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INTERNATIONAL ASSOCIATION FOR FORENSIC PSYCHOTHERAPY 

ANNUAL CONFERENCE 

RAGE 

AND 

MOURNING 

MAY 25 | 28 2017 

Catania | Aula Magna - Palazzo Univesità 

Catania | Benedictine Monastery 

SCIENTIFIC PROGRAM 

con il patrocinio di

SCIENTIFIC COMMETEE 

RICHARD CUREN 

RONALD DOCTOR 

REENA KAPOOR 

TILMAN KLUTTIG 

LESLIE LOTHSTEIN 

CATERINA MARCHETTI 

DAVID MILLER 

ELENA MUNDICI 

KATYA ORRELL 

FRANCESCO SPADARO 

ESTELA WELLDON 

LOCAL ORGANIZERS 

FEDERICA GUAGLIARDO 

FRANCESCO SPADARO

INDEX 

RAGE AND MOURNING............................................................... pag. 4 

ATTENDEES............................................................................... pag. 5 

IAFP INFORMATION................................................................... pag. 6 

IAFP PRESIDENT'S WELCOME..................................................... pag. 7 

IAFP BOARD MEMBERS.............................................................. pag. 8 

GILL MCGAULEY AWARD............................................................. pag. 10 

IAFP PAST CONFERENCE............................................................. pag. 13 

IAFP ONE-DAY SEMINARS........................................................... pag. 14 

MAIN TOPICS............................................................................ pag. 16 

KEYNOTE SPEAKERS.................................................................. pag. 17 

SPEAKERS................................................................................ pag. 18 

CHAIRS.................................................................................... pag. 19 

GENERAL INFORMATION............................................................. pag. 20 

INFORMATION FOR PRESENTERS................................................ pag. 21 

BENEDECTINE MONASTERY........................................................ pag. 22 

SCIENTIFIC PROGRAM............................................................... pag. 27 

ABSTRACTS.............................................................................. pag. 35 

PARALLEL SESSION................................................................... pag. 45

RAGE AND MOURNING 

Rage and Mourning are powerful affects that deeply disturb the human 

soul and interrupt the course of our existence. They are difficult to manage, 

to contain, to elaborate, and to overcome. They often underlie the 

principal suffering that human beings experience or inflict on others at 

an individual, group, or societal level. 

These affects are interconnected, and this interconnection is at the 

source of serious psychopathologies, as well as violent uncontrolled 

and/or uncontrollable acts. The Conference aim is to investigate the 

presence of these psychopathological and deviant behaviours, to try to 

understand their origin, to consider how to handle them, and to identify 

possible ways to prevent them. 

For the ancients, it was impossible to avoid rage and mourning (and 

their consequences) even for the Gods: Greek tragedies always deal 

with these issues. They were and are still performed in Syracuse, which 

is close to Catania, and we invite you to join us in a unique opportunity 

to elaborate on and experience, at a cultural and emotional level, the 

wealth of topics we will discuss at the Conference panels. 

4

ATTENDEES 

The 26 th IAFP Conference is an international scientific event focused 

on bringing together clinicians and also any professional or volunteer 

that works and/or collaborates in the forensic field, such as in the 

forensic academic world. We anticipate attendees coming from many 

different countries of the world, including psychiatrists, psychotherapists 

(group, individual and art therapists), psychologists, trainees, social 

workers. But also lawyers, judges and nurses interested in this area 

and in the issue and in the topics of the Conference. 

5

IAFP INFORMATION 

WHO WE ARE 

The International Association for Forensic Psychotherapy (IAFP) exists to 

promote the health of offenders and victims through the use of psychotherapeutic 

understanding, risk assessment and treatment techniques and to 

advance understanding about forensic psychotherapeutic practice. The International 

Association for Forensic Psychotherapy was formed in June 1991 

in Leuven, Belgium at a meeting held during the 17th International Congress 

on Law and Mental Health. 

The formation of the IAFP was based upon the true roots of psychoanalytic 

psychotherapy with offenders, which started at the Portman Clinic in London 

with its foundation over 70 years ago. 

The first President of the IAFP, Estela Welldon, and her colleagues were a 

small group of European psychiatrists trained in analytic psychotherapy and 

working within forensic settings. They decided to meet regularly to discuss 

the difficulties encountered daily in their work in terms of the treatment of 

patients, policy making and working with colleagues from other disciplines. 

The organisation grew from this small body into an international society 

with members from all disciplines. 

The IAFP has held 21 international conferences to date. 

MEMBERSHIP 

Membership of the Association will be open to any person over the age of 

18 interested in furthering the work of the Association and is available by 

annual subscription to the IAFP at the subscription rate fixed at the business 

meeting and thereafter fixed by resolution carried at each Annual General 

Meeting or Special General Meeting. Membership will lapse if the annual 

subscription is not maintained. 

The Association reserves the right to remove from membership any individual 

who may be deemed by the Executive Board of the Association to have 

brought the work of the Association into disrepute. 

www.forensicpsychotherapy.com 

6

IAFP PRESIDENT'S WELCOME 

Over 26 years of hosting conferences, the IAFP 

has earned a reputation for holding unique, intimate 

events in spectacular locations around the 

world. This year's conference in beautiful Catania 

certainly lives up to that reputation. Approximately 

40 presenters, from psychotherapists to 

literary scholars and legal experts, will spend two 

days exploring the theme of "Rage and Mourning" 

in the forensic context, placing particular 

emphasis on a psychodynamic understanding of 

these complex processes. As IAFP President, I am proud of our organization's 

long-standing commitment to preserving the role of psychodynamic expertise 

in forensic settings. 

The 2017 conference offers an important opportunity for clinicians, scholars, 

and service users to examine the often-overlooked interplay between grief 

and violence, with the ultimate goal of improving both our understanding 

and our therapeutic technique. 

On a personal note, I should also say that many Americans, myself included, 

have learned more about rage and mourning since our 2016 presidential 

election than we cared to know. 

We are mourning the loss of our first African-American president, and on 

many days it feels as though we are also mourning the loss of important ideals: 

multiculturalism, tolerance, and equality. We are filled with rage, but we 

are also told that our ignorance of other (poor, white) Americans' rage is 

responsible for the election of our new president. Our emotions are difficult 

to contain and even more difficult to sort through. I know that many others 

around the world - in Britain, France, and elsewhere - are struggling with 

similar dilemmas in this uncertain political context. 

Although a long road lies ahead, I am so grateful for the opportunity to gather 

with an international community of peers - even if just for a few days - to 

commiserate and face the challenges of our complicated world together. 

Thank you for participating in the 2017 conference, and welcome to the IAFP! 

Reena Kapoor, MD 

7

IAFP BOARD MEMBERS 


HONORARY LIFE PRESIDENT 

REENA KAPOOR 

PRESIDENT 

CARINE MINNE 

VICE PRESIDENT 

RICHARD CUREN 

TREASURER 

COLIN CAMPBELL 

SECRETARY 


EXECUTIVE COUNCIL 

LOCAL ORGANIZER 

GWEN ADSHEAD 


RONALD DOCTOR 


ANGELA FOSTER 


8

IAFP BOARD MEMBERS 

GABRIEL KIRCHUK 


TILMAN KLUTTIG 






DAVID MILLAR 


ELENA MUNDICI 


KATYA ORRELL 


EMMA WENT 


BARBARA JACOBS 

ADMINISTRATOR AND 

COMMUNICATIONS 

ASSISTANT TO THE IAFP BOARD 

9

GILL MCGAULEY AWARD OF THE INTERNATIONAL ASSOCIATION 

FOR FORENSIC PSYCHOTHERAPY FOR YOUNG PROFESSIONALS 

IN FORENSIC PSYCHOTHERAPY 

This award granted by the International Association 

for Forensic Psychotherapy should 

encourage newcomers and trainees from all 

forensic professional disciplines to present at 

IAFP conferences and recognize outstanding 

scholarly contributions to the field of forensic 

psychotherapy. 

The award is granted by the IAFP in memory 

of our friend and colleague, Professor Gill 

McGauley, former secretary and past president of the International 

Association for Forensic Psychotherapy, who died unexpectedly on 

the 14th July 2016. Gill’s contribution to forensic psychotherapy and 

to our association is unique. She was the first Professor of Forensic 

Psychotherapy and Medical Education and Head of the Center for Clinical 

Education at St George’s University of London and a Consultant 

in Forensic Psychotherapy in Central and North West London Foundation 

NHS Trust (CNWL). 

She developed psychotherapy services for women in prison (HMP 

Holloway and YOI Bronzefield) and worked in the High Secure Hospital 

Broadmoor where she established the first forensic psychotherapy 

service in a high secure hospital. Gill has developed forensic 

psychotherapy through teaching, scholarship and research. In 2009 

she was awarded a National Teaching Fellowship by The Higher Education 

Academy for excellence in teaching. 

She gave an outstanding contribution to the research on the application 

of Attachment Theory and the development of Mentalization Based 

Treatment (MBT) for personality disordered offender patients. 

10

STATUTES OF THE GILL MCGAULEY AWARD 

PROCEEDINGS AND CONDITIONS: 

1. The award shall be granted once per year. 

2. Eligibility criteria for the award include: 

a. First-time presenters at an IAFP conference; or 

b. Presenters who are still in training; or 

c. Self-described newcomers in the field of forensic psychotherapy 

3. Candidates will be asked about their eligibility and interest in being considered 

for the award when submitting a conference abstract. 

In addition, candidates can be nominated by the scientificcommittee on the 

basis of their abstracts. 

4. The award will be open to candidates from every profession. 

5. If a presentation is given by more than one individual, the first author of the 

abstract will be presented with the award. The content of the presentations may 

be research work, theoretical contributions, reports on innovative practice, 

or case reports with a relevant link to therapeuticmethods and/or theory. 

JURY: 

1. A committee will attend the presentations and assess their quality, their scientific 

and/or clinical relevance and the quality and originality of the presentation. 

2. The award committee will be three persons – a member from the local scientific 

committee, a member from the board of IAFP, and (given that this will develop) 

the editor of the Journal for Forensic Psychotherapy or the board member 

responsible for the one-day seminars. 

3. The committee decides unanimously or by a majority on the award winner. 

The decision of the committee is final and not subject to legal recourse. 

THE AWARD MAY INCLUDE EITHER FOR SINGLE AUTHORS: 

1. A one year free membership to IAFP 

2. Participation at the next IAFP conference 

(IAFP will cover the conference feeonly). 

3. Support for the publication of a paper based on the presentation by a prominent 

tutorship through IAFP members. The family of Professor Gill Mc Gauley, Tim, 

Sarah and Jessica Hucker will be informed each year by the president of IAFP 

who has been given the award. 

11

IAFP PAST CONFERENCE 

IAFP CONFERENCE 2016 (GENT) 

Families: how to survive them - or not… 

An analysis of the dangerous family 

and societal response 

IAFP CONFERENCE 2015 (YALE) 

Recovering from Violence. 

Victims, Perpetrators and Communities 

IAFP CONFERENCE 2014 (UTRECHT) 

Understanding Justifications and 

Excuses for Criminal Behavior 

IAFP CONFERENCE 2013 (KONSTANZ) 

Forensic Psychotherapy in the 

Community - Between Inclusion 

and Exclusion 

IAFP CONFERENCE 2012 (VENICE) 

Corruption, Deception and 

Collusion – Attacks on the Mind 

IAFP CONFERENCE 2011 (EDINBURGH) 

Murder In Mind 

IAFP CONFERENCE 2010 (OXFORD) 

Tales of Transgression 

IAFP CONFERENCE 2009 (KONSTANZ) 

Ruptures and Relations – Group 

Dynamics and Forensic 

Psychotherapy 

IAFP CONFERENCE 2008 (VENICE) 

Security and Terror: A State of Mind 


Hope and Hate – Working With 

the Forensic Patient 


Revenge, Justice or Treatment. 

Forensic Psychotherapy and the 

Criminal Law 

IAFP CONFERENCE 2005 (DUBLIN) 

After Trauma - Within Families 

and Between Strangers 

IAFP CONFERENCE 2004 (EDINBURGH) 

Understanding Persecution 

IAFP CONFERENCE 2003 (ARNHEM) 

Process or Protocol? 

IAFP CONFERENCE 2002 (STUTTGART) 

Trauma and Delinquency 

IAFP CONFERENCE 2000 (BOSTON) 

Learning from Violence 

IAFP CONFERENCE 1999 (SHEFFIELD) 

Forensic psychotherapy and 

thepublic sphere 

IAFP CONFERENCE 1998 (COPENHAGEN) 

Forensic Psychotherapy - Boundaries 

and Relations 

IAFP CONFERENCE 1997 (LONDON) 

Intoxification, Crime and the 

Forensic Patient 

IAFP CONFERENCE 1996 (ULM) 

Freedom and Coercion. 

