By Caroline Lindsey, Jenny Kendricks, Lorraine Tollemache

Written for a qualified readership, growing New households could be of curiosity to these at once keen on the fields of fostering and adoption. It represents top perform from the multidisciplinary Fostering and Adoption staff on the Tavistock health center young children and households division. Contents contain: Theoretical issues; remedy which specializes in the kid; therapy which makes a speciality of mom and dad and households; session; paintings in numerous settings; final be aware from a mother or father.

Contributors: Professor Lionel Hersov, Rita Harris, Sally Hodges, Sara Barratt, Miriam Steele, Hamish Canham, Laverne Antrobus, Juliet Hopkins, Margaret Rustin, Julia Granville, Louise Emanuel, Graham Music.

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Additional info for Creating New Families: Therapeutic Approaches to Fostering and Adoption

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The same frameworks inform work with both foster carers and parents. Freud developed a new theory of man and of mind at the end of the nineteenth and early twentieth centuries. His new “science” challenged the prevailing views of mind, motivation, and the innocence of children. A medical, neurological model, it described impulse-driven behaviour in a quantitative way. Later he developed a formulation of mind, in which man is driven by conflict between the life and death instincts, under the influence of ego, id, and superego.

The relevance of this process for deprived and disturbed children, who may have had limited experience of early receptive and containing mothering, is clear. ” In particularly powerful states of projective identification the child may seem to be trying to force himself intrusively into the mind and body of the therapist. This can lead to states of fusion and confusion of mind that go beyond ordinary communication, while also being communication of a very disturbed state of mind. From Klein’s theory of projective identification Bion (1962) developed the powerful notion of containment, which we can understand in terms of the earliest development of the infant and his need for a receptive and responsive mother/object, as just described.

We do not yet have a substantial evidence base to guide the work with this group of children. What is clear is that the complexity of their problems benefits from a multi-systemic therapy approach, involving the child, the family, and the school. This has previously been shown by Hengeller in the United States to be effective with delinquent young people and their families. As described above, treatment foster care with similar approaches is now being piloted in a study by the Department of Health (Chamberlain & Rosicky, 1995).

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