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INTERNATIONAL ASSOCIATION FOR FORENSIC PSYCHOTHERAPY<br />
ANNUAL CONFERENCE<br />
RAGE<br />
AND<br />
MOURNING<br />
MAY 25 | 28 2017<br />
Catania | Aula Magna - Palazzo Univesità<br />
Catania | Benedictine Monastery<br />
SCIENTIFIC PROGRAM<br />
con il patrocinio di
SCIENTIFIC COMMETEE<br />
RICHARD CUREN<br />
RONALD DOCTOR<br />
REENA KAPOOR<br />
TILMAN KLUTTIG<br />
LESLIE LOTHSTEIN<br />
CATERINA MARCHETTI<br />
DAVID MILLER<br />
ELENA MUNDICI<br />
KATYA ORRELL<br />
FRANCESCO SPADARO<br />
ESTELA WELLDON<br />
LOCAL ORGANIZERS<br />
FEDERICA GUAGLIARDO<br />
FRANCESCO SPADARO
INDEX<br />
RAGE AND MOURNING............................................................... pag. 4<br />
ATTENDEES............................................................................... pag. 5<br />
IAFP INFORMATION................................................................... pag. 6<br />
IAFP PRESIDENT'S WELCOME..................................................... pag. 7<br />
IAFP BOARD MEMBERS.............................................................. pag. 8<br />
GILL MCGAULEY AWARD............................................................. pag. 10<br />
IAFP PAST CONFERENCE............................................................. pag. 13<br />
IAFP ONE-DAY SEMINARS........................................................... pag. 14<br />
MAIN TOPICS............................................................................ pag. 16<br />
KEYNOTE SPEAKERS.................................................................. pag. 17<br />
SPEAKERS................................................................................ pag. 18<br />
CHAIRS.................................................................................... pag. 19<br />
GENERAL INFORMATION............................................................. pag. 20<br />
INFORMATION FOR PRESENTERS................................................ pag. 21<br />
BENEDECTINE MONASTERY........................................................ pag. 22<br />
SCIENTIFIC PROGRAM............................................................... pag. 27<br />
ABSTRACTS.............................................................................. pag. 35<br />
PARALLEL SESSION................................................................... pag. 45
RAGE AND MOURNING<br />
Rage and Mourning are powerful affects that deeply disturb the human<br />
soul and interrupt the course of our existence. They are difficult to manage,<br />
to contain, to elaborate, and to overcome. They often underlie the<br />
principal suffering that human beings experience or inflict on others at<br />
an individual, group, or societal level.<br />
These affects are interconnected, and this interconnection is at the<br />
source of serious psychopathologies, as well as violent uncontrolled<br />
and/or uncontrollable acts. The Conference aim is to investigate the<br />
presence of these psychopathological and deviant behaviours, to try to<br />
understand their origin, to consider how to handle them, and to identify<br />
possible ways to prevent them.<br />
For the ancients, it was impossible to avoid rage and mourning (and<br />
their consequences) even for the Gods: Greek tragedies always deal<br />
with these issues. They were and are still performed in Syracuse, which<br />
is close to Catania, and we invite you to join us in a unique opportunity<br />
to elaborate on and experience, at a cultural and emotional level, the<br />
wealth of topics we will discuss at the Conference panels.<br />
4
ATTENDEES<br />
The 26 th IAFP Conference is an international scientific event focused<br />
on bringing together clinicians and also any professional or volunteer<br />
that works and/or collaborates in the forensic field, such as in the<br />
forensic academic world. We anticipate attendees coming from many<br />
different countries of the world, including psychiatrists, psychotherapists<br />
(group, individual and art therapists), psychologists, trainees, social<br />
workers. But also lawyers, judges and nurses interested in this area<br />
and in the issue and in the topics of the Conference.<br />
5
IAFP INFORMATION<br />
WHO WE ARE<br />
The International Association for Forensic Psychotherapy (IAFP) exists to<br />
promote the health of offenders and victims through the use of psychotherapeutic<br />
understanding, risk assessment and treatment techniques and to<br />
advance understanding about forensic psychotherapeutic practice. The International<br />
Association for Forensic Psychotherapy was formed in June 1991<br />
in Leuven, Belgium at a meeting held during the 17th International Congress<br />
on Law and Mental Health.<br />
The formation of the IAFP was based upon the true roots of psychoanalytic<br />
psychotherapy with offenders, which started at the Portman Clinic in London<br />
with its foundation over 70 years ago.<br />
The first President of the IAFP, Estela Welldon, and her colleagues were a<br />
small group of European psychiatrists trained in analytic psychotherapy and<br />
working within forensic settings. They decided to meet regularly to discuss<br />
the difficulties encountered daily in their work in terms of the treatment of<br />
patients, policy making and working with colleagues from other disciplines.<br />
The organisation grew from this small body into an international society<br />
with members from all disciplines.<br />
The IAFP has held 21 international conferences to date.<br />
MEMBERSHIP<br />
Membership of the Association will be open to any person over the age of<br />
18 interested in furthering the work of the Association and is available by<br />
annual subscription to the IAFP at the subscription rate fixed at the business<br />
meeting and thereafter fixed by resolution carried at each Annual General<br />
Meeting or Special General Meeting. Membership will lapse if the annual<br />
subscription is not maintained.<br />
The Association reserves the right to remove from membership any individual<br />
who may be deemed by the Executive Board of the Association to have<br />
brought the work of the Association into disrepute.<br />
www.forensicpsychotherapy.com<br />
6
IAFP PRESIDENT'S WELCOME<br />
Over 26 years of hosting conferences, the IAFP<br />
has earned a reputation for holding unique, intimate<br />
events in spectacular locations around the<br />
world. This year's conference in beautiful Catania<br />
certainly lives up to that reputation. Approximately<br />
40 presenters, from psychotherapists to<br />
literary scholars and legal experts, will spend two<br />
days exploring the theme of "Rage and Mourning"<br />
in the forensic context, placing particular<br />
emphasis on a psychodynamic understanding of<br />
these complex processes. As IAFP President, I am proud of our organization's<br />
long-standing commitment to preserving the role of psychodynamic expertise<br />
in forensic settings.<br />
The 2017 conference offers an important opportunity for clinicians, scholars,<br />
and service users to examine the often-overlooked interplay between grief<br />
and violence, with the ultimate goal of improving both our understanding<br />
and our therapeutic technique.<br />
On a personal note, I should also say that many Americans, myself included,<br />
have learned more about rage and mourning since our 2016 presidential<br />
election than we cared to know.<br />
We are mourning the loss of our first African-American president, and on<br />
many days it feels as though we are also mourning the loss of important ideals:<br />
multiculturalism, tolerance, and equality. We are filled with rage, but we<br />
are also told that our ignorance of other (poor, white) Americans' rage is<br />
responsible for the election of our new president. Our emotions are difficult<br />
to contain and even more difficult to sort through. I know that many others<br />
around the world - in Britain, France, and elsewhere - are struggling with<br />
similar dilemmas in this uncertain political context.<br />
Although a long road lies ahead, I am so grateful for the opportunity to gather<br />
with an international community of peers - even if just for a few days - to<br />
commiserate and face the challenges of our complicated world together.<br />
Thank you for participating in the 2017 conference, and welcome to the IAFP!<br />
Reena Kapoor, MD<br />
7
IAFP BOARD MEMBERS<br />
ESTELA WELLDON<br />
HONORARY LIFE PRESIDENT<br />
REENA KAPOOR<br />
PRESIDENT<br />
CARINE MINNE<br />
VICE PRESIDENT<br />
RICHARD CUREN<br />
TREASURER<br />
COLIN CAMPBELL<br />
SECRETARY<br />
FRANCESCO SPADARO<br />
EXECUTIVE COUNCIL<br />
LOCAL ORGANIZER<br />
GWEN ADSHEAD<br />
EXECUTIVE COUNCIL<br />
RONALD DOCTOR<br />
EXECUTIVE COUNCIL<br />
ANGELA FOSTER<br />
EXECUTIVE COUNCIL<br />
8
IAFP BOARD MEMBERS<br />
GABRIEL KIRCHUK<br />
EXECUTIVE COUNCIL<br />
TILMAN KLUTTIG<br />
EXECUTIVE COUNCIL<br />
LESLIE LOTHSTEIN<br />
EXECUTIVE COUNCIL<br />
CATERINA MARCHETTI<br />
EXECUTIVE COUNCIL<br />
DAVID MILLAR<br />
EXECUTIVE COUNCIL<br />
ELENA MUNDICI<br />
EXECUTIVE COUNCIL<br />
KATYA ORRELL<br />
EXECUTIVE COUNCIL<br />
EMMA WENT<br />
EXECUTIVE COUNCIL<br />
BARBARA JACOBS<br />
ADMINISTRATOR AND<br />
COMMUNICATIONS<br />
ASSISTANT TO THE IAFP BOARD<br />
9
GILL MCGAULEY AWARD OF THE INTERNATIONAL ASSOCIATION<br />
FOR FORENSIC PSYCHOTHERAPY FOR YOUNG PROFESSIONALS<br />
IN FORENSIC PSYCHOTHERAPY<br />
This award granted by the International Association<br />
for Forensic Psychotherapy should<br />
encourage newcomers and trainees from all<br />
forensic professional disciplines to present at<br />
IAFP conferences and recognize outstanding<br />
scholarly contributions to the field of forensic<br />
psychotherapy.<br />
The award is granted by the IAFP in memory<br />
of our friend and colleague, Professor Gill<br />
McGauley, former secretary and past president of the International<br />
Association for Forensic Psychotherapy, who died unexpectedly on<br />
the 14th July 2016. Gill’s contribution to forensic psychotherapy and<br />
to our association is unique. She was the first Professor of Forensic<br />
Psychotherapy and Medical Education and Head of the Center for Clinical<br />
Education at St George’s University of London and a Consultant<br />
in Forensic Psychotherapy in Central and North West London Foundation<br />
NHS Trust (CNWL).<br />
She developed psychotherapy services for women in prison (HMP<br />
Holloway and YOI Bronzefield) and worked in the High Secure Hospital<br />
Broadmoor where she established the first forensic psychotherapy<br />
service in a high secure hospital. Gill has developed forensic<br />
psychotherapy through teaching, scholarship and research. In 2009<br />
she was awarded a National Teaching Fellowship by The Higher Education<br />
Academy for excellence in teaching.<br />
She gave an outstanding contribution to the research on the application<br />
of Attachment Theory and the development of Mentalization Based<br />
Treatment (MBT) for personality disordered offender patients.<br />
10
STATUTES OF THE GILL MCGAULEY AWARD<br />
PROCEEDINGS AND CONDITIONS:<br />
1. The award shall be granted once per year.<br />
2. Eligibility criteria for the award include:<br />
a. First-time presenters at an IAFP conference; or<br />
b. Presenters who are still in training; or<br />
c. Self-described newcomers in the field of forensic psychotherapy<br />
3. Candidates will be asked about their eligibility and interest in being considered<br />
for the award when submitting a conference abstract.<br />
In addition, candidates can be nominated by the scientificcommittee on the<br />
basis of their abstracts.<br />
4. The award will be open to candidates from every profession.<br />
5. If a presentation is given by more than one individual, the first author of the<br />
abstract will be presented with the award. The content of the presentations may<br />
be research work, theoretical contributions, reports on innovative practice,<br />
or case reports with a relevant link to therapeuticmethods and/or theory.<br />
JURY:<br />
1. A committee will attend the presentations and assess their quality, their scientific<br />
and/or clinical relevance and the quality and originality of the presentation.<br />
2. The award committee will be three persons – a member from the local scientific<br />
committee, a member from the board of IAFP, and (given that this will develop)<br />
the editor of the Journal for Forensic Psychotherapy or the board member<br />
responsible for the one-day seminars.<br />
3. The committee decides unanimously or by a majority on the award winner.<br />
The decision of the committee is final and not subject to legal recourse.<br />
THE AWARD MAY INCLUDE EITHER FOR SINGLE AUTHORS:<br />
1. A one year free membership to IAFP<br />
2. Participation at the next IAFP conference<br />
(IAFP will cover the conference feeonly).<br />
3. Support for the publication of a paper based on the presentation by a prominent<br />
tutorship through IAFP members. The family of Professor Gill Mc Gauley, Tim,<br />
Sarah and Jessica Hucker will be informed each year by the president of IAFP<br />
who has been given the award.<br />
11
IAFP PAST CONFERENCE<br />
IAFP CONFERENCE 2016 (GENT)<br />
Families: how to survive them - or not…<br />
An analysis of the dangerous family<br />
and societal response<br />