Forensic Psychotherapy under Scrutiny 

IAFP CONFERENCE 1995 (GLASGOW) 

Violence and Death 

IAFP CONFERENCE 1994 (THE HAGUE) 

Personality Disorders. 

The Challenge for Forensic Psychotherapy 


Psychodynamics and the 

Adolescent and Female Offender 


Forensic Psychotherapy - Identity, 

Network and Future 

13

IAFP ONE-DAY SEMINARS 2005 - 2016 

05/05/2006 

IAFP AND HENDERSON 

BODILY HARM 

LONDON, UK 

07/07/2006 

IAFP AND ESRC 

FIRE STARTING AS A SYMPTOM 

OF PERSONALITY DISORDER 

LONDON, UK 

25/01/2008 

IAFP AND CO 

THE THERAPEUTIC MILIEU 

UNDER FIRE: ATTACHMENT, 

ATTRITION AND REGENERATION 

LONDON, UK 

17/09/2010 

IAFP AND MILLFIELDS 

ON BEING HATED BY THE PATIENT: 

THE MEANING OF AND RESPONSES 

TO RUPTURES IN THE 

THERAPEUTIC ALLIANCE 

LONDON, UK 

21/05/2010 

IAFP AND BROADMOOR 

"BRUTAL CULTURES": 

BULLYING AND SCAPEGOATING 

IN FORENSIC SETTINGS 

CROWTHORNE, UK 

11/02/2011 

IAFP AND RESPOND 

STRANGE FASCINATION: DISABILITY 

PSYCHOTHERAPY IN FORENSIC 

SETTINGS 

LONDON, UK 

21/10/2011 

IAFP AND CO 

DESTRUCTIVE THINKING AND 

THINKING ABOUT DESTRUCTIVENESS: 

THEORY-PRACTICE GAPS IN 

PSYCHO-SOCIAL STUDIES, 

CRIMINOLOGY AND FORENSIC 

MENTAL HEALTH 

PRESTON, UK 

25/05/2012 

IAFP AND SCOTTISH PD 

NETWORK AND NHS SCOTLAND 

TREATMENT OF PERSONALITY 

DISORDER IN FORENSIC SETTINGS 

STIRLING, UK 

01/05/2013 

IAFP AND NOTTINGHAM 

SHIRE HEALTHCARE 

EVIDENCE FOR THE ARTS 

PSYCHOTHERAPIES IN FORENSIC 

PRACTICEIN PRACTICE: SETTING 

TARGETS OR BEING TARGETED? 

RAMPTON, UK 

24/05/2013 

IAFP 

CRIME IN MIND CRIME IN ACTION 

CATANIA, ITALY 

07/06/2013 

IAFP TREATING EVILPHILOSOPHICAL, 

PSYCHOTHERAPEUTIC AND 

LEGAL PERSPECTIVES 

TREATING EVILPHILOSOPHICAL, 

PSYCHOTHERAPEUTIC AND LEGAL 

PERSPECTIVES 

OXFORD, UK 

14

06/12/2013 

IAFP AND TFP INSTITUTES MÜNCHEN 

IN KOOPERATION MIT DER 

DAS STATIONÄRE SETTING IN DER 

FORENSISCHEN PSYCHOTHERAPIE 

MUNICH, GERMANY 

05/12/2014 

AFP AND TFPINSTITUTES MÜNCHEN 

IN KOOPERATION MIT DER 

PERVERSION UND PÄDOPHILIE 

IN DER FORENSISCHEN 

PSYCHOTHERAPIE 

STIRLING, UK 

17/10/2015 

IAFP AND CONFER 

WHY ARE WE MURDEROUS? 

THE PSYCHODYNAMIC TREATMENT 

OF THE FORENSIC PATIENT 

LONDON, UK 

28/11/2015 

AFP AND MEDIA AND THE INNER 

WORLD NETWORK, UNIVERSITY 

OF ROEHAMPTON AND 

UNIVERSITY OF BOURNEMOUTH 

BOX SET, MIND SET’ THE FORENSICS 

OF POPULAR CULTURE 

LONDON, UK 

11/12/2015 

IAFP 

MOTHER IN MIND; IMPROVING 

SERVICES FOR MOTHERS 

WITH COMPLEX MENTAL 

HEALTH NEEDS 

OXFORD, UK 

04/12/2015 

IAFP AND TFPINSTITUTES 

MÜNCHEN IN KOOPERATION 

MIT DER 

MALIGNER NARZISSMUS 

ANTISOZIALE 

PERSÖNLICHKEITSSTÖRUNG 

PSYCHOPATHIE PSYCHODYNAMIK 

UND BEHANDLUNGSTECHNIK 

MUNICH, GERMANY 

12/03/2016 


UNRAVELLING PSYCHOPATHY: 

PSYCHODYNAMIC 

PERSPECTIVES ON 

WORKING WITH 

PERSONALITY DISORDERS 

LONDON, UK 

01/10/2016 


PSYCHODYNAMIC 

PERSPECTIVES ON SEXUAL 

PERVERSIONS 

LONDON, UK 

07/10/2017 

IAFP AND SIPFO 

IAFP AND SIPFO 

CATANIA, ITALY 

09/12/2016 

IAFP 

CREATING CONTAINMENT: 

WORKING THERAPEUTICALLY 

WITH PARENTS IN CRISIS 

OXFORD, UK 

15

MAIN TOPICS 

RAGE AND MOURNING IN FAMILY AND GENDER DYNAMICS 

ACTS OF RAGE AGAINST SOCIETY BY INDIVIDUAL 

AND BY GROUPS 

THE DARK WEB: CYBERBULLYING AND OTHER FORMS OF 

ONLINE VIOLENCE 

VIOLENCE BY CAREGIVERS AGAINST VULNERABLE PEOPLE: 

CHILDREN, THE ELDERLY, AND INDIVIDUALS WITH DISABILITIES 

SEARCHING FOR RELIEF THROUGH DRUG USE 

THE MATTE BLANCO AND BI - LOGIC BASED PERSPECTIVE ON 

RAGE AND MOURNING 

PERVERSION, RAGE, AND MOURNING 

THERAPEUTIC PERSPECTIVES: INDIVIDUAL, GROUP, AND 

SOCIAL THERAPIES FOR GRIEF AND RAGE 

DEALING WITH RAGE AND MOURNING IN THE COURT 

RAGE AND MOURNING IN CHILDHOOD AND ADOLESCENCE 

THE HUMAN BEING IN THE GREEK TRAGEDIES: FATE, 

FAMILY INHERITANCE, PASSIONS AND WILL 

RAGE AND MOURNING: THE DANGEROUS LIASON 

16

KEYNOTE SPEAKERS 

VINCENZO CARETTI (ROME) 

SALVATORE CASTORINA (CATANIA) 

JAMES GILLIGAN (USA) 

REENA KAPOOR (YALE) 

GIUSEPPINA MENDORLA (CATANIA) 

CARINE MINNE (LONDON) 

KONSTANTIN NEMIROVSKY (MOSCOW) 

ADRIANO SCHIMMENTI (ENNA) 

FRANCESCO SPADARO (CATANIA) 

GIUSEPPE SPECIALE (CATANIA) 

17

SPEAKERS AND CO-AUTHORS 

AGNESE ALBERIO 

EMMA ALLEN 

STELLA DICKINSON COMPTON 

ANGELO COSTANZO 

TAMSIN COTTIS 

RICHARD CUREN 

GIULIA CUSUMANO 

ROBERTA DESIDERIO 

RONALD DOCTOR 

FRANK FARNHAM 

MARKUS G. FEIL 

LISA FIRESTONE 

ANGELA FOSTER 

VINCENZINA FRAGASSO 

JONATHAN GARABETTE 

LISA GARDINER 

SANDRA GRANT 

MARY HAMER 

ROSA INGIULLA 

MANZA KAMAL 

PAM KLEINOT 

FRANS KOENRAADT 

KAREL'T LAM 

RAVI LINGAM 


ALEX MAGUIRE 


DAVID MILLAR 

CARINE MINNE 

CHRISTINE MONTROSS 

ELENA MUNDICI 

KATYA ORRELL 

FOTEINI PAPOULI 

ANDREW PERRY 

ARIANNA PULSONI 

SIMONA RAMELLA PAIA 

MOUSTAFA SAOUD 

SANDRA SCOTT 

IOANNIS SFYRAKIS 

CHRISTOS SIDERAS 

PENNY STOPFORTH 

CELIA TAYLOR 

JAN VAN DER LEEUW 

RACHEL WOODWARD 

GERALD WOOSTER 

NADYA WYNCHANK 

MANFREDI ZAMMATARO 

18

CHAIRS 

GWEN ADSHEAD 

COLIN CAMPBELL 

FELICE CARABELLESE 

RICHARD CUREN 

RONALD DOCTOR 

ANGELA FOSTER 

REENA KAPOOR 

PAM KLEINOT 

TILMAN KLUTTING 

FRANS KOENRAADT 


DAVID MILLAR 

CARINE MINNE 

ELENA MUNDICI 

KATYA ORREL 

JOHN SCHLAPOBERSKY 



EMMA WENT 

19

GENERAL INFORMATION 

ONSITE REGISTRATION DESK 

Thursday May 25 th , 19.00-20:00 (terrazza Museo Diocesano) 

Friday May 26 th , 07.50-08:20 (Aula Magna - Palazzo Università) 

NAME BADGES 

All participants must wear their name badges during the meeting. 

Badges allow admission to all sessions, breaks, lunches, receptions and the banquet. 

ACCOMPANYING PERSONS 

Accompanying persons are not allowed to attend the Scientific Sessions and the 

Exhibition area. There is no registration fees for accompanying persons. However they are 

required to purchase tickets to tour events: https://form.jotform.com/63352357979975, 

and social dinner: https://form.jotform.com/63351685462965 

WELCOME RECEPTION 

The welcome reception will be held on Thursday May 25 th at 20.00 

(terrazza Museo Diocesano) 

IAFP GENERAL MEETING 

The IAFP general meeting will be held on Saturday May 27 th from 13.15 to 14.15. 

All IAFP members are encouraged to attend. 

IAFP GALA DINNER 

The IAFP gala dinner will be held on Saturday May 27 th from 21.00 at "Palazzo Biscari". 

Partecipants are required to purchase tickets: https://form.jotform.com/63351685462965 

CLOTHING 

Clothing in business casual for all occasion. 

LIABILITY AND PERSONAL INSURANCE 

The IAFP 2017 organizers can not accept liability for personal accidents or loss of or 

damage to private property of participants and accompanying persons. 

SAFETY AND SECURITY 

We kindly request you not to leave bags, suitcases or backpacks unattended at any time 

during the meeting. 

20

INFORMATION FOR PRESENTERS 

LANGUAGE 

The official language of the IAFP 2017 Meeting is english. 

ORAL PRESENTATION 

Presenters using a powerpoint presentation should bring it on memory stick (usb) and 

load between 08,00-08,30 for morning sessions during the luch for afternoon sessions. 

Presenters with powerpoint and video are requested to check their presentation to be 

sure they work properly. 

Macintosh users must convert their files to powerpoint in order to be used on the pc, 

otherwise must bring their own computer and VGA adaptor. 

RECORDING POLICY 

Recording any presentation or poster is prohibited, except by IAFP agent, 

or by authors. 

21

HISTORY 

THE VENUE: 

BENEDICTINE MONASTERY 

The Benedictine Monastery of Catania is a jewel of the late Sicilian Baroque. 

A Cassinese congregation founded the complex in 1558. 

The original structure was modified by two natural calamities the lava eruption 

of 1669 and the earthquake of 1693. It was destroyed and re-built and it 

is now an example of the integration of different historical periods. Visiting it, 

you can see the changes due to the lava eruption and the earthquake, but also 

to the civil uses to which it was destined after the Italian Unification. 

The first Monastery had a square floor plan with a cloister in the middle, 

called the “marble cloister” (renamed Western cloister) because of the presence 

of a refined colonnade from the XVIII century and a four-leaved clover 

shaped fountain in the middle with elegant decorations typical of the Renaissance 

period both made with precious marble from Carrara. 

The lava eruption of 1669 and the catastrophic earthquake of 1693 marked 

the destiny of Catania during the XVII century. On March 8, 1669 the Volcano 

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 

destroyed by the lava, leaving behind a lunar landscape. 

Eighteen years after the eruption, in 1687, the reconstruction of the Church 

started, probably based on a project of the roman architect Contini. 

In the night between the 10th and 11th of January of 1693 the city of Catania 

was shacked. The earthquake of 1693 was one of the most devastating catastrophes 

in Eastern Sicily. According to researchers, the earthquake reached 

a magnitude of 7,7 degrees on the Richter scale. The day after the earthquake, 

the city was destroyed and most of the citizens were buried under the ruins. 

The basement and part of the first floor of the Monastery , were still safe. 

Only 14 columns of the cloister were still standing, the others were destroyed. 

In 1702, nine years after the earthquake, the reconstruction of the monastery 

started. On top of the lava ‘wall’, were built two gardens: the botanical garden 

– the wonders garden – and the novices’ garden. 

The church of San Nicolò l’Arena was conceived as a small Sicilian Saint Peter, 

but its facade remained unfinished. Extended and enriched with decorations, 

the monastery became one of the biggest in Europe, following the other 

Benedictine Monastery of Mafra in Portugal. 

Various famous Sicilian architects took part in the reconstruction: Ittar, Battaglia, 

Battaglia Santangelo, and Palazzotto. Craftsmen came from various Sicilian 

towns: Palermo, Messina, Siracusa. Giovan Battista Vaccarini. 

In 1866, the state confiscated the Benedictine Monastery, which passed under 

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 

with the laboratory of meteorology and geodynamics. These new uses caused 

a deep and, sometimes, irreversible change of the monastery structure. 

Most of the frescos were cancelled, the corridors were divided, and other divisions 

added to create offices, training rooms, and toilets. 

In 1977, within a project of regeneration of the historical centre of the town, 

the Municipality donated the Monastery to the University of Catania that 

used it for the Faculty of Humanities. The architect Giancarlo De Carlo supervised 

the restoration works that brought to the recognition of the value of 

the monastery as an example of Contemporary Architecture from the Sicilian 

Regional Government. 

In 2002, UNESCO included the monastery, together with other sites representative 

of the late Baroque of South-Eastern Sicily, in the World Heritage 

List.The restoration of the Monastery lasted thirty years and has led to the discovery 

of the history of the town from the Roman period to the present day. 

An entire Roman neighbourhood with the two main axes the Cardum and 

the Decumanus Maximus, houses of the late Hellenistic and imperial time 

has been found under the monastery. 

It is possible to see the remains in the main court and under what used to be 

the stables of the monastery (where now are the classrooms of the faculty). 

In particular, a domus (Roman house) with its peristilio (court) is still visible 

within the university library, perfectly integrated in the structure of the 

16th century monastery and in the contemporary ‘hanging’ structures that 

allow students to access and use this space. 

Using architect De Carlo words, today the monastery, “with its real structure, 

of a three-dimensional space, has character of a place where young people 

move from one point to the other: a place full of air, light, communication, 

expectations and promises. 

Through different readings of the place and tentative projects the old meanings 

have been substituted by a new one that allows the old architecture to get 

a new structure, and an important role for the contemporary world”.

SCIENTIFIC 

PROGRAM 

27

MAY 25 th 

TERRAZZA MUSEO DIOCESANO 

19:15-19:30 Welcome of the Major of Catania Enzo Bianco 

19:30-21:00 Welcome Party and Opening Ceremony 

by Reena Kapoor (President IAFP) and 

James Gilligan (Past President IAFP) 

MAY 26 th 

SCIENTIFIC PROGRAM 

AULA MAGNA - PALAZZO CENTRALE UNIVERSITÀ 

07:50-08:20 Registration 

08:20-08:30 Greetings 

Marina Paino (Head of the Department of Human Sciences) 

08:30-08:45 Opening and Welcome Remarks 

Francesco Spadaro (Catania) 

The Achilles Paradigm 

Chair: Reena Kapoor (Yale) 

08:45-09:30 Keynote speakers: Konstantin Nemirovsky (Moscow) 

Silence is violence: social and personal consequences 

of psychic trauma and it’s working-through 

09:30-10:15 Keynote speakers: Carine Minne (London) 

Rage, not Mourning: A child's loss becomes a young 

man's violence 

10:15-10:40 Discussion 

10:40-11:00 Coffee Break 

11:00-13:00 Parallel Session: The Clinical Field (1) 

13:00-14:00 Lunch 

13:30-14:00 A possibility: paid tour of the Benedictine Monastery 

“Archaeological Tour” 

14:00-16:00 Parallel Session: Family, Groups and Society 

16:00-17:00 Large Group 

Group Conductor: John Schlapobersky (London) 

17:15 Transfer for the paid tour to the Greek Theatre of Syracuse 

to assist to the Greek tragedy “The Seven againt Thebes”

MAY 27 th 

BENEDICTINE MONASTERY AUDITORIUM DE CARLO 

Chair: Estela Welldon (London) 

08:30-09:15 Keynote speakers: Salvatore Castorina and 

Giuseppina Mendorla (Catania) 

Tiresia, an interpeter of violence: about the violation of 

borders and the desolation of the word 

09:15-10:00 Keynote speakers: Giuseppe Speciale (Catania) 

But one can't live with hate. I know that. 

We have to forget if we are to go on living. 

The rage and mourning of the winners and the losers 




12:30-13:15 Lunch 

12:45-13:15 A possibility: paid tour of the Benedictine Monastery 

“Eighteenth-Century Tour” 

13:15-14:15 Annual General Meeting IAFP 

Chair: Reena Kapoor (New Haven) 

Chair: Felice Carabellese (Bari) 

14:15-15:00 Keynote speakers:Vincenzo Caretti (Roma) 

and Adriano Schimmenti (Enna) 

Trauma and Psychopathy 


15:15-17:15 Parallel Session: Organizations and Institutions 


17:30-19:00 Large Group 

Group Conductor: John Schlapobersky (London) 

19:00-19:30 Closing Ceremony and Gill McGauley Award 

21:00 Gala Dinner at "Palazzo Biscari" 

SOCIAL EVENTS 

MAY 28 th 

09:00 Transfer for the paid tour “Visiting Etna” 

26 May 

Seven Against Thebes 

Greek theatre of Syracuse

PARALLEL SESSION 

MAY 26 th 

AULA MAGNA - PALAZZO CENTRALE UNIVERSITÀ 


Personality disorders (Room 1) Chair: Felice Carabellese 

Celia Taylor: 

Creative processes in forensic psychotherapy and psychiatry: high-risk offenders 

with personality disorder 

Ravi Lingam, Rachel Woodward, Foteini Papouli: 

Pragmatic and Systemic Management and Containment of Interpersonal 

Aggression in Complex Personality Disorders 

Clinical experiences (Room 2) Chair: Ronald Doctor 

Jonathan Garabette, Carine Minne: 

Resurrecting the dead –Psychosis, Rage and Mourning in Pseudopsychopathic 

Schizophrenia 

Elena Mundici, Katya Orrell: 

Terror and wonder: Whose choice is it anyway? 

Children and violence (Room 3) Chair: Reena Kapoor 

Nadya E. J. N. Wynchank, Penny Stopforth: 

Under-age, under-rage: an exploration of South African children who commit 

sexual violence 

Arianna Pulsoni: 

The cathartic process in therapy:From the Cave to Earth 

The human soul: light and darkness (Room 4) Chair: Elena Mundici 

J. David Millar: 

Grief to rage: from darkness into darkness 

Alex Maguire: 

Carlo Gesualdo: music, murder and mourning in Renaissance Italy

14:00-16:00 Parallel Sessions: Family, Groups and Society 

The cultural approach (Room 1) Chair: Colin Campbell 

Christine Montross: 

The Rage of Isolation: Aggression and Self-Injury in Solitary Confinement 

Mary Hamer: 

Rage and mourning in Euripides’ Medea 

Rage and mourning: group therapy (Room 2) Chair: Angela Foster 

Leslie M. Lothstein: 

Mourning and Rage in a Long Term Psychodynamic Outpatient Group of 

Male Sex Offenders 

Vincenzina Fragasso, Simona Ramella Paia: 

The Psychoeducational group for abusive men as a way to interrupt the cycle of 

violence and his social return of impact (SROI) 

Destructiveness, individuals and institutions (Room 3) Chair: Frans Koenraadt 

Caterina Marchetti: 

A psychoanalytic psychotherapy group with women criminals in a Northern 

Italian Prison 

Moustafa Saoud: 

Rage, Narcissism and the Search for Mourning at the Extremes of Age 

Sandra Scott, Manza Kamal: 

IDC on a patient 

Rage and mourning: the creative arts therapies (Room 4) Chair: Pam Kleinot 

Stella Compton Dickinson: 

Journey's End: Rage or Reconciliation 

Andrew Perry: 

Permission to come alongside? 

Personality and family (Room 5) Chair: Richard Curen 

Markus G. Feil: 

Personality organization as major responsivity factor 

Ronald Doctor, 

Rage and Mourning in family and gender dynamics: fate, passion and will

MAY 27 th 

BENEDICTIN MONASTRY AUDITORIUM DE CARLO 


The dark web (Room 1) Chair: Emma Went 

Foteini Papouli, Ioannis Sfyrakis, Ravi Lingam: 

The Dark Web: The hideout of the identity 

Giulia Cusumano, Rosa Ingiulla, Roberta Desiderio, Agnese Alberio: 

Bullying and cyberbullying in Sicilian adolescents 

Jealousy (Room2) Chair: Tilman Kluttig 

Karel‘t Lam: 

A case of attempted rapes and sexual stalking: Forensic psychotherapeutic 

reflections on jealousy in perversions 

Frans Koenraadt: 

Jealousy penetrating into the family domain: Considerations from forensic 

mental health assessment and research 

Jan van der Leeuw: 

The presence and absence of jealousy in two cases in relationship to rage 

Learning disabilities (Room 3) Chair: Katya Orrell 

A Special Session Dedicated To The Memory Of Dr. Alan Corbett 

Tamsin Cottis: 

You Don’t Give A Shit About Me!: Rejection, Rage and the Growth of Love 

Richard Curen: 

“I spit on your grave”: a psychodynamic perspective on intellectual 

disability, rage, mourning and sado-masochistic states of mind 

The bi-logic thinking: the Matte-Blanco perspective (Room 4) 

Chair: Francesco Spadaro 

Christos Sideras, Gerald Wooster: 

Emotions and infinity: The contributions of Ignacio Matte Blanco to 

understanding emotions 

Angelo Costanzo: 

Bi-logic and Argumentation 

15:15-17:15 Parallel Session: Organizations And Institutions 

Terrorism and mafia (Room 1) Chair: Carine Minne 

Pam Kleinot and Sandra Grant: 

Terrorism: rage and longing 

Manfredi Zammataro, Giulia Cusumano: 

Mafia: psychological functioning between traditional business and 

new opportunities 

32

Rage and mourning dynamics in the institutions and 

organizations (1) (Room 2) Chair: Leslie Lothstein 

Angela Foster: 

Staff accused and abused; Managing pain and distress in the system of care 

Lisa Gardiner: 

Forensic Hospitals and Pathological Organizations: 

destructive narcissism in the internal world and in the social defence system 

Long term segregation (Room 3) Chair: Gwen Adshead 

Katya Orrell, Elena Mundici: 

Swansong: Can hope survive an indeterminate prison sentence? 

Emma Allen: 

The Boy Who Cried Wolf: A Collaborative Approach to Long Term Segregation

ABSTRACTS 

35

Francesco Spadaro 

Psichiatrist, Psychoanalytic Psychotherapist. 

President of the Italian Society of Forensic Psychoterapy (SIPFO) and Board Member IAFP and EFPP. 

Department of Mental Healt, Catania 

THE ACHILLES PARADIGM 

“Muse, sing the rage of Peleus’s son Akhilleus, deadly rage that brought the 

Akhaians endless pain, that hurled down to Hades many strong souls of heroes 

and made their bodies meat for dogs and vultures […]” (Homer, Iliad). Thus 

begins Homer’s Iliad, in the recent translation of Richard Whitaker in South African 

English. But The Iliad, an epic poem that is the first masterpiece of Western 

Literature, is not only about the rage of Achilles, but also about his mourning. His 

rage due to the Briseide abduction and his mourning for the death of his beloved 

friend Patroclus. Neither the mass killings of his enemies that he perpetrates, nor 

their humiliations, nor the killing of Hector, the one who had killed Patroclus 

relieved his fury or his grief. To help him overcome his rage and mourning is a 

dream. A dream in which his dead, and already avenged, friend Patroclus talks to 

him and asks to be finally buried. Otherwise, he wouldn't be able to reach Hades. 

At the same time, predicting the future death of Achilles, Patroclus asks him to 

put both of them in the same cinerary urn, in order to be hugged for eternity. 

The Iliad, is, of course, a poem full of tragedy and in this sense it is a precursor of 

the Greek Tragedies. But also, in more contemporary forms of art, like Cinema, 

for example, I am thinking of a movie that has been suggested to be used in this 

conference, as has been done in past ones, Truly, Madly Deeply, or the recent 

Manchester by the Sea, rage and mourning have been able to be overcome after 

and by virtue of dreams. In other forms of cultural imaginary, like painting, the 

creative description has the same function as dreams, such as in the art of Marc 

Chagall, in which pogroms and his lost Jewish childhood home world are evoked 

and transformed into oneiric visual tales. 

But Achilles dreaming of Patroclus talking to him is a precious synthesis of the 

elements necessary for the human being to overcome rage and mourning. I emphasize 

here two of them. The role and the changes of superego and the destiny of 

bonds. A human being is in the position of facing and overcoming his or her rage 

and their mourning only when they have found their solution for reestablishing a 

true and evident continuity between the superego and the principles that regulate 

the world. A continuity that had been broken by the experience of a crime or of 

a loss, but now means a reestablished order of his or her inner world compatible 

with the established order of the external world, and when they have found a 

personal solution to restore a lost bond. 

36

Konstantin Nemirovsky 

Moscow Psychoanalytic Society, 

Society for Psychoanalytic Psychotherapy, Russia 

SILENCE IS VIOLENCE: SOCIAL AND PERSONAL CONSEQUENCES OF 

PSYCHIC TRAUMA AND IT’S WORKING-THROUGH 

One-hundred years ago Freud set mourning against melancholia in the belief 

that endured losses lead to depression. The dramatic events that took place 

during the following century (wars, revolutions, rise and fall of political systems) 

as well as personal histories of that generation, confirmed this belief. 

Not only unmourned grief, but unworked-through violence leads to destruction, 

that enables the victim the possibility of ridding themselves of unbearable 

psychic pain. 

The solutions of this predicament are different - from identification with the 

aggressor, when the former victim projects his own suffering onto others and 

attacks them, to turning this pain against himself resulting in depression, 

self-injuries and suicide. 

These actions arise at social and personal level. For instance, conducted denazification 

enabled Germany to recover after the WWII and become the 

locomotive of EC economic development. On the contrary, uncompleted decommunization 

in Russia gave rise to reappearance of society authoritarian 

governance limiting further development of the country. The same phenomenon 

can be observed in the life of people facing the violence - those who 

come for psychotherapy would have the chance for recovery and development; 

those who refused/cut off of this help would be forced into a reenactment 

of this violence and ultimately found themselves either in jail or at six 

feet under. 

Psychic trauma is like the Lernean hydra capable of poisoning clear water 

just with its toxic breath. Hercules could not overcome it on his own - each 

time he cut its head off, new ones grew immediately up. It was only with the 

help of Elaeus that he could defeat the monster. Similarly, it is only consolidated 

efforts of different parties - psychotherapist and patient, government 

and citizens - that could set the victim of violence free (either individual or 

whole generation) from unconscious enactment of old dramas and offers the 

opportunity to live, thive and develop. 

37

Carine Minne 

Consultant Psychiatrist in Forensic Psychotherapy at Broadmoor Hospital, West London Mental Health 

Trust and the Portman Clinic, Tavistock & Portman NHS Foundation Trust, UK 

RAGE, NOT MOURNING: A CHILD'S LOSS BECOMES 

A YOUNG MAN'S VIOLENCE 

In this paper, I will present two patients diagnosed as suffering from severe 

Personality Disorders with psychotic episodes. I will illustrate the changes 

that can arise during the course of several years’ psychoanalytic treatment in 

high security hospital. Progress was monitored using the Operationalised 

Psychodynamic Diagnostics (OPD) system. The clinical presentations will 

indicate how earlier childhood losses contributed to these adolescent boys’ 

homicidal violence. I also hope to show that it is more helpful to consider 

such patients as suffering from a single entity diagnosis where, at times, their 

mental states are more manifestly personality disordered and, at other times, 

more manifestly psychotic. At each end of that diagnostic spectrum, a different 

set of anxieties is being defended against. The psychoanalytic treatment, 

as one part of the overall treatment, is described to show how the secluded 

parts of the patients’ minds can be approached, including references to the 

regular regressions that arise, provoked by ‘getting better’. 

38

Salvatore Castorina 1 / Giuseppina Mendorla 2 

1 

Full professor of Dynamic Psychology, Department of Humanities, Catania University 

2 

Associate professor of Dynamic Psychology, at the Department of the Human Sciences, University of Catania 

TIRESIA, AN INTERPETER OF VIOLENCE: ABOUT THE VIOLATION OF 

BORDERS AND THE DESOLATION OF THE WORD 

In Euripedes’ The Phoenicean Women, and in the myth of the children of 

Oedipus, already brought to the stage by Aeschylus, there appears a new and 

surprising character: the seer Tiresias. 

He brings to light a story regarding the origins marked by the violence that 

breaks out within the same grouping, the same family: Cadmus, the founder 

of Thebes, kills the dragon, son of Ares, who therefore seeks revenge; the 

teeth of the dragon (the oral violence that devours), on being planted grow 

into giant warriors who kill each other in a fratricidal fight, almost an anticipation 

of the mortal duel of Oedipus’s children. 

Oedipus himself kills his father and curses the children, born of incest. 

The conclusion is predictable for Tiresias, the parricide turns into its opposite: 

the filicide must be repeated in the present generation (Creon must 

sacrifice his son Menoeceus), just as the fratricidal coaction will re-present. 

Where does all this violence come from? Tiresias is the protagonist of a drama 

described in the Yakto (Antioch, Turkey) mosaic: he himself is among 

the heroes (Narcissus, Adonis, Actaeon, Meleagrus), who, in the throes of 

Megalopsychia, a relentless feeling of omnipotence, have violated the limits 

set for humans and by so doing have rendered themselves similar to the gods. 

This shift has been made possible by the denial of limits: the denial of the loss 

of omnipotence. 

Violence, therefore, homicidal or suicidal, is the direct consequence of the incapacity 

or the impossibility of surpassing the persecutory vision of the world 

and of setting out on the painful path of the work of mourning. 

Tiresias is the interpreter of this drama, which, although resolved in mortal 

outcomes, is nevertheless narrable. 

The figure of the interpreter, albeit contested by Creon, is able to process the 

message of the gods. 

Tiresias remains in any case a determining, reliable mediator between human 

and divine discourse. Only the unfolding of the dramatic narration allows, 

in The Phoenicean Women, a conclusion in which Oedipus and Antigone 

attempt a difficult depressive task. 

We have sought to trace the figure of Tiresias in contemporary poetry and 

art, in Guillaume Apollinaire and in Thomas Stearns Eliot. 

39

Salvatore Castorina / Giuseppina Mendorla 

TIRESIA, AN INTERPETER OF VIOLENCE: ABOUT THE VIOLATION OF BORDERS AND THE DESOLATION OF THE WORD 

In this world Tiresias appears uncertain, old, “withered”; forced to observe not 

a universe enclosed in the myth populated by heroes, but a sad bourgeois reality 

of the urban periphery. 

The great wisdom that comes to him from being in possession of both genders 

is transformed into fragility, omnipotent delirium. 

The gift of seeing with one’s eyes degraded into a card reader’s trick. 

Is Tiresias, at least in part, a metaphor for the difficulties of narrating and interpreting 

in many psychopathologies of the contemporary clinical panorama? 

40

Giuseppe Speciale 

Department of jurisprudence, Catania 

BUT ONE CAN'T LIVE WITH HATE. I KNOW THAT. 

WE HAVE TO FORGET IF WE ARE TO GO ON LIVING 

1. The protagonists of the trial - judges, defendants, victims, and people - are 

like moving pieces in a kaleidoscope that reflect their feelings of anger and 

mourning on the mirrors. In the kaleidoscope we can see the complex and 

tormented image of the human condition. In the kaleidoscope it may also 

happen that the pieces change their nature: so the winners become the losers 

and the losers winners. 

2. It is interesting to note how the victim, as an individual, after some time, 

tends to forget why he needs to start a new life without the burden of sorrow 

and mourning. On the contrary, societies ordered in states or in other 

forms of association, tend to institutionalize memory, and promote initiatives 

to eternalize memory, because they think that memory serves to keep the 

collective consciousness alive and to avoid repeating the same facts. But the 

institutionalization of memory leads to the risk of banality, and the repetition 

of the lowest rhetoric, with devastating effects on younger generations. 

41

Vincenzo Caretti / Adriano Schimmenti 1 

1 

PhD, DClinPsy, Faculty of Human and Social Sciences, 

UKE - Kore University of Enna 

TRAUMA AND PSYCOPATHY 

From a biopsychosocial perspective, it is likely that the inborn vulnerabilities 

of psychopaths interact with negative environmental experiences to determine 

the severity of the psychopathic traits. 

Especially in childhood, when the child's brain is particularly sensitive to experiences 

for its development, traumatic experiences in the attachment relationships 

are able to deviate the typical development of basic capacities such 

as empathy, mentalization, affect regulation in the child. This may lead to the 

development of severe psychopathic traits in vulnerable individuals. 

The empirical evidences linking psychopathic traits with childhood experiences 

of abuse and neglect will be reviewed. Research findings from different 

countries show that psychopaths are often exposed to a number of traumatic 

experiences during their childhood, and among these neglect, rejection and 

different types of abuse in the family. Such findings on the relationship between 

traumatic experiences and psychopathy have significant implications 

for prevention, diagnosis, and treatment of psychopathic personalities. 

42

43

PARALLEL 

SESSION 

45

Personality disorders (Room 1) 

Celia Taylor 

Millfields Unit, John Howard Centre, East London NHS Foundation Trust, 

Hackney, London, UK 

CREATIVE PROCESSES IN FORENSIC PSYCHOTHERAPY AND PSYCHIATRY: 

HIGH-RISK OFFENDERS WITH PERSONALITY DISORDER 

The successful psychodynamic treatment of high-risk offenders with severe 

personality disorder is a highly complex endeavour. It requires the therapist 

to help these individuals explore, confront and integrate many facets – both 

destructive and healthy – of their emotional and social ways of being. In this 

presentation I will discuss my experience of working psycho-dynamically 

with such patients in a medium secure, modified therapeutic community, in 

such a way as to foster the core creative processes of change – including curiosity, 

storytelling, and recognition of the potential new self. In many ways, 

these processes resemble the fundamental paradigmatic shifts described by 

Kuhn in 1962, which underpin major scientific discoveries. I will illustrate 

the nature and meaning of these transformative stages with case material 

from perpetrators of patricide. 

PARALLEL SESSION / The clinical field (1) 

46

Personality disorders (Room 1) 

Ravi Lingam / Rachel Woodward, Foteini Papouli 

Forensic Services, Bamburgh Clinic, Northumberland Tyne and Wear NHS Foundation Trust, 

Newcastle-on-Tyne, UK 

PRAGMATIC AND SYSTEMIC MANAGEMENT AND CONTAINMENT OF 

INTERPERSONAL AGGRESSION IN COMPLEX PERSONALITY DISORDERS 

Operational and relational management of risk are cornerstones in the safe 

and effective running of secure hospital units. This challenge is compounded 

by internal, external factors and pressures. 

The Oswin Medium Secure Unit in Newcastle-on-Tyneis a specialist service 

for offender-patients screened to the Offender Personality Disorder (OPD) 

pathway. The service model was re-designed and embedded within OPD 

pathway in 2015, meetingcommissioning specifications, offering primarily 

high risk personality disordered offenders a pathway of care from prison 

to hospital. These individuals are recognized to be‘stuck’ within the prison 

system. They are difficult to engage, in part because of co-occurring mental 

health problems, and pose considerable disturbances, aggression, violence in 

prison and are a risk to themselves. 

Individuals are engaged in focused and relatively brief assessment and treatment. 

This is, in most cases,followed by a return to sign-posted prison pathways 

for ongoing care and treatment and relies on sound partnership work 

with probation, psychology and commissioning colleagues in the OPD Pathway 

and the Prison system. 

This paper is an overview of a model of care paying particular attention to 

the quality of interpersonal engagement and resilience in multi-professional 

staff. A key aspect in engaging difficult-to-engage individuals is to develop 

systemic awareness of the case formulation and how this relates to criminogenic 

risks. Expectations are re-framed in the delivery of ‘care’ to maintaining 

‘ambition’ for patient-offenders, and viewing the work of engagement 

as one,relatively narrow part in a pathway of change and progression that 

includes prison and community services. 


