Citations
"Dear Gary, At the RCN Research Conference we have a prize each day for ‘the paper you will still be talking about in 12 months time’. I haven’t stopped talking about your paper since NPNR and I suspect still will be a year hence. You kindly agreed to forward a copy of your paper to anyone who got in touch. I would be very grateful if you would so that my colleague Ian Hulatt can appreciate why I think it was such a landmark paper". Dr Ann McMahon, Research & Innovation Adviser, Learning and Development Institute, Royal College of Nursing. Oct 11th 2011.
Thesis citation: Marion BYRNE: Lou Andreas-
Seminar: Tavistock Seminar September 13th 2010, Alyson Lawson presented theoretical perspective on: Winship (1995) Nursing & Psychoanalysis & Psychoanalysis. Info: APP Newsletter, Summer 2010. P17
Teaching session Feedback: "Re: Lord of the Flies Trial (LoF): Your session was simply wonderful! I very much enjoyed seeing how far you could take LoF in this pedagogic format. The novel pedagogy was extremely refreshing and I can only imagine that the students gained a great deal in both preparing for a mock trial of fictional characters, the opportunity to present cases and in considering the parameters of human judgement in relation to available and questionable evidence". Professor Paul Crawford, Health Humanities. (26.02.2010).
Peer feedback: Session contribution to Forensic Module, School of Nursing: Module leader feedback: "The forensic module finished today. Once again, the feedback for your session was the best across the whole module". Dave Wilson, Modular Leader: MA in forensic practice, School of Nursing. (26.02.2010).
Email Communication: Third generation survivors of the Holocaust, Brit J Psychotherapy.
"My name is R P, and I am currently a graduate student at the George Washington University
in Washington, D.C., completing a certificate in political psychology. I came across
the title your journal article "The Transgenerational Impact of Cultural Trauma:
Linking Phenomena in Treatment of Third Generation Survivors of the Holocaust" (Winship
& Knowles, 1997) while researching the "third-
Paper cited: Winship, G. (1999) Addiction, death and the liver in mind: the Prometheus
syndrome. Psychoanalytic Psychotherapy 13/1, 41-
Winship, G (2006) Further thoughts on the process of restraint. J Psychiatr Ment
Health Nurs. 2006 Feb;13(1):55-
Dust Cover quote in: Goings On -
"Nursing and psychoanalysis—Uneasy alliances (Winship, G, 1995)" Philippe Ployé (2006)
In-
"Thirty years of psychosexual nursing, Page 1. REVIEW PAPER Thirty years of psychosexual
nursing cites: Nursing and psychoanalysis—Uneasy alliances? (Winship, G) R Irwin (2006)
Sexual and Relationship Therapy, -
AMNESTY INTERNATIONAL, AI Index: ACT 84/004/2006. Summary, AI reports & statements,
Death Penalty, HIV/AIDS, Prisoners, Right to health, Torture, Awards, Publications.
ref: Winship G. Further thoughts on the process of restraint. J Psychiatr Ment Health
Nurs. 2006 Feb;13(1):55-
"An illustration of psychoanalytic concepts in cognitive behavioural terms...A cognitive
behavioural cycle for understanding how clients' and nurses' emotions, cognitions
and behaviours may influence each other...Knowledge about countertransference when
working with people who self-
"The prominence clinical supervision has gained in nursing makes it imperative that
we understand what makes meetings helpful to nurses or otherwise. The literature
suggests that in order to be effective, group work must be carefully planned. Nurses
in this study found aspects of group work anxiety invoking and took time to trust
and settle into the group task because of personal concerns. Perhaps reflecting Bion's
(1961) ideas concerning flights from anxiety, managing group dynamics effectively
brought benefits to all concerned. The group had previously worked together in the
clinical setting. Nevertheless, initial interactions suggested that psychological
and social defences were preventing group members from sharing experiences openly.
