Ogden sets out a movement in contemporary psychoanalysis toward a new sensibility, reflecting a shift in emphasis from what he calls "epistemological psychoanalysis" (having to do with knowing and understanding) to "ontological psychoanalysis" (having to do with being and becoming). Ogden clinically illustrates his way of dreaming the analytic session and of inventing psychoanalysis with each patient. Using the works of Winnicott and Bion, he finds a turn in the analytic conception of mind from conceiving of it as a thing—a "mental apparatus"—to viewing mind as a living process located in the very act of experiencing. Ogden closes the volume with discussions of being and becoming that occur in reading the poetry of Robert Frost and Emily Dickinson, and in the practice of analytic writing. This book will be of great interest not only to psychoanalysts and psychotherapists interested in the shift in analytic theory and practice Ogden describes, but also to those interested in ideas concerning the way the mind and human experiencing are created.
Life in the Consulting Room offers a series of noteworthy vignettes that occurred in the author's consulting room. Although the context and objective of each consultation varied, the decision to present them here is due to a particularly interesting feature of the patient's life or a significant point that arose during their interview with the author. Many of the cases have issues of academic interest but these are not pursued here. Instead, these accounts should be seen as portraits, "snapshots" that were considered emotionally interesting and intellectually stimulating. Some of these patients were in short- or long-term therapy, but most cases were being assessed to determine whether psychotherapy was in fact the best way of helping them. No doubt all psychodynamic practitioners will have met some of these findings in their practice, but the present book offers a particularly significant collection of clinical episodes.
Ghosts in the Consulting Room: Echoes of Trauma in Psychoanalysis is the first of two volumes that delves into the overwhelming, often unmetabolizable feelings related to mourning. The book uses clinical examples of people living in a state of liminality or ongoing melancholia. The authors reflect on the challenges of learning to move forward and embrace life over time, while acknowledging, witnessing and working through the emotional scars of the past. Bringing together a collection of clinical and theoretical papers, Ghosts in the Consulting Room features accounts of the unpredictable effects of trauma that emerge within clinical work, often unexpectedly, in ways that surprise both patient and therapist. In the book, distinguished psychoanalysts examine how to work with a variety of ‘ghosts’, as they manifest in transference and countertransference, in work with children and adults, in institutional settings and even in the very founders and foundations of the field of psychoanalysis itself. They explore the dilemma of how to process loss when it is unspeakable and unknowable, often manifesting in silence or gaps in knowledge, and living in strange relations to time and space. This book will be of interest to psychotherapists and psychoanalysts, as well as social workers, family therapists, psychologists, and psychiatrists. It will appeal to those specializing in bereavement and trauma and, on a broader level, to sociologists and historians interested in understanding means of coping with loss and grief on both an individual and larger scale basis.
The science of mind has been plagued by intractable philosophical puzzles, chief among them the distortions of memory and the relation between mind and body. Sigmund Freud's clinical practice forced him to grapple with these problems, and out of that struggle psychoanalysis emerged. From Freud's Consulting Room charts the development of his ideas through his clinical work, the successes and failures of his most dramatic and significant case histories, and the creation of a discipline recognizably distinct from its neighbors. In Freud's encounters with hysterical patients, the mind-body problem could not be set aside. Through the cases of Anna O., Emmy von N., Elisabeth von R., Dora, and Little Hans, he rethought that problem, as Hughes demonstrates, in terms of psychosexuality. When he tried to sort out the value of memories, with Dora and Little Hans as well as with the Rat Man and the Wolf Man, Freud reintroduced psychosexuality and elaborated the Oedipus complex. Hughes also traces the evolution of Freud's conception of the analytic situation and of the centrality of transference, again through the clinical material, including the case of Freud himself, who at one point figured as his own "chief patient". Moving from case to case, Hughes has coaxed them into telling a coherent story. Her book has the texture of intellectual history and the compelling quality of a fascinating tale. It leads us to see the origins and development of psychoanalysis in a new way.
