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Clinical Child Psychology and Psychiatry
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Searching, Finding and Struggling: Psychotherapy for an Adolescent in Substitute Care

Robert W.K. Fleming

South London and Maudsley NHS Trust, UK

Young people who have spent much of their lives in the care system can have serious emotional and psychiatric problems. Psychoanalytic psychotherapy is rarely considered in cases where the young person has no immediate ‘ownership’ of a problem. Work is described with an adolescent who, with assistance, found and struggled to use a therapeutic space. Comments are made about how this case may suggest improvements for the referral processes for other adolescents in substitute care.

Key Words: adolescence • care system • child psychotherapy • double deprivation • impact of abuse • projection and the referral processes and psychoanalytic psychotherapy

Clinical Child Psychology and Psychiatry, Vol. 8, No. 1, 17-25 (2003)
DOI: 10.1177/1359104503008001004
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