This reflects several authors' observations in the literature review concerning group
dynamics (Fabricius 1991; Griffiths 1999; Winship & Hardy 1999)". Jones, A (2005) Group-
"I was therefore interested to read a paper by Gary Winship entitled 'Addiction,
Death, and the Liver in Mind' (Winship 1999), in which he considers the aspects of
the pathological processes within addictions. What I find particularly of interest
is that he extends Bion's ideas, of the processing of protomental activity and the
need for a thinking other (mother or analyst) in order to digest formative experiences,
to a bodily level of experience. Gary Winship is postulating that the bodily organs,
for example the liver, also process sensation and experience generated from 'inter-
"There has been concern for many years that individualized community mental health
in the UK may be insensitive to the beliefs and values of certain socio-
"...democratic ideologies have been marginalised by new alliances of power groups
and the negative effects of labelling social censure and stereotyping (Sumner, 1988;
Winship, 1998). Winship (1998) has commented: "Therapeutic Individualism has ridden
in tandem with the influencing political climate and can be found particularly within
the last fifteen years in the Britain, which has been dominated by the politics of
free market individualism. Individualism has come to represent a philosophy and
psychology of 'self'" (p.271)". Leighton, K (2005) Transcultural nursing: the relationship
between individualist ideology and individualised mental health care. Journal of
Psychiatric & Mental Health Nursing, 12: 85-
"Research in a TC context might include the following areas: explorations of therapeutic
process in different contexts (Winship, 2004)". Morant, N & Manning, N (2005) Principles
& practices in therapeutic community research. The International Journal of Therapeutic
Communities, 26, 3: 227-
"Recognising feelings that may influence the course of relationships in both positive
and negative ways seems an important nursing task...Subsequently, supervision and
sensitivity groups, which accommodate thinking carefully about nursing relationships,
could have something to contribute, in that they can offer a space away from the
work setting to think about the complexities of professional relationships (Winship
& Hardy, 1999)". Jones, A (2004) Transference and countertransference. Perspectives
in Psychiatric Care, 40, 1: 13-
"Commentary on the democratic origins of the term 'Group-
"However, evidence suggests that management of aggressive incidents still relies
on control and restraint, pro re nata (prn) medication, seclusion and nurse training
focusing on containment rather than preventative measures (Gentle 1996; Winship 1998). The
nurses identified the advanced skills required in close-
"This paper (Winship, 2003) is historically interesting and I would not want to dispute
the importance of exploring the link between group analysis and the democratic process"
-
"Control and restraint training has been identified as a strategy for preventing
and minimizing assaultive behaviour although research indicates that the focus of
this training remains on containment and not on preventative measures (Winship, 1998).
Louise O'Brien & Rose Cole (2003) Close-
Alternatively, writers such as Winship (1998) argue that cognitive, behavioural and
biological approaches can appear to be defensive attempts at 'keeping the patient
at a distance', whilst an understanding of the psychodynamic approach allows nurses
to acknowledge how a patient's psychopathology may affect their own unconscious and
therefore their interaction with certain clients. Crowhurst, N & Bowers, L (2002)
Philosophy, care and treatment on the psychiatric intensive care unit: themes, trends
and future practice. Journal of Psychiatric & Mental Health Nursing, 9, 6: 689-
"This study was particularly concerned with the way in which conventional individualist-
". . . have also been published (Feather and Bissell 1979, Price and Chalker 2000,
Winship & Hardy 1999, Sloan et al 2000). In group supervision, (Winship G & Hardy
S (1999)". Sloan G, Watson H (2002) Clinical supervision models for nursing: structure,
research and limitations. Nursing Standard. 17, 4, 41-
"Some of the reasons given for the use and abuse of drugs/substances include availability
of the substance, personal characteristics of the abuser, properties of the drug,
and 4social pressure (Gelder et al. 1994). Wagman (1997) added 5the degree of vulnerability,
family background, including disorganized family, unhappy childhood and history of
mental illness in the family as other reasons for the use and abuse of drugs. Many
people are said to use drugs continually because they want a pleasurable change in
their state of mind. This pleasurable change may range from a mild `lift' to a `high',
which is euphoria. Many people start experimenting on drugs for thrill, as an expression
of rebellion, or because their friends use drugs. Others turn to drugs to escape
depression or other personal problems, including dif®culties with their schoolwork,
job or family (The World Book Encyclopedia 1993). Therefore, drug use/abuse becomes
`the means to a type of psychic retreat from reality' (Winship & Unwin 1997)". AL-
"This is an article that bears serious reading and examination. It describes an experiment
at least three and a half years in the making (the author spent two years in infant
observation training -
"The ability for empathy and understanding is a process whereby negative feelings
are incorporated by the nurse and they are returned after being 'digested' and perhaps
'detoxified' (Winship, 1999) -
"A number of authors when writing about clinical supervision have employed Winnicott's
notion of 'holding' to suggest features of the supervisory relationship in the context
of nursing and health visiting. Winship's (1995; p228) account of clinical supervision
with nurses working with acutely disturbed patients suggests that for mental health
nurses to 'hold the patient in their distress' they need some form of supervisory
holding in order that they may process their subjective experience". -
"The concept of totality, says Winship in his recent and powerful essay, is indeed
"the key to the paper and I would suggest that the totality that Lou Andreas-
"Winship & Hardy (1999) have highlighted the role that groups can play in clinical
supervision". -
Working with groups has been a very important aspect of psychiatric nursing. Wards
which were embracing dynamic psychological theory conducted group therapy with small
groups of patients as well as, or instead of, individual therapeutic sessions with
the psychiatrist. In wards based on social therapy small group meetings and ward
meetings, followed by post mortem discussions, were the essence of daily living.
