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Biomedical subjects

R D Hinshelwood

Publications and source records attributed to R D Hinshelwood.

13 recordsLinked to original sources
PubMed2002

Abusive help-- helping abuse: the psychodynamic impact of severe personality disorder on caring institutions.

Personality-disordered patients have invariably suffered abuse at the hands of carers when young, and they tend to repeat an abusive relationship when they encounter care in later life. The provision of care in psychiatric, forensic, penal and other institutions may degenerate into a form of unconscious abuse perpetrated against those in care. This is almost always unrecognized and the experience of carers is often to mismanage their own frustrated inability to understand what is happening to them, their charges and the institution.

Attitude↗
PubMed1997

The elusive concept of 'internal objects' (1934-1943). Its role in the formation of the Klein Group.

The author traces a debate about the concept of 'internal objects' that took place between 1937 and 1943 at a time when a group of British analysts was forming around Melanie Klein. The debate is set within a complex of personal, group and organisational dynamics, which the paper makes a start on unravelling. The history of the British Psycho-Analytical Society at this time exemplifies Bion's notion of group schism. The events in the Society's history demonstrate defensive aspects of the interaction between the opposed groups, which support members against various anxieties. These include the stress of the work of analysis, but also in this instance the particular anxieties deriving from the collapse of psychoanalysis in Europe, the state of war of the country as a whole, and the death of Freud shortly after he came to London. This psychoanalytic anxiety/defence model clarifies some aspects of the debate about internal objects, and demonstrates the way in which these various anxieties and defences become organised around a scientific debate in a scientific society.

Anxiety↗
PubMed1996

Severe personality disorders. Treatment issues and selection for in-patient psychotherapy.

BACKGROUND: Severe personality disorder (SPD) is an imprecise but useful term referring to some notoriously difficult to treat psychiatric patients. Their long-term psychiatric treatment is often unsuccessful, in spite of hospitalisation. The specialist expertise of in-patient psychotherapy units (IPUs) can successfully meet some of SPD patients' needs. METHOD: Relevant literature on the subject is summarised and integrated with the authors' specialist clinical experience. RESULTS: Many clinical problems with SPD patients are interpersonal and prevent any effective therapeutic alliance, which is necessary for successful treatment. With in-patients, inconsistencies in treatment delivery and issues surrounding compulsory treatment reinforce patients' mistrust of professionals, compromising accurate diagnosis and an assessment of the need for specialist IPU referral. CONCLUSIONS: General psychiatric teams are well-placed to plan long-term treatment for SPD patients which may include IPU treatment. Timely referral of selected SPD patients to an IPU maximises a successful outcome, especially if there is appropriate post-discharge collaboration with general psychiatric teams to consolidate gains made.

Combined Modality Therapy↗
PubMed1996

[The difficult concept of "internal objects" (1934-1943). Its significance for the formation of the Klein group].

Although the concept of "inner objects" developed by Melanie Klein is hardly a major object of discussion today, it caused a furore in the ranks of the British Psychoanalytical Society in the thirties and forties. Notably the analysts from Vienna were unable to agree to the existence of inner objects engendered via processes of internalisation. The author traces the course of these discussions of a clinical problem and the confusion they caused, placing them at the same time in a specific historical context. He sees the controversy as the expression of conflicts and fears unsettling the British Psychoanalytical Society during that period, caused on the one hand by the necessary integration of the exiled Freud family and on the other by tensions within its own ranks leading ultimately to a division of the Society and the constitution of the Klein Group.

Austria↗
PubMed1995

Psychoanalysis in Britain: points of cultural access, 1893-1918.

An attempt is made here to organise a body of facts available in the published literature concerning who, when and why Freud and his ideas were first noticed during the early years of psychoanalysis. Specific citations and references mentioning Freud reveal a surprisingly wide range of different kinds of cultural interest. In fact, we can identify seven different cultural locations which adopted some element of the ideas of Freud for specific reasons: (i) the interest in the theory of hysteria, from the Society for Psychical Research, commencing in 1893; (ii) the interest in the psychoanalytic theory of sexuality, from Havelock Ellis, from about 1895, in support of radical attitudes towards sexual freedom; (iii) as part of the reaction against the pessimistic attitude to treatment in British psychiatry, from around 1905 onwards; (iv) the endeavour of W. H. R. Rivers and others to create an empirical science of psychology embracing scientific psychoanalysis, around 1910-15; (v) the application of psychoanalysis to the psychological novel by writers and also to understanding the creative process, using Freud's theory of symbols, around 1913; (vi) the attraction of some progressive educationalists to Freud's outline of child development, from 1913; and (vii) the struggle of philosophers, including Bertrand Russell, to comprehend the implications of the psychoanalytic view of the unconscious. It is claimed that the multivalent quality of Freud's ideas contributed to the success of psychoanalysis over the suggestive therapies, and in the conflicts with dissenters within the psychoanalytic movement.

Attitude to Death↗
PubMed1970

Modes of memory.

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Humans↗