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• W2485183618 abstract "This research study investigates the role and impact of psychoanalytically-informedshort-term parent work with long-term foster carers of looked-after children, insupport of the foster placement.The study reflects on the data gathered from four child assessments and five fosterfamilies seen by a psychoanalytic child psychotherapist for four sessions each. Itdraws on psychoanalytic ideas from a range of theoretical traditions, exploring suchconcepts as trauma, defences, compulsion to repeat, psychological-mindedness,‘container/contained’ (Bion) and ‘holding environment’ (Winnicott).One distinctive contribution of this research is what it adds to our already existingunderstanding of the defences (or responses) aroused in the carer when faced withthe intense and distressing affect associated with the child’s early trauma; and theimpact of this legacy of trauma on the child, on the carer and on the wider SocialServices system.Applying Grounded Theory and psychoanalytically-informed clinical case studymethodology to the research material, the study breaks down the data analysis intoseven stages of coding, from the initial reading of the data to the eventualdevelopment of two key hypotheses. One of the predominant themes that emergedfrom the analysis was the carer’s capacity to remain focused on the child’s emotionalneeds and how this in turn was linked to the direction of the therapist’s focus. Thesuccessive analyses of the data culminated in the hypothesis that the more thetherapist focused on the carer and the carer’s emotional states in the course of theparent work, the more the carer was enabled to focus on the child’s emotionalneeds.As the system of categories emerged according to the themes exemplified in thesessions, a particular focus of analysis became the concept of psychologicalmindedness,considered under several sub-categories: displaying insightfulcomments; awareness of the child’s bodily states; awareness of the child’s affect; thecarer’s ability to recognize the child’s defences; and the carer’s ability to make linksbetween the child’s current difficulties and the child’s past experiences. Through thisanalysis it became apparent that degree of psychological-mindedness was closelylinked to the individual carer’s capacity to metabolize the child’s distressed anddistressing communication. This in turn led to a deeper exploration of the situationsthat were particularly challenging for the carers: i.e., instances when the child wascompelled to repeat past traumatic emotional states and as a result wascommunicating intense distress. This exploration eventually generated the secondhypothesis: that in reaction to the child’s distress, the response of each carer couldbe plotted somewhere along a spectrum, from either distancing themselves from thechild’s emotional state to seeking excessive closeness with the child (merging). Thenext stage of the analysis developed four new categories of carer responses to thedistressed child: identification and distancing from the child; identification andmerging with the child; the category that describes the carer’s psychologicalmindednessas being ‘impaired’; and ‘good enough’ caring. This then led to anexploration of the carer’s own defences at these most challenging times.This research demonstrates clearly that even within the short space of four sessionsof weekly psychoanalytic parent work, it is possible to achieve significantimprovement in a carer’s capacity to bear the child’s compulsion to repeat earlytraumas, and to help the carers become more emotionally available to provide thechild with effective psychological parenting at such difficult and challenging times." @default.
• W2485183618 created "2016-08-23" @default.
• W2485183618 creator A5071150731 @default.
• W2485183618 date "2015-11-01" @default.
• W2485183618 modified "2023-09-24" @default.
• W2485183618 title "Challenges facing long-term foster carers: An exploration of the nature of psychoanalytic parent/carer support" @default.
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