The fundamental outlook of this book is clinical. It attempts to establish a unitary model of the processes at work in different forms of narcissistic pathology, and to offer a model that is both an alternative to, and complementary to, Freud's model of what are usually considered to be neurotic problems. The aim is to extract a sequence of mental processes that could be seen as typical of narcissistic disturbances of the sense of identity, with their several forms and clinical variations. The book describes how these are structured, together with their intrapsychic and intersubjective functions, based on the hypothesis of a defensive pattern that is set up to counter the effect of a split-off primary trauma and the threat that hangs over the mind and subjectivity.
This book, based on the 7th International Conference on the Work of Frances Tustin in 2014, offers readers a contribution to the understanding and treatment of primitive mental states and primitive character disorders.
In the last several decades, the analytic field has widened considerably in scope. The therapeutic task is now seen by an increasing number of analysts to require that patient and analyst work together to strengthen, or to create, psychic structure that was previously weak, missing, or functionally inoperative. This view, which may apply to all patients, but is especially relevant to the treatment of non-neurotic patients and states of mind, stands in stark contrast to the more traditional assumption that the therapeutic task involves the uncovering of the unconscious dimension of a present pathological compromise formation that holds a potentially healthy ego in thrall. The contrast which this book calls attention to is that which exists roughly between formulations of psychic structure and functioning that were once assumed to have been sufficiently well explained by the hypotheses of Freud's topographic theory and those that were not. The former are modeled on neurosis and dream interpretation, where conflicts between relatively well-defined (saturated) and psychically represented desires were assumed to operate under the aegis of the pleasure-unpleasure principle.
Creative Repetition and Intersubjectivity looks at contemporary Freudian and post-Freudian theory through an intersubjective lens. Bruce Reis offers views on how psychoanalytic conceptions from the last century uniquely manifest in the consulting rooms of this century – how analytic technique has radically evolved through developing Freud’s original insights into dreaming, and hallucinosis; and how the presentation of today’s analysands calls for analyst’s use of themselves in unprecedented new ways. Taking up bedrock analytic concepts such as the death instinct, repetition, trauma and the place of speech and of silence, Reis brings a diversely inspired, twenty-first century analytic sensibility to his reworking of these concepts and illustrates them clinically in a process-oriented approach. Here the unconscious intersubjective relation takes on transformative power, resulting in the analyst’s experience of hybridized chimerical monsters, creative seizures, reveries and intuitions that inform clinical realities outside of verbal or conscious discourse -- where change occurs in analysis. Drawing on an unusually broad selection of major international influences, Creative Repetition and Intersubjectivity will be of great interest to psychoanalysts and psychoanalytic psychotherapists across the schools of thought.
With contributions from Anne Alvarez, Joshua Durban, Jeffrey L. Eaton, Bernard Golse, Didier Houzel, Howard B. Levine, Suzanne Maiello, Sylvain Missonnier, Bernd Nissen, Marganit Ofer, and Jani Santamaria. The capacity to create psychic representations is now understood to be a developmental achievement. Without it, meaning cannot be ascertained and this can lead to "psychic voids" and "unrepresented states", which can contribute to the development of autism and autistic spectrum disorders (ASD). Unrepresented states are also implicated and encountered in other, non-autistic, non-neurotic conditions, such as psychosomatic disorders, addictions, perversions, and primitive character disorders. The affects that unrepresented states produce or are associated with are often those of terror, emptiness, annihilation and despair. The organisation of the psyche consists of psychotic - i.e. unstructured - as well as neurotic parts of the mind; unintegrated as well as integrated areas; and unrepresented areas with little meaning as well as represented states consisting of specific ideas imbued with affect. Given this organisation, we should expect to find both an unstructured and a dynamic unconscious in all patients. This implies that, to some degree, unrepresented and unintegrated states are universal and will exist and be encountered in all of us. Consequently, the opportunities and challenges presented by the understanding and treatment of autism and ASD, where the unrepresented and its consequences (e.g. defensive organisations employed to protect against annihilation anxiety and catastrophic dread) can be encountered may offer us metaphors and clues relevant to aspects of the treatment of all patients, no matter what their dominant diagnoses may be. Packed with theory and helpful case studies, this carefully edited collection from an international array of experts in the field is essential reading for all practising clinicians.