Even in wards where physical treatment was predominantly practised, group meetings
were considered useful adjuncts to managerial endeavour. Psychiatric nurses had to
acquire the necessary skills and they also saw their right to conduct groups as a
measure of prestige and as an extension of their role. Winship & Hardy's (1999) paper
reflects an important aspect of my own work with patients and students. The perceived
importance of group therapy may have changed with the move of patients into the community,
but the usefulness of small group teaching has, I think been well established. How
it can be maintained in practice in the large lecture theatres of Universities, I
do not know. I welcome further attempts to study the work of psychiatric nurses.
Annie Altschul (1999). Journal of Psychiatric and Mental Health Nursing, 6, 4: 261-
"Gary Winship has observed, correctly in my view, that it is only recently that a
psychoanalytic approach has been articulated in the teaching of nurses (Winship,
1995). The nursing literature that addresses psychoanalytic themes is limited indeed. The
earliest Cassel hospital, 'Psychosocial Nursing'-
"A Growing body of literature suggests the possible diversity of psychotherapeutic
roles and functions which might be fulfilled by nurses providing that they receive
appropriate training and clinical supervision (Beeber, 1994, Winship, 1997)". -
"The issue of whether patients have a personal voice within the hospital and, when
they do, in which way can it be amplified and how can its areas of influence can
be expanded. This question is formulated within a wider debate about the way health
care professionals and our society in general, deal with the concept of patient empowerment,
and how this theory can be translated into practice (Winship, 1995)". -
"To avoid burnout, nurses can reduce the stress of dealing with moral and ethical
problems while maintaining their integrity. Effects of clinical supervision are
related to whether it is implemented on an individual basis (one-
"The decline in TCs and the change in their organisational structures and cultures
have been linked to changes in the macro socio-
"The use of psychodynamic principles, especially for meeting the needs of people
with serious forms of mental illness continues to develop (Winship, 1995a; Lego,
1996). . . those who recognise the importance of search for meaning and the complex
processes involved know that the relationship between psychoanalysis and nursing
is an uneasy one (O'Toole & Welt, 1989; Winship, 1995a; 1995b)" -
As previously noted, there is universal agreement among authors about the value of
recognizing countertransference. The advantages that are noted, include improved
nursing care of the patient (Winship, 1995). Exploration of countertransference
may help lead the nurse to a deeper understanding of the nurse-
"More recently the Association of Psychoanalytic Psychotherapy in the NHS (APP) has
established a nursing sub-
"A growing number of nurses in the UK are using psychoanalytic ideas in their work. Many
have completed full psychotherapy training and seek to incorporate elements of both
nursing and psychotherapy in their practices . . . this paper is written from the
perspective of work within the National Health Service, the current employer in some
form of all UK nurse psychotherapists (Winship, 1997)". Harrison, K (1998) Sibling
rivalry in nursing and the role of the nurse psychotherapist. Perspectives in Psychiatric
Care, 34, 4: 32-
". . . the respective contributions made by Peplau -
Ref: (Winship1995a; 1995b)" -
"Related work (e.g. Main 1957, Stockwell 1974, Kelly & May, 1982) also points towards
nurses' attempts to defend them against this unbearable anxiety by using more primitive
'projective' and 'splitting' mechanisms through which through which certain patients
become objectified and thereafter are used by nurses to manage their own disturbed
feelings (Evans 1995, Winship 1995, Winship, et al. 1995)". Scanlon, C & Weir, W
S (1997) Learning from practice? Mental health nurses' perceptions and experiences
of clinical supervision. Journal of Advanced Nursing, 26: 295-
"Winship (1995) describes the introduction of condoms into a DDU. Even though it
had been demonstrated that the client group were risk transmissible agents (HIV,
Hepatitis) through unsafe sexual practice, the introduction of condoms was not without
problems and challenges. The proposal met with resistance from the staff for two
reasons. First, they feared that having condoms available would generate sexual
arousal among clients and lead to increased sexual activity. Secondly, the policy
of the unit was that sexual relations between clients was not permitted and therefore
the availability of condoms sent out a mixed message. Condoms were initially kept
in the staff office and only brought out for education sessions or if clients asked
for them. Because of concerns that clients were too embarrassed by having to negotiate
this restricted access, they were eventually placed in the male and female toilets. Winship
emphasised the need to frame the introduction within a wider health education programme. Despite
the initial fears of the staff, the recorded incidence of sexual intercourse involving
patients was lower in the year following the initiative than in the previous year
when condoms were not available. This correlates with research findings evaluating
sex education in school (Health Edcuation Authority, 1994). Less positively, Winship
reports that on the last three occasions of clients having sex before his article
was published, none reported using condoms". -
"Much psychological disturbance can arise from the unconscious processes of working
closely with patients in the nurse-
www.winship.info
