'The Tavistock and Portman Clinics are amongst the world's best-known psychoanalytic institutions. This volume is a tribute to the resilience and adaptability that has enabled them to survive in a culture of cost-cutting and managerialism. The "Tavi", readers will find, perhaps to their surprise, is: integrative (developing a dialogue between systemic and psychoanalytic viewpoints), scientifically minded (pioneering brief evidence-based treatments), inclusive (tackling hard to reach client groups), un-hidebound (prepared to question professional and psychoanalytic hegemonies) - yet holding proudly to its core values of open dialogue, authentic authority, and the unceasing effort to articulate the deepest layers of meaning and desire.'- Jeremy Holmes, MD, Professor of Psychological Therapies, University of Exeter, UK'This challenging and ambitious book captures the variety and richness of contemporary clinical developments in the Tavistock and Portman Clinics in relation to work with adults and young adults. It sets these developments in the context of the collective psychoanalytic and systemic principles that are the central underpinning of the Clinics' work, built up over their long and distinguished history. The book sets the scene for the challenges that face the Clinics from the evidence-based practice approach and from competition for resources with forms of practice that are validated by this approach. The book outlines the adaptive and innovative ways in which the Clinics have responded to this competitive situation, for example by the development of an internet-based service for young adults, the application of mentalisation-based therapy for antisocial patients, and the use of dynamic interpersonal therapy as a brief therapy. This book will be an inspiring guide and rallying call for practitioners in the mental health field, who face the same inexorable competition for resources in providing therapy in the NHS and public services.'- Nick Temple, President Elect, British Psychoanalytic Society (BPAS); Former Chief Executive, Tavistock and Portman NHS Trust; Training Analyst, BPAS, LondonCONTENTS:SERIES EDITOR'S PREFACEACKNOWLEDGEMENTSABOUT THE EDITOR AND CONTRIBUTORSFOREWORDI - As we are nowIntroduction - Alessandra Lemma1 Talk talk: theories and practices for turbulent times - Andrew Cooper 2 A plurality of just answers - Bernadette Wren & Ellie KavnerII- Psychoanalytic interventions with young adults and adultsIntroduction - Alessandra Lemma3 Time-limited psychodynamic psychotherapy for adolescents and young adults - Stephen Briggs & Louise Lyon4 The Young People's Consultation Services: a model of engagement - Linda Young & Frank Lowe5 Complexity in primary care - Brian Rock & Anca Carrington6 Treatment continuity in discontinuous worlds - Carine Minne7 Picking up a log from both ends: couple work in the Tavistock tradition - Joanna RosenthallIII - Innovations in adult mental health careIntroduction - Alessandra Lemma8 Treating the untreatable: the evolution of a psychoanalytically informed service for antisocial personality disorder - Jessica Yakeley9 Where Internet was, there ego shall be: community and well-being in the digital world - Richard Graham10 Dynamic interpersonal therapy (DIT): developing a new intervention for depression - Alessandra Lemma, Mary Target, & Peter Fonagy