Observing Organisations : Anxiety, Defence and Culture in Health Care

ISBN-13: 9780415196307 / Angielski / Miękka / 2000 / 192 str.

R D Hinshelwood

Opis

This work presents an approach derived from direct participant observation of small units within institutions, all in the health and social services sector. A range of contributors bring together the results of their own observational projects - in settings as diverse as a mental hospital canteen, an acute psychiatric admission ward and a palliative care unit - to show how they were able to come to a psychoanalytically informed understanding of the cultures that arise within healthcare organizations, and how this understanding can be used to overcome difficulties that arise. This work should help healthcare workers, teachers and managers better understand the functioning and difficulties of their organizations and therefore help in the management and practice of the work.

Spis treści

Acknowledgements. Preface. Obholzer, Foreword General Introduction. Hinshelwood, Skogstad, The Dynamics of Health Care Institutions. Hinshelwood, Skogstad, The Method of Observing Organisations. Observations in Mental Health Care. Donati, Madness and Morale: A Chronic Psychiatric Ward. Rees, Food for Thought: The Canteen of a Mental Hospital. Chiesa, At a Crossroads Between Institutional and Community Psychiatry: An Acute Psychiatric Admission Ward. Edwards, Mental and Physical Space: A Long Stay Psychiatric Ward. Morris, Tyrannical Equality: A Mental Health Hostel. Observations in General Health Care. Skogstad, Working in a World of Bodies: A Medical Ward. Maxwell, Nowhere to Hide: A Day Case Centre. Ramsey, Sitting Close to Death: A Pallative Care Unit. Conclusion. Hinshelwood, Skogstad, Reflections on Health Care Cultures. Bibliography. Index

O autorze

R.D. Hinshelwood is Professor in the Centre for Psychoanalytic Studies at the University of Essex, and was previously Clinical Director of the Cassel Hospital, London. Wilhelm Skogstad is a Consultant Psychotherapist at the Cassel Hospital and a psychoanalytic psychotherapist in private practice.