Clinical Psychoanalytic Case Studies with Complex Patients
Clinical Psychoanalytic Case Studies with Complex Patients

Author: Anne Zachary

Publisher: Taylor & Francis

Published: 2023-10-02

Total Pages: 225

ISBN-13: 1000959058

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Clinical Psychoanalytic Case Studies with Complex Patients is a collection of key case studies that provides a rich resource of information and inspiration for clinicians working psychoanalytically with complex and disturbed patients in a range of contexts. The book is presented in six parts, each introduced with commentary that puts the material into context. It covers a range of topics including autism, violence and perversion, psychosomatics, hysteria, dementia, psychosis and assessment of gender dysphoria. Each chapter presents either a single case study or a selection of case vignettes, examines necessary context and presents additional detail about subsequent treatment. The depth and range of the cases presented provide key insight into and detailed consideration of risk assessment, safe settings and other important preliminary issues. Clinical Psychoanalytic Case Studies with Complex Patients will be of great interest to psychoanalysts in practice and in training, psychoanalytic psychotherapists and other clinicians seeking an introduction to psychoanalytic work.

Psychoanalytic Case Studies from an Interpersonal-Relational Perspective
Psychoanalytic Case Studies from an Interpersonal-Relational Perspective

Author: Rebecca Coleman Curtis

Publisher: Routledge

Published: 2017-12-14

Total Pages: 414

ISBN-13: 1351356690

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Psychoanalytic Case Studies from an Interpersonal-Relational Perspective contains reports of long-term treatments, including many dialogues and dreams, with commentaries following each one. Drawing from theories that have been developed since Freud, the analysts focus on problems in living as opposed to diagnoses and repressed sexual and aggressive urges. They also express their own feelings towards patients and even their own dreams. The cases themselves include sexual abuse, a man whose father killed his mother, a change in sexual orientation, as well as those of depression, physical problems, and difficulties relating interpersonally, such as fear of rejection and rejecting help. Actual dialogues of sessions are featured, so that readers can see what takes place in psychoanalysis. The analysts here draw from theories of Sullivan, Fromm, Horney, and Fromm-Reichmann, Kohut, Winnicott, and more recently Levenson, Mitchell, Bromberg, Donnell Stern, and Aron, to name a few. Most contemporary case reports come from short-term therapies and many rely on techniques of changing conscious cognitions and encouraging new behaviors. The treatments in this book, while often including such interventions, explore more in-depth processes that may be unconscious and related to transferential expectations from previous relationships, encouraging new experiences and not simply explanations. Psychoanalytic Case Studies from an Interpersonal-Relational Perspective will be of great interest to interpersonal and relational psychoanalysts and psychoanalytic psychotherapists in clinical practice.

Research on the Couch
Research on the Couch

Author: R.D. Hinshelwood

Publisher: Routledge

Published: 2013-03-20

Total Pages: 228

ISBN-13: 1136693114

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Is psychoanalysis knowledge? Is psychoanalysis a science, or is it hermeneutics? Can clinical material be considered research data? Psychoanalysis is ambiguous about whether it is about meaning or about truth, and the relations between these two compelling experiences. Psychoanalysts often think of their work as closer to the humanities than to medical and natural science. The wider the gap between science and psychoanalysis appears, the more psychoanalysts feel pulled to something that respects subjectivity, the humanity of their patients themselves, and move away from the procedures of natural science. Research on the Couch is a relevant and timely contribution to the current debate about both the nature and validity of psychoanalysis and its body of knowledge. Freud always regarded his clinical material as his research data. In this book R.D. Hinshelwood aims to explore that view and defend Freud's claim whilst acknowledging the criticisms of single case studies and the inevitable problems for research into human subjectivity and personal experience. To this end the book reviews Freud’s own methods of disseminating his discoveries, discusses the problem of evaluating different claims to psychoanalytic knowledge, and presents a cogent logical model for testing psychoanalytic theories clinically. This book evolves a model for the generation and justification of psychoanalytic knowledge, a 'parascience' just as rigorous as natural science, and one that addresses the subjectivity of meaning. Research on the Couch will be of interest to psychoanalysts of all schools, academics, clinicians, students and those keen to further their knowledge of psychoanalytic studies.

