Internal and External Worlds of Children and Adolescents

Lesley Day, BA, MSc (Econ), MSc (Psychotherapy), Dip Integ Psychotherapy, Dip Psy Couns, was head of the Training and Consultancy Department at the Cassel Hospital and an Adult Psychotherapist in the Outpatient Service and in private practice. Prior to joining Cassel, she was the Senior Lecturer in Social Science at Brunel University. She has published in the fields of policy, social work and psychotherapy, and is co-editor of 'Women, Oppression and Social Work: Issues in Anti-Discriminatory Practice'.

'The Cassel Hospital offers a very different kind of treatment from that provided by "traditional" psychiatry. The stakes are high, and this can create anxiety and ambivalence about the work in staff and feelings of anger, hope, and hopelessness in the patients. The chapters in this Monograph give testimony to these feelings and also explore how they can be worked with and contained in the hospital community structures.'- Lesley Day from her Introduction

• Introduction: public and private dimensions of therapeutic work with children and adolescents -- The inpatient psychotherapy of a mother and child at the Cassel Hospital: a case of Munchhausen syndrome by proxy -- Poison glue: the child's experience of Munchhausen syndrome by proxy -- Psychoanalytic aspects of inpatient treatment of abused children -- School children in the Cassel community: discovering a place in which to live and learn -- Adolescence: a transitory world -- The darkling plain: the inpatient treatment of a severely disturbed borderline adolescent -- The containment of borderline adolescents