47

Clinical experiences (Room 2) 

Jonathan Garabette 1 / Carine Minne 1,2 

1 

Broadmoor Hospital, West London Mental Health Trust, Berkshire, UK 

2 

Portman Clinic, Tavistock and Portman NHS Foundation Trust, London, UK 

RESURRECTING THE DEAD –PSYCHOSIS, RAGE AND MOURNING IN 

PSEUDOPSYCHOPATHIC SCHIZOPHRENIA 

Purpose: 

Here we suggest the benefit of resurrecting a forgotten nosological entity – 

“pseudopsychopathic schizophrenia” as a way of better understanding a subgroup 

of severely disturbed forensic patients. We suggest that, through the 

oscillations between psychopathic and psychotic states of mind, these individuals 

avoid mourning and the unbearable reality of a painful and fragmented 

internal world. A brief overview of the history of the diagnosis is given, 

with suggested modifications for resurrecting its use, together with clinical 

examples from high secure and community forensic settings. Implications for 

assessment, risk and treatment are discussed. 

Methods: 

Literature review and case series. 

Results: 

Despite its original description in 1955, there has been very little uptake of 

the category for Pseudopsychopathic schizophrenia, and little research into 

the epidemiology and treatment of patients meeting this diagnosis. Our case 

series demonstrates that the potential utility of resurrecting this category to 

better describe and understand a small subgroup of forensic patients. 

Conclusion: 

Pseudopsychopathic schizophrenia is a mostly forgotten nosological entity 

but can be a useful diagnosis for a number of forensic patients. Resurrecting 

its use could have significant clinical and legal implications. 


48

Clinical experiences (Room 2) 

Elena Mundici / Katya Orrell 

Panoptikon, 

London, UK 

TERROR AND WONDER: WHOSE CHOICE IS IT ANYWAY? 

‘Many things cause terror and wonder, yet nothing is more terrifying and wonderful 

than man’ (Sophocles). Greek tragedy defines man as deinós, terrible 

and great -an ambiguous word for an ambiguous being. 

Concerned with the investigation of the role of man in his destiny, one element 

of the Tragic is the conflict between éthos, character, and daímon, a 

spiritual force often interpreted as fate. If éthos belongs to the realm of the 

conscious, daímon from the psychoanalytic perspective could be understood 

as the unconscious. 

Tragedy in its more classic form explores the tension between man’s deeds 

and his progressive acquisition of self-knowledge. This is where he learns 

who he really is and what his actions mean in relation to his identity. 

As forensic psychotherapists, we are spectators of the tragic events that get 

told and re-enacted in the therapeutic process. However, we are also actors, 

in that we help our patients to unravel the meaning of their actions. Why did 

they come to prison? Who were they trying to destroy? Or were they actually 

trying to mourn? 

In their being at the crossroad between ethical, political and spectacular, forensic 

institutions present many analogies with the Greek tragic phenomenon. 

Like tragedy, prisons contain those who enacted society’s most obscure 

phantasies and those who look after them. Both are the source of terror and 

wonder. In this paper we explore the conflicts that emerge in our clinical 

work with staff and prisoners, through the juxtaposition of tragedy and forensic 

psychotherapy. 


49

Children and violence (Room 3) 

Nadya E. J. N. Wynchank / Penny Stopforth 

Juvenile Forensic Service of the Western Cape, Valkenberg Tertiary Hospital, 

Cape Town, South Africa 

UNDER-AGE, UNDER-RAGE: AN EXPLORATION OF SOUTH AFRICAN 

CHILDREN WHO COMMIT SEXUAL VIOLENCE 

Recent research has demonstrated a steady increase in sexual violence committed 

by children in South Africa. In terms of the Child Justice Act of South 

Africa, children between the ages of 10-14 who have committed acts of sexual 

violence are referred for a psychological assessment to determine their criminal 

capacity. Against the background of South Africa’s political history and 

its pervasive socio-economic inequalities, this paper briefly explores some of 

the factors contributing to the prevalence of sexual violence and the power 

relations implicated in constructing violent masculinities. 

In addition, distinct beliefs and gendered social constructs informing normalisations 

of sexual violence will be outlined. Examples of such phenomena 

include “Ukuthwala” (child abductions leading to forced marriage), “corrective 

rape” and “virgin cleansing” myths. 

The paper also focusses on children we have assessed, who have expressed 

an apparent absence of subjective aggression during the commission of these 

decidedly aggressive acts, and shall attempt to explore their behaviour using 

a psychoanalytic lens. The role of attachment and mentalisation in the genesis 

of sexually violent behaviour will be examined alongside developmental factors 

that distinguish child perpetrators from adult perpetrators. 


50

Children and violence (Room 3) 

Arianna Pulsoni 

The Tavistock and Portman NHS Foundation Trust, 

Research Fund Clinical Workshopon Intergenerational family difficulties, 

London UK 

THE CATHARTIC PROCESS IN THERAPY:FROM THE CAVE TO EARTH 

This clinical paper describes some parent-child work and psychotherapy with 

a three-year-old boy who had a traumatic historyand who at the beginning of 

the treatment presented with severe autistic traits. 

The paper draws on and elaborates upon links between the boy’s traumatic 

experiences of abuse and neglect, his autistic defences and his developmental 

delay.The narrative tracks the development of the relationship with the 

therapist and the consequent “birth” of this boy, that is, the emergence of his 

persona once the autistic defences began to fade away. 

The paper also explores the parallel parent work with the boy’s adoptive parents. 

In the last section, the paper discusses the boy’s development of spacetime 

categories in the context of more depressive functioning.Once he acquired 

a sense of time as duration and then as memory, the patient began to 

remember, in therapy, the traumas he had experienced. 

When the resulting anger and pain emerged, so did life: the seemingly autistic 

child came out of his cave and began to read, learn and to understand the 

world around him. 

Recollection of past facts and the acquisition of memory occurred at first 

as a Greek tragedy of sorts, where pain and baleful anger alternated as if in 

a dance. In the cathartic process of experiencing anger and pain,they were 

also understood deeply and then a sense of mourning was born, through 

which defences gave way to development, curiosity and the emergence of the 

experience of beauty within the relationship with the ‘object. 


51

The human soul: light and darkness (Room 4) 

J. David Millar 

Centre for Psychoanalytic Studies, University of Essex, 

Colchester Essex, UK 

GRIEF TO RAGE: FROM DARKNESS INTO DARKNESS 

My paper will be largely theoretical. I have chosen grief and rageas my starting 

points rather than mourning and rage as I believe the former arethe 

emotionally unprocessed starting points in our most extreme reactions to 

life. I intend to show how griefcan either progress through mourning and 

end in sadness and meaning (darkness into light); or alternatively how it can 

lead through emptiness to depression and despair (darkness into darkness). 

Similarly, I proffer howrage can either progress through anger to acceptance 

(darkness into light) or through retribution and revenge ending in bitterness 

and spite (darkness into darkness). In both cases, grief and rage can either be 

‘worked though’ to become a stabilising influence in life or ‘stumbled through’ 

to become a disruptive and malign influence. 

My presentation will consist mainly of a spoken paper butblended with a 

striking musical video that I believe ‘shadows’ my arguments with its own 

moving interpretation. 

Purpose: To show how fundamental human responses can lead either to 

emotional wellbeing or psychological ill-health. 

Method: A mixture of oral presentation with a music video backdrop. 

Results: I will be attempting to refine the theoretical position on the bifurcated 

emotional development of grief and rage. 

Conclusion: Sometimes even in darkness there is light. 


52

The human soul: light and darkness (Room 4) 

Alex Maguire 

Arts Therapies Department,Broadmoor Hospital, 

Crowthorne, UK 

CARLO GESUALDO: MUSIC, MURDER AND MOURNING IN 

RENAISSANCE ITALY 

On 16 th October 1590 Carlo Gesualdo put his wife and her lover to the sword 

in his Naples residence. Whilst the revenge of the cuckold was a matter of 

honour at this time, Gesualdo (1560-1613) was no ordinary Neapolitan; born 

into the aristocracy, one of his uncles was Cardinal Carlo Borromeo, a leading 

figure in the counter-Reformation and supporter of Caravaggio. Having 

inherited his father’s titles and land upon his death, from that point on Gesualdo 

gave himself over totally to his overriding passion: the composition of 

vocal music. 

This music, particularly his settings of religious texts, is many years ahead of 

its time; indeed it is not until Richard Wagner that we hear again such complex 

chromaticism and unsettling shifts of harmonic context. 

The only extant music from Gesualdo’s pen was written after the double murder, 

and is thus the expression of a man with this experience in his mind. 

Can we say that Gesualdo is mourning the double murder of his wife and lover 

in his music? Can the forensic patient ever leave the offence behind him? 

Or does such a patient inevitably bring his offence into the room with him? 

In a Music Therapy setting, will this then be played out in some way in the 

patient’s own music? This paper considers such ideas using examples from 

Gesualdo’s final compositions, the Tenebrae Responsories (composed in 1611 

for Holy Week) where his extravagant treatment of elements of the New Testament 

murder story reaches a level of extraordinary intensity. 


53

The cultural approach (Room 1) 

Christine Montross 

MD, MFA Assistant Professor of Psychiatry and Human Behavior Brown University, 

Rhode Island, U.S.A. 

THE RAGE OF ISOLATION: AGGRESSION AND SELF-INJURY IN 

SOLITARY CONFINEMENT 

Acts of aggression and self-injury committed by incarcerated men and women 

in solitary confinement are often interpreted as evidence of the detainees’ 

dangerous natures, and as justification for their continued isolation and 

detention. “Of course they’re animals and they’re monsters,” a correctional 

officer at Northern Correctional Institute in Connecticut, U.S.A. says of men 

detained for months to years in twenty-three hour-per-day isolation cells. “If 

they weren’t, they wouldn’t be there.” Yet studies in various scientific disciplines 

on topics ranging from aviation to polar exploration to blindness have 

shown that sensory deprivation and isolation can, in fact, give rise to violent 

fantasies andaggressive actions, even in people who were previously psychologically 

well. In this session, psychiatrist and author Dr. Christine Montross 

willexamine the relationship between violence and isolation in essay form. 

Montross, a 2015 Guggenheim fellow in nonfiction, will read from and discuss 

her essay On Isolation, which is a chapter from her current book project, 

Acquainted With the Night: Mental Illness in America’s Prisons. The discussion 

of the essay—which draws on the scientific studies mentioned above as 

well as on descriptions of paranoia in Korean prisoners of war; accounts of 

disorientation in free divers who descend ever deeper into the ocean’s depths; 

studies of self-injury in non-human primates; and analyses of Pip floating 

lost at sea in Moby Dick—will launch questions not only on the rage of isolation, 

but also as to what role interdisciplinary research in the arts and sciences 

might have in deepening our understanding of forensic psychiatric work. 

PARALLEL SESSION / Family, Groups and Society 

54

The cultural approach (Room 1) 

Mary Hamer 

Harvard University, USA 

RAGE AND MOURNING IN EURIPIDES’ MEDEA 

It’s easy to write off Medea as a witch, deranged, a rejected wife who takes out 

her jealousy by killing her children. That’s the lazy version. 

But the story of Medea, as conceived and staged by Euripides more than two 

thousand years ago offers a different take. It presents the rage of a wife who 

has been replaced, an experience that is still familiar today. 

Rather than accepting the husband’s betrayal as a commonplace, the act of 

a single individual, Euripides identifies it as a practice, one that is bound up 

in maintaining a particular social order. The action of his play demonstrates 

how this order imposes psychological damage and death on men too. 

My paper will examine the process by which the playright situates Medea in a 

culture where ‘the hero’ is the only model for aspiration. Underpinning that, 

however, the play suggests, is a refusal to recognize or give a place to human 

vulnerability and failure. 

Getting it so wrong, argues the play, requires a change of direction. Critics 

have always puzzled over the way Euripides chose to end, with a total disregard 

of dramatic convention or psychological consistency. 

In this provocative finale Medea announces her project of community 

mourning and expiation: the knowledge of weakness and loss, suppressed 

under the culture of Athens, is retrieved and brought forcibly to the attention 

of the audience. 


55

Rage and mourning: group therapy (Room 2) 

Leslie M. Lothstein 

Ph.D. ABPP, West Hartford CT, USA 

MOURNING AND RAGE IN A LONG TERM PSYCHODYNAMIC OUTPATIENT 

GROUP OF MALE SEX OFFENDERS 

The therapist’s capacity for treating violent sex offenders (VSO) in outpatient 

group therapy varies according to how comfortable the group therapist is 

with having very strong feelings enacted in an outpatient VSO group. 

For most VSOs intense rage is often followed by intense shame as complex 

transference and countertransference states emerge that need to be attended 

to if change is to occur. Two prototypical cases serve as examples of how 

therapeutic change occurs in the context of boundary crossings in the group. 