From Psychoanalytic Narrative to Empirical Single Case Research
From Psychoanalytic Narrative to Empirical Single Case Research

Author: Horst Kächele

Publisher: Routledge

Published: 2011-05-20

Total Pages: 496

ISBN-13: 113546880X

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Recognition of the need for empirical research and interest in its findings are growing in psychoanalysis. Many psychoanalysts now acknowledge that research is imperative to try to deal with the factors propelling the diminution in status and prestige of the discipline, as well as the number of patients in intensive psychoanalytic treatment. In addition, there is increased pressure to expose and acquaint candidates with analytic research in the course of their education. From Psychoanalytic Narrative to Empirical Single Case Research revivifies the experimental potential of psychoanalysis by focusing a number of structured research methods on a single case study. Drs. Kächele, Schachter, and Thomä, in tandem with the Ulm Psychoanalytic Process Research Study Group, bring their formidable tools and knowledge to bear on Amalia X, a former patient of Dr. Thomä’s, whose case history is well-documented, preserved and available for formal empirical study. After providing an intensive review of the problematic aspects of clinical psychoanalytic research and an exegesis on the use of the case study itself, the specific case history of Amalia X, which dominates and centers the remainder of the book, is thoroughly examined. The following two chapters – utilizing clinical and linguistic models, respectively – deconstruct Amalia’s psychopathology along a variety of methodological axes in an effort not only to uncover the roots of her presenting symptoms, but also to reify and validate the strange bedfellows of psychoanalysis and empiricism in general. The book would be incomplete, however, without its final chapter, which provides suggestions and insights into the clinical applications and implications of their combined research.

Real People, Real Problems, Real Solutions
Real People, Real Problems, Real Solutions

Author: Robert Waska

Publisher: Routledge

Published: 2013-02-01

Total Pages: 346

ISBN-13: 1135449767

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Real People, Real Problems, Real Solutions offers a clear introduction to psychoanalytic practice from a Kleinian perspective and shows how the modern Kleinian works with the most taxing and least conforming of their patients. Illustrated by extensive case material this book: *reviews Freud's original theoretical concepts and examines Klein's contributions to the field of psychoanalysis, clarifying and comparing the two approaches in the clinical setting. *identifies and explores who makes up the psychoanalyst's most challenging case load and demonstrates how the Kleinian psychoanalytic approach is helpful to these individuals. *discusses the current state of traditional methods of training at psychoanalytic institutes, which are shown to be in need of renewal and critical restructuring. Real People, Real Problems, Real Solutions shows how the average psychoanalyst and psychotherapist face many difficult patients in a typical days work. Together with its questioning of what really constitutes psychoanalytic therapy, this is a refreshing read for all practising and training psychoanalysts and psychotherapists.

A Casebook of Psychotherapy Practice with Challenging Patients
A Casebook of Psychotherapy Practice with Challenging Patients

Author: Robert Waska

Publisher: Routledge

Published: 2015-05-01

Total Pages: 299

ISBN-13: 1317590813

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Most contemporary psychoanalysts and psychotherapists see each patient once or twice a week at most. As many patients have reached a marked state of distress before seeking treatment, this gives the analyst a difficult task to accomplish in what is a limited amount of time. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach sets out a model for working with quite significantly disturbed, distressed, or resistant patients in a very limited time, which Robert Waska has termed "Modern Kleinian Therapy." Each chapter provides a vivid look into the moment-to-moment workings of a contemporary Kleinian focus on understanding projective identification, enactment, and acting out as well as the careful and thoughtful interpretive work necessary in these complex clinical situations. Individual psychotherapeutic work is represented throughout the book alongside instructive reports of psychoanalytic work with disturbed couples, and the more challenging patient is illustrated with several comprehensive reviews of films that follow such hard-to-reach individuals. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach is filled with a combination of contemporary theory building, a wealth of clinical vignettes, and practical advice. It is a hands-on guide for psychoanalysts and therapists who need to get to grips with complex psychoanalytic concepts in a short time and shows the therapeutic power the Modern Kleinian Therapy approach can have and how it can enable them to work most effectively with difficult patients. Robert Waska LPCC, MFT, PhD is an analytic member at the San Francisco Center for Psychoanalysis and conducts a full-time private psychoanalytic practice for individuals and couples in San Francisco and Marin County, California. He is the author of thirteen published textbooks on Kleinian psychoanalytic theory and technique, is a contributing author for three psychology texts, and has published over a hundred articles in professional journals.