This book is Donnel B. Stern’s latest contribution to the kind of understanding of the psychotherapeutic and psychoanalytic process offered by field theory. Stern anchors his understanding of therapeutic action in the freedom of both patient and analyst to create a meaningful experience with minimum inhibition. The field’s capacity to generate meaning—and thus to make possible fully realized human living—rows from its freedom to respond spontaneously to the feelings, wants, and needs of its participants. To whatever extent this spontaneity is diminished, as it is in unconscious mutual enactment, we can be sure that some part of the field is frozen or otherwise rigidified. This position serves as the foundation of the psychoanalysis that Stern practices. The analyst aims to feel their way into compromises in the field, and then do whatever they can to grasp and dissolve them, knowing that they will have to be visited repeatedly, and dissolved again. These insights into interpersonal and relational field theory lead to descriptions of clinical interventions that are focused on the moment-to-moment emotional experience of both the patient and the analyst. With valuable contributions to theory and emotionally immediate clinical vignettes, this book is essential for all psychoanalysts and psychoanalytic psychotherapists wishing to understand how the analyst’s interventions grow from the analyst’s emotional involvement in the clinical process.
In The Feeling Intellect, Steven Groarke explores the overlap between psychoanalysis and philosophy in order to provide the first critical evaluation of the Independent tradition in British and American psychoanalysis. The book focuses on the formation of Independent object-relations theory as an original mid- to late-twentieth-century development in post-Freudian psychoanalysis, focusing on contributions by Fairbairn, Winnicott, Loewald, and others to add to our understanding of what the author terms the dependence relationship: the earliest relationship between mother and infant. The theory of acts and relations provides the basic framework for more detailed discussions of the psychoanalysis of time, including, Loewald’s idea of the inner future and the role of re-descriptive memory as a type of reclamation. This book is aimed at a readership intent on exploring the philosophical aspects of contemporary psychoanalysis in more detail. It will be of great value to psychoanalysts, psychotherapists, and students studying psychology.
Psychoanalysis is often equated with Sigmund Freud, but this comparison ignores the wide range of clinical practices, observational methods, general theories, and cross-pollinations with other disciplines that characterise contemporary psychoanalytic work. Central psychoanalytic concepts to do with unconscious motivation, primitive forms of thought, defence mechanisms, and transference form a mainstay of today's richly textured contemporary clinical psychological practice. In this landmark collection on philosophy and psychoanalysis, leading researchers provide an evaluative overview of current thinking. Written at the interface between these two disciplines, The Oxford Handbook of Philosophy and Psychoanalysis contains original contributions that will shape the future of debate. With 34 chapters divided into eight sections covering history, clinical theory, phenomenology, science, aesthetics, religion, ethics, and political and social theory, this Oxford Handbook displays the enduring depth, breadth, and promise of integrating philosophical and psychoanalytic thought. Anyone interested in the philosophical implications of psychoanalysis, as well as philosophical challenges to and re-statements of psychoanalysis, will want to consult this book. It will be a vital resource for academic researchers, psychoanalysts and other mental health professionals, graduates, and trainees.
This exciting and original collection explores Antonino Ferro’s post-Bionian Field Theory, expanding upon the analytic work of Wilfred Bion to focus on the intersubjective development of psychic regulatory processes. Written by members of the Boston Group for Psychoanalytic Studies who have maintained a close and fruitful collaboration with Ferro and his colleagues, the book centers on understanding, engaging and treating primitive mental states. Ferro's Field Theory operationalizes Bion’s concept of an analyst who is not the repository of ‘the truth’, but is instead one who has the capacity to listen, to dwell in doubt, to utilize reverie, humor and play, and facilitate the transformation of previously unthinkable aspects of the patient’s experience into articulatable mental elements such as pictorial images, thoughts and dreams. Ferro’s contributions and their analysis are especially relevant to working with primitive character disorders, the difficulties of which lie beyond neurosis and the comfortable reach of the precepts of classical analytic technique. Each chapter features detailed clinical examples that explicate and apply post-Bionian Field Theory, making this book an interesting and useful read for analysts and analytic therapists of all orientations, who work with patients in all diagnostic categories.
