SANCTUARY

THE ARBOURS EXPERIENCE

OF ALTERNATIVE COMMUNITY CARE

edited by Joseph H Berke, Chandra Masoliver and Thomas J Ryan

Sanctuary is not simply a physical place of safety. It is a state of mind. Since its foundation in 1979, the Arbours Association has been providing sanctuary for people in great emotional turmoil, without their having to be seen, called or treated as 'mentally ill'. It has grown to include three residential communities, a crisis centre, a psychotherapy service and a psychotherapy training programme. This collection commemorates 25 years of work of the Arbours. It includes historical accounts, and reflections by therapists, students and residents about this highly original approach to providing refuge within specialised therapeutic communities for people in severe distress.

The Arbours have often intervened on behalf of the most disturbed, the most chaotic, the most self-destructive individuals. They are often labeled 'borderline' or 'psychotic' in conventional psychiatric classifications, people who other psychotherapists and facilities would not approach psychotherapeutically. One of the most striking features of this book is the detailed descriptions of the individual, group and institutional dynamics that prove the foundation of the Arbours' practical and theoretical accomplishments.

The distinguished psychoanalyst, Dr Nina Coltart, who contributes the concluding chapter, has written, 'I continue to observe the growth of Arbours with great admiration. They built a thorough analytic training for their students, created a low fee clinic for patients, established and nurtured their community houses, run the Crisis Centre and earned themselves a unique and respected place on the London therapy scene.'

SANCTUARY ISBN 0-899209-10-8Pp 212

Process Press 'only purity of means can justify the ends'

26 Freegrove Road London N7 9RlQ


CONTENTS

  Acknowledgements

ix

  Notes on contributors

x

  Editor's  note

xiii

  Introduction

xiv

  Joseph H. Berke, Chandra Masiliver and Thomas J. Ryan

 

  PART I: COMMUNITIES  

1

Twenty-five years on Thomas J. Ryan

3

2

Confessions of a misfit
'Matilda'

9

3

A holding environment
Trinidad Navarro

22

4

Rites of passage
Irene Bruna Seu

28

5

Learning co-ordination
Chandra Masoliver

38

6

A community in crisis: a view from the kitchen
Saeunn Kjartansdottir

50

 

PART II: CRISIS CENTRE  

7

Conjoint therapy within a therapeutic milieu: the crisis team
Joseph H. Berke

61

8

A savage sadness: journeys into space
Stella Pierides

73

9

On being a resident therapist at the Crisis Centre
John Greenwood, Julian Ibanez and Sally Rose

78

10

Building on metaphors
Alasdair Stokeld

87

11

'We never promised you a rose garden'
Peter Hudson

92

12

Psychotic interventions
Joseph H. Berke

102

  PART III: TRAINING  

13

The Arbours Training Programme: a subjective account
Andrea Sabbadini

117

14

Psychic muscles
Alexandra Fanning

126

  PART IV: PHILOSOPHY, CONTEXT AND
OTHER CONSIDERATIONS
 

15

Still pioneering after all these years
Ron Lacey

143

16

Schizophrenia and the freedom to be irresponsible
Ruth Cigman

153

17

Attention
Nina Coltart

157

  Conclusion

 

  Joseph H. Berke, Chandra Masoliver and Thomas J. Ryan

173

  Publications about Arbours

180

  References

183

  Index

187


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