Holding and Psychoanalysis 2nd edition

Author: Joyce Anne Slochower
Publisher: Routledge
ISBN: 1135011699
Format: PDF
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Is there a baby in the relational consulting room? How and when can/should we try to hold our patients? What happens to the analyst's subjectivity when she tries to hold? In Holding and Psychoanalysis: A Relational Perspective (second Edition), Joyce Slochower brings a contemporary relational framework to bear on Winnicott's notion of the holding environment. Revisiting the clinical impact and theoretical underpinnings of holding, Slochower explores its function in those moments when "ordinary" interpretive or interactive work cannot be tolerated. Slochower expