Dr Susan Mizen
is a Consultant psychiatrist in Medical Psychotherapy and a member of the Society of Analytical Psychology. She trained at the Cassel Hospital in West London before becoming a consultant at Charing Cross Hospital in Fulham and then in Exeter.

In the past seven years she has made the business case for and has set up a psychodynamic psychotherapy day and outpatient programme for patients who would otherwise be treated in locked and secure hospital placements because of the high risks they present to themselves of completed suicide and because of the complexity of their difficulties.

She is currently the Chair of the Psychotherapy Faculty Executive at the Royal College of Psychiatrists and is undertaking a PhD in Neuroscience at Exeter University investigating her Relational Affective Hypothesis. She is a Psychoanalytic Psychotherapist in private practice.
Dr. Susan Mizen
Nov 11, 2017
Meatophor Making in the Relational Brain


The idea I will be discussing arose from interdisciplinary dialogue between psychoanalytic psychotherapists and neuroscientists and my work with people with very severe narcissistic disorders in the NHS.

The complex presentations and therapeutic challenge presented by the patients attending the service required the development of a new way of working psychodynamically. The Relational Affective Model we are developing is based on neuroscience and the Cassel  Hospital's therapeutic approach adapted for work with eating disorders, somatisation, autistic spectrum disorder and substance misuse.

I will describe the Relational Affective Hypothesis from which this way of working was developed describing a hypothetical neural pathway through which affect becomes emotional feeling and in a relational context comes to be symbolised and ultimately expressed in words. I hope to have an opportunity to discuss some of the implications for psychotherapeutic practice.