Carl, a violent sex offender, viciously raped a 15 year old boy, abducting him, 

tying him up and sodomizing him. At times he speaks violently in the group 

and once sat in the therapist’s chair and took over the group. The group asks, 

“Is it safe to be here?” 

Bob wrote a highly intellectualized suicide note that arrived a day after he violently 

suicided by jumping off a 100 foot overpass. Over the ensuring months 

the group’s mourning and rage take on many forms. During one group Stan’s 

boundaries become con-fused with those of the deceased Bob. Stan misses 

Bob and wants to die and join him. The group is confused by Stan’s words that 

Bob is inside him. They ask, “What’s wrong with his/our boundaries? Are we 

safe from his/our feelings? Can the group survive this experience?” 

The parallel process between the VSO enactments in the group and change is 

discussed as at the core of therapeutic work in relationally focused psychoanalytically 

informed group therapy with VSOs. 


56

Rage and mourning: group therapy (Room 2) 

Vincenzina Fragasso / Simona Ramella Paia 

Forensis Psychologist, Psychoterapist, 

Biella, Italy 

THE PSYCHOEDUCATIONAL GROUP FOR ABUSIVE MEN AS A WAY TO 

INTERRUPT THE CYCLE OF VIOLENCE AND HIS SOCIAL RETURN OF IMPACT 

(SROI) 

PAVIOL is an Association that promotes social health operating in Biella, 

Piedmont from 2013. 

In 2015 PAVIOL started with a new project: to offer free psychoterapy to 

abusing adults; this is a group therapy based on the model of CAM in Florence, 

the first private center in Italy . 

The group therapy is organized on two levels: 

a 18 sessions focused group in wich people talk about violence, family, parenting, 

sexuality, women; 

a psychoterapeutic group with the model of transactional analysis . 

This presentation will offer a reflection about the prevention of future violence 

by the intervention on adults : the positive modelling is a good way to 

prevent future; it’s true actually that a lot of abusing adults were abused children 

in the past (Liotti, Farina, 2011; Cornell, Olio 1992). 

One of the missions of the Association is changing culture and preventing 

violent behaviors working with all the actors of the abused families. 

The social costs of violence are very high if we think, as example, about health 

costs, legal costs, loss of work… 

The mission of PAVIOL is to stop the cycle of violence in order to introduce 

a new way to think about social costs (SROI) 


57

Destructiveness, individuals and institutions (Room 3) 

Caterina Marchetti 

Forensic Psychologist Psychotherapist, 

Turin, Italy 

A PSYCHOANALYTIC PSYCHOTHERAPY GROUP WITH WOMEN CRIMINALS 

IN A NORTHERN ITALIAN PRISON 

This presentation tells the story of a therapy group in a prison where a total 

of 350 men and women are incarcerated, 40 of whom are women who have 

committed crimes of a range of severities. 

The group began in 2013 and was composed originally of 12 women. As with 

any forensic psychotherapeutic group, the initial objective was to try to understand 

what was behind the crimes and to activate the women’s thinking 

in order to reduce acting out. The group meet weekly for an hour and a half. 

During the three years the group ran, I was supervised by Estela Welldon, and 

despite the fact there were many interpretations made about my reluctance to 

interpret any negative transference made by the group to the therapist, I didn't 

feel easy making them. At times I forgot my therapeutic role and behaved in 

a friendly and kind way to the extent that I was unable to interpret the hidden 

fear and anger that some of the women experienced. This especially applied 

to one woman who'd killed both her parents in cold blood, and behaved in 

the most seductive of ways in the group. Actually she psychologically hijacked 

the group and was extremely successful in getting rid of, one by one, 

the other group members, so that eventually, she had a one-to-one session 

with me. We were able to discuss some unresolved mourning processes in my 

own family, which had completely obliterated my capacity to think. Also, I 

clung firmly to the belief that this woman was suffering from schizophrenia 

although EW was of the opinion that she displayed psychopathic personality 

structures. The suggestion was that this enabled me to dismiss my own sense 

of fear of this dangerous woman. At this point, having consulted with the 

supervisor EW, after three years, it was decided to terminate the group as it 

was no longer a group. Paradoxical to its purpose, this group failed because 

it did not achieve the capacity to think. Following the last supervision, it 

became clear that the involvement of the therapist had played a role in the 

disintegration of the group. The blindness of the therapist is comparable to 

an unwillingness to see the obvious signs of a group that doesn’t function. 

The presentation wishes to examine the parallels between the therapist in the 

group and Jocasta in the myth of Oedipus. Both did not recognize in time a 

truth which was right before their eyes. 


58


Moustafa Saoud 

Sussex Partnership NHS Foundation Trust, 

Sussex, UK 

RAGE, NARCISSISM AND THE SEARCH FOR MOURNING AT THE 

EXTREMES OF AGE 

These case presentations vividly illustrate the impact of unprocessed feelings 

of rage on the existence of the human soul. The first case is of a man in his 

seventies who has no history of involvement with forensic or mental health 

services. He commits murder and his crime was described as ‘surprisingly 

ruthless and puzzling’. It is not however until he is admitted to hospital that 

staff are faced with his severe psychopathology and inability to mourn. The 

team also struggles to cope with a range of difficult emotions aroused by their 

daily interaction with him, and with the wider rehabilitation system. 

The second case is of a very young man who has managed by openly communicating 

his violent fantasies, and without actually committing any physical 

violent acts, to put the local criminal justice and mental health systems on 

high alert. It demonstrates that fragility of our systems when faced with unprocessed 

feelings of rage, especially when disowned and projected into the 

wider system. 

Specific areas of relevance to the conference theme that will be highlighted 

include the role of psychodynamic thinking with regard to: risk assessment 

and management and the prevention of future offending; and the interface 

between forensic services and outside agencies. 

The relationship between violence acts and narcissism as a defence against 

threats to self-existence will also also be explored. 


59


Sandra Scott / Manza Kamal 

West London Mental health NHS Trust, 

London UK 

IDC ON A PATIENT 

Mr K is a 42-year-old man originally from Jamaica. He experienced a number 

of significant losses in his early life. He was admitted to Broadmoor Hospital 

from prison on 20 th March 2014. His index offence was Manslaughter of a 

sex worker in London in January 2014, and Sexual Assault and False Imprisonment 

of another sex worker ten days earlier . Mr K’s account of the index 

offence indicated that the offence was not directly sexually motivated. Prior 

to the index offence Mr K had a 5 year history of contact with mental health 

services associated with multiple admissions to psychiatric hospital under 

the Mental Health Act, and periods of non-compliance with medication necessitating 

depot antipsychotic medication. 

Mr K was transferred to an MSU from Broadmoor Hospital in January 2016. 

Superficially Mr K appeared to be generally settled on the MSU ward and was 

not involved in any untoward incidents. However it was noted that he socialised 

with few patients and was very guarded with staff; that during his interactions 

with staff although outwardly compliant there was no depth or detail 

to his communications. In addition, a number of female staff members noted 

that Mr K had a habit of sitting in a chair with a bird’s eye view of the nurses’ 

station, staring intently inside. It made several members uncomfortable. 

Other members of staff observed that there appeared to be a sense of suppressed 

rage and hostility in Mr K which was at odds with his superficial 

cooperation and politeness. The MDT concluded that after several months 

that they felt that they were making no real progress in understanding Mr 

K psychologically. It was felt that he had put up a barrier and that this and 

the discomfort some staff felt in his presence was hindering their ability to 

manage him generally and assess his risk to others. The MDT decided to 

undertake an Interpersonal Dynamic Consultation. This is a whole team 

approach. There are facilitated discussions used to look at how individual 

patients interact with staff and engage with treatment. How the patient’s behaviour 

is impacting on the relationship with staff and the ability to deliver 

effective care. The aim is to create an understanding of the patient’s relationship 

patterns, allowing for an effective strategy for care. The team’s treatment 

plan and approach to the patient is revised in light of this information. Dr 

Kamal and I shall carry out an IDC workshop based on this case. 


60

Rage and mourning: the creative arts therapies (Room 4) 

Stella Compton Dickinson 

Instiute of Mental Health, 

Nottingham, UK 

JOURNEY'S END: RAGE OR RECONCILIATION 

Adshead (2012) states that forensic patients have frequently suffered psychological 

harm in their childhood. Compton Dickinson (2006; 2013, pp.154– 

166) demonstrates howperverse adult responses develop from damaging 

childhood experiences which lead to dissociation from painful emotions, the 

blunting of emotional recognition, the formation of dysfunctional patterns 

of relating and callous responses, ultimately leading to harm through enactments 

of rage and the inability to mourn. 

Mourning is a process that involves emotional relatedness to self and others. 

The catalyst for coming to terms with feelings of loss can be elicited through 

music. Music therapy is an expressive psychotherapy to help patients improve 

their mental health; within a therapeutic relationship, patient and therapist 

collaborate in jointly-creating music to enable the expression of troubled 

thoughts, memories and feelings (Davis, Gfeller&Thaut, 2008). For patients 

receiving treatment in forensic psychiatric settings there are risks of offence 

re-enactment that are symbolically enacted and visibly witnessed during 

jointly –created musical improvisation. Perseveration is a common phenomenon 

because of unconscious avoidance of endings and the associations with 

killing and death. Thus, there are risks of harm to Music Therapists and the 

need for an evidence –based, context specific model which can be integrated 

into Multi-disciplinary treatment pathways. 

This paper willprovides guidance on the general use of music in forensic 

settings towards resolving grief, withdescription of risks and what works in 

terms of structures and freedom in an evidence-based, time-limitedmanualised 

model called Group Cognitive Analytic Music Therapy(Compton Dickinson 

(2006; 2013; 2015; 2017) 


61

Rage and mourning: the creative arts therapies (Room 4) 

Andrew Perry 

Chartered Clinical Psychologist, UK 

PERMISSION TO COME ALONGSIDE? 

Purpose: Cultural change provides new opportunities and threats for mental 

health practitioners in forensic services. There are opportunities to play 

a seminal role in practice development. There is also the threat of indistinguishable 

roles. This submission outlines a contemporary useful relational 

model and a technology to deliver it. 

Methods: Co-producing reciprocal outcomes, making your dependence on 

other people an asset. Accepting invitations to come alongside other people, 

to spend time with them, be influenced by their world, to talk and to play 

music. That shared power gives us an insight into another person’s world, 

equalising the experience, the meaning of the relationship, the level of commitment, 

openness to new experiences, risk, and respect. It feels like we are 

doing something new together. In this way both parties allow themselves to 

be transformed ethically by someone else. A ‘co-productive relationship. 

Results: a) A ward talking group is a place for conversation. A simple analogy 

from popular culture would be a group of colleagues meeting over lunch 

where spontaneous interactions occur within a commonly understood 

framework. 

b) Social music groups. Patients to get to know staff better through music. In 

turn they allow us to get to know them better through music. Taking turns in 

being vulnerable by trying new things. Enjoy making musical mistakes with 

pace, pitch, timing, and or volume. 

Conclusions: A good enough practitioner promotes effective clinical and 

non clinical relationships. I have a successful model to do just that in contemporary 

forensic services. 


62

Personality and family (Room 5) 

Markus G. Feil 

Psychotherapeutic Clinic for Violent and Sexual Offenders 

Munich/Germany 

PERSONALITY ORGANIZATION AS MAJOR RESPONSIVITY FACTOR 

Men who sexually offend against children frequently meet the criteria of pedophiliaaccording 

to DSM-IV-TRresp. DSM-5. However, it remains unclear 

how many men with pedophilia actually commit an offence and reoffend. 

Also more research is needed to clarify the typological differences between 

hands on und hand off child offenders. 

This paper examines clinically relevant commonalities and differences of 

men with pedophilia with the help of the Structured Interview for Personality 

Organization(STIPO)according to the psychodynamicconceptualization 

of Kernberg. Variables of this study consisted of hands-on- vs. hands-off-offence, 

the sex of the victimsas well as violence in any offence. 

Results show that child sexual offenders function on different levels of personality 

organization.Although there was no statistical significance the personality 

of child sexual abusers wasmore often organized on a borderline level, 

while there was a greater variance in the levels of personality organization 

in consumers of child pornography.Violent offenders significantly more likely 

to function on a lower level of personality organization. 

Although there is little immediate prognostic relevance, the diagnostic and 

therapeutic value of personality organization should be considered as an important 

responsivity factor.Treatment of pedophilic offenders with a borderline 

structure can only be effective if the treatment is adjusted to the level of 

personality organization. 


63

Personality and family (Room 5) 

Ronald Doctor 

British Psychoanalytical Society, 

London UK 

RAGE AND MOURNING IN FAMILY AND GENDER DYNAMICS: 

FATE, PASSION AND WILL 

Rage and Mourning are powerful affects that deeply disturb the human 

soul and interrupt the course of their existence. 