IAFP CONFERENCE 2015 (YALE)<br />
Recovering from Violence.<br />
Victims, Perpetrators and Communities<br />
IAFP CONFERENCE 2014 (UTRECHT)<br />
Understanding Justifications and<br />
Excuses for Criminal Behavior<br />
IAFP CONFERENCE 2013 (KONSTANZ)<br />
Forensic Psychotherapy in the<br />
Community - Between Inclusion<br />
and Exclusion<br />
IAFP CONFERENCE 2012 (VENICE)<br />
Corruption, Deception and<br />
Collusion – Attacks on the Mind<br />
IAFP CONFERENCE 2011 (EDINBURGH)<br />
Murder In Mind<br />
IAFP CONFERENCE 2010 (OXFORD)<br />
Tales of Transgression<br />
IAFP CONFERENCE 2009 (KONSTANZ)<br />
Ruptures and Relations – Group<br />
Dynamics and Forensic<br />
Psychotherapy<br />
IAFP CONFERENCE 2008 (VENICE)<br />
Security and Terror: A State of Mind<br />
IAFP CONFERENCE 2007 (OXFORD)<br />
Hope and Hate – Working With<br />
the Forensic Patient<br />
IAFP CONFERENCE 2006 (OXFORD)<br />
Revenge, Justice or Treatment.<br />
Forensic Psychotherapy and the<br />
Criminal Law<br />
IAFP CONFERENCE 2005 (DUBLIN)<br />
After Trauma - Within Families<br />
and Between Strangers<br />
IAFP CONFERENCE 2004 (EDINBURGH)<br />
Understanding Persecution<br />
IAFP CONFERENCE 2003 (ARNHEM)<br />
Process or Protocol?<br />
IAFP CONFERENCE 2002 (STUTTGART)<br />
Trauma and Delinquency<br />
IAFP CONFERENCE 2000 (BOSTON)<br />
Learning from Violence<br />
IAFP CONFERENCE 1999 (SHEFFIELD)<br />
Forensic psychotherapy and<br />
thepublic sphere<br />
IAFP CONFERENCE 1998 (COPENHAGEN)<br />
Forensic Psychotherapy - Boundaries<br />
and Relations<br />
IAFP CONFERENCE 1997 (LONDON)<br />
Intoxification, Crime and the<br />
Forensic Patient<br />
IAFP CONFERENCE 1996 (ULM)<br />
Freedom and Coercion.<br />
Forensic Psychotherapy under Scrutiny<br />
IAFP CONFERENCE 1995 (GLASGOW)<br />
Violence and Death<br />
IAFP CONFERENCE 1994 (THE HAGUE)<br />
Personality Disorders.<br />
The Challenge for Forensic Psychotherapy<br />
IAFP CONFERENCE 1993 (LONDON)<br />
Psychodynamics and the<br />
Adolescent and Female Offender<br />
IAFP CONFERENCE 1992 (LONDON)<br />
Forensic Psychotherapy - Identity,<br />
Network and Future<br />
13
IAFP ONE-DAY SEMINARS 2005 - 2016<br />
05/05/2006<br />
IAFP AND HENDERSON<br />
BODILY HARM<br />
LONDON, UK<br />
07/07/2006<br />
IAFP AND ESRC<br />
FIRE STARTING AS A SYMPTOM<br />
OF PERSONALITY DISORDER<br />
LONDON, UK<br />
25/01/2008<br />
IAFP AND CO<br />
THE THERAPEUTIC MILIEU<br />
UNDER FIRE: ATTACHMENT,<br />
ATTRITION AND REGENERATION<br />
LONDON, UK<br />
17/09/2010<br />
IAFP AND MILLFIELDS<br />
ON BEING HATED BY THE PATIENT:<br />
THE MEANING OF AND RESPONSES<br />
TO RUPTURES IN THE<br />
THERAPEUTIC ALLIANCE<br />
LONDON, UK<br />
21/05/2010<br />
IAFP AND BROADMOOR<br />
"BRUTAL CULTURES":<br />
BULLYING AND SCAPEGOATING<br />
IN FORENSIC SETTINGS<br />
CROWTHORNE, UK<br />
11/02/2011<br />
IAFP AND RESPOND<br />
STRANGE FASCINATION: DISABILITY<br />
PSYCHOTHERAPY IN FORENSIC<br />
SETTINGS<br />
LONDON, UK<br />
21/10/2011<br />
IAFP AND CO<br />
DESTRUCTIVE THINKING AND<br />
THINKING ABOUT DESTRUCTIVENESS:<br />
THEORY-PRACTICE GAPS IN<br />
PSYCHO-SOCIAL STUDIES,<br />
CRIMINOLOGY AND FORENSIC<br />
MENTAL HEALTH<br />
PRESTON, UK<br />
25/05/2012<br />
IAFP AND SCOTTISH PD<br />
NETWORK AND NHS SCOTLAND<br />
TREATMENT OF PERSONALITY<br />
DISORDER IN FORENSIC SETTINGS<br />
STIRLING, UK<br />
01/05/2013<br />
IAFP AND NOTTINGHAM<br />
SHIRE HEALTHCARE<br />
EVIDENCE FOR THE ARTS<br />
PSYCHOTHERAPIES IN FORENSIC<br />
PRACTICEIN PRACTICE: SETTING<br />
TARGETS OR BEING TARGETED?<br />
RAMPTON, UK<br />
24/05/2013<br />
IAFP<br />
CRIME IN MIND CRIME IN ACTION<br />
CATANIA, ITALY<br />
07/06/2013<br />
IAFP TREATING EVILPHILOSOPHICAL,<br />
PSYCHOTHERAPEUTIC AND<br />
LEGAL PERSPECTIVES<br />
TREATING EVILPHILOSOPHICAL,<br />
PSYCHOTHERAPEUTIC AND LEGAL<br />
PERSPECTIVES<br />
OXFORD, UK<br />
14
06/12/2013<br />
IAFP AND TFP INSTITUTES MÜNCHEN<br />
IN KOOPERATION MIT DER<br />
DAS STATIONÄRE SETTING IN DER<br />
FORENSISCHEN PSYCHOTHERAPIE<br />
MUNICH, GERMANY<br />
05/12/2014<br />
AFP AND TFPINSTITUTES MÜNCHEN<br />
IN KOOPERATION MIT DER<br />
PERVERSION UND PÄDOPHILIE<br />
IN DER FORENSISCHEN<br />
PSYCHOTHERAPIE<br />
STIRLING, UK<br />
17/10/2015<br />
IAFP AND CONFER<br />
WHY ARE WE MURDEROUS?<br />
THE PSYCHODYNAMIC TREATMENT<br />
OF THE FORENSIC PATIENT<br />
LONDON, UK<br />
28/11/2015<br />
AFP AND MEDIA AND THE INNER<br />
WORLD NETWORK, UNIVERSITY<br />
OF ROEHAMPTON AND<br />
UNIVERSITY OF BOURNEMOUTH<br />
BOX SET, MIND SET’ THE FORENSICS<br />
OF POPULAR CULTURE<br />
LONDON, UK<br />
11/12/2015<br />
IAFP<br />
MOTHER IN MIND; IMPROVING<br />
SERVICES FOR MOTHERS<br />
WITH COMPLEX MENTAL<br />
HEALTH NEEDS<br />
OXFORD, UK<br />
04/12/2015<br />
IAFP AND TFPINSTITUTES<br />
MÜNCHEN IN KOOPERATION<br />
MIT DER<br />
MALIGNER NARZISSMUS<br />
ANTISOZIALE<br />
PERSÖNLICHKEITSSTÖRUNG<br />
PSYCHOPATHIE PSYCHODYNAMIK<br />
UND BEHANDLUNGSTECHNIK<br />
MUNICH, GERMANY<br />
12/03/2016<br />
IAFP AND CONFER<br />
UNRAVELLING PSYCHOPATHY:<br />
PSYCHODYNAMIC<br />
PERSPECTIVES ON<br />
WORKING WITH<br />
PERSONALITY DISORDERS<br />
LONDON, UK<br />
01/10/2016<br />
IAFP AND CONFER<br />
PSYCHODYNAMIC<br />
PERSPECTIVES ON SEXUAL<br />
PERVERSIONS<br />
LONDON, UK<br />
07/10/2017<br />
IAFP AND SIPFO<br />
IAFP AND SIPFO<br />
CATANIA, ITALY<br />
09/12/2016<br />
IAFP<br />
CREATING CONTAINMENT:<br />
WORKING THERAPEUTICALLY<br />
WITH PARENTS IN CRISIS<br />
OXFORD, UK<br />
15
MAIN TOPICS<br />
RAGE AND MOURNING IN FAMILY AND GENDER DYNAMICS<br />
ACTS OF RAGE AGAINST SOCIETY BY INDIVIDUAL<br />
AND BY GROUPS<br />
THE DARK WEB: CYBERBULLYING AND OTHER FORMS OF<br />
ONLINE VIOLENCE<br />
VIOLENCE BY CAREGIVERS AGAINST VULNERABLE PEOPLE:<br />
CHILDREN, THE ELDERLY, AND INDIVIDUALS WITH DISABILITIES<br />
SEARCHING FOR RELIEF THROUGH DRUG USE<br />
THE MATTE BLANCO AND BI - LOGIC BASED PERSPECTIVE ON<br />
RAGE AND MOURNING<br />
PERVERSION, RAGE, AND MOURNING<br />
THERAPEUTIC PERSPECTIVES: INDIVIDUAL, GROUP, AND<br />
SOCIAL THERAPIES FOR GRIEF AND RAGE<br />
DEALING WITH RAGE AND MOURNING IN THE COURT<br />
RAGE AND MOURNING IN CHILDHOOD AND ADOLESCENCE<br />
THE HUMAN BEING IN THE GREEK TRAGEDIES: FATE,<br />
FAMILY INHERITANCE, PASSIONS AND WILL<br />
RAGE AND MOURNING: THE DANGEROUS LIASON<br />
16
KEYNOTE SPEAKERS<br />
VINCENZO CARETTI (ROME)<br />
SALVATORE CASTORINA (CATANIA)<br />
JAMES GILLIGAN (USA)<br />
REENA KAPOOR (YALE)<br />
GIUSEPPINA MENDORLA (CATANIA)<br />
CARINE MINNE (LONDON)<br />
KONSTANTIN NEMIROVSKY (MOSCOW)<br />
ADRIANO SCHIMMENTI (ENNA)<br />
FRANCESCO SPADARO (CATANIA)<br />
GIUSEPPE SPECIALE (CATANIA)<br />
17
SPEAKERS AND CO-AUTHORS<br />
AGNESE ALBERIO<br />
EMMA ALLEN<br />
STELLA DICKINSON COMPTON<br />
ANGELO COSTANZO<br />
TAMSIN COTTIS<br />
RICHARD CUREN<br />
GIULIA CUSUMANO<br />
ROBERTA DESIDERIO<br />
RONALD DOCTOR<br />
FRANK FARNHAM<br />
MARKUS G. FEIL<br />
LISA FIRESTONE<br />
ANGELA FOSTER<br />
VINCENZINA FRAGASSO<br />
JONATHAN GARABETTE<br />
LISA GARDINER<br />
SANDRA GRANT<br />
MARY HAMER<br />
ROSA INGIULLA<br />
MANZA KAMAL<br />
PAM KLEINOT<br />
FRANS KOENRAADT<br />
KAREL'T LAM<br />
RAVI LINGAM<br />
LESLIE LOTHSTEIN<br />
ALEX MAGUIRE<br />
CATERINA MARCHETTI<br />
DAVID MILLAR<br />
CARINE MINNE<br />
CHRISTINE MONTROSS<br />
ELENA MUNDICI<br />
KATYA ORRELL<br />
FOTEINI PAPOULI<br />
ANDREW PERRY<br />
ARIANNA PULSONI<br />
SIMONA RAMELLA PAIA<br />
MOUSTAFA SAOUD<br />
SANDRA SCOTT<br />
IOANNIS SFYRAKIS<br />
CHRISTOS SIDERAS<br />
PENNY STOPFORTH<br />
CELIA TAYLOR<br />
JAN VAN DER LEEUW<br />
RACHEL WOODWARD<br />
GERALD WOOSTER<br />
NADYA WYNCHANK<br />
MANFREDI ZAMMATARO<br />
18
CHAIRS<br />
GWEN ADSHEAD<br />
COLIN CAMPBELL<br />
FELICE CARABELLESE<br />
RICHARD CUREN<br />
RONALD DOCTOR<br />
ANGELA FOSTER<br />
REENA KAPOOR<br />
PAM KLEINOT<br />
TILMAN KLUTTING<br />
FRANS KOENRAADT<br />
LESLIE LOTHSTEIN<br />
DAVID MILLAR<br />
CARINE MINNE<br />
ELENA MUNDICI<br />
KATYA ORREL<br />
JOHN SCHLAPOBERSKY<br />
FRANCESCO SPADARO<br />
ESTELA WELLDON<br />
EMMA WENT<br />
19
GENERAL INFORMATION<br />
ONSITE REGISTRATION DESK<br />
Thursday May 25 th , 19.00-20:00 (terrazza Museo Diocesano)<br />
Friday May 26 th , 07.50-08:20 (Aula Magna - Palazzo Università)<br />
NAME BADGES<br />
All participants must wear their name badges during the meeting.<br />
Badges allow admission to all sessions, breaks, lunches, receptions and the banquet.<br />
ACCOMPANYING PERSONS<br />
Accompanying persons are not allowed to attend the Scientific Sessions and the<br />
Exhibition area. There is no registration fees for accompanying persons. However they are<br />
required to purchase tickets to tour events: https://form.jotform.com/63352357979975,<br />
and social dinner: https://form.jotform.com/63351685462965<br />
WELCOME RECEPTION<br />
The welcome reception will be held on Thursday May 25 th at 20.00<br />
(terrazza Museo Diocesano)<br />
IAFP GENERAL MEETING<br />
The IAFP general meeting will be held on Saturday May 27 th from 13.15 to 14.15.<br />
All IAFP members are encouraged to attend.<br />
IAFP GALA DINNER<br />
The IAFP gala dinner will be held on Saturday May 27 th from 21.00 at "Palazzo Biscari".<br />
Partecipants are required to purchase tickets: https://form.jotform.com/63351685462965<br />
CLOTHING<br />
Clothing in business casual for all occasion.<br />
LIABILITY AND PERSONAL INSURANCE<br />
The IAFP 2017 organizers can not accept liability for personal accidents or loss of or<br />
damage to private property of participants and accompanying persons.<br />
SAFETY AND SECURITY<br />
We kindly request you not to leave bags, suitcases or backpacks unattended at any time<br />
during the meeting.<br />
20
INFORMATION FOR PRESENTERS<br />
LANGUAGE<br />
The official language of the IAFP 2017 Meeting is english.<br />
ORAL PRESENTATION<br />
Presenters using a powerpoint presentation should bring it on memory stick (usb) and<br />
load between 08,00-08,30 for morning sessions during the luch for afternoon sessions.<br />
Presenters with powerpoint and video are requested to check their presentation to be<br />
sure they work properly.<br />
Macintosh users must convert their files to powerpoint in order to be used on the pc,<br />
otherwise must bring their own computer and VGA adaptor.<br />
RECORDING POLICY<br />
Recording any presentation or poster is prohibited, except by IAFP agent,<br />
or by authors.<br />
21
HISTORY<br />
THE VENUE:<br />
BENEDICTINE MONASTERY<br />
The Benedictine Monastery of Catania is a jewel of the late Sicilian Baroque.<br />
A Cassinese congregation founded the complex in 1558.<br />
The original structure was modified by two natural calamities the lava eruption<br />
of 1669 and the earthquake of 1693. It was destroyed and re-built and it<br />
is now an example of the integration of different historical periods. Visiting it,<br />
you can see the changes due to the lava eruption and the earthquake, but also<br />
to the civil uses to which it was destined after the Italian Unification.<br />
The first Monastery had a square floor plan with a cloister in the middle,<br />
called the “marble cloister” (renamed Western cloister) because of the presence<br />
of a refined colonnade from the XVIII century and a four-leaved clover<br />
shaped fountain in the middle with elegant decorations typical of the Renaissance<br />
period both made with precious marble from Carrara.<br />
The lava eruption of 1669 and the catastrophic earthquake of 1693 marked<br />
the destiny of Catania during the XVII century. On March 8, 1669 the Volcano<br />
Etna exploded, at the end of April, the lava flow reached the city walls, the
monastery was saved, but not the Church attached to it, which was completely<br />
destroyed by the lava, leaving behind a lunar landscape.<br />
Eighteen years after the eruption, in 1687, the reconstruction of the Church<br />
started, probably based on a project of the roman architect Contini.<br />
In the night between the 10th and 11th of January of 1693 the city of Catania<br />
was shacked. The earthquake of 1693 was one of the most devastating catastrophes<br />
in Eastern Sicily. According to researchers, the earthquake reached<br />
a magnitude of 7,7 degrees on the Richter scale. The day after the earthquake,<br />
the city was destroyed and most of the citizens were buried under the ruins.<br />
The basement and part of the first floor of the Monastery , were still safe.<br />
Only 14 columns of the cloister were still standing, the others were destroyed.<br />
In 1702, nine years after the earthquake, the reconstruction of the monastery<br />
started. On top of the lava ‘wall’, were built two gardens: the botanical garden<br />
– the wonders garden – and the novices’ garden.<br />
The church of San Nicolò l’Arena was conceived as a small Sicilian Saint Peter,<br />
but its facade remained unfinished. Extended and enriched with decorations,<br />
the monastery became one of the biggest in Europe, following the other<br />
Benedictine Monastery of Mafra in Portugal.<br />
Various famous Sicilian architects took part in the reconstruction: Ittar, Battaglia,<br />
Battaglia Santangelo, and Palazzotto. Craftsmen came from various Sicilian<br />
towns: Palermo, Messina, Siracusa. Giovan Battista Vaccarini.<br />
In 1866, the state confiscated the Benedictine Monastery, which passed under<br />
the state’s property. From 1868, the monastery was re-used for civil scopes.
