title: A psychoanalytically informed conversation with a woman and her husband following major surgery for cancer of her neck and torso.
abstract: OBJECTIVE
  This paper explores psychoanalytic ideas of containment as described by Wilfred Bion and applies them understanding the concerns of a woman with serious illness and her husband. A case vignette shows psychoanalytic thinking in context. The paper explores verbatim exchanges that took place in a room just off a hospital ward and offers a psychoanalytically informed analysis.
  
  
  BACKGROUND
  This discussion suggests that the impact of physical illness is such that there is potential for the seriously ill to saturate health workers in anxiety and raw feelings. To protect themselves, nurses and other health workers could sometimes unconsciously overlook the emotional care of people in favour of routines, physical aspects of care and other demonstrable methods of treatment.
  
  
  CONCLUSIONS
  Drawing on the work of Isabel Menzies Lyth, the discussion concludes by recommending that environments are needed in which a person with serious illness or family member can be helped to make sense of his or her experiences and so integrate them into a meaningful life continuum. Similar conditions are perhaps needed for nurses or other health workers. Appropriate methods of work discussions in clinical supervision might conceivably provide these important requirements.
authors.affiliation: School of Nursing, Midwifery and Health Visiting, University of Manchester, Manchester, UK. alun.jones@man.ac.uk
authors.forename: A
authors.initials: A
authors.lastname: Jones
mesh_terms: D000223:Adaptation, Psychological; D001007:Anxiety / Q000209:etiology / Q000451:nursing / Q000523:psychology; D001294:Attitude to Health; D003142:Communication; D003674:Defense Mechanisms; D005260:Female; D006258:Head and Neck Neoplasms / Q000451:nursing / Q000523:psychology* / Q000601:surgery*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D011182:Postoperative Care / Q000379:methods / Q000523:psychology; D011573:Psychoanalytic Interpretation; D018454:Spouses / Q000523:psychology*; D011795:Surveys and Questionnaires