In the Psychopath the object relationship which results is not with a person 

truly seen as separate but with the self projected into another person and 

related to as if it were someone else. This is the position of the mythical Narcissus 

who fell in love with a strange youth he did not consciously connect 

to himself. The way I think of all personality disorder is to think of the patient’s 

narcissism, which is usually most obstinately resistant to treatment. In 

narcissistic object relations, defences against any recognition of separateness 

between self and object play a predominant part. Awareness of separation 

would lead to feelings of dependence on an object and therefore to anxiety. 

Dependence implies love for and recognition of the value of the object, which 

leads to aggression, anxiety and pain because of the inevitable frustration in 

relationships and their consequences. 

The process of regaining parts of the self lost through projective identification 

involves facing the reality of what belongs to the object and what belongs to 

the self. This is established most clearly through the experience of loss and the 

process of mourning where those parts of the self are regained. 

This achievement may require much working through in therapy. 

With the help of clinical material, this presentation will explore the transference 

and counter transference in relation to the personality disorder and in 

particular the psychopath. It is possible to classify the responses aroused by 

such patients under three headings: collusion, disbelief and condemnation. 

In treatment of the personality disorder, and in particular the psychopath, 

projective identification stirs our own sadism and this leads to two-fold response: 

either disbelief or condemnation. The psychopath despises the person 

who holds onto an illusion that he is good. Unconsciously he knows that 

it is a rejection of an important part of him, and will always give a strong clue 

about the hidden side of his character. 

If we accept what we see in the psychopath then we have to accept our own 

sadism. It may be more comfortable to believe that he and I are good. 


64

The dark web (Room 1) 

Foteini Papouli 1 / Ioannis Sfyrakis 2 / Ravi Lingam 1 

1 

Specility Doctor in Forensic Services. Currently working for a medium secure personality disorder unit in UK. 

Trained in Psychiatry in Greece and UK 

2 

School of Computing Science, Newcastle University, UK 

THE DARK WEB: THE HIDEOUT OF THE IDENTITY 

Purpose: The preservation of the identity in the fast-changing world of social 

media is a topic that appears to be of increasing interest for scientists and 

public. Research is available for thepsychological profile of the users usingthe 

unencrypted internet where, despite usernames and passwords, the user can 

be identified. 

We aim to find published research on the psychological profile of the “Dark 

Web” user. The “Dark Web” is a collection of anonymous and hidden websites 

using an encrypted network. It attracts a wide variety of people who want to 

keep their activities secret. 

Methods: Search of the online databases of “Pubmed” and “Google Scholar”. 

We used “dark web”, “dark net”, “psychology”, “identity” as key words. 

RESULTS: Pubmed did not produce results for our topic. Google Scholar offers 

more research on the Dark web, however the focus is mainly on its nature 

and the links to specific criminal acts, rather on the psychological characteristics 

of its users. 

Conclusions: The Dark Web is seen as a tool for those who want to be anonymous, 

for the better or worse. As the experience with mainstream web has 

shown, the internet can be powerful; itcan split an identity, form personae, 

shake the links with the outer world. 

Those who need to be anonymous may already struggle with being regardedas 

disturbing by others and/or by themselves. Further research is required 

to shed light to a topic that is by definition Dark. 


65

The dark web (Room 1) 

Giulia Cusumano 1,2,3 / Rosa Ingiulla 1 , Roberta Desiderio 1 , Agnese Alberio 1,3 

1 

Dipartimento di Scienze Umanistiche, Università degli Studi di Catania, Catania, Italia; 

2 

Associazione Antiusura Antiracket Obiettivo Legalità, Catania, Italia; 

3 

AssociazioneCODICI – Centro per i diritti del cittadino – Sicilia, Palermo, Italia 

BULLYING AND CYBERBULLYING IN SICILIAN ADOLESCENTS 

Cyberbullying is today an extensive phenomenon especially prevalent among 

adolescents and preadolescents, encouraged by the widespread use of new 

technologies and the communication revolution due to chat, social networks 

and file sharing. The consequences for victims must not be undervalued because 

the impact of this kind of persecutory violence, perpetrated in a context 

of a space physically and temporarily non limited, is considerable: from the 

analysis of research conducted in literature, nationally and internationally, we 

find, for example, high percentages of suicide ideation by cyberbullied youth. 

After a review and a study of the main national and international tests and 

questionnaires on bullying and cyberbullying, examined evaluating their 

construction and validity, in the present study we propose an instrument that 

– on the basis of past scientific experience about this phenomenon – has the 

purpose of finding some quantitative data on the diffusion and influence of 

cyberbullying; a further aim of the study is the analysis of the different behavior 

acted out in the victimization context. 

We observed bully and cyberbully behavior: attitudes that can easily change 

into acts of sexting or sextortion favored by the ease of sharing files, and that 

are often acted out in a less overt way (because of the opportunity offered by 

Internet and technology) than traditional bullying. Our data shows furthermore 

how the fact of belonging to certain social classes does not change the 

quality of bullying and cyberbullying behaviors. 


66

Jealousy (Room 2) 

Karel‘t Lam 

Forensic Psychiatric Hospital Assen, 

The Netherlands 

A CASE OF ATTEMPTED RAPES AND SEXUAL STALKING: FORENSIC 

PSYCHOTHERAPEUTIC REFLECTIONS ON JEALOUSY IN PERVERSIONS 

In the case we present we reflect on the specific role of jealousy – besides other 

emotions - in a case of multiple rapes and sexual stalking. 

The patient we will reflect upon is born with a physical abnormality, limiting 

his speech and in his physical appearance. These abnormalities resulted in a 

special position in his family of origin. Later in life the patient felt seriously 

limited in efforts to make contact, especially with the members of the other 

gender. Jealousy is a central theme in his relation with his siblings. At a more 

fundamental level: his mother treated him as special, delivering care that was 

humiliating for him, at the same time giving him a special position. 

The patient is convicted for attempted rape on different occasions the last 

fifteen years, hunting for victims that looked similar to his first victim. In 

treatment he revealed he’s still aching for his first victim. Central is his feeling 

of jealousy and rage about definitely having no place in her life. 

Aim is to deepen our understanding of jealousy, its role in understanding 

sexual perverse behaviour and how we came across this theme in diverse 

aspects of treatment. 


67


Frans Koenraadt 

Utrecht University, NIFP & Forensic Psychiatric Hospital, 

Assen The Netherlands 

JEALOUSY PENETRATING INTO THE FAMILY DOMAIN: CONSIDERATIONS 

FROM FORENSIC MENTAL HEALTH ASSESSMENT AND RESEARCH 

As a sensitive emotion jealousy might destabilise the family area. Among siblings 

and spouses, but even among parents and their children jealousy might 

interfere, sometimes resulting in domestic violence and in some cases with a 

lethal outcome: uxoricide, infanticide and siblicide. 

Based on cases from forensic mental health assessment and research in this 

presentation we will discuss and differentiate between the pathological jealousy 

and the non-pathological jealousy and the consequences for forensic 

mental health experts' recommendations for the court and the decisions by 

the judges. 


68


Jan van der Leeuw 

Private practice Maastricht, 

The Netherlands 

THE PRESENCE AND ABSENCE OF JEALOUSY IN TWO CASES IN 

RELATIONSHIP TO RAGE 

In this presentation I like to present two short clinical vignettes. One showing 

the evident presence of jealousy in a case of a man accused of trying to kill 

his wife. The other case of a pervert man, condemned of rape in former times 

and nowadays accused of child-pornography. 

In this case I will explore the harmful consequences of the absence or denial 

of jealousy in (the relationship of) the patient and his partner. Jealousy as a 

defence against oral aggression is missing. 

By creating a shared fantasy about sexual abuse of a daughter who still is to 

beget, a triangular situation is introduced. The third one is a necessary condition 

for the development of jealousy feelings. Jealousy refers to love and 

possession and the fear of losing this. L’ amour captative. 

Where jealousy cannot find the normal pathways of discharge, hate and envy 

can raise as sadistic projections by despising the third one. 


69

Learning disabilities (Room 3) 

This parallel session is dedicated to the memory of our colleague Dr Alan Corbett the IAFP 

who sadly died in December last year when he still had so much to offer. Thankfully we have 

the legacy of his wonderful writings. As a tribute to his ground breaking work in the field of 

forensic psychotherapy the IAFP is proud to announce the first of an annual conference parallel 

session dedicated to the theme of intellectual disability, autism and social exclusion. At 

subsequent annual conferences the Board will ask for contributions under this theme. At this 

years event we are delighted to have 2 of Alan's closest colleagues, Tamsin Cottis and Richard 

Curen, who will present papers that build on Alan's thinking and practice. 

Tamsin Cottis 

UKCP registered Child Psychotherapist. 

Primary school and private practice at SW1 Child Psychotherapy, London, uk 

YOU DON’T GIVE A SHIT ABOUT ME!: REJECTION, RAGE AND THE 

GROWTH OF LOVE 

This case-based presentation will describe the long-term psychotherapeutic 

treatment of a woman with learning disabilities who was a victim of childhood 

sexual abuse and a sexual risk to others. Drawing on theories of Trauma 

and Attachment, Winnicottian object relations, and Alvarez’s Levels of Work, 

the paper will explore how the patient moved from a position of extreme 

anger, hostility and rejection to the therapy, to being able to make positive 

use of it. Over the course of the treatment, despite episodes of acute crisis, the 

patient became able to mourn profound early losses, often through the use of 

metaphor and transitional objects. With support, she became able to form a 

mutually loving relationship with a partner. 

The treatment took place atRespond, a specialist clinic for people with learning 

disabilities, and was case managed by Dr Alan Corbett. His role in the 

work was pivotal to the therapy and reflective of the case management model 

pioneered at Respond. This aspect of the therapy will also be highlighted and 

its clinical impact explored. 


70

Learning disabilities (Room 3) 

This parallel session is dedicated to the memory of our colleague Dr Alan Corbett the IAFP 

who sadly died in December last year when he still had so much to offer. Thankfully we have 

the legacy of his wonderful writings. As a tribute to his ground breaking work in the field of 

forensic psychotherapy the IAFP is proud to announce the first of an annual conference parallel 

session dedicated to the theme of intellectual disability, autism and social exclusion. At 

subsequent annual conferences the Board will ask for contributions under this theme. At this 

years event we are delighted to have 2 of Alan's closest colleagues, Tamsin Cottis and Richard 

Curen, who will present papers that build on Alan's thinking and practice. 

Richard Curen 

Respond Group, 

London UK 

“I SPIT ON YOUR GRAVE”: A PSYCHODYNAMIC PERSPECTIVE ON 

INTELLECTUAL DISABILITY, RAGE, MOURNING AND SADO-MASOCHISTIC 

STATES OF MIND 

The psychodynamic treatment of people with intellectual disabilities and sexual 

perversions is still in its infancy. Using a case-based material this presentation 

will explore some of the ways in which the pioneering work of Dr Alan 

Corbett provides a richer understanding of the intersection of psychodynamic 

theory and ‘forensic disability psychotherapy.’ Material from the treatment 

of a number of patients with intellectual disabilities will explore the impact 

of early losses on the development of sado-masochistic preoccupations. The 

turning inwards and outwards of psychic pain will be explored in the light of 

Dr Corbett’s ground-breaking theories. 

71

The bi-logic thinking: the matte-blanco perspective (Room 4) 

Christos Sideras 1 / Gerald Wooster 2 

1 

University of Athens, University College Hospitals London, Royal Society of Medicine, London UK 

2 

Retired Consultant Psychiatrist and Psychotherapist, London UK 

EMOTIONS AND INFINITY: THE CONTRIBUTIONS OF IGNACIO MATTE 

BLANCO TO UNDERSTANDING EMOTIONS 

Being firmly stuck in states of rage or mourning is an experience found in 

some extreme mental states, which is often accompanied by similarly extreme 

behavior that leads people to the attention of professionals, often against their 

own volition. 

This "stuckness" offers a good starting point to consider the ideas of chilean 

psychoanalyst Ignacio Matte Blanco on emotions and the eternal now they 

are experienced in. Matte Blanco describes, along the axis of a polarity of 

symmetry to assymetry, a number of levels where this infinity of emotional 

experience is varied and structured, and thus differently experienced and 

acted upon. He describes the importance of the faculty enabling this move 

through the different structurations of the symmetric to assymetric, what 

some could call different levels of symbolization. 