There were mostly schools, but also a barrack and the Astrophysics laboratory<br />
with the laboratory of meteorology and geodynamics. These new uses caused<br />
a deep and, sometimes, irreversible change of the monastery structure.<br />
Most of the frescos were cancelled, the corridors were divided, and other divisions<br />
added to create offices, training rooms, and toilets.<br />
In 1977, within a project of regeneration of the historical centre of the town,<br />
the Municipality donated the Monastery to the University of Catania that<br />
used it for the Faculty of Humanities. The architect Giancarlo De Carlo supervised<br />
the restoration works that brought to the recognition of the value of<br />
the monastery as an example of Contemporary Architecture from the Sicilian<br />
Regional Government.<br />
In 2002, UNESCO included the monastery, together with other sites representative<br />
of the late Baroque of South-Eastern Sicily, in the World Heritage<br />
List.The restoration of the Monastery lasted thirty years and has led to the discovery<br />
of the history of the town from the Roman period to the present day.<br />
An entire Roman neighbourhood with the two main axes the Cardum and<br />
the Decumanus Maximus, houses of the late Hellenistic and imperial time<br />
has been found under the monastery.<br />
It is possible to see the remains in the main court and under what used to be<br />
the stables of the monastery (where now are the classrooms of the faculty).<br />
In particular, a domus (Roman house) with its peristilio (court) is still visible<br />
within the university library, perfectly integrated in the structure of the<br />
16th century monastery and in the contemporary ‘hanging’ structures that<br />
allow students to access and use this space.<br />
Using architect De Carlo words, today the monastery, “with its real structure,<br />
of a three-dimensional space, has character of a place where young people<br />
move from one point to the other: a place full of air, light, communication,<br />
expectations and promises.<br />
Through different readings of the place and tentative projects the old meanings<br />
have been substituted by a new one that allows the old architecture to get<br />
a new structure, and an important role for the contemporary world”.
SCIENTIFIC<br />
PROGRAM<br />
27
MAY 25 th<br />
TERRAZZA MUSEO DIOCESANO<br />
19:15-19:30 Welcome of the Major of Catania Enzo Bianco<br />
19:30-21:00 Welcome Party and Opening Ceremony<br />
by Reena Kapoor (President IAFP) and<br />
James Gilligan (Past President IAFP)<br />
MAY 26 th<br />
SCIENTIFIC PROGRAM<br />
AULA MAGNA - PALAZZO CENTRALE UNIVERSITÀ<br />
07:50-08:20 Registration<br />
08:20-08:30 Greetings<br />
Marina Paino (Head of the Department of Human Sciences)<br />
08:30-08:45 Opening and Welcome Remarks<br />
Francesco Spadaro (Catania)<br />
The Achilles Paradigm<br />
Chair: Reena Kapoor (Yale)<br />
08:45-09:30 Keynote speakers: Konstantin Nemirovsky (Moscow)<br />
Silence is violence: social and personal consequences<br />
of psychic trauma and it’s working-through<br />
09:30-10:15 Keynote speakers: Carine Minne (London)<br />
Rage, not Mourning: A child's loss becomes a young<br />
man's violence<br />
10:15-10:40 Discussion<br />
10:40-11:00 Coffee Break<br />
11:00-13:00 Parallel Session: The Clinical Field (1)<br />
13:00-14:00 Lunch<br />
13:30-14:00 A possibility: paid tour of the Benedictine Monastery<br />
“Archaeological Tour”<br />
14:00-16:00 Parallel Session: Family, Groups and Society<br />
16:00-17:00 Large Group<br />
Group Conductor: John Schlapobersky (London)<br />
17:15 Transfer for the paid tour to the Greek Theatre of Syracuse<br />
to assist to the Greek tragedy “The Seven againt Thebes”
MAY 27 th<br />
BENEDICTINE MONASTERY AUDITORIUM DE CARLO<br />
Chair: Estela Welldon (London)<br />
08:30-09:15 Keynote speakers: Salvatore Castorina and<br />
Giuseppina Mendorla (Catania)<br />
Tiresia, an interpeter of violence: about the violation of<br />
borders and the desolation of the word<br />
09:15-10:00 Keynote speakers: Giuseppe Speciale (Catania)<br />
But one can't live with hate. I know that.<br />
We have to forget if we are to go on living.<br />
The rage and mourning of the winners and the losers<br />
10:00-10:15 Discussion<br />
10:15-10:30 Coffee Break<br />
10:30-12:30 Parallel Session: The Clinical Field (2)<br />
12:30-13:15 Lunch<br />
12:45-13:15 A possibility: paid tour of the Benedictine Monastery<br />
“Eighteenth-Century Tour”<br />
13:15-14:15 Annual General Meeting IAFP<br />
Chair: Reena Kapoor (New Haven)<br />
Chair: Felice Carabellese (Bari)<br />
14:15-15:00 Keynote speakers:Vincenzo Caretti (Roma)<br />
and Adriano Schimmenti (Enna)<br />
Trauma and Psychopathy<br />
15:00-15:15 Discussion<br />
15:15-17:15 Parallel Session: Organizations and Institutions<br />
17:15-17:30 Coffee Break<br />
17:30-19:00 Large Group<br />
Group Conductor: John Schlapobersky (London)<br />
19:00-19:30 Closing Ceremony and Gill McGauley Award<br />
21:00 Gala Dinner at "Palazzo Biscari"<br />
SOCIAL EVENTS<br />
MAY 28 th<br />
09:00 Transfer for the paid tour “Visiting Etna”<br />
26 May<br />
Seven Against Thebes<br />
Greek theatre of Syracuse
PARALLEL SESSION<br />
MAY 26 th<br />
AULA MAGNA - PALAZZO CENTRALE UNIVERSITÀ<br />
11:00-13:00 Parallel Session: The Clinical Field (1)<br />
Personality disorders (Room 1) Chair: Felice Carabellese<br />
Celia Taylor:<br />
Creative processes in forensic psychotherapy and psychiatry: high-risk offenders<br />
with personality disorder<br />
Ravi Lingam, Rachel Woodward, Foteini Papouli:<br />
Pragmatic and Systemic Management and Containment of Interpersonal<br />
Aggression in Complex Personality Disorders<br />
Clinical experiences (Room 2) Chair: Ronald Doctor<br />
Jonathan Garabette, Carine Minne:<br />
Resurrecting the dead –Psychosis, Rage and Mourning in Pseudopsychopathic<br />
Schizophrenia<br />
Elena Mundici, Katya Orrell:<br />
Terror and wonder: Whose choice is it anyway?<br />
Children and violence (Room 3) Chair: Reena Kapoor<br />
Nadya E. J. N. Wynchank, Penny Stopforth:<br />
Under-age, under-rage: an exploration of South African children who commit<br />
sexual violence<br />
Arianna Pulsoni:<br />
The cathartic process in therapy:From the Cave to Earth<br />
The human soul: light and darkness (Room 4) Chair: Elena Mundici<br />
J. David Millar:<br />
Grief to rage: from darkness into darkness<br />
Alex Maguire:<br />
Carlo Gesualdo: music, murder and mourning in Renaissance Italy
14:00-16:00 Parallel Sessions: Family, Groups and Society<br />
The cultural approach (Room 1) Chair: Colin Campbell<br />
Christine Montross:<br />
The Rage of Isolation: Aggression and Self-Injury in Solitary Confinement<br />
Mary Hamer:<br />
Rage and mourning in Euripides’ Medea<br />
Rage and mourning: group therapy (Room 2) Chair: Angela Foster<br />
Leslie M. Lothstein:<br />
Mourning and Rage in a Long Term Psychodynamic Outpatient Group of<br />
Male Sex Offenders<br />
Vincenzina Fragasso, Simona Ramella Paia:<br />
The Psychoeducational group for abusive men as a way to interrupt the cycle of<br />
violence and his social return of impact (SROI)<br />
Destructiveness, individuals and institutions (Room 3) Chair: Frans Koenraadt<br />
Caterina Marchetti:<br />
A psychoanalytic psychotherapy group with women criminals in a Northern<br />
Italian Prison<br />
Moustafa Saoud:<br />
Rage, Narcissism and the Search for Mourning at the Extremes of Age<br />
Sandra Scott, Manza Kamal:<br />
IDC on a patient<br />
Rage and mourning: the creative arts therapies (Room 4) Chair: Pam Kleinot<br />
Stella Compton Dickinson:<br />
Journey's End: Rage or Reconciliation<br />
Andrew Perry:<br />
Permission to come alongside?<br />
Personality and family (Room 5) Chair: Richard Curen<br />
Markus G. Feil:<br />
Personality organization as major responsivity factor<br />
Ronald Doctor,<br />
Rage and Mourning in family and gender dynamics: fate, passion and will
MAY 27 th<br />
BENEDICTIN MONASTRY AUDITORIUM DE CARLO<br />
10:30-12:30 Parallel Session: The Clinical Field (2)<br />
The dark web (Room 1) Chair: Emma Went<br />
Foteini Papouli, Ioannis Sfyrakis, Ravi Lingam:<br />
The Dark Web: The hideout of the identity<br />
Giulia Cusumano, Rosa Ingiulla, Roberta Desiderio, Agnese Alberio:<br />
Bullying and cyberbullying in Sicilian adolescents<br />
Jealousy (Room2) Chair: Tilman Kluttig<br />
Karel‘t Lam:<br />
A case of attempted rapes and sexual stalking: Forensic psychotherapeutic<br />
reflections on jealousy in perversions<br />
Frans Koenraadt:<br />
Jealousy penetrating into the family domain: Considerations from forensic<br />
mental health assessment and research<br />
Jan van der Leeuw:<br />
The presence and absence of jealousy in two cases in relationship to rage<br />
Learning disabilities (Room 3) Chair: Katya Orrell<br />
A Special Session Dedicated To The Memory Of Dr. Alan Corbett<br />
Tamsin Cottis:<br />
You Don’t Give A Shit About Me!: Rejection, Rage and the Growth of Love<br />
Richard Curen:<br />
“I spit on your grave”: a psychodynamic perspective on intellectual<br />
disability, rage, mourning and sado-masochistic states of mind<br />
The bi-logic thinking: the Matte-Blanco perspective (Room 4)<br />
Chair: Francesco Spadaro<br />
Christos Sideras, Gerald Wooster:<br />
Emotions and infinity: The contributions of Ignacio Matte Blanco to<br />
understanding emotions<br />
Angelo Costanzo:<br />
Bi-logic and Argumentation<br />
15:15-17:15 Parallel Session: Organizations And Institutions<br />
Terrorism and mafia (Room 1) Chair: Carine Minne<br />
Pam Kleinot and Sandra Grant:<br />
Terrorism: rage and longing<br />
Manfredi Zammataro, Giulia Cusumano:<br />
Mafia: psychological functioning between traditional business and<br />
new opportunities<br />
32
Rage and mourning dynamics in the institutions and<br />
organizations (1) (Room 2) Chair: Leslie Lothstein<br />
Angela Foster:<br />
Staff accused and abused; Managing pain and distress in the system of care<br />
Lisa Gardiner:<br />
Forensic Hospitals and Pathological Organizations:<br />
destructive narcissism in the internal world and in the social defence system<br />
Long term segregation (Room 3) Chair: Gwen Adshead<br />
Katya Orrell, Elena Mundici:<br />
Swansong: Can hope survive an indeterminate prison sentence?<br />
Emma Allen:<br />
The Boy Who Cried Wolf: A Collaborative Approach to Long Term Segregation
ABSTRACTS<br />
35
Francesco Spadaro<br />
Psichiatrist, Psychoanalytic Psychotherapist.<br />
President of the Italian Society of Forensic Psychoterapy (SIPFO) and Board Member IAFP and EFPP.<br />
Department of Mental Healt, Catania<br />
THE ACHILLES PARADIGM<br />
“Muse, sing the rage of Peleus’s son Akhilleus, deadly rage that brought the<br />
Akhaians endless pain, that hurled down to Hades many strong souls of heroes<br />
and made their bodies meat for dogs and vultures […]” (Homer, Iliad). Thus<br />
begins Homer’s Iliad, in the recent translation of Richard Whitaker in South African<br />
English. But The Iliad, an epic poem that is the first masterpiece of Western<br />
Literature, is not only about the rage of Achilles, but also about his mourning. His<br />
rage due to the Briseide abduction and his mourning for the death of his beloved<br />
friend Patroclus. Neither the mass killings of his enemies that he perpetrates, nor<br />
their humiliations, nor the killing of Hector, the one who had killed Patroclus<br />
relieved his fury or his grief. To help him overcome his rage and mourning is a<br />
dream. A dream in which his dead, and already avenged, friend Patroclus talks to<br />
him and asks to be finally buried. Otherwise, he wouldn't be able to reach Hades.<br />
At the same time, predicting the future death of Achilles, Patroclus asks him to<br />
put both of them in the same cinerary urn, in order to be hugged for eternity.<br />
The Iliad, is, of course, a poem full of tragedy and in this sense it is a precursor of<br />
the Greek Tragedies. But also, in more contemporary forms of art, like Cinema,<br />
for example, I am thinking of a movie that has been suggested to be used in this<br />
conference, as has been done in past ones, Truly, Madly Deeply, or the recent<br />
Manchester by the Sea, rage and mourning have been able to be overcome after<br />
and by virtue of dreams. In other forms of cultural imaginary, like painting, the<br />
creative description has the same function as dreams, such as in the art of Marc<br />
Chagall, in which pogroms and his lost Jewish childhood home world are evoked<br />
and transformed into oneiric visual tales.<br />
But Achilles dreaming of Patroclus talking to him is a precious synthesis of the<br />
elements necessary for the human being to overcome rage and mourning. I emphasize<br />
here two of them. The role and the changes of superego and the destiny of<br />
bonds. A human being is in the position of facing and overcoming his or her rage<br />
and their mourning only when they have found their solution for reestablishing a<br />
true and evident continuity between the superego and the principles that regulate<br />
the world. A continuity that had been broken by the experience of a crime or of<br />
a loss, but now means a reestablished order of his or her inner world compatible<br />
with the established order of the external world, and when they have found a<br />
personal solution to restore a lost bond.<br />
36
Konstantin Nemirovsky<br />
Moscow Psychoanalytic Society,<br />
Society for Psychoanalytic Psychotherapy, Russia<br />
SILENCE IS VIOLENCE: SOCIAL AND PERSONAL CONSEQUENCES OF<br />
PSYCHIC TRAUMA AND IT’S WORKING-THROUGH<br />
One-hundred years ago Freud set mourning against melancholia in the belief<br />
that endured losses lead to depression. The dramatic events that took place<br />
during the following century (wars, revolutions, rise and fall of political systems)<br />
as well as personal histories of that generation, confirmed this belief.<br />
Not only unmourned grief, but unworked-through violence leads to destruction,<br />
that enables the victim the possibility of ridding themselves of unbearable<br />
psychic pain.<br />
The solutions of this predicament are different - from identification with the<br />
aggressor, when the former victim projects his own suffering onto others and<br />
attacks them, to turning this pain against himself resulting in depression,<br />
self-injuries and suicide.<br />
These actions arise at social and personal level. For instance, conducted denazification<br />
enabled Germany to recover after the WWII and become the<br />
locomotive of EC economic development. On the contrary, uncompleted decommunization<br />
in Russia gave rise to reappearance of society authoritarian<br />
governance limiting further development of the country. The same phenomenon<br />
