Contemporary Developments in Adult and Young Adult Therapy The Work of the Tavistock and Portman Clinics Tavistock Clinic

"Nature dictates that as individuals we are conceived, are born, and then at some point later die. The shape of the arc that we follow, involving growth and development with eventual decline, is something that we might all like to influence. It has been argued that the same basic curve, however, is followed by societies, civilisations and indeed organisations. How does an organisation influence its trajectory? How do organisations avoid the pull towards conservatism and protectionism associated with the developmental plateau found at the top of the curve? …. I think that in this book Professor Alessandra Lemma has given us something of an insight into this process within one organisation, the Tavistock and Portman NHS Foundation Trust. … In bringing together this collection of papers, Professor Lemma has undertaken the role of skilled gardener herself. The work of the Trust is now broad. Training and education makes up almost half of the activity, while Child and Adolescent Mental Health Services over half of the clinical work. Professor Lemma has, in this first volume, broadly focused her attention on our work with Adolescents and Adults … She has clearly selected her authors for their quality and supported them with similar care. All of this is evident in the chapters that comprise this book, and in the description of an organisation struggling to evolve in a manner that links it inextricably to the communities and society within which it is situated as much as to its own history." From the foreword by Dr Matthew Patrick, Chief Executive, Tavistock and Portman NHS Foundation Trust Annotation. "Nature dictates that as individuals we are conceived, are born, and then at some point later die. The shape of the arc that we follow, involving growth and development with eventual decline, is something that we might all like to influence. It has been argued that the same basic curve, however, is followed by societies, civilisations and indeed organisations. How does an organisation influence its trajectory? How do organisations avoid the pull towards conservatism and protectionism associated with the developmental plateau found at the top of the curve?. I think that in this book Professor Alessandra Lemma has given us something of an insight into this process within one organisation, the Tavistock and Portman NHS Foundation Trust. In bringing together this collection of papers, Professor Lemma has undertaken the role of skilled gardener herself. The work of the Trust is now broad. Training and education makes up almost half of the activity, while Child and Adolescent Mental Health Services over half of the clinical work. Professor Lemma has, in this first volume, broadly focused her attention on our work with Adolescents and Adults She has clearly selected her authors for their quality and supported them with similar care. All of this is evident in the chapters that comprise this book, and in the description of an organisation struggling to evolve in a manner that links it inextricably to the communities and society within which it is situated as much as to its own history."From the foreword by Dr Matthew Patrick, Chief Executive, Tavistock and Portman NHS Foundation Trust ‘This challenging and ambitious book captures the variety and richness of contemporary clinical developments in the Tavistock and Portman Clinics in relation to work with young adults. It sets these developments in lytic and systemic principles that are the centra up over their long and distinguished history. Th that face the Clinics from the evidence-based for resources with forms of practice that are outlines the adaptive and innovative ways to this competitive situation, for example by the context of the collective I underpinning of the Clinics'e book sets the scene for the practice approach and from validated by this approach. in which the Clinics have e development of an internet- based service for young adults, the application of mentalisation-based antisocial patients, and the use of dynamic interpersonal therapy as a br This book will be an inspiring guide and rallying call for practitioners in health field, who face the same inexorable competition for resources in therapy in the NHS and public services.' This volume succeeds in epitomizing aspects of the life and work of the two Clinics that comprise the Tavistock and Portrman National health service foundation trust. It includes both short- and long-term interventions, from forensic psychiatry to marital therapy and primary-care cooperation.