Building on the foundations of the "independent tradition" of British object relations theory and modern infancy research, Sanville proffers a new understanding of the role of play in the clinical situation. She attends especially to the therapeutic situation as a safe playground, the therapist's playful engagement of the patient, and the patient's emergent ability to embrace playfully the liberating possibilities of psychoanalytic therapy.
"Insight" and "Change." The problematic relationship between these two concepts, to which the reality of psychoanalytic patients who fully understand maladaptive patterns without being able to change them attests, has dogged psychoanalysis for a century. Building on the integrative object relations model set forth in Transcending the Self (1999), Frank Summers turns to Winnicott's notion of "potential space" in order to elaborate a fresh clinical approach for transforming insight into new ways of being and relating. For Summers, understanding occurs within transference space, but the latter must be translated into potential space if insight is to give rise to change in the world outside the consulting room. Within potential space, Summers holds, the analyst's task shifts from understanding the present to aiding and abetting the patient in creating a new future. This means that the analyst must draw on her hard-won understanding of the patient to construct a vision of who the patient can become. Lasting therapeutic change grows out of the analyst's and patient's collaboration in developing new possibilities of being that draw on the patient's affective predispositions and buried aspects of self. In the second half of the book, Summers applies this model of therapeutic action to common clinical syndromes revolving around depression, narcissistic injuries, somatic symptoms, and internalized bad objects. Here we find vivid documentation of specific clinical strategies in which the therapeutic use of potential space gives rise to new ways of being and relating which, in turn, anchor the creation of a new sense of self.
Despite the popularity of object relations theories, these theories are often abstract, with the relation between theory and clinical technique left vague and unclear. Now, in Transcending the Self: An Object Relations Model of Psychoanalytic Therapy, Summers answers the need for an integrative object relations model that can be understood and applied by the clinician in the daily conduct of psychoanalytic therapy. Drawing on recent infancy research, developmental psychology, and the works of major theorists, including Bollas, Benjamin, Fairbairn, Guntrip, Kohut, and Winnicott, Summers melds diverse object-relational contributions into a coherent viewpoint with broad clinical applications. The object relations model emerges as a distinct amalgam of interpersonal/relational and interpretive perspectives. It is a model that can help patients undertake the most gratifying and treacherous of personality journeys: that aiming at the transcendence of the childhood self. Self-transcendence, in Summers' sense, means moving beyond the profound limitations of early life via the therapeutically mediated creation of a newly meaningful and authentic sense of self. Following two chapters that present the empirical and theoretical basis of the model, he launches into clinical applications by presenting the concept of therapeutic action that derives from the model. Then, in three successive chapters, he applies the model to patients traditionally conceptualized as borderline, narcissistic, and neurotic. He concludes with a chapter that addresses more broadly the craft of conducting psychoanalytic therapy. Filled with richly detailed case discussions, Transcending the Self provides practicing clinicians with a powerful demonstration of how psychoanalytic therapy informed by an object relations model can effect radical personality change. It is an outstanding example of integrative theorizing in the service of a real-world therapeutic approach.
In Psychoanalytic Therapy as Health Care, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care. Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients. Collectively, the contributors to Psychoanalytic Therapy as Health Care convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the "worried well." Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health care delivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care.
Building on the enormous popularity of her two previous texts on diagnosis and case formulation, this important work from Nancy McWilliams completes the trilogy by addressing in detail the art and science of psychodynamic treatment. McWilliams distills the essential principles of clinical practice, including effective listening and talking; transference and countertransference; emotional safety; and an empathic, attuned attitude toward the patient. The author describes the values, assumptions, and clinical and research findings that guide the psychoanalytic enterprise, and shows how to integrate elements of other theoretical perspectives when necessary. She also discusses the phases of treatment and covers such neglected topics as educating the client about the therapeutic process, handling complex challenges to boundaries, and attending to self-care. Presenting complex clinical information in personal, nontechnical language enriched by in-depth clinical vignettes, this is an essential psychoanalytic work and training text for therapists.
In this fine book, Dr. Steven A. Frankel paints the portraits of his collaborating patients vividly, graphically, and with consummate compassion. His review of psychoanalytic theories and research is, in itself, a prodigious and productive education. It is tempting to suggest that this important contribution to psychoanalysis and psychoanalytic therapy is one illustration of theory finally catching up to sensitive and effective practice.