'This is an extraordinary and exciting book, the work of a truly original and creative psychoanalytic theoretician and most astute clinician. Ogden continues to expand and to deepen his reformulations of the British object-relations theorists, M. Klein, W. R. Bion, D. W. Winnicott, W. R. D. Fairbairn, H. Guntrip, to illuminate further the world of internalized object relations. His concepts are evolutionary and at times revolutionary. Exploring the area of human experience that lies beyond the psychological territories addressed by the previous theorists, he introduces the concept of an autistic-contiguous mode as a way of conceiving of the most primitive psychological organization through which the sensory 'floor' of the experience of self is generated. He conceives of this mode as a sensory-dominated, presymbolic area of experience in which the most primitive form of meaning is generated on the basis of organization of sensory impressions, particularly at the skin surface. A major tenet in the book is a conceptualization of human experience throughout life as the product of a dialectical interplay among three modes of generating experience: the depressive, the paranoid-schizoid, and the autistic-contiguous. Each mode creates, preserves, and negates the other. No single mode of generating experience exists independently of the others. Psychopathology is conceptualized as a 'collapse' of the dialectic in the direction of one or another mode of generating experience. The outcome of such collapse may be entrapment in rigid, asymbolic patterns of sensation (collapse in the direction of the autistic-contiguous mode), or imprisonment in a world of omnipotent internal objects where thoughts and feelings are experienced as things and forces which occupy or bombard the self (collapse in the direction of paranoid-schizoid mode) or isolation of the self from lived experience and aliveness of bodily, sensations (collapse in the direction of the depressive mode). Ogden presents his unique development of the autistic-contiguous mode as the synthesis, interpretation, and extension of the works of D. Meltzer, E. Bick, and F. Tustin. He is careful to state that this psychological organization is a developing and ongoing) mode of generating experience and not a limited phase of development; an elaboration of this primitive organization is an integral part of normal development. All three modes are considered not 'positions' to be passed through, outgrown, or overcome, and relegated to the past, but as integral dimensions of present adult ego functioning. Sensory experience in an autistic-contiguous mode has rhythmicity that is becoming the continuity of being; it has boundedness that is the beginning of experience of the place where one feels things and lives; it has features such as shape, hardness, cold, warmth and texture, beginnings of the qualities of who one is. As his generous case examples aptly demonstrate, Ogden's theories are solidly grounded in his discerning work with a broad variety of patients. His brilliant pathfinding will enlighten and enrich the reader with invaluable insights. He will listen with new ears and with a fresh conceptual framework with which to comprehend the most primitive elements of human development and the complex interplay among the different modes of experience. This is a bold, important, instructive, and stimulating book of equally great clinical and theoretical applicability.' —The Journal of the American Psychoanalytic Association A Jason Aronson Book
What does one do when a dangerous paedophile, nearly six feet seven inches in height, threatens to kill you? How does one manage when a brain-damaged, psychotic patient spits on the office floor two hundred times during the first consultation? And what does one say when one member of a warring couple reveals the most horrific acts of sexual cruelty? In perhaps his most gripping book to date, Professor Brett Kahr offers colleagues a detailed glimpse into the challenge of working with highly distressed and disturbing individuals in long-term psychotherapy. Kahr explains the ways in which such deeply troubled people hurl "bombs" into the consulting room, leaving considerable "psychological shrapnel" in their wake. The book contains five sensitively and compellingly written clinical chapters, followed by several historical chapters which explore the ways in which Donald Winnicott attempted to manage the bombs in his consulting room, often of his own making. Kahr then examines the pioneering contribution of Enid Eichholz (later Enid Balint) who, during the Second World War, created marital psychoanalysis as a means of dealing with couples ravaged by actual wartime bombs. The book concludes with an historico-clinical chapter on how thoughtful and sophisticated classical interpretation can reduce the impact of clinical bombs. Kahr even provides us with an examination of his favourite "top ten" interpretations in the history of psychoanalysis! A unique and helpful volume, written by a practitioner steeped equally in psychoanalysis and history, Bombs in the Consulting Room: Surviving Psychological Shrapnel will be essential reading for anyone who has ever felt frightened while treating patients.
