […]

The mountain as field of group experience

Abstract This article explores a therapeutic intervention in the area of mental illness employing an “outdoor setting”, in the literal meaning of a setting outside any classic model, namely mountain therapy. It is a new practice, where the potential transformative capacity of the mountain scenery is exploited and where even people with severe psychiatryc disabilities […]

Transcript analysis of Multi-Family Psychoanalysis Group and action research in a public Therapeutic Community

Abstract This article presents the perspective of a group of authors regarding their action research into the use of group therapy as a means to treat severe psychotic states in a public psychiatric therapeutic community. After recording various Multi-family Psychoanalysis Group sessions and analyzing the transcripts of these recordings, the authors were able to implement […]

Transit from individual to group: network thinking in the foundation of a limited time group of therapy in a Public Service

Abstract The article intends to suggest a reflection about the process of the formation of a limited time group of therapy in a mental health care center located in Rome, Asl Roma 2. The aim is to focus on the delicate process of transition from individual  to group therapy in a Public Institution, which involves […]

Introduction Adolescents, group and new representations at the time of the internet

“…and it was during that time that the city began to hear about the Captains of the Sands, abandoned children who lived by stealing. No one ever knew the exact number of children who lived that way. There were at least a hundred, and more than forty of them slept in the ruins of the […]

On Psychological virtuality and its hazards: Hikikomori and virtual object relations

Abstract  The brain is continuously building virtual representations that allow mental simulation and anticipation of likely actions. These representations and the imaginary worlds are two different matters, since representations are constantly connecting with information from the organs of sense permitting therefore an adaptation to reality. This connection may be interrupted in two ways. The first […]

Groups of adolescents: from images to imaginary; from virtuality to the cinema

Abstract We use the language of cinema to reflect on the functions of adolescent groups. We started from the relation that cinema maintains with the representation differently from virtual environments, allowing as dreaming, a transformative function. We use cinematographic images to illustrate some of the functions that groups can have in adolescence.

Adolescents in the Web A Group Perspective

Abstract The authors propose a reflection on the ways in which adolescents today, digital natives, deal with certain intrapsychic issues and relationships using new technology. Video games, social networks, and messenger all represent the new digital world today and how adolescents put themselves in the delicate process of subjectivation. The content published on social networks […]

“I have a recurring dream…” Experiencing or imagining? Reclusion, proto-depression, peer group

Abstract Adolescence is considered a specific stage of human beings, well distinct from childhood and adulthood. Not a middle way, but a condition in itself, with specific characteristics, anguishes, and defense modalities. After a brief introduction on the hypothesis developed by psychoanalyst Armando B. Ferrari in The Eclipse of the Body, who considers the body […]

Therapeutic Crossroads: Adolescents, Families, Groups. Experiences in a Dedicated Service

Abstract The authors reflect on the cultural and macro-social transformations which are effecting adolescents and their families and the consequent youth difficulties and possible developments. Different aspects of working in a Psychological Counselling Service with young people between eighteen and twenty-five and their families are illustrated; the therapeutic team’s aim is to offer on different […]

Adolescent group, institution and virtual world: the negotiation of boundaries

Abstract In this paper the authors propose a reflection on how digital era has changed the communication and relationships among adolescents. The focus is placed on how the unlimited possibilities offered by the virtual world can rinforce the omnipotence of adolescence. The information and communication technologies (ICT) allow the adolescents to reduce the face to […]

Adolescents and smartphones in art-therapy laboratory

Abstract This article deals with a group psychotherapy with adolescents in the particular context of an art-therapy laboratory. It aims to describe new possible settings with adolescents and demonstrate how new elements like smartphones can be used as a creative means in a therapeutic relation, just like it is possible to use drawing or

Stay connected. The use of videogames in the treatment of adolescents

Abstract This article aims to focus on how the occasional use of videogames in psychoanalytic sessions with adolescents can be useful to share the adolescent experience during sessions. The distinctive characters of the analytic relationship with adolescents are underlined, and, specifically, the need to share the analytic experience – training ground for life – with […]

Stories and therapeutic groups of adolescents between dream and reality

Abstract We are going to present the experience about an open therapeutic group for adolescents, aged from 13 to 17 years,  followed by the Community Mental Health in Treviglio (BG). They are affected by personality disorders, conduct disorders, mood disorders, sometimes in comorbidity with mental retardation or previous developmental disorders. The therapeutic groups have been […]

Leading from below? Decisions, responsibility and creativity as a group dynamic

Abstract The institution tends to organise the individual in standard ways. And individuals are vulnerable to being organised for the convenience of the institution. Probably psychiatric patients needing hospitalisation are especially vulnerable to this coercive influence. This has for long been known as a ‘top-down’ authority. A smallish group or single leader at the top […]

Building a course of therapeutic treatment

Abstract The author offers a reflection on the internal/external dialectic dynamic as a central element in the organisation of the therapeutic community’s task. This dialectic regards the psychic and relational life of patients who, upon admittance to the community, distance themselves from the healthy or pathological objects of investment that have accompanied them to that […]

Underpinnings of the therapeutic community: individual/group dialectic, between clinical organisation and daily life

Abstract This contribution offers a general overview that departs, above all, from a relationship with the Mito&Realtà network, and describes the underpinning of the community architecture, highlighting the basic arrangement and internal articulations that work together to achieve the clinical, rehabilitative and social aims that form its mission. The TC is presented as a complex […]