Warren Kinston - Academia.edu (original) (raw)
Papers by Warren Kinston
British Journal of Psychiatry, 1988
ed from the institution, severed from particular identity realms, and denuded of the trappings of... more ed from the institution, severed from particular identity realms, and denuded of the trappings of tradition, rules may be defined to govern conduct in a wide variety of settings. When we view rules in this disconnected and instrumental way, we look for conscious adherence to them. For rules within natural moral institutions, by contrast, we assume automatic adherence based on socialization while growing up. When nothing changes, tradition and the existing moral institutions suffice to guide people. Designing rules is then no more than a philosopher’s pastime. When actual or potential social change threatens, people become disoriented and demand rules. And philosophers start writing articles in newspapers. Changes in society — whether evolutionary like over-population, reactive like discontent with socioeconomic class injustices, or deliberate like techno logical innovation in health care — disturb accepted ways of living. Such changes generate a diversity of opinions, and put public...
British Journal of Psychiatry, 1979
Australian Journal of Family Therapy, 1984
The International journal of psycho-analysis, 1986
Primal repression, long an obscure and unusable concept, has been given a precise place in a rece... more Primal repression, long an obscure and unusable concept, has been given a precise place in a recent re-working of the theory of repression (Cohen & Kinston, 1984); and this paper specifically examines its properties and presentation. Primal repression refers to an absence of psychic structure which can be made good in the process of emotional growth. It is a part of the mind where trauma persists; and it has a close connexion to the unrepressed unconscious. Direct emergence of primal repression is a threat to life and its activation is therefore risky. During psychoanalysis, primal repression is normally avoided by object-narcissism buttressed by neurotic defences, but it may be reached and worked with in the presence of a non-internalizable valuing and nurturing relationship which we label 'primary relatedness'. This relation is therefore the interactional context for emotional growth. Numerous clinical examples are provided to demonstrate characteristic features of this re...
Psychological Medicine, 1983
SynopsisThis paper describes a study of the outcome of psychotherapy with patients disabled by ch... more SynopsisThis paper describes a study of the outcome of psychotherapy with patients disabled by chronic obstructive airways disease giving rise to dyspnoea. Forty-three men and 22 women with severe COAD were randomly allocated for 8 weeks to one of three types of psychotherapy or to an untreated control group, and were followed up six months later. The group treated by a medical nurse without training in psychotherapy experienced sustained relief of dyspnoea but tended to undergo less psychodynamic change; psychiatric symptoms were reduced in those receiving supportive, but not analytical, psychotherapy. The psychosomatic mechanisms involved and the implications for medical and nursing practice and for liaison psychotherapy are discussed.
Journal of Psychosomatic Research, 1988
In a controlled study using recently developed and validated methods for eliciting and describing... more In a controlled study using recently developed and validated methods for eliciting and describing family interactions, a characteristic dysfunctional pattern of interaction was found in families with an obese child. The pattern differed from patterns predicted by previous workers on the basis of indirect evidence or non-systematic study. The pattern was present in all the families studied, but was more marked in the subgroup recruited from a local school, than from subgroups recruited through medical sources. This subgroup had a more positive attitude to obesity and a slightly lower degree of obesity. No common or characteristic interactional pattern was found in the controls. The results were not explainable in terms of demographic criteria, family structure or composition variables, or family emotionalhealth. The findings are discussed in relation to a model of obesity as a family syndrome and a manifestation of psychosocial identity.
Journal of Family Therapy, 1980
Page 1. Journal of Family Therapy (1980) 2: 311-326 Is there a 'psychosomatogenic' fami... more Page 1. Journal of Family Therapy (1980) 2: 311-326 Is there a 'psychosomatogenic' family?* Peter J. Loadert, Warren Kinstonl and Jackie Stratfordt Review of the literature revealed two family theories of psychosomatic illness ...
Journal of Family Therapy, 1984
This paper describes the origin and objectives of a method of research inter-viewing of the whole... more This paper describes the origin and objectives of a method of research inter-viewing of the whole family, provides details of the protocol and the way it is administered, and evaluates its usefulness. The method aims to elicit family interaction in a standardized fashion using ...
Journal of Child Psychology and Psychiatry, 1978
Summary The experience of a workshop set up within a Department of Child Psychiatry to foster fam... more Summary The experience of a workshop set up within a Department of Child Psychiatry to foster family therapy and to develop a brief focal technique is described. Details are provided of the first 29 cases. Twenty-two families engaged in therapy and the referred child improved in 19 (87%) of these cases. Family change was measured using a methodology developed by Malan to assess psychodynamic change in individuals and problems in adapting it are discussed. Eleven (50%) of the engaged famines improved. The pattern of child and family improvement supported the theory that a symptomatic child can be a manifestation of family pathology. A contraindication to the brief focal approach is past or present formal mental illness in a parent. Marital disturbance was frequently covert: this affected the therapeutic plan but was not related to outcome.