can be observed in the life of people facing the violence - those who<br />
come for psychotherapy would have the chance for recovery and development;<br />
those who refused/cut off of this help would be forced into a reenactment<br />
of this violence and ultimately found themselves either in jail or at six<br />
feet under.<br />
Psychic trauma is like the Lernean hydra capable of poisoning clear water<br />
just with its toxic breath. Hercules could not overcome it on his own - each<br />
time he cut its head off, new ones grew immediately up. It was only with the<br />
help of Elaeus that he could defeat the monster. Similarly, it is only consolidated<br />
efforts of different parties - psychotherapist and patient, government<br />
and citizens - that could set the victim of violence free (either individual or<br />
whole generation) from unconscious enactment of old dramas and offers the<br />
opportunity to live, thive and develop.<br />
37
Carine Minne<br />
Consultant Psychiatrist in Forensic Psychotherapy at Broadmoor Hospital, West London Mental Health<br />
Trust and the Portman Clinic, Tavistock & Portman NHS Foundation Trust, UK<br />
RAGE, NOT MOURNING: A CHILD'S LOSS BECOMES<br />
A YOUNG MAN'S VIOLENCE<br />
In this paper, I will present two patients diagnosed as suffering from severe<br />
Personality Disorders with psychotic episodes. I will illustrate the changes<br />
that can arise during the course of several years’ psychoanalytic treatment in<br />
high security hospital. Progress was monitored using the Operationalised<br />
Psychodynamic Diagnostics (OPD) system. The clinical presentations will<br />
indicate how earlier childhood losses contributed to these adolescent boys’<br />
homicidal violence. I also hope to show that it is more helpful to consider<br />
such patients as suffering from a single entity diagnosis where, at times, their<br />
mental states are more manifestly personality disordered and, at other times,<br />
more manifestly psychotic. At each end of that diagnostic spectrum, a different<br />
set of anxieties is being defended against. The psychoanalytic treatment,<br />
as one part of the overall treatment, is described to show how the secluded<br />
parts of the patients’ minds can be approached, including references to the<br />
regular regressions that arise, provoked by ‘getting better’.<br />
38
Salvatore Castorina 1 / Giuseppina Mendorla 2<br />
1<br />
Full professor of Dynamic Psychology, Department of Humanities, Catania University<br />
2<br />
Associate professor of Dynamic Psychology, at the Department of the Human Sciences, University of Catania<br />
TIRESIA, AN INTERPETER OF VIOLENCE: ABOUT THE VIOLATION OF<br />
BORDERS AND THE DESOLATION OF THE WORD<br />
In Euripedes’ The Phoenicean Women, and in the myth of the children of<br />
Oedipus, already brought to the stage by Aeschylus, there appears a new and<br />
surprising character: the seer Tiresias.<br />
He brings to light a story regarding the origins marked by the violence that<br />
breaks out within the same grouping, the same family: Cadmus, the founder<br />
of Thebes, kills the dragon, son of Ares, who therefore seeks revenge; the<br />
teeth of the dragon (the oral violence that devours), on being planted grow<br />
into giant warriors who kill each other in a fratricidal fight, almost an anticipation<br />
of the mortal duel of Oedipus’s children.<br />
Oedipus himself kills his father and curses the children, born of incest.<br />
The conclusion is predictable for Tiresias, the parricide turns into its opposite:<br />
the filicide must be repeated in the present generation (Creon must<br />
sacrifice his son Menoeceus), just as the fratricidal coaction will re-present.<br />
Where does all this violence come from? Tiresias is the protagonist of a drama<br />
described in the Yakto (Antioch, Turkey) mosaic: he himself is among<br />
the heroes (Narcissus, Adonis, Actaeon, Meleagrus), who, in the throes of<br />
Megalopsychia, a relentless feeling of omnipotence, have violated the limits<br />
set for humans and by so doing have rendered themselves similar to the gods.<br />
This shift has been made possible by the denial of limits: the denial of the loss<br />
of omnipotence.<br />
Violence, therefore, homicidal or suicidal, is the direct consequence of the incapacity<br />
or the impossibility of surpassing the persecutory vision of the world<br />
and of setting out on the painful path of the work of mourning.<br />
Tiresias is the interpreter of this drama, which, although resolved in mortal<br />
outcomes, is nevertheless narrable.<br />
The figure of the interpreter, albeit contested by Creon, is able to process the<br />
message of the gods.<br />
Tiresias remains in any case a determining, reliable mediator between human<br />
and divine discourse. Only the unfolding of the dramatic narration allows,<br />
in The Phoenicean Women, a conclusion in which Oedipus and Antigone<br />
attempt a difficult depressive task.<br />
We have sought to trace the figure of Tiresias in contemporary poetry and<br />
art, in Guillaume Apollinaire and in Thomas Stearns Eliot.<br />
39
Salvatore Castorina / Giuseppina Mendorla<br />
TIRESIA, AN INTERPETER OF VIOLENCE: ABOUT THE VIOLATION OF BORDERS AND THE DESOLATION OF THE WORD<br />
In this world Tiresias appears uncertain, old, “withered”; forced to observe not<br />
a universe enclosed in the myth populated by heroes, but a sad bourgeois reality<br />
of the urban periphery.<br />
The great wisdom that comes to him from being in possession of both genders<br />
is transformed into fragility, omnipotent delirium.<br />
The gift of seeing with one’s eyes degraded into a card reader’s trick.<br />
Is Tiresias, at least in part, a metaphor for the difficulties of narrating and interpreting<br />
in many psychopathologies of the contemporary clinical panorama?<br />
40
Giuseppe Speciale<br />
Department of jurisprudence, Catania<br />
BUT ONE CAN'T LIVE WITH HATE. I KNOW THAT.<br />
WE HAVE TO FORGET IF WE ARE TO GO ON LIVING<br />
1. The protagonists of the trial - judges, defendants, victims, and people - are<br />
like moving pieces in a kaleidoscope that reflect their feelings of anger and<br />
mourning on the mirrors. In the kaleidoscope we can see the complex and<br />
tormented image of the human condition. In the kaleidoscope it may also<br />
happen that the pieces change their nature: so the winners become the losers<br />
and the losers winners.<br />
2. It is interesting to note how the victim, as an individual, after some time,<br />
tends to forget why he needs to start a new life without the burden of sorrow<br />
and mourning. On the contrary, societies ordered in states or in other<br />
forms of association, tend to institutionalize memory, and promote initiatives<br />
to eternalize memory, because they think that memory serves to keep the<br />
collective consciousness alive and to avoid repeating the same facts. But the<br />
institutionalization of memory leads to the risk of banality, and the repetition<br />
of the lowest rhetoric, with devastating effects on younger generations.<br />
41
Vincenzo Caretti / Adriano Schimmenti 1<br />
1<br />
PhD, DClinPsy, Faculty of Human and Social Sciences,<br />
UKE - Kore University of Enna<br />
TRAUMA AND PSYCOPATHY<br />
From a biopsychosocial perspective, it is likely that the inborn vulnerabilities<br />
of psychopaths interact with negative environmental experiences to determine<br />
the severity of the psychopathic traits.<br />
Especially in childhood, when the child's brain is particularly sensitive to experiences<br />
for its development, traumatic experiences in the attachment relationships<br />
are able to deviate the typical development of basic capacities such<br />
as empathy, mentalization, affect regulation in the child. This may lead to the<br />
development of severe psychopathic traits in vulnerable individuals.<br />
The empirical evidences linking psychopathic traits with childhood experiences<br />
of abuse and neglect will be reviewed. Research findings from different<br />
countries show that psychopaths are often exposed to a number of traumatic<br />
experiences during their childhood, and among these neglect, rejection and<br />
different types of abuse in the family. Such findings on the relationship between<br />
traumatic experiences and psychopathy have significant implications<br />
for prevention, diagnosis, and treatment of psychopathic personalities.<br />
42
43
PARALLEL<br />
SESSION<br />
45
Personality disorders (Room 1)<br />
Celia Taylor<br />
Millfields Unit, John Howard Centre, East London NHS Foundation Trust,<br />
Hackney, London, UK<br />
CREATIVE PROCESSES IN FORENSIC PSYCHOTHERAPY AND PSYCHIATRY:<br />
HIGH-RISK OFFENDERS WITH PERSONALITY DISORDER<br />
The successful psychodynamic treatment of high-risk offenders with severe<br />
personality disorder is a highly complex endeavour. It requires the therapist<br />
to help these individuals explore, confront and integrate many facets – both<br />
destructive and healthy – of their emotional and social ways of being. In this<br />
presentation I will discuss my experience of working psycho-dynamically<br />
with such patients in a medium secure, modified therapeutic community, in<br />
such a way as to foster the core creative processes of change – including curiosity,<br />
storytelling, and recognition of the potential new self. In many ways,<br />
these processes resemble the fundamental paradigmatic shifts described by<br />
Kuhn in 1962, which underpin major scientific discoveries. I will illustrate<br />
the nature and meaning of these transformative stages with case material<br />
from perpetrators of patricide.<br />
PARALLEL SESSION / The clinical field (1)<br />
46
Personality disorders (Room 1)<br />
Ravi Lingam / Rachel Woodward, Foteini Papouli<br />
Forensic Services, Bamburgh Clinic, Northumberland Tyne and Wear NHS Foundation Trust,<br />
Newcastle-on-Tyne, UK<br />
PRAGMATIC AND SYSTEMIC MANAGEMENT AND CONTAINMENT OF<br />
INTERPERSONAL AGGRESSION IN COMPLEX PERSONALITY DISORDERS<br />
Operational and relational management of risk are cornerstones in the safe<br />
and effective running of secure hospital units. This challenge is compounded<br />
by internal, external factors and pressures.<br />
The Oswin Medium Secure Unit in Newcastle-on-Tyneis a specialist service<br />
for offender-patients screened to the Offender Personality Disorder (OPD)<br />
pathway. The service model was re-designed and embedded within OPD<br />
pathway in 2015, meetingcommissioning specifications, offering primarily<br />
high risk personality disordered offenders a pathway of care from prison<br />
to hospital. These individuals are recognized to be‘stuck’ within the prison<br />
system. They are difficult to engage, in part because of co-occurring mental<br />
health problems, and pose considerable disturbances, aggression, violence in<br />
prison and are a risk to themselves.<br />
Individuals are engaged in focused and relatively brief assessment and treatment.<br />
This is, in most cases,followed by a return to sign-posted prison pathways<br />
for ongoing care and treatment and relies on sound partnership work<br />
with probation, psychology and commissioning colleagues in the OPD Pathway<br />
and the Prison system.<br />
This paper is an overview of a model of care paying particular attention to<br />
the quality of interpersonal engagement and resilience in multi-professional<br />
staff. A key aspect in engaging difficult-to-engage individuals is to develop<br />
systemic awareness of the case formulation and how this relates to criminogenic<br />
risks. Expectations are re-framed in the delivery of ‘care’ to maintaining<br />
‘ambition’ for patient-offenders, and viewing the work of engagement<br />
as one,relatively narrow part in a pathway of change and progression that<br />
includes prison and community services.<br />
PARALLEL SESSION / The clinical field (1)<br />
47
Clinical experiences (Room 2)<br />
Jonathan Garabette 1 / Carine Minne 1,2<br />
1<br />
Broadmoor Hospital, West London Mental Health Trust, Berkshire, UK<br />
2<br />
Portman Clinic, Tavistock and Portman NHS Foundation Trust, London, UK<br />
RESURRECTING THE DEAD –PSYCHOSIS, RAGE AND MOURNING IN<br />
PSEUDOPSYCHOPATHIC SCHIZOPHRENIA<br />
Purpose:<br />
Here we suggest the benefit of resurrecting a forgotten nosological entity –<br />
“pseudopsychopathic schizophrenia” as a way of better understanding a subgroup<br />
of severely disturbed forensic patients. We suggest that, through the<br />
oscillations between psychopathic and psychotic states of mind, these individuals<br />
avoid mourning and the unbearable reality of a painful and fragmented<br />
internal world. A brief overview of the history of the diagnosis is given,<br />
with suggested modifications for resurrecting its use, together with clinical<br />
examples from high secure and community forensic settings. Implications for<br />
assessment, risk and treatment are discussed.<br />
Methods:<br />
Literature review and case series.<br />
Results:<br />
Despite its original description in 1955, there has been very little uptake of<br />
the category for Pseudopsychopathic schizophrenia, and little research into<br />
the epidemiology and treatment of patients meeting this diagnosis. Our case<br />
series demonstrates that the potential utility of resurrecting this category to<br />
better describe and understand a small subgroup of forensic patients.<br />
Conclusion:<br />
Pseudopsychopathic schizophrenia is a mostly forgotten nosological entity<br />
but can be a useful diagnosis for a number of forensic patients. Resurrecting<br />
its use could have significant clinical and legal implications.<br />
PARALLEL SESSION / The clinical field (1)<br />
48
Clinical experiences (Room 2)<br />
Elena Mundici / Katya Orrell<br />
Panoptikon,<br />
London, UK<br />
TERROR AND WONDER: WHOSE CHOICE IS IT ANYWAY?<br />
‘Many things cause terror and wonder, yet nothing is more terrifying and wonderful<br />
than man’ (Sophocles). Greek tragedy defines man as deinós, terrible<br />
and great -an ambiguous word for an ambiguous being.<br />
Concerned with the investigation of the role of man in his destiny, one element<br />
of the Tragic is the conflict between éthos, character, and daímon, a<br />
spiritual force often interpreted as fate. If éthos belongs to the realm of the<br />
conscious, daímon from the psychoanalytic perspective could be understood<br />
as the unconscious.<br />
Tragedy in its more classic form explores the tension between man’s deeds<br />
and his progressive acquisition of self-knowledge. This is where he learns<br />
who he really is and what his actions mean in relation to his identity.<br />
As forensic psychotherapists, we are spectators of the tragic events that get<br />
told and re-enacted in the therapeutic process. However, we are also actors,<br />
