This document provides an overview of chapters from a book about adversity, relationships, and psychologically informed environments. It discusses how a person's past experiences and relationships can impact their present behavior and mental health. The document also profiles an individual with multiple complex needs, including dependency on carers, challenging behaviors around eating and conduct, high emotional lability, occasional aggression, and volatile relationships. It concludes by posing questions about the topics discussed.

1. Shining a Light on the Invisible
Adversity, Relationships and Psychologically Informed
Environments
Dr. Adam Burley
Consultant Clinical Psychologist
NHS Lothian Psychotherapy Department
@DrAdamGWBurley

2. Chapter 1: The Invisible Breath

3. ‘There is no such thing as a baby.’
D. Winnicott (1957)

6. Chapter 2: ‘Those who cannot remember the past are
condemned to repeat it’
George Santayani (1863 – 1952)

9. ‘When a young person is to be found running down the
street smashing windows, he is looking for his mother.’
D. Winnicott (1949)

10. ‘The relations with carers are characteristic; they are
characterized by the defeat of help.’
R.Hinshelwood (2002)

11. `The sufferer who frustrates a keen therapist by
failing to improve is always in danger of meeting
primitive human behaviour disguised as treatment.`
T.Main (1957)

13. Chapter 3: Under the Bonnet

19. Chapter 4: ‘There is a light and it never goes out’
Morrissey (1986)

23. Engagement
Engagement

24. Multiple and Complex Needs
• Young female living in supported accommodation.
• Dependent on carers for basic ADL’s
• Splits carers.
• ‘Engages’ with support in a variety of, often challenging, ways.
• At times very demanding, at other times totally self reliant.
• Range of challenging behaviour in relation to eating, conduct.
• Highly, highly emotionally labile.
• Occasionally aggressive and violent.
• Evokes very strong extremes of emotion in carers.
• Called ‘bonkers’ by other residents.
• Very volatile relationships with friends.
• Range of addictions.

27. Chapter 5: ‘Thus we reach the end. The beginning and the
end.’
OMD (1981)

28. ‘There is no such thing as a pupil.’
A. Burley (2019)

31. Thoughts / Questions?