Re-experiencing the bodily state of an infinite emotional now, with the maturity 

of either an inner, or in the case of such a lack, an outer guide, may be a 

good way to practice the facility of shifting between the stages. Whether the 

guide is somewhat out of sync or, in some cases, frankly dissociated from the 

emotional self, there is still in this process the possibility of re-engagement, in 

some cases even offering the possibility of a transformation of the emotional 

experience, and the behavior outpouring from it. Time permitting we may 

also offer some clinical vignettes, to consider, and initiate the discussion. 


72

The bi-logic thinking: the matte-blanco perspective (Room 4) 

Angelo Costanzo 

Magistrato della Cassazione 

BI-LOGIC AND ARGUMENTATION 

La psicologia si occupa delle condizioni soggettive di vario genere che influenzano 

i pensieri. Invece, la logica riguarda le regole necessarie del pensiero: 

è un'etica del pensiero non riducibile a una descrizione psicologica e i suoi 

principi appaiono come se fossero indipendenti delle condizioni mentali. Gli 

psicologi descrivono il pensiero effettivo. Invece, il ragionamento logico corretto 

dipende da criteri che non possono essere analizzati empiricamente. 

Nello sviluppo di una argomentazione logica e psicologia sono come i due 

fuochi di un'ellisse.Mirando a una gestione razionale della conoscenza incerta, 

l’argomentazione segue strategie di pensiero, complementari a quelle della 

dimostrazione. A questa ampliata concezione della argomentazione, la logica 

del Novecento ha fornito due potenti strumenti di affinamento. 

Le logiche non-classiche hanno dato forma a quelle deviazioni dai principi 

logici che la tradizione ha inteso come fondamentali, ma che nelle argomentazioni 

sono frequentemente relativizzati. 

La bi-logica ha fornito strumenti per capire la parte inconscia dei ragionamento 

discorsivi [MATTE-BLANCO]. 

Analizzare mediante la bi-logica un determinato argomento o addirittura 

una argomentazione completa è un lavoro non facile e, in ogni caso, destinato 

a rimanere incompiuto. Tuttavia anche alcuni passi in questa direzione possono 

chiarire alcune delle radici psicologiche del ragionamento, i loro gradi 

di forza di persuasione e le loro fallace. 

La forza persuasiva di una argomentazione è determinata dalla combinazione 

tra asimmetria e simmetria, tra logica (dell'identità) e analogia (somiglianza). 

Questa combinazione è efficace se si rispetta un canone fondamentale: la cogenza 

logica ha (se riconosciuta) una efficacia persuasiva in sé, alla quale può 

essere aggiunta la forza delle varie forme di emozioni. Tuttavia, poiché l'argomentazione 

rimane un discorso segmentato, con una successione di passaggi, 

la pura emozione (simmetria) non può valere oltre misura: lucem demonstrat 

umbra, umbram demonstrat lux. 


73

Terrorism and mafia (Room 1) 

Pam Kleinot 1 / Sandra Grant 2 

1 

Member of The Group Analytic Society International, Institute of Group Analysis, London, UK 

2 

Board Member of the Scottish Association of Psychoanalytic Psychotherapists, UK 

TERRORISM: RAGE AND LONGING 

There is increasing alarm about the increase in terrorist activities and threats, 

almost universally seen at present as being in an Islamist cause. One consequence 

has been a focus on trying to understand‘radicalisation’, where extremist 

ideas may lead to violent action. A source of puzzlement has been the 

motivation of “homegrown terrorists” who have grown up and been educated 

in a developed western country who have themselves identified with terrorist 

groups such as Daesh, commonly known as Isis. What are they raging and 

killing for? After all, haven’t they had it good, been raised well, in a liberal 

democracy? 

The authors take a psychoanalytic and group analytic perspective to contribute 

to this debate, calling on both theory and recent research. Remembering 

their own ‘radical’ youths in the 1960s and ‘70s, when “One man’s terrorist 

was another man’s freedom fighter”, they consider,apart from the negative 

anger and rage, what the positive ‘pull’factors for terrorism are, such as hope 

to make the world a better place. 

These themes will be illustrated with examples from Pam growing up in 

South Africa under state terrorism as well as her work with the families of 

suicide bombers in Palestine and Israel and Sandra’s work in a mosque with 

men traumatised by accusations of being potential terrorists. 

Pam Kleinot, a former journalist, is a psychoanalytic psychotherapist and 

group analyst who has worked in the National Health Service, Women’s Therapy 

Centre and Women’s prison. Sandra is a psychiatrist and psychoanalytic 

psychotherapist, who has worked as an NHS consultant and manager at local 

and national levels within Scotland. 

PARALLEL SESSION / Organizations and Institutions 

74

Terrorism and mafia (Room 1) 

Manfredi Zammataro 1,2 / Giulia Cusumano 1,2,3 

1 

Associazione Antiusura Antiracket Obiettivo Legalità, Catania, Sicilia, Italia 

2 

CODICI – Centro per i diritti del cittadino – Sicilia, Palermo, Sicilia, Italia 

3 

Università degli Studi di Catania, Dipartimento di Scienze Umanistiche, Catania, Sicilia, Italia 

MAFIA: PSYCHOLOGICAL FUNCTIONING BETWEEN TRADITIONAL 

BUSINESS AND NEW OPPORTUNITIES 

The Sicilian mafia appears nowadays as a reality strongly rooted in our territory 

despite the fact that Police and other Forces of the Law today fight incessantly 

against criminal clans, often reporting good results. 

So it is natural to wonder why the mafia phenomenon is still so alive. After 

a review of newspapers articles, investigations and other studies on mafia 

psychology, in addition to the examination of penal proceedings in which 

the Anti-racket and Anti-usury association “Obiettivo Legalità” has been involved 

against people accused of affiliation to the clans of East Sicily, an important 

characteristic has emerged: the mafia has an enormous capacity to 

adapt, transforming itself when new historic-economic exigencies manifest 

themselves, asking of the clan a change (but maintaining traditional family 

laws) that allows them to survive despite adverse conditions. 

A concrete sign of this is the current tendency of mafia groups (in addition to 

traditional business like extortion, usury and narcotraffic that today involves 

new recruits such as people in conditions of extreme poverty who see in dealing 

drugs the opportunity to earn the money they need to live) to use European 

or State funds: clean money (obtained illicitly) available for the family. 

The mafia has today many entrepreneurs among its ranks, experts in economic 

mechanisms who are conscious of the possibilities of financing offered 

by the European reality; if necessary, it uses professionals to easily achieve the 

family aims and illicitly earn money for the clan. 

A new social class of white-collar mafia that, even if it kills less than in the 

past, still damages the economic reality of our country. 


75

Rage and mourning dynamics in the institutions and organizations (1) (Room 2) 

Angela Foster / Manza Kamal 

FRC consultants Organisational consultancy & professional development, 

London UK 

STAFF ACCUSED AND ABUSED; MANAGING PAIN AND DISTRESS IN THE 

SYSTEM OF CARE 

Much has been written about the impact of forensic patients on those who 

care for them while relatively little attention has been paid to the impact of 

the political climate - the culture of blame. When Bion omitted to address the 

anxiety his first Northfield experiment generated in his seniors their response 

was to close it down. When Baby P died (London 2007), Sharon Shoesmith 

the service director was publicly vilified. In both these cases it can be argued 

that the extreme response was punishment for failing to protect other from 

seeing things they preferred to remain ignorant of i.e. that soldiers become 

disturbed and mothers can kill their babies. 

The duty of care requires professionals to look after those deemed to be at 

risk and risky and to protect others from harm. This dual responsibility can 

place staff in a sandwich of persecutory anxiety in which they are also likely 

to experience depressive and existential anxieties. When a patient or client 

does something particularly alarming we worry about how to manage the 

immediate clinical situation, how to manage our managers and the external 

system and about our own abilities and our survival. 

While some degree of anxiety may be helpful as a motivator, too much is anxiety 

inhibits our ability to think hence the management of anxiety is crucial 

to good practice. Reference will be made to the theme of rage and mourning 

in clinical teams. 


76

Rage and mourning dynamics in the institutions and organizations (1) (Room 2) 

Lisa Gardiner 

Presenter Consultant Forensic Psychiatrist and Forensic Psychotherapist, 

Ravenswood House, Knowle, Hampshire, UK 

FORENSIC HOSPITALS AND PATHOLOGICAL ORGANIZATIONS: 

DESTRUCTIVE NARCISSISM IN THE INTERNAL WORLD AND IN THE 

SOCIAL DEFENCE SYSTEM 

PDestructive narcissism is an important feature of the internal worlds of patients 

in Forensic Hospital settings. The development of this idea has led to 

concepts such as the claustrum, the claustro-agoraphobic dilemma and the 

psychic retreat. These further help to understand the murderous internal 

worlds of our patients. 

However, patients are often held in a hospital setting. The development of 

theories around social defence systems as a means of managing anxiety in 

institutions has high relevance to the task of caring for Forensic in-patients. 

These also help to focus our attention on the internal worlds of the staff working 

in these settings. 

There is a great deal of resonance between the concept of the Pathological 

Organisation and the Social Defence Systems that evolve in Forensic Institutions. 

This presentation aims to consider the two theoretical models and 

their relevance – not only to working in a Forensic Hospital setting but in 

how these interplay to prevent the work of mourning as an essential task for 

patients and staff in an institution set up to contain the most frightening and 

dangerous individuals in society. 

Methods: PowerPoint presentation / workshop with participant discussion of 

theoretical and clinical material 


77

Long term segregation (Room 3) 

Katya Orrell / Elena Mundici 

Panoptikon, London, UK 

SWANSONG: CAN HOPE SURVIVE AN INDETERMINATE PRISON SENTENCE? 

‘Piles of junk. …an overturned stool. Night. Darkness.’ 

These stage directions from Chekhov’s ‘Swansong’ could be describing the 

prison wing, both physically and metaphorically. His play depicts a drunk, 

elderly comic actor who has fallen asleep after the performance is over and 

awakes to a deserted theatre. He speaks, and is answered by the prompter 

responding from the darkness, an image not unlike the therapeutic dyad. 

Over the past year, perhaps more than ever before, working psychodynamically 

in a man’s prison has felt dangerous. For the man serving an IPP sentence, 

a sentence with no finite ending, the threat of psychic death, the death 

of hope, is the sword of Damocles which hangs over his every day. In this 

paper, we examine what it means to adapt our work with a man who never 

knows when he will leave prison and how he manages those feelings. 

Using the concept of the swansong, a song considered to be more beautiful 

because of the fragility of a life that is about to end, we ask what is happening 

when a prisoner whose unprocessed grief and rage threatens to destroy all 

creativity. 

We explore how the danger of his internal destructiveness meets, and is also 

reflected by, the actual threat of our own extinction as forensic psychotherapists. 

What happens to the work, to the ability to contain, when the relationship 

with the prison itself feels like a dangerous liaison, when each session 

feels like a Swansong? 


78

Long term segregation (Room 3) 

Emma Allen 

Art Psychotherapist at Rampton Hospital & Senior Lecturer in Art Psychotherapy 

at the University of South Wales, UK 

THE BOY WHO CRIED WOLF: A COLLABORATIVE APPROACH TO LONG 

TERM SEGREGATION 

This paper presents a unique account of a transdisciplinary approach, combining 

dialectical behavioural therapy (DBT) and art psychotherapy to longterm 

segregation and seclusion in a National High Secure Learning Disability 

Service. The rationale for joint psychology and art psychotherapy sessions 

with both a female and male therapist is discussed, along with how risk was 

managed. 

Purpose: The paper describes the clinical work with one patient, and discusses 

both advantages and challenges of ‘re-parenting’ through the seclusion 

hatch, whilst exploring transference and countertransference difficulties of 

defectiveness, shame, rage and mourning. 

Methods: A collaborative, cross-disciplinary, dialectical behavioural therapy 

(DBT) and art psychotherapy approach to long term segregation (LTS) in the 

National High Secure Learning Disability Service; Usingthe ‘I Can Feel Good 

(ICFG) Programme: Skills for training people with intellectual disabilities 

and problems managing emotions’ (Ingamells and Morrissey, 2014),mindfulness, 

image-making and schema therapy supervision. 

Results: Identifying the benefits and challenges of transdisciplinary work 

(DBT, Art Psychotherapy, Schema) whilst also contributing to the sparse literature 

on LTS and engaging with patients ‘through the seclusion hatch’. 

Conclusions: Athree-way therapeutic relationship offers an alternative sense 

of containment to that offered by seclusion. A transdisciplinary ‘re-parenting’ 

process for patients’ ‘victim’ and ‘perpetrator’ identities allows therapists to 

work with both the ‘boy’ and the ‘wolf ‘’, surviving ongoing allegations and 

threats of violence. 


79

Notes

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