in that we help our patients to unravel the meaning of their actions. Why did<br />
they come to prison? Who were they trying to destroy? Or were they actually<br />
trying to mourn?<br />
In their being at the crossroad between ethical, political and spectacular, forensic<br />
institutions present many analogies with the Greek tragic phenomenon.<br />
Like tragedy, prisons contain those who enacted society’s most obscure<br />
phantasies and those who look after them. Both are the source of terror and<br />
wonder. In this paper we explore the conflicts that emerge in our clinical<br />
work with staff and prisoners, through the juxtaposition of tragedy and forensic<br />
psychotherapy.<br />
PARALLEL SESSION / The clinical field (1)<br />
49
Children and violence (Room 3)<br />
Nadya E. J. N. Wynchank / Penny Stopforth<br />
Juvenile Forensic Service of the Western Cape, Valkenberg Tertiary Hospital,<br />
Cape Town, South Africa<br />
UNDER-AGE, UNDER-RAGE: AN EXPLORATION OF SOUTH AFRICAN<br />
CHILDREN WHO COMMIT SEXUAL VIOLENCE<br />
Recent research has demonstrated a steady increase in sexual violence committed<br />
by children in South Africa. In terms of the Child Justice Act of South<br />
Africa, children between the ages of 10-14 who have committed acts of sexual<br />
violence are referred for a psychological assessment to determine their criminal<br />
capacity. Against the background of South Africa’s political history and<br />
its pervasive socio-economic inequalities, this paper briefly explores some of<br />
the factors contributing to the prevalence of sexual violence and the power<br />
relations implicated in constructing violent masculinities.<br />
In addition, distinct beliefs and gendered social constructs informing normalisations<br />
of sexual violence will be outlined. Examples of such phenomena<br />
include “Ukuthwala” (child abductions leading to forced marriage), “corrective<br />
rape” and “virgin cleansing” myths.<br />
The paper also focusses on children we have assessed, who have expressed<br />
an apparent absence of subjective aggression during the commission of these<br />
decidedly aggressive acts, and shall attempt to explore their behaviour using<br />
a psychoanalytic lens. The role of attachment and mentalisation in the genesis<br />
of sexually violent behaviour will be examined alongside developmental factors<br />
that distinguish child perpetrators from adult perpetrators.<br />
PARALLEL SESSION / The clinical field (1)<br />
50
Children and violence (Room 3)<br />
Arianna Pulsoni<br />
The Tavistock and Portman NHS Foundation Trust,<br />
Research Fund Clinical Workshopon Intergenerational family difficulties,<br />
London UK<br />
THE CATHARTIC PROCESS IN THERAPY:FROM THE CAVE TO EARTH<br />
This clinical paper describes some parent-child work and psychotherapy with<br />
a three-year-old boy who had a traumatic historyand who at the beginning of<br />
the treatment presented with severe autistic traits.<br />
The paper draws on and elaborates upon links between the boy’s traumatic<br />
experiences of abuse and neglect, his autistic defences and his developmental<br />
delay.The narrative tracks the development of the relationship with the<br />
therapist and the consequent “birth” of this boy, that is, the emergence of his<br />
persona once the autistic defences began to fade away.<br />
The paper also explores the parallel parent work with the boy’s adoptive parents.<br />
In the last section, the paper discusses the boy’s development of spacetime<br />
categories in the context of more depressive functioning.Once he acquired<br />
a sense of time as duration and then as memory, the patient began to<br />
remember, in therapy, the traumas he had experienced.<br />
When the resulting anger and pain emerged, so did life: the seemingly autistic<br />
child came out of his cave and began to read, learn and to understand the<br />
world around him.<br />
Recollection of past facts and the acquisition of memory occurred at first<br />
as a Greek tragedy of sorts, where pain and baleful anger alternated as if in<br />
a dance. In the cathartic process of experiencing anger and pain,they were<br />
also understood deeply and then a sense of mourning was born, through<br />
which defences gave way to development, curiosity and the emergence of the<br />
experience of beauty within the relationship with the ‘object.<br />
PARALLEL SESSION / The clinical field (1)<br />
51
The human soul: light and darkness (Room 4)<br />
J. David Millar<br />
Centre for Psychoanalytic Studies, University of Essex,<br />
Colchester Essex, UK<br />
GRIEF TO RAGE: FROM DARKNESS INTO DARKNESS<br />
My paper will be largely theoretical. I have chosen grief and rageas my starting<br />
points rather than mourning and rage as I believe the former arethe<br />
emotionally unprocessed starting points in our most extreme reactions to<br />
life. I intend to show how griefcan either progress through mourning and<br />
end in sadness and meaning (darkness into light); or alternatively how it can<br />
lead through emptiness to depression and despair (darkness into darkness).<br />
Similarly, I proffer howrage can either progress through anger to acceptance<br />
(darkness into light) or through retribution and revenge ending in bitterness<br />
and spite (darkness into darkness). In both cases, grief and rage can either be<br />
‘worked though’ to become a stabilising influence in life or ‘stumbled through’<br />
to become a disruptive and malign influence.<br />
My presentation will consist mainly of a spoken paper butblended with a<br />
striking musical video that I believe ‘shadows’ my arguments with its own<br />
moving interpretation.<br />
Purpose: To show how fundamental human responses can lead either to<br />
emotional wellbeing or psychological ill-health.<br />
Method: A mixture of oral presentation with a music video backdrop.<br />
Results: I will be attempting to refine the theoretical position on the bifurcated<br />
emotional development of grief and rage.<br />
Conclusion: Sometimes even in darkness there is light.<br />
PARALLEL SESSION / The clinical field (1)<br />
52
The human soul: light and darkness (Room 4)<br />
Alex Maguire<br />
Arts Therapies Department,Broadmoor Hospital,<br />
Crowthorne, UK<br />
CARLO GESUALDO: MUSIC, MURDER AND MOURNING IN<br />
RENAISSANCE ITALY<br />
On 16 th October 1590 Carlo Gesualdo put his wife and her lover to the sword<br />
in his Naples residence. Whilst the revenge of the cuckold was a matter of<br />
honour at this time, Gesualdo (1560-1613) was no ordinary Neapolitan; born<br />
into the aristocracy, one of his uncles was Cardinal Carlo Borromeo, a leading<br />
figure in the counter-Reformation and supporter of Caravaggio. Having<br />
inherited his father’s titles and land upon his death, from that point on Gesualdo<br />
gave himself over totally to his overriding passion: the composition of<br />
vocal music.<br />
This music, particularly his settings of religious texts, is many years ahead of<br />
its time; indeed it is not until Richard Wagner that we hear again such complex<br />
chromaticism and unsettling shifts of harmonic context.<br />
The only extant music from Gesualdo’s pen was written after the double murder,<br />
and is thus the expression of a man with this experience in his mind.<br />
Can we say that Gesualdo is mourning the double murder of his wife and lover<br />
in his music? Can the forensic patient ever leave the offence behind him?<br />
Or does such a patient inevitably bring his offence into the room with him?<br />
In a Music Therapy setting, will this then be played out in some way in the<br />
patient’s own music? This paper considers such ideas using examples from<br />
Gesualdo’s final compositions, the Tenebrae Responsories (composed in 1611<br />
for Holy Week) where his extravagant treatment of elements of the New Testament<br />
murder story reaches a level of extraordinary intensity.<br />
PARALLEL SESSION / The clinical field (1)<br />
53
The cultural approach (Room 1)<br />
Christine Montross<br />
MD, MFA Assistant Professor of Psychiatry and Human Behavior Brown University,<br />
Rhode Island, U.S.A.<br />
THE RAGE OF ISOLATION: AGGRESSION AND SELF-INJURY IN<br />
SOLITARY CONFINEMENT<br />
Acts of aggression and self-injury committed by incarcerated men and women<br />
in solitary confinement are often interpreted as evidence of the detainees’<br />
dangerous natures, and as justification for their continued isolation and<br />
detention. “Of course they’re animals and they’re monsters,” a correctional<br />
officer at Northern Correctional Institute in Connecticut, U.S.A. says of men<br />
detained for months to years in twenty-three hour-per-day isolation cells. “If<br />
they weren’t, they wouldn’t be there.” Yet studies in various scientific disciplines<br />
on topics ranging from aviation to polar exploration to blindness have<br />
shown that sensory deprivation and isolation can, in fact, give rise to violent<br />
fantasies andaggressive actions, even in people who were previously psychologically<br />
well. In this session, psychiatrist and author Dr. Christine Montross<br />
willexamine the relationship between violence and isolation in essay form.<br />
Montross, a 2015 Guggenheim fellow in nonfiction, will read from and discuss<br />
her essay On Isolation, which is a chapter from her current book project,<br />
Acquainted With the Night: Mental Illness in America’s Prisons. The discussion<br />
of the essay—which draws on the scientific studies mentioned above as<br />
well as on descriptions of paranoia in Korean prisoners of war; accounts of<br />
disorientation in free divers who descend ever deeper into the ocean’s depths;<br />
studies of self-injury in non-human primates; and analyses of Pip floating<br />
lost at sea in Moby Dick—will launch questions not only on the rage of isolation,<br />
but also as to what role interdisciplinary research in the arts and sciences<br />
might have in deepening our understanding of forensic psychiatric work.<br />
PARALLEL SESSION / Family, Groups and Society<br />
54
The cultural approach (Room 1)<br />
Mary Hamer<br />
Harvard University, USA<br />
RAGE AND MOURNING IN EURIPIDES’ MEDEA<br />
It’s easy to write off Medea as a witch, deranged, a rejected wife who takes out<br />
her jealousy by killing her children. That’s the lazy version.<br />
But the story of Medea, as conceived and staged by Euripides more than two<br />
thousand years ago offers a different take. It presents the rage of a wife who<br />
has been replaced, an experience that is still familiar today.<br />
Rather than accepting the husband’s betrayal as a commonplace, the act of<br />
a single individual, Euripides identifies it as a practice, one that is bound up<br />
in maintaining a particular social order. The action of his play demonstrates<br />
how this order imposes psychological damage and death on men too.<br />
My paper will examine the process by which the playright situates Medea in a<br />
culture where ‘the hero’ is the only model for aspiration. Underpinning that,<br />
however, the play suggests, is a refusal to recognize or give a place to human<br />
vulnerability and failure.<br />
Getting it so wrong, argues the play, requires a change of direction. Critics<br />
have always puzzled over the way Euripides chose to end, with a total disregard<br />
of dramatic convention or psychological consistency.<br />
In this provocative finale Medea announces her project of community<br />
mourning and expiation: the knowledge of weakness and loss, suppressed<br />
under the culture of Athens, is retrieved and brought forcibly to the attention<br />
of the audience.<br />
PARALLEL SESSION / Family, Groups and Society<br />
55
Rage and mourning: group therapy (Room 2)<br />
Leslie M. Lothstein<br />
Ph.D. ABPP, West Hartford CT, USA<br />
MOURNING AND RAGE IN A LONG TERM PSYCHODYNAMIC OUTPATIENT<br />
GROUP OF MALE SEX OFFENDERS<br />
The therapist’s capacity for treating violent sex offenders (VSO) in outpatient<br />
group therapy varies according to how comfortable the group therapist is<br />
with having very strong feelings enacted in an outpatient VSO group.<br />
For most VSOs intense rage is often followed by intense shame as complex<br />
transference and countertransference states emerge that need to be attended<br />
to if change is to occur. Two prototypical cases serve as examples of how<br />
therapeutic change occurs in the context of boundary crossings in the group.<br />
Carl, a violent sex offender, viciously raped a 15 year old boy, abducting him,<br />
tying him up and sodomizing him. At times he speaks violently in the group<br />
and once sat in the therapist’s chair and took over the group. The group asks,<br />
“Is it safe to be here?”<br />
Bob wrote a highly intellectualized suicide note that arrived a day after he violently<br />
suicided by jumping off a 100 foot overpass. Over the ensuring months<br />
the group’s mourning and rage take on many forms. During one group Stan’s<br />
boundaries become con-fused with those of the deceased Bob. Stan misses<br />
Bob and wants to die and join him. The group is confused by Stan’s words that<br />
Bob is inside him. They ask, “What’s wrong with his/our boundaries? Are we<br />
safe from his/our feelings? Can the group survive this experience?”<br />
The parallel process between the VSO enactments in the group and change is<br />
discussed as at the core of therapeutic work in relationally focused psychoanalytically<br />
informed group therapy with VSOs.<br />
PARALLEL SESSION / Family, Groups and Society<br />
56
Rage and mourning: group therapy (Room 2)<br />
Vincenzina Fragasso / Simona Ramella Paia<br />
Forensis Psychologist, Psychoterapist,<br />
Biella, Italy<br />
THE PSYCHOEDUCATIONAL GROUP FOR ABUSIVE MEN AS A WAY TO<br />
INTERRUPT THE CYCLE OF VIOLENCE AND HIS SOCIAL RETURN OF IMPACT<br />
(SROI)<br />
PAVIOL is an Association that promotes social health operating in Biella,<br />
Piedmont from 2013.<br />
In 2015 PAVIOL started with a new project: to offer free psychoterapy to<br />
abusing adults; this is a group therapy based on the model of CAM in Florence,<br />
the first private center in Italy .<br />
The group therapy is organized on two levels:<br />
a 18 sessions focused group in wich people talk about violence, family, parenting,<br />
sexuality, women;<br />
a psychoterapeutic group with the model of transactional analysis .<br />
This presentation will offer a reflection about the prevention of future violence<br />
by the intervention on adults : the positive modelling is a good way to<br />
prevent future; it’s true actually that a lot of abusing adults were abused children<br />
in the past (Liotti, Farina, 2011; Cornell, Olio 1992).<br />
One of the missions of the Association is changing culture and preventing<br />
