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This chapter considers the work of those of us who choose—or for other, unconscious reasons “find ourselves” doing so—to work with traumatised people who, have difficulty regulating their emotions and have a reduced capacity to mentalize. It describes the ways in which enabling environments can be optimised by helping individual practitioners, “working with difficult people in difficult places”, to take up their professional role and their membership of the team in more confident and authoritative ways. To be able to manage the disappointments, therefore, necessitates building a systemic and organisational capacity to be with them, as problems that are an inherent part of working in the dilemmatic space, rather than seeking to solve them. In considering this dilemmatic problem from a psychosocial perspective, I. Craib similarly suggests that, for many “psychosocial practitioners”, having to relate to their disappointment is not a choice, and neither is it about (re)solution of problems, patient-centredness, or simple notions of “recovery”.
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