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Clinical Child Psychology and Psychiatry
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Test of Time: A Case Study in the Functioning of Social Systems as a Defence Against Anxiety: Rereading 50 Years On

David Lawlor

Tavistock Clinic, London, UK, DLawlor{at}tavi-port.nhs.uk

In this paper I revisit Isabel Menzies’s classic ‘nursing paper’ (I.E.P. Menzies [1960]. A case-study in the functioning of social systems as a defence against anxiety: A report on a study of the nursing service of a general hospital. Human Relations, 13, 95—121). I outline the main findings of the paper and connect it to the major theoretical developments made by the Tavistock Institute of Human Relations and consider the current relevance of the paper in the contemporary field of health and social care.

Key Words: anxiety • containment • nursing • social defences

Clinical Child Psychology and Psychiatry, Vol. 14, No. 4, 523-530 (2009)
DOI: 10.1177/1359104509339545


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