violent behaviors working with all the actors of the abused families.<br />
The social costs of violence are very high if we think, as example, about health<br />
costs, legal costs, loss of work…<br />
The mission of PAVIOL is to stop the cycle of violence in order to introduce<br />
a new way to think about social costs (SROI)<br />
PARALLEL SESSION / Family, Groups and Society<br />
57
Destructiveness, individuals and institutions (Room 3)<br />
Caterina Marchetti<br />
Forensic Psychologist Psychotherapist,<br />
Turin, Italy<br />
A PSYCHOANALYTIC PSYCHOTHERAPY GROUP WITH WOMEN CRIMINALS<br />
IN A NORTHERN ITALIAN PRISON<br />
This presentation tells the story of a therapy group in a prison where a total<br />
of 350 men and women are incarcerated, 40 of whom are women who have<br />
committed crimes of a range of severities.<br />
The group began in 2013 and was composed originally of 12 women. As with<br />
any forensic psychotherapeutic group, the initial objective was to try to understand<br />
what was behind the crimes and to activate the women’s thinking<br />
in order to reduce acting out. The group meet weekly for an hour and a half.<br />
During the three years the group ran, I was supervised by Estela Welldon, and<br />
despite the fact there were many interpretations made about my reluctance to<br />
interpret any negative transference made by the group to the therapist, I didn't<br />
feel easy making them. At times I forgot my therapeutic role and behaved in<br />
a friendly and kind way to the extent that I was unable to interpret the hidden<br />
fear and anger that some of the women experienced. This especially applied<br />
to one woman who'd killed both her parents in cold blood, and behaved in<br />
the most seductive of ways in the group. Actually she psychologically hijacked<br />
the group and was extremely successful in getting rid of, one by one,<br />
the other group members, so that eventually, she had a one-to-one session<br />
with me. We were able to discuss some unresolved mourning processes in my<br />
own family, which had completely obliterated my capacity to think. Also, I<br />
clung firmly to the belief that this woman was suffering from schizophrenia<br />
although EW was of the opinion that she displayed psychopathic personality<br />
structures. The suggestion was that this enabled me to dismiss my own sense<br />
of fear of this dangerous woman. At this point, having consulted with the<br />
supervisor EW, after three years, it was decided to terminate the group as it<br />
was no longer a group. Paradoxical to its purpose, this group failed because<br />
it did not achieve the capacity to think. Following the last supervision, it<br />
became clear that the involvement of the therapist had played a role in the<br />
disintegration of the group. The blindness of the therapist is comparable to<br />
an unwillingness to see the obvious signs of a group that doesn’t function.<br />
The presentation wishes to examine the parallels between the therapist in the<br />
group and Jocasta in the myth of Oedipus. Both did not recognize in time a<br />
truth which was right before their eyes.<br />
PARALLEL SESSION / Family, Groups and Society<br />
58
Destructiveness, individuals and institutions (Room 3)<br />
Moustafa Saoud<br />
Sussex Partnership NHS Foundation Trust,<br />
Sussex, UK<br />
RAGE, NARCISSISM AND THE SEARCH FOR MOURNING AT THE<br />
EXTREMES OF AGE<br />
These case presentations vividly illustrate the impact of unprocessed feelings<br />
of rage on the existence of the human soul. The first case is of a man in his<br />
seventies who has no history of involvement with forensic or mental health<br />
services. He commits murder and his crime was described as ‘surprisingly<br />
ruthless and puzzling’. It is not however until he is admitted to hospital that<br />
staff are faced with his severe psychopathology and inability to mourn. The<br />
team also struggles to cope with a range of difficult emotions aroused by their<br />
daily interaction with him, and with the wider rehabilitation system.<br />
The second case is of a very young man who has managed by openly communicating<br />
his violent fantasies, and without actually committing any physical<br />
violent acts, to put the local criminal justice and mental health systems on<br />
high alert. It demonstrates that fragility of our systems when faced with unprocessed<br />
feelings of rage, especially when disowned and projected into the<br />
wider system.<br />
Specific areas of relevance to the conference theme that will be highlighted<br />
include the role of psychodynamic thinking with regard to: risk assessment<br />
and management and the prevention of future offending; and the interface<br />
between forensic services and outside agencies.<br />
The relationship between violence acts and narcissism as a defence against<br />
threats to self-existence will also also be explored.<br />
PARALLEL SESSION / Family, Groups and Society<br />
59
Destructiveness, individuals and institutions (Room 3)<br />
Sandra Scott / Manza Kamal<br />
West London Mental health NHS Trust,<br />
London UK<br />
IDC ON A PATIENT<br />
Mr K is a 42-year-old man originally from Jamaica. He experienced a number<br />
of significant losses in his early life. He was admitted to Broadmoor Hospital<br />
from prison on 20 th March 2014. His index offence was Manslaughter of a<br />
sex worker in London in January 2014, and Sexual Assault and False Imprisonment<br />
of another sex worker ten days earlier . Mr K’s account of the index<br />
offence indicated that the offence was not directly sexually motivated. Prior<br />
to the index offence Mr K had a 5 year history of contact with mental health<br />
services associated with multiple admissions to psychiatric hospital under<br />
the Mental Health Act, and periods of non-compliance with medication necessitating<br />
depot antipsychotic medication.<br />
Mr K was transferred to an MSU from Broadmoor Hospital in January 2016.<br />
Superficially Mr K appeared to be generally settled on the MSU ward and was<br />
not involved in any untoward incidents. However it was noted that he socialised<br />
with few patients and was very guarded with staff; that during his interactions<br />
with staff although outwardly compliant there was no depth or detail<br />
to his communications. In addition, a number of female staff members noted<br />
that Mr K had a habit of sitting in a chair with a bird’s eye view of the nurses’<br />
station, staring intently inside. It made several members uncomfortable.<br />
Other members of staff observed that there appeared to be a sense of suppressed<br />
rage and hostility in Mr K which was at odds with his superficial<br />
cooperation and politeness. The MDT concluded that after several months<br />
that they felt that they were making no real progress in understanding Mr<br />
K psychologically. It was felt that he had put up a barrier and that this and<br />
the discomfort some staff felt in his presence was hindering their ability to<br />
manage him generally and assess his risk to others. The MDT decided to<br />
undertake an Interpersonal Dynamic Consultation. This is a whole team<br />
approach. There are facilitated discussions used to look at how individual<br />
patients interact with staff and engage with treatment. How the patient’s behaviour<br />
is impacting on the relationship with staff and the ability to deliver<br />
effective care. The aim is to create an understanding of the patient’s relationship<br />
patterns, allowing for an effective strategy for care. The team’s treatment<br />
plan and approach to the patient is revised in light of this information. Dr<br />
Kamal and I shall carry out an IDC workshop based on this case.<br />
PARALLEL SESSION / Family, Groups and Society<br />
60
Rage and mourning: the creative arts therapies (Room 4)<br />
Stella Compton Dickinson<br />
Instiute of Mental Health,<br />
Nottingham, UK<br />
JOURNEY'S END: RAGE OR RECONCILIATION<br />
Adshead (2012) states that forensic patients have frequently suffered psychological<br />
harm in their childhood. Compton Dickinson (2006; 2013, pp.154–<br />
166) demonstrates howperverse adult responses develop from damaging<br />
childhood experiences which lead to dissociation from painful emotions, the<br />
blunting of emotional recognition, the formation of dysfunctional patterns<br />
of relating and callous responses, ultimately leading to harm through enactments<br />
of rage and the inability to mourn.<br />
Mourning is a process that involves emotional relatedness to self and others.<br />
The catalyst for coming to terms with feelings of loss can be elicited through<br />
music. Music therapy is an expressive psychotherapy to help patients improve<br />
their mental health; within a therapeutic relationship, patient and therapist<br />
collaborate in jointly-creating music to enable the expression of troubled<br />
thoughts, memories and feelings (Davis, Gfeller&Thaut, 2008). For patients<br />
receiving treatment in forensic psychiatric settings there are risks of offence<br />
re-enactment that are symbolically enacted and visibly witnessed during<br />
jointly –created musical improvisation. Perseveration is a common phenomenon<br />
because of unconscious avoidance of endings and the associations with<br />
killing and death. Thus, there are risks of harm to Music Therapists and the<br />
need for an evidence –based, context specific model which can be integrated<br />
into Multi-disciplinary treatment pathways.<br />
This paper willprovides guidance on the general use of music in forensic<br />
settings towards resolving grief, withdescription of risks and what works in<br />
terms of structures and freedom in an evidence-based, time-limitedmanualised<br />
model called Group Cognitive Analytic Music Therapy(Compton Dickinson<br />
(2006; 2013; 2015; 2017)<br />
PARALLEL SESSION / Family, Groups and Society<br />
61
Rage and mourning: the creative arts therapies (Room 4)<br />
Andrew Perry<br />
Chartered Clinical Psychologist, UK<br />
PERMISSION TO COME ALONGSIDE?<br />
Purpose: Cultural change provides new opportunities and threats for mental<br />
health practitioners in forensic services. There are opportunities to play<br />
a seminal role in practice development. There is also the threat of indistinguishable<br />
roles. This submission outlines a contemporary useful relational<br />
model and a technology to deliver it.<br />
Methods: Co-producing reciprocal outcomes, making your dependence on<br />
other people an asset. Accepting invitations to come alongside other people,<br />
to spend time with them, be influenced by their world, to talk and to play<br />
music. That shared power gives us an insight into another person’s world,<br />
equalising the experience, the meaning of the relationship, the level of commitment,<br />
openness to new experiences, risk, and respect. It feels like we are<br />
doing something new together. In this way both parties allow themselves to<br />
be transformed ethically by someone else. A ‘co-productive relationship.<br />
Results: a) A ward talking group is a place for conversation. A simple analogy<br />
from popular culture would be a group of colleagues meeting over lunch<br />
where spontaneous interactions occur within a commonly understood<br />
framework.<br />
b) Social music groups. Patients to get to know staff better through music. In<br />
turn they allow us to get to know them better through music. Taking turns in<br />
being vulnerable by trying new things. Enjoy making musical mistakes with<br />
pace, pitch, timing, and or volume.<br />
Conclusions: A good enough practitioner promotes effective clinical and<br />
non clinical relationships. I have a successful model to do just that in contemporary<br />
forensic services.<br />
PARALLEL SESSION / Family, Groups and Society<br />
62
Personality and family (Room 5)<br />
Markus G. Feil<br />
Psychotherapeutic Clinic for Violent and Sexual Offenders<br />
Munich/Germany<br />
PERSONALITY ORGANIZATION AS MAJOR RESPONSIVITY FACTOR<br />
Men who sexually offend against children frequently meet the criteria of pedophiliaaccording<br />
to DSM-IV-TRresp. DSM-5. However, it remains unclear<br />
how many men with pedophilia actually commit an offence and reoffend.<br />
Also more research is needed to clarify the typological differences between<br />
hands on und hand off child offenders.<br />
This paper examines clinically relevant commonalities and differences of<br />
men with pedophilia with the help of the Structured Interview for Personality<br />
Organization(STIPO)according to the psychodynamicconceptualization<br />
of Kernberg. Variables of this study consisted of hands-on- vs. hands-off-offence,<br />
the sex of the victimsas well as violence in any offence.<br />
Results show that child sexual offenders function on different levels of personality<br />
organization.Although there was no statistical significance the personality<br />
of child sexual abusers wasmore often organized on a borderline level,<br />
while there was a greater variance in the levels of personality organization<br />
in consumers of child pornography.Violent offenders significantly more likely<br />
to function on a lower level of personality organization.<br />
Although there is little immediate prognostic relevance, the diagnostic and<br />
therapeutic value of personality organization should be considered as an important<br />
responsivity factor.Treatment of pedophilic offenders with a borderline<br />
structure can only be effective if the treatment is adjusted to the level of<br />
personality organization.<br />
PARALLEL SESSION / Family, Groups and Society<br />
63
Personality and family (Room 5)<br />
Ronald Doctor<br />
British Psychoanalytical Society,<br />
London UK<br />
RAGE AND MOURNING IN FAMILY AND GENDER DYNAMICS:<br />
FATE, PASSION AND WILL<br />
Rage and Mourning are powerful affects that deeply disturb the human<br />
soul and interrupt the course of their existence.<br />
In the Psychopath the object relationship which results is not with a person<br />
truly seen as separate but with the self projected into another person and<br />
related to as if it were someone else. This is the position of the mythical Narcissus<br />
who fell in love with a strange youth he did not consciously connect<br />
to himself. The way I think of all personality disorder is to think of the patient’s<br />
narcissism, which is usually most obstinately resistant to treatment. In<br />
narcissistic object relations, defences against any recognition of separateness<br />
between self and object play a predominant part. Awareness of separation<br />
would lead to feelings of dependence on an object and therefore to anxiety.<br />
Dependence implies love for and recognition of the value of the object, which<br />