The 2nd Edition of Introduction to the Practice of Psychoanalytic Psychotherapy, the highly successful practice-oriented handbook designed to demystify psychoanalytic psychotherapy, is updated and revised to reflect the latest developments in the field. Updated edition of an extremely successful textbook in its field, featuring numerous updates to reflect the latest research and evidence base Demystifies the processes underpinning psychoanalytic psychotherapy, particularly the development of the analytic attitude guided by principles of clinical technique Provides step-by-step guidance in key areas such as how to conduct assessments, how to formulate cases in psychodynamic terms and how to approach endings The author is a leader in the field – she is General Editor of the New Library of Psychoanalysis book series and a former editor of Psychoanalytic Psychotherapy
Needed Relationships and Psychoanalytic Healing is both a personal analytic credo and a multidimensional approach to thinking about clinical interaction. The book’s central theme is that of analytic needed relationships—the science and art of co-creating unique, evolving relational experiences fitted to each patient’s implicit therapeutic aims and needs. Steven Stern argues that, while we need psychoanalytic theories to "grow the receptors and processors" necessary to sense, understand, and connect with our patients, these often tend to frame the therapist’s participation in terms of theoretical and technical categories rather than offering a more holistic view of the relationship in all of its human complexity. Stern believes that a new set of higher order constructs is needed to counteract this tendency. In addition to his own concept of needed relationships, he invokes principles from the work of renowned developmental researcher and theorist, Louis Sander: especially his concept of relational fittedness. Stern draws on the work of Freud, Bion, Winnicott, Kohut, and a broad spectrum of contemporary psychoanalytic authors, in fleshing out the therapeutic implications of Sander’s (and Stern’s own) vision. The result is a rich, humane, and accessible narrative. Needed Relationships and Psychoanalytic Healing offers diverse clinical examples in which you will find Stern engaging with each of his patients in idiomatic, spontaneous ways as he attempts to contour interventions to the evolving analytic situation. This case material will inspire therapist-readers to feel freer to find their own creative voices and idioms of participation, as they seek to meet each patient within the psychoanalytic space. The book is intended for psychoanalysts and psychodynamic therapists at all levels of experience, including those in training.
In the nearly one hundred years that have elapsed since Freud’s publication of his pioneering work with “Little Hans,” psychoanalysis has transformed not only our clinical work with children, but has immeasurably enriched our understanding of normal child and adolescent development as well as developmental deviations and derailments. We have gradually come to understand childhood and adolescence as a complex tapestry of developmental themes, conflicts, and crises; sometimes discontinuous or discrete, at other times, harmonious and integrated, yet always occurring within a transactional matrix of environmental influences and internal experience. In this transdisciplinary anthology, eight authors explore the changing terrain of child and adolescent psychoanalysis and psychoanalytic therapy. The contributions, which reflect theoretical and clinical heterogeneity, are both innovative and varied, and range from the highly abstract and theoretical to those that consider very specific dimensions of clinical process. Collectively, they make a compelling case for the continued relevance of psychoanalytic ideas in the treatment of children and adolescents. With insightful contributions by expert psychoanalysts, clinical social workers, and clinical psychologists, Psychoanalytic Approaches to the Treatment of Children and Adolescents: Tradition and Transformation is essential reading for child and adolescent therapists. Psychoanalytic Approaches to the Treatment of Children and Adolescents will increase your knowledge of: the function of play in normal development--and within the treatment relationship psychoanalytic theories and research investigations linking early object loss to depression the nature of adolescent depression the theoretical and clinical dimensions of a two-systems approach to understanding psychopathology and the clinical process the dynamic meaning and clinical management of drug and alcohol abuse, promiscuity, eating disorders, violence, and other self-destructive behaviors the complexities of treating children with neuropsychological deficits
The Theory and Practice of Psychoanalytic Therapy: Listening for the Subtext outlines the core concepts that frame the reciprocal encounter between psychoanalytic therapist and patient, taking the reader into the psychoanalytic therapy room and giving detailed examples of how the interaction between patient and therapist takes place. The book argues that the therapist must capture both nonverbal affects and unsymbolized experiences, proposing a distinction between structuralized and actualized affects, and covering key topics such as transference, countertransference and enactment. It emphasizes the unconscious meaning in the here-and-now, as well as the need for affirmation to support more classical styles of intervention. The book integrates object relational and structural perspectives, in a theoretical position called relational oriented character analysis. It argues the patient’s ways-of-being constitute relational strategies carrying implicit messages – a "subtext" – and provides detailed examples of how to capture this underlying dialogue. Packed with detailed clinical examples and displaying a unique interplay between clinical observation and theory, this wide-ranging book will appeal to psychotherapists, psychoanalysts and clinical psychologists in practice and in training.