Medical Journal of Australia, 1970
British Journal of Psychiatry
Revista De Psicoanalisis, 2005
British Journal of Psychiatry, 1988
ed from the institution, severed from particular identity realms, and denuded of the trappings of... more ed from the institution, severed from particular identity realms, and denuded of the trappings of tradition, rules may be defined to govern conduct in a wide variety of settings. When we view rules in this disconnected and instrumental way, we look for conscious adherence to them. For rules within natural moral institutions, by contrast, we assume automatic adherence based on socialization while growing up. When nothing changes, tradition and the existing moral institutions suffice to guide people. Designing rules is then no more than a philosopher’s pastime. When actual or potential social change threatens, people become disoriented and demand rules. And philosophers start writing articles in newspapers. Changes in society — whether evolutionary like over-population, reactive like discontent with socioeconomic class injustices, or deliberate like techno logical innovation in health care — disturb accepted ways of living. Such changes generate a diversity of opinions, and put public...
British Journal of Psychiatry, 1979
Australian Journal of Family Therapy, 1984
The International journal of psycho-analysis, 1986
Primal repression, long an obscure and unusable concept, has been given a precise place in a rece... more Primal repression, long an obscure and unusable concept, has been given a precise place in a recent re-working of the theory of repression (Cohen & Kinston, 1984); and this paper specifically examines its properties and presentation. Primal repression refers to an absence of psychic structure which can be made good in the process of emotional growth. It is a part of the mind where trauma persists; and it has a close connexion to the unrepressed unconscious. Direct emergence of primal repression is a threat to life and its activation is therefore risky. During psychoanalysis, primal repression is normally avoided by object-narcissism buttressed by neurotic defences, but it may be reached and worked with in the presence of a non-internalizable valuing and nurturing relationship which we label 'primary relatedness'. This relation is therefore the interactional context for emotional growth. Numerous clinical examples are provided to demonstrate characteristic features of this re...
Psychological Medicine, 1983
SynopsisThis paper describes a study of the outcome of psychotherapy with patients disabled by ch... more SynopsisThis paper describes a study of the outcome of psychotherapy with patients disabled by chronic obstructive airways disease giving rise to dyspnoea. Forty-three men and 22 women with severe COAD were randomly allocated for 8 weeks to one of three types of psychotherapy or to an untreated control group, and were followed up six months later. The group treated by a medical nurse without training in psychotherapy experienced sustained relief of dyspnoea but tended to undergo less psychodynamic change; psychiatric symptoms were reduced in those receiving supportive, but not analytical, psychotherapy. The psychosomatic mechanisms involved and the implications for medical and nursing practice and for liaison psychotherapy are discussed.
Journal of Psychosomatic Research, 1988
In a controlled study using recently developed and validated methods for eliciting and describing... more In a controlled study using recently developed and validated methods for eliciting and describing family interactions, a characteristic dysfunctional pattern of interaction was found in families with an obese child. The pattern differed from patterns predicted by previous workers on the basis of indirect evidence or non-systematic study. The pattern was present in all the families studied, but was more marked in the subgroup recruited from a local school, than from subgroups recruited through medical sources. This subgroup had a more positive attitude to obesity and a slightly lower degree of obesity. No common or characteristic interactional pattern was found in the controls. The results were not explainable in terms of demographic criteria, family structure or composition variables, or family emotionalhealth. The findings are discussed in relation to a model of obesity as a family syndrome and a manifestation of psychosocial identity.
Journal of Family Therapy, 1980
Page 1. Journal of Family Therapy (1980) 2: 311-326 Is there a 'psychosomatogenic' fami... more Page 1. Journal of Family Therapy (1980) 2: 311-326 Is there a 'psychosomatogenic' family?* Peter J. Loadert, Warren Kinstonl and Jackie Stratfordt Review of the literature revealed two family theories of psychosomatic illness ...
Journal of Family Therapy, 1984
This paper describes the origin and objectives of a method of research inter-viewing of the whole... more This paper describes the origin and objectives of a method of research inter-viewing of the whole family, provides details of the protocol and the way it is administered, and evaluates its usefulness. The method aims to elicit family interaction in a standardized fashion using ...
Journal of Child Psychology and Psychiatry, 1978
Summary The experience of a workshop set up within a Department of Child Psychiatry to foster fam... more Summary The experience of a workshop set up within a Department of Child Psychiatry to foster family therapy and to develop a brief focal technique is described. Details are provided of the first 29 cases. Twenty-two families engaged in therapy and the referred child improved in 19 (87%) of these cases. Family change was measured using a methodology developed by Malan to assess psychodynamic change in individuals and problems in adapting it are discussed. Eleven (50%) of the engaged famines improved. The pattern of child and family improvement supported the theory that a symptomatic child can be a manifestation of family pathology. A contraindication to the brief focal approach is past or present formal mental illness in a parent. Marital disturbance was frequently covert: this affected the therapeutic plan but was not related to outcome.
Medical Journal of Australia, 1970
British Journal of Psychiatry
Revista De Psicoanalisis, 2005