leads to aggression, anxiety and pain because of the inevitable frustration in<br />
relationships and their consequences.<br />
The process of regaining parts of the self lost through projective identification<br />
involves facing the reality of what belongs to the object and what belongs to<br />
the self. This is established most clearly through the experience of loss and the<br />
process of mourning where those parts of the self are regained.<br />
This achievement may require much working through in therapy.<br />
With the help of clinical material, this presentation will explore the transference<br />
and counter transference in relation to the personality disorder and in<br />
particular the psychopath. It is possible to classify the responses aroused by<br />
such patients under three headings: collusion, disbelief and condemnation.<br />
In treatment of the personality disorder, and in particular the psychopath,<br />
projective identification stirs our own sadism and this leads to two-fold response:<br />
either disbelief or condemnation. The psychopath despises the person<br />
who holds onto an illusion that he is good. Unconsciously he knows that<br />
it is a rejection of an important part of him, and will always give a strong clue<br />
about the hidden side of his character.<br />
If we accept what we see in the psychopath then we have to accept our own<br />
sadism. It may be more comfortable to believe that he and I are good.<br />
PARALLEL SESSION / Family, Groups and Society<br />
64
The dark web (Room 1)<br />
Foteini Papouli 1 / Ioannis Sfyrakis 2 / Ravi Lingam 1<br />
1<br />
Specility Doctor in Forensic Services. Currently working for a medium secure personality disorder unit in UK.<br />
Trained in Psychiatry in Greece and UK<br />
2<br />
School of Computing Science, Newcastle University, UK<br />
THE DARK WEB: THE HIDEOUT OF THE IDENTITY<br />
Purpose: The preservation of the identity in the fast-changing world of social<br />
media is a topic that appears to be of increasing interest for scientists and<br />
public. Research is available for thepsychological profile of the users usingthe<br />
unencrypted internet where, despite usernames and passwords, the user can<br />
be identified.<br />
We aim to find published research on the psychological profile of the “Dark<br />
Web” user. The “Dark Web” is a collection of anonymous and hidden websites<br />
using an encrypted network. It attracts a wide variety of people who want to<br />
keep their activities secret.<br />
Methods: Search of the online databases of “Pubmed” and “Google Scholar”.<br />
We used “dark web”, “dark net”, “psychology”, “identity” as key words.<br />
RESULTS: Pubmed did not produce results for our topic. Google Scholar offers<br />
more research on the Dark web, however the focus is mainly on its nature<br />
and the links to specific criminal acts, rather on the psychological characteristics<br />
of its users.<br />
Conclusions: The Dark Web is seen as a tool for those who want to be anonymous,<br />
for the better or worse. As the experience with mainstream web has<br />
shown, the internet can be powerful; itcan split an identity, form personae,<br />
shake the links with the outer world.<br />
Those who need to be anonymous may already struggle with being regardedas<br />
disturbing by others and/or by themselves. Further research is required<br />
to shed light to a topic that is by definition Dark.<br />
PARALLEL SESSION / The clinical field (2)<br />
65
The dark web (Room 1)<br />
Giulia Cusumano 1,2,3 / Rosa Ingiulla 1 , Roberta Desiderio 1 , Agnese Alberio 1,3<br />
1<br />
Dipartimento di Scienze Umanistiche, Università degli Studi di Catania, Catania, Italia;<br />
2<br />
Associazione Antiusura Antiracket Obiettivo Legalità, Catania, Italia;<br />
3<br />
AssociazioneCODICI – Centro per i diritti del cittadino – Sicilia, Palermo, Italia<br />
BULLYING AND CYBERBULLYING IN SICILIAN ADOLESCENTS<br />
Cyberbullying is today an extensive phenomenon especially prevalent among<br />
adolescents and preadolescents, encouraged by the widespread use of new<br />
technologies and the communication revolution due to chat, social networks<br />
and file sharing. The consequences for victims must not be undervalued because<br />
the impact of this kind of persecutory violence, perpetrated in a context<br />
of a space physically and temporarily non limited, is considerable: from the<br />
analysis of research conducted in literature, nationally and internationally, we<br />
find, for example, high percentages of suicide ideation by cyberbullied youth.<br />
After a review and a study of the main national and international tests and<br />
questionnaires on bullying and cyberbullying, examined evaluating their<br />
construction and validity, in the present study we propose an instrument that<br />
– on the basis of past scientific experience about this phenomenon – has the<br />
purpose of finding some quantitative data on the diffusion and influence of<br />
cyberbullying; a further aim of the study is the analysis of the different behavior<br />
acted out in the victimization context.<br />
We observed bully and cyberbully behavior: attitudes that can easily change<br />
into acts of sexting or sextortion favored by the ease of sharing files, and that<br />
are often acted out in a less overt way (because of the opportunity offered by<br />
Internet and technology) than traditional bullying. Our data shows furthermore<br />
how the fact of belonging to certain social classes does not change the<br />
quality of bullying and cyberbullying behaviors.<br />
PARALLEL SESSION / The clinical field (2)<br />
66
Jealousy (Room 2)<br />
Karel‘t Lam<br />
Forensic Psychiatric Hospital Assen,<br />
The Netherlands<br />
A CASE OF ATTEMPTED RAPES AND SEXUAL STALKING: FORENSIC<br />
PSYCHOTHERAPEUTIC REFLECTIONS ON JEALOUSY IN PERVERSIONS<br />
In the case we present we reflect on the specific role of jealousy – besides other<br />
emotions - in a case of multiple rapes and sexual stalking.<br />
The patient we will reflect upon is born with a physical abnormality, limiting<br />
his speech and in his physical appearance. These abnormalities resulted in a<br />
special position in his family of origin. Later in life the patient felt seriously<br />
limited in efforts to make contact, especially with the members of the other<br />
gender. Jealousy is a central theme in his relation with his siblings. At a more<br />
fundamental level: his mother treated him as special, delivering care that was<br />
humiliating for him, at the same time giving him a special position.<br />
The patient is convicted for attempted rape on different occasions the last<br />
fifteen years, hunting for victims that looked similar to his first victim. In<br />
treatment he revealed he’s still aching for his first victim. Central is his feeling<br />
of jealousy and rage about definitely having no place in her life.<br />
Aim is to deepen our understanding of jealousy, its role in understanding<br />
sexual perverse behaviour and how we came across this theme in diverse<br />
aspects of treatment.<br />
PARALLEL SESSION / The clinical field (2)<br />
67
Jealousy (Room 2)<br />
Frans Koenraadt<br />
Utrecht University, NIFP & Forensic Psychiatric Hospital,<br />
Assen The Netherlands<br />
JEALOUSY PENETRATING INTO THE FAMILY DOMAIN: CONSIDERATIONS<br />
FROM FORENSIC MENTAL HEALTH ASSESSMENT AND RESEARCH<br />
As a sensitive emotion jealousy might destabilise the family area. Among siblings<br />
and spouses, but even among parents and their children jealousy might<br />
interfere, sometimes resulting in domestic violence and in some cases with a<br />
lethal outcome: uxoricide, infanticide and siblicide.<br />
Based on cases from forensic mental health assessment and research in this<br />
presentation we will discuss and differentiate between the pathological jealousy<br />
and the non-pathological jealousy and the consequences for forensic<br />
mental health experts' recommendations for the court and the decisions by<br />
the judges.<br />
PARALLEL SESSION / The clinical field (2)<br />
68
Jealousy (Room 2)<br />
Jan van der Leeuw<br />
Private practice Maastricht,<br />
The Netherlands<br />
THE PRESENCE AND ABSENCE OF JEALOUSY IN TWO CASES IN<br />
RELATIONSHIP TO RAGE<br />
In this presentation I like to present two short clinical vignettes. One showing<br />
the evident presence of jealousy in a case of a man accused of trying to kill<br />
his wife. The other case of a pervert man, condemned of rape in former times<br />
and nowadays accused of child-pornography.<br />
In this case I will explore the harmful consequences of the absence or denial<br />
of jealousy in (the relationship of) the patient and his partner. Jealousy as a<br />
defence against oral aggression is missing.<br />
By creating a shared fantasy about sexual abuse of a daughter who still is to<br />
beget, a triangular situation is introduced. The third one is a necessary condition<br />
for the development of jealousy feelings. Jealousy refers to love and<br />
possession and the fear of losing this. L’ amour captative.<br />
Where jealousy cannot find the normal pathways of discharge, hate and envy<br />
can raise as sadistic projections by despising the third one.<br />
PARALLEL SESSION / The clinical field (2)<br />
69
Learning disabilities (Room 3)<br />
This parallel session is dedicated to the memory of our colleague Dr Alan Corbett the IAFP<br />
who sadly died in December last year when he still had so much to offer. Thankfully we have<br />
the legacy of his wonderful writings. As a tribute to his ground breaking work in the field of<br />
forensic psychotherapy the IAFP is proud to announce the first of an annual conference parallel<br />
session dedicated to the theme of intellectual disability, autism and social exclusion. At<br />
subsequent annual conferences the Board will ask for contributions under this theme. At this<br />
years event we are delighted to have 2 of Alan's closest colleagues, Tamsin Cottis and Richard<br />
Curen, who will present papers that build on Alan's thinking and practice.<br />
Tamsin Cottis<br />
UKCP registered Child Psychotherapist.<br />
Primary school and private practice at SW1 Child Psychotherapy, London, uk<br />
YOU DON’T GIVE A SHIT ABOUT ME!: REJECTION, RAGE AND THE<br />
GROWTH OF LOVE<br />
This case-based presentation will describe the long-term psychotherapeutic<br />
treatment of a woman with learning disabilities who was a victim of childhood<br />
sexual abuse and a sexual risk to others. Drawing on theories of Trauma<br />
and Attachment, Winnicottian object relations, and Alvarez’s Levels of Work,<br />
the paper will explore how the patient moved from a position of extreme<br />
anger, hostility and rejection to the therapy, to being able to make positive<br />
use of it. Over the course of the treatment, despite episodes of acute crisis, the<br />
patient became able to mourn profound early losses, often through the use of<br />
metaphor and transitional objects. With support, she became able to form a<br />
mutually loving relationship with a partner.<br />
The treatment took place atRespond, a specialist clinic for people with learning<br />
disabilities, and was case managed by Dr Alan Corbett. His role in the<br />
work was pivotal to the therapy and reflective of the case management model<br />
pioneered at Respond. This aspect of the therapy will also be highlighted and<br />
its clinical impact explored.<br />
PARALLEL SESSION / The clinical field (2)<br />
70
Learning disabilities (Room 3)<br />
This parallel session is dedicated to the memory of our colleague Dr Alan Corbett the IAFP<br />
who sadly died in December last year when he still had so much to offer. Thankfully we have<br />
the legacy of his wonderful writings. As a tribute to his ground breaking work in the field of<br />
forensic psychotherapy the IAFP is proud to announce the first of an annual conference parallel<br />
session dedicated to the theme of intellectual disability, autism and social exclusion. At<br />
subsequent annual conferences the Board will ask for contributions under this theme. At this<br />
years event we are delighted to have 2 of Alan's closest colleagues, Tamsin Cottis and Richard<br />
Curen, who will present papers that build on Alan's thinking and practice.<br />
Richard Curen<br />
Respond Group,<br />
London UK<br />
“I SPIT ON YOUR GRAVE”: A PSYCHODYNAMIC PERSPECTIVE ON<br />
INTELLECTUAL DISABILITY, RAGE, MOURNING AND SADO-MASOCHISTIC<br />
STATES OF MIND<br />
The psychodynamic treatment of people with intellectual disabilities and sexual<br />
perversions is still in its infancy. Using a case-based material this presentation<br />
will explore some of the ways in which the pioneering work of Dr Alan<br />
Corbett provides a richer understanding of the intersection of psychodynamic<br />
theory and ‘forensic disability psychotherapy.’ Material from the treatment<br />
of a number of patients with intellectual disabilities will explore the impact<br />
of early losses on the development of sado-masochistic preoccupations. The<br />
turning inwards and outwards of psychic pain will be explored in the light of<br />
Dr Corbett’s ground-breaking theories.<br />
71
The bi-logic thinking: the matte-blanco perspective (Room 4)<br />
Christos Sideras 1 / Gerald Wooster 2<br />
1<br />
University of Athens, University College Hospitals London, Royal Society of Medicine, London UK<br />
2<br />
Retired Consultant Psychiatrist and Psychotherapist, London UK<br />
EMOTIONS AND INFINITY: THE CONTRIBUTIONS OF IGNACIO MATTE<br />
BLANCO TO UNDERSTANDING EMOTIONS<br />
Being firmly stuck in states of rage or mourning is an experience found in<br />
some extreme mental states, which is often accompanied by similarly extreme<br />
behavior that leads people to the attention of professionals, often against their<br />
own volition.<br />
This "stuckness" offers a good starting point to consider the ideas of chilean<br />
psychoanalyst Ignacio Matte Blanco on emotions and the eternal now they<br />
are experienced in. Matte Blanco describes, along the axis of a polarity of<br />
symmetry to assymetry, a number of levels where this infinity of emotional<br />
experience is varied and structured, and thus differently experienced and<br />
acted upon. He describes the importance of the faculty enabling this move<br />
through the different structurations of the symmetric to assymetric, what<br />
some could call different levels of symbolization.<br />
Re-experiencing the bodily state of an infinite emotional now, with the maturity<br />
of either an inner, or in the case of such a lack, an outer guide, may be a<br />
good way to practice the facility of shifting between the stages. Whether the<br />
guide is somewhat out of sync or, in some cases, frankly dissociated from the<br />