Thomas H. Ogden is the winner of the 2004 International Journal of Psychoanalysis Award for the Most Important Paper of the year and the 2010 Haskell Norman Prize – an international award for "outstanding achievement as a psychoanalytic clinician, teacher and theoretician". Thomas Ogden is internationally recognized as one of the most creative analytic thinkers writing today. In this book he brings his original analytic ideas to life by means of his own method of closely reading major analytic works. He reads watershed papers in a way that does not simply cast new and discerning light on the works he is discussing, but introduces his own thinking regarding the ideas being discussed in the texts. Ogden offers expanded understandings of some of the most fundamental concepts constituting psychoanalytic theory and practice. He does so by finding in each of the articles he discusses much that the author knew, but did not know that he or she knew. An example of this is how Freud, in his conception of the unconscious workings of mourning and melancholia, was providing the foundation of a theory of unconscious internal object relations. Ogden goes on to provide further re-readings of classic material from the following key contributors to contemporary psychoanalysis: W. R. D. Fairbairn Donald Winnicott Wilfred Bion Hans Loewald Harold Searles. This book is not simply a book of readings, it is a book about reading, about how to read in a way that readers actively rewrite what they are reading, and in so doing makes the ideas truly their own. The concepts that Ogden develops in his readings provide a significant step in the reader’s expansion of his or her understanding of many of the ideas that lie at the cutting edge of contemporary psychoanalysis. It will be of particular interest to psychoanalysts and psychotherapists who use a psychodynamic approach, as well as professionals and academics with an interest in contemporary psychoanalysis.
An up-to-date discussion of the fate of psychoanalysis at the end of the millennium and the beginning of a new century Covers topical areas of spirituality, and a return to hysteria by psychoanalysis Reflects on case material rather than the typical use of myths and cultural phenomenon A replay of the Freud-Jung encounter, 'marriage' and 'divorce' Takes a Jungian, or post-Jungian vantage point throughout and from this stance provides a critique of psychoanalytic ideas
Living Psychoanalysis: From Theory to Experience represents a decade of work from one of today's leading psychoanalysts. Michael Parsons brings to life clinical psychoanalysis and its theoretical foundations, offering new developments in analytic theory and vivid examples of work in the consulting room. The book also explores connections between psychoanalysis, art and literature, showing how psychoanalytic insights can enrich our lives far beyond the clinical situation. Living Psychoanalysis comprises four main sections: Life and Death – asks what it means to be fully and creatively alive, and introduces the concept of avant-coup Sexuality, Narcissism and the Oedipus complex – develops fresh ways of understanding these key concepts How analysts listen – explores links between psychoanalytic listening and the way artists look at the world, and introduces the concept of the internal analytic setting The Independent tradition in British psychoanalysis – considers the theoretical foundations of Independent clinical technique, and discusses from various perspectives the role of training in developing the identity of analysts and analytic therapists With fresh theoretical concepts and a focus on specific aspects of clinical practice, Living Psychoanalysis: From Theory to Experience will be a valuable resource for analysts, therapists and professionals who wish to extend their vision of psychoanalysis. It will also be of great interest to general readers concerned to deepen their understanding of the links between culture and the mind.
Winner of the 2010 Haskell Norman Prize for Outstanding Achievement in Psychoanalysis! Rediscovering Psychoanalysis demonstrates how, by attending to one’s own idiosyncratic ways of thinking, feeling, and responding to patients, the psychoanalyst can develop a "style" of his or her own, a way of practicing that is a living process originating, to a large degree, from the personality and experience of the analyst. This book approaches rediscovering psychoanalysis from four vantage points derived from the author’s experience as a clinician, a supervisor, a teacher, and a reader of psychoanalysis. Thomas Ogden begins by presenting his experience of creating psychoanalysis freshly in the form of "talking-as-dreaming" in the analytic session; this is followed by an exploration of supervising and teaching psychoanalysis in a way that is distinctly one’s own and unique to each supervisee and seminar group. Ogden goes on to rediscover psychoanalysis in this book as he continues his series of close readings of seminal analytic works. Here, he makes original theoretical contributions through the exploration, explication, and extension of the work of Bion, Loewald, and Searles. Throughout this text, Thomas Ogden offers ways of revitalizing and reinventing the exchange between analyst and patient in each session, making this book essential reading for psychoanalysts, psychotherapists, and other readers with an interest in psychoanalysis.
