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Communicating with Vulnerable Patients
A Novel Psychological Approach




  • Available for pre-order on December 9, 2022. Item will ship after December 30, 2022
ISBN 9781032140421
December 30, 2022 Forthcoming by Routledge
264 Pages 73 B/W Illustrations

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Book Description

Communicating with Vulnerable Patients explores ways to improve the communication process between highly vulnerable patients and the therapist, based on the assumption of the permanent presence of an ‘outsider’ or potential space in the communication field between them. In this space, the therapist and highly vulnerable patients can undergo transitional states of mind established between and within their relationship.

Leticia Castrechini Franieck presents practical methods to overcome communication issues and engage therapeutically with highly vulnerable patients suffering from personality disorders, addiction and trauma, as well as with deprived children. Communicating with Vulnerable Patients is presented in five parts, with the first focused on building communication through a Transient Interactive Communication Approach (TICA) and the second applying TICA in forensic settings with five case studies illustrating the approach in a range of contexts. Part three considers TICA in intercultural settings, including work with refugees, and part four outlines adaptations of the approach, including T-WAS (Together We Are Strong), which aims to avoid an increase of antisocial behavior in deprived children, and the use of TICA in the COVID-19 pandemic. The book concludes in part five with reflections on outcomes and limitations of both TICA and T-WAS.

Communicating with Vulnerable Patients will be invaluable reading for professionals, psychotherapists, group therapists and group analysts working with at-risk populations.

Table of Contents

Series Foreword by Brett Kahr

Preface

Acknowledgements

Introduction

Part One: On Building Communication

Chapter 1: Handling, mastering and integrating personal and factual reality

Chapter 2: On Intercultural Interactional Communication

Chapter 3: TICA –Transient Interactive Communication Approach

Part Two: TICA in forensic settings

Chapter 4: TICA in withdrawal therapy

Chapter 5: TICA in pretrial detention

Part Three: TICA in Intercultural Settings

Chapter 6: TICA in short-term therapy with traumatized refugees

Chapter 7: TICA in multicultural team supervision

Part Four: TICA Adaptations (Variations)

Chapter 8: T-WAS- Together We Are Strong

Niko Bittner, M. Leticia Castrechini-Franieck

Chapter 9: TICA in the COVID-19 pandemic

Niko Bittner, M. Leticia Castrechini-Franieck

Part Five: Reflections on TICA

Chapter 10: Outcome & limitations

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Author(s)

Biography

Maria Leticia Castrechini Fernandes Franieck, PhD, is a chartered counselling psychologist and psychoanalyst based in Germany. Her clinical practice is focused on working with highly vulnerable populations.

Reviews

"This fascinating book reveals, in clear and in-depth form, the vicissitudes faced by therapists dealing with people in distressing social situations. It deals with prisoners, refugees, children with antisocial tendencies and other traumatised and highly vulnerable groups. The author shows us how she carefully develops therapeutic resources that can facilitate communication among people from diverse backgrounds, allowing them to feel themselves fully human and able to live in the societies that welcome them." - Roosevelt Cassorla, Training Analyst of the Brazilian Psychoanalytic Association, Sigourney Award 2017.

"Leticia Castrechini-Franieck has written an important book based on her forensic and psychoanalytic training in which she communicates, critically, the necessity for an experiential approach to the understanding and treatment of marginalized, traumatized and highly vulnerable individuals. The timely subject of social and cultural ‘outsiders’ is front and center. Many clinicians today find that a developmental, ontological psychoanalytic perspective that emphasizes experience rather than the deployment of knowledge, yields valuable clinical results. Castrechini-Franieck achieves this in a difficult clinical context in ways that will reward the reader. I strongly recommend this book." - Paul Williams, Psychoanalyst. Trained at The British Psychoanalytic Society