emotional self, there is still in this process the possibility of re-engagement, in<br />
some cases even offering the possibility of a transformation of the emotional<br />
experience, and the behavior outpouring from it. Time permitting we may<br />
also offer some clinical vignettes, to consider, and initiate the discussion.<br />
PARALLEL SESSION / The clinical field (2)<br />
72
The bi-logic thinking: the matte-blanco perspective (Room 4)<br />
Angelo Costanzo<br />
Magistrato della Cassazione<br />
BI-LOGIC AND ARGUMENTATION<br />
La psicologia si occupa delle condizioni soggettive di vario genere che influenzano<br />
i pensieri. Invece, la logica riguarda le regole necessarie del pensiero:<br />
è un'etica del pensiero non riducibile a una descrizione psicologica e i suoi<br />
principi appaiono come se fossero indipendenti delle condizioni mentali. Gli<br />
psicologi descrivono il pensiero effettivo. Invece, il ragionamento logico corretto<br />
dipende da criteri che non possono essere analizzati empiricamente.<br />
Nello sviluppo di una argomentazione logica e psicologia sono come i due<br />
fuochi di un'ellisse.Mirando a una gestione razionale della conoscenza incerta,<br />
l’argomentazione segue strategie di pensiero, complementari a quelle della<br />
dimostrazione. A questa ampliata concezione della argomentazione, la logica<br />
del Novecento ha fornito due potenti strumenti di affinamento.<br />
Le logiche non-classiche hanno dato forma a quelle deviazioni dai principi<br />
logici che la tradizione ha inteso come fondamentali, ma che nelle argomentazioni<br />
sono frequentemente relativizzati.<br />
La bi-logica ha fornito strumenti per capire la parte inconscia dei ragionamento<br />
discorsivi [MATTE-BLANCO].<br />
Analizzare mediante la bi-logica un determinato argomento o addirittura<br />
una argomentazione completa è un lavoro non facile e, in ogni caso, destinato<br />
a rimanere incompiuto. Tuttavia anche alcuni passi in questa direzione possono<br />
chiarire alcune delle radici psicologiche del ragionamento, i loro gradi<br />
di forza di persuasione e le loro fallace.<br />
La forza persuasiva di una argomentazione è determinata dalla combinazione<br />
tra asimmetria e simmetria, tra logica (dell'identità) e analogia (somiglianza).<br />
Questa combinazione è efficace se si rispetta un canone fondamentale: la cogenza<br />
logica ha (se riconosciuta) una efficacia persuasiva in sé, alla quale può<br />
essere aggiunta la forza delle varie forme di emozioni. Tuttavia, poiché l'argomentazione<br />
rimane un discorso segmentato, con una successione di passaggi,<br />
la pura emozione (simmetria) non può valere oltre misura: lucem demonstrat<br />
umbra, umbram demonstrat lux.<br />
PARALLEL SESSION / The clinical field (2)<br />
73
Terrorism and mafia (Room 1)<br />
Pam Kleinot 1 / Sandra Grant 2<br />
1<br />
Member of The Group Analytic Society International, Institute of Group Analysis, London, UK<br />
2<br />
Board Member of the Scottish Association of Psychoanalytic Psychotherapists, UK<br />
TERRORISM: RAGE AND LONGING<br />
There is increasing alarm about the increase in terrorist activities and threats,<br />
almost universally seen at present as being in an Islamist cause. One consequence<br />
has been a focus on trying to understand‘radicalisation’, where extremist<br />
ideas may lead to violent action. A source of puzzlement has been the<br />
motivation of “homegrown terrorists” who have grown up and been educated<br />
in a developed western country who have themselves identified with terrorist<br />
groups such as Daesh, commonly known as Isis. What are they raging and<br />
killing for? After all, haven’t they had it good, been raised well, in a liberal<br />
democracy?<br />
The authors take a psychoanalytic and group analytic perspective to contribute<br />
to this debate, calling on both theory and recent research. Remembering<br />
their own ‘radical’ youths in the 1960s and ‘70s, when “One man’s terrorist<br />
was another man’s freedom fighter”, they consider,apart from the negative<br />
anger and rage, what the positive ‘pull’factors for terrorism are, such as hope<br />
to make the world a better place.<br />
These themes will be illustrated with examples from Pam growing up in<br />
South Africa under state terrorism as well as her work with the families of<br />
suicide bombers in Palestine and Israel and Sandra’s work in a mosque with<br />
men traumatised by accusations of being potential terrorists.<br />
Pam Kleinot, a former journalist, is a psychoanalytic psychotherapist and<br />
group analyst who has worked in the National Health Service, Women’s Therapy<br />
Centre and Women’s prison. Sandra is a psychiatrist and psychoanalytic<br />
psychotherapist, who has worked as an NHS consultant and manager at local<br />
and national levels within Scotland.<br />
PARALLEL SESSION / Organizations and Institutions<br />
74
Terrorism and mafia (Room 1)<br />
Manfredi Zammataro 1,2 / Giulia Cusumano 1,2,3<br />
1<br />
Associazione Antiusura Antiracket Obiettivo Legalità, Catania, Sicilia, Italia<br />
2<br />
CODICI – Centro per i diritti del cittadino – Sicilia, Palermo, Sicilia, Italia<br />
3<br />
Università degli Studi di Catania, Dipartimento di Scienze Umanistiche, Catania, Sicilia, Italia<br />
MAFIA: PSYCHOLOGICAL FUNCTIONING BETWEEN TRADITIONAL<br />
BUSINESS AND NEW OPPORTUNITIES<br />
The Sicilian mafia appears nowadays as a reality strongly rooted in our territory<br />
despite the fact that Police and other Forces of the Law today fight incessantly<br />
against criminal clans, often reporting good results.<br />
So it is natural to wonder why the mafia phenomenon is still so alive. After<br />
a review of newspapers articles, investigations and other studies on mafia<br />
psychology, in addition to the examination of penal proceedings in which<br />
the Anti-racket and Anti-usury association “Obiettivo Legalità” has been involved<br />
against people accused of affiliation to the clans of East Sicily, an important<br />
characteristic has emerged: the mafia has an enormous capacity to<br />
adapt, transforming itself when new historic-economic exigencies manifest<br />
themselves, asking of the clan a change (but maintaining traditional family<br />
laws) that allows them to survive despite adverse conditions.<br />
A concrete sign of this is the current tendency of mafia groups (in addition to<br />
traditional business like extortion, usury and narcotraffic that today involves<br />
new recruits such as people in conditions of extreme poverty who see in dealing<br />
drugs the opportunity to earn the money they need to live) to use European<br />
or State funds: clean money (obtained illicitly) available for the family.<br />
The mafia has today many entrepreneurs among its ranks, experts in economic<br />
mechanisms who are conscious of the possibilities of financing offered<br />
by the European reality; if necessary, it uses professionals to easily achieve the<br />
family aims and illicitly earn money for the clan.<br />
A new social class of white-collar mafia that, even if it kills less than in the<br />
past, still damages the economic reality of our country.<br />
PARALLEL SESSION / Organizations and Institutions<br />
75
Rage and mourning dynamics in the institutions and organizations (1) (Room 2)<br />
Angela Foster / Manza Kamal<br />
FRC consultants Organisational consultancy & professional development,<br />
London UK<br />
STAFF ACCUSED AND ABUSED; MANAGING PAIN AND DISTRESS IN THE<br />
SYSTEM OF CARE<br />
Much has been written about the impact of forensic patients on those who<br />
care for them while relatively little attention has been paid to the impact of<br />
the political climate - the culture of blame. When Bion omitted to address the<br />
anxiety his first Northfield experiment generated in his seniors their response<br />
was to close it down. When Baby P died (London 2007), Sharon Shoesmith<br />
the service director was publicly vilified. In both these cases it can be argued<br />
that the extreme response was punishment for failing to protect other from<br />
seeing things they preferred to remain ignorant of i.e. that soldiers become<br />
disturbed and mothers can kill their babies.<br />
The duty of care requires professionals to look after those deemed to be at<br />
risk and risky and to protect others from harm. This dual responsibility can<br />
place staff in a sandwich of persecutory anxiety in which they are also likely<br />
to experience depressive and existential anxieties. When a patient or client<br />
does something particularly alarming we worry about how to manage the<br />
immediate clinical situation, how to manage our managers and the external<br />
system and about our own abilities and our survival.<br />
While some degree of anxiety may be helpful as a motivator, too much is anxiety<br />
inhibits our ability to think hence the management of anxiety is crucial<br />
to good practice. Reference will be made to the theme of rage and mourning<br />
in clinical teams.<br />
PARALLEL SESSION / Organizations and Institutions<br />
76
Rage and mourning dynamics in the institutions and organizations (1) (Room 2)<br />
Lisa Gardiner<br />
Presenter Consultant Forensic Psychiatrist and Forensic Psychotherapist,<br />
Ravenswood House, Knowle, Hampshire, UK<br />
FORENSIC HOSPITALS AND PATHOLOGICAL ORGANIZATIONS:<br />
DESTRUCTIVE NARCISSISM IN THE INTERNAL WORLD AND IN THE<br />
SOCIAL DEFENCE SYSTEM<br />
PDestructive narcissism is an important feature of the internal worlds of patients<br />
in Forensic Hospital settings. The development of this idea has led to<br />
concepts such as the claustrum, the claustro-agoraphobic dilemma and the<br />
psychic retreat. These further help to understand the murderous internal<br />
worlds of our patients.<br />
However, patients are often held in a hospital setting. The development of<br />
theories around social defence systems as a means of managing anxiety in<br />
institutions has high relevance to the task of caring for Forensic in-patients.<br />
These also help to focus our attention on the internal worlds of the staff working<br />
in these settings.<br />
There is a great deal of resonance between the concept of the Pathological<br />
Organisation and the Social Defence Systems that evolve in Forensic Institutions.<br />
This presentation aims to consider the two theoretical models and<br />
their relevance – not only to working in a Forensic Hospital setting but in<br />
how these interplay to prevent the work of mourning as an essential task for<br />
patients and staff in an institution set up to contain the most frightening and<br />
dangerous individuals in society.<br />
Methods: PowerPoint presentation / workshop with participant discussion of<br />
theoretical and clinical material<br />
PARALLEL SESSION / Organizations and Institutions<br />
77
Long term segregation (Room 3)<br />
Katya Orrell / Elena Mundici<br />
Panoptikon, London, UK<br />
SWANSONG: CAN HOPE SURVIVE AN INDETERMINATE PRISON SENTENCE?<br />
‘Piles of junk. …an overturned stool. Night. Darkness.’<br />
These stage directions from Chekhov’s ‘Swansong’ could be describing the<br />
prison wing, both physically and metaphorically. His play depicts a drunk,<br />
elderly comic actor who has fallen asleep after the performance is over and<br />
awakes to a deserted theatre. He speaks, and is answered by the prompter<br />
responding from the darkness, an image not unlike the therapeutic dyad.<br />
Over the past year, perhaps more than ever before, working psychodynamically<br />
in a man’s prison has felt dangerous. For the man serving an IPP sentence,<br />
a sentence with no finite ending, the threat of psychic death, the death<br />
of hope, is the sword of Damocles which hangs over his every day. In this<br />
paper, we examine what it means to adapt our work with a man who never<br />
knows when he will leave prison and how he manages those feelings.<br />
Using the concept of the swansong, a song considered to be more beautiful<br />
because of the fragility of a life that is about to end, we ask what is happening<br />
when a prisoner whose unprocessed grief and rage threatens to destroy all<br />
creativity.<br />
We explore how the danger of his internal destructiveness meets, and is also<br />
reflected by, the actual threat of our own extinction as forensic psychotherapists.<br />
What happens to the work, to the ability to contain, when the relationship<br />
with the prison itself feels like a dangerous liaison, when each session<br />
feels like a Swansong?<br />
PARALLEL SESSION / Organizations and Institutions<br />
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Long term segregation (Room 3)<br />
Emma Allen<br />
Art Psychotherapist at Rampton Hospital & Senior Lecturer in Art Psychotherapy<br />
at the University of South Wales, UK<br />
THE BOY WHO CRIED WOLF: A COLLABORATIVE APPROACH TO LONG<br />
TERM SEGREGATION<br />
This paper presents a unique account of a transdisciplinary approach, combining<br />
dialectical behavioural therapy (DBT) and art psychotherapy to longterm<br />
segregation and seclusion in a National High Secure Learning Disability<br />
Service. The rationale for joint psychology and art psychotherapy sessions<br />
with both a female and male therapist is discussed, along with how risk was<br />
managed.<br />
Purpose: The paper describes the clinical work with one patient, and discusses<br />
both advantages and challenges of ‘re-parenting’ through the seclusion<br />
hatch, whilst exploring transference and countertransference difficulties of<br />
defectiveness, shame, rage and mourning.<br />
Methods: A collaborative, cross-disciplinary, dialectical behavioural therapy<br />
(DBT) and art psychotherapy approach to long term segregation (LTS) in the<br />
National High Secure Learning Disability Service; Usingthe ‘I Can Feel Good<br />
(ICFG) Programme: Skills for training people with intellectual disabilities<br />
and problems managing emotions’ (Ingamells and Morrissey, 2014),mindfulness,<br />
image-making and schema therapy supervision.<br />
Results: Identifying the benefits and challenges of transdisciplinary work<br />
(DBT, Art Psychotherapy, Schema) whilst also contributing to the sparse literature<br />
on LTS and engaging with patients ‘through the seclusion hatch’.<br />
Conclusions: Athree-way therapeutic relationship offers an alternative sense<br />
of containment to that offered by seclusion. A transdisciplinary ‘re-parenting’<br />
process for patients’ ‘victim’ and ‘perpetrator’ identities allows therapists to<br />
work with both the ‘boy’ and the ‘wolf ‘’, surviving ongoing allegations and<br />
threats of violence.<br />
PARALLEL SESSION / Organizations and Institutions<br />
79
Notes
Notes
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