Psychoanalytic Case Formulation
Psychoanalytic Case Formulation

Author: Nancy McWilliams

Publisher: Guilford Press

Published: 1999-03-26

Total Pages: 262

ISBN-13: 9781572304628

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What kinds of questions do experienced clinicians ask themselves when meeting a new client for the first time? What are the main issues that must be explored to gain a basic grasp of each individual's unique psychology? How can clinical expertise be taught? From the author of Psychoanalytic Diagnosis, the volume takes clinicians step-by-step through developing a dynamic case formulation and using this information to guide and inform treatment decisions. Synthesizing extensive clinical literature, diverse psychoanalytic viewpoints, and empirical research in psychology and psychiatry, Nancy McWilliams does more than simply bring assessment to life - she illuminates the entire psychotherapeutic process.

Transforming Lives
Transforming Lives

Author: Joseph Schachter

Publisher: Jason Aronson

Published: 2005

Total Pages: 60

ISBN-13: 9780765701183

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People's lives can be dramatically transformed by psychoanalysis. Yet the decision to undertake this enterprise can seem so formidable that many deny themselves an extraordinary experience. This book makes that decision--admittedly a complex one--better informed, clearer, and easier. It provides seven detailed case reports, easy to read and free of technical jargon, in which the patients' lives--in their own judgements--were transformed. This is not meant to imply that psychoanalysis always or even usually yields transformative results. These case studies are intriguing in their own right and help the reader think knowledgeably about psychoanalysis and assess its potential as a life-changing enterprise.

Life Studies in Psychoanalysis
Life Studies in Psychoanalysis

Author: Ahron Friedberg, M.D.

Publisher: Taylor & Francis

Published: 2023-03-10

Total Pages: 270

ISBN-13: 1000848973

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Life Studies in Psychoanalysis consists of four psychoanalytic studies, each representing a patient’s course of treatment over several years. These studies demonstrate how love, in an array of forms, is refracted through the process of psychoanalysis, which unfolds over time and reveals the complexities of human desire. The cases presented here cover topics including repressed homosexuality, a taboo desire for a sibling, obsession with a fantasy, an Oedipus complex, and transferences that become an initial obstacle to treatment. As the studies proceed, each renders the nonlinear progress of treatment, as layer upon layer of a patient’s issues are brought to light and the patient slowly, often reluctantly, comes to terms with these issues. Dr. Ahron Friedberg offers professionals techniques for encouraging patients to remain in treatment when they become resistant, demoralized, or feel like they have hit a wall. Ultimately, this book demonstrates how some patients, troubled by romantic, sexualized, fantasized, illicit, and/or uncontrollable desire, learn through psychoanalysis to accommodate their desires to what is possible and permissible in the lives that they otherwise inhabit. In this sense, the studies involve journeys from a place characterized by the epiphenomena of troubled love – grief, guilt, frustration – to one in which, through enhanced self-awareness, patients understand the sources and implications of their motivations. They come to understand why love has seemed like a minefield, and begin to find a more fulfilling path through it. Life Studies in Psychoanalysis will be of great interest to psychoanalysts in practice and in training, psychoanalytic psychotherapists, and readers looking for insight into the analytic process.

Freud's Patients
Freud's Patients

Author: Mikkel Borch-Jacobsen

Publisher: Reaktion Books

Published: 2021-10-13

Total Pages: 303

ISBN-13: 178914454X

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Portraits of the thirty-eight known patients Sigmund Freud treated clinically—some well-known, many obscure—reveal a darker, more complex picture of the famed psychoanalyst. Everyone knows the characters described by Freud in his case histories: “Dora,” the “Rat Man,” the “Wolf Man.” But what do we know of the people, the lives behind these famous pseudonyms: Ida Bauer, Ernst Lanzer, Sergius Pankejeff? Do we know the circumstances that led them to Freud’s consulting room, or how they fared—how they really fared—following their treatments? And what of those patients about whom Freud wrote nothing, or very little: Pauline Silberstein, who threw herself from the fourth floor of her analyst’s building; Elfriede Hirschfeld, Freud’s “grand-patient” and “chief tormentor;” the fashionable architect Karl Mayreder; the psychotic millionaire Carl Liebmann; and so many others? In an absorbing sequence of portraits, Mikkel Borch-Jacobsen offers the stories of these men and women—some comic, many tragic, all of them deeply moving. In total, thirty-eight lives tell us as much about Freud’s clinical practice as his celebrated case studies, revealing a darker and more complex Freud than is usually portrayed: the doctor as his patients, their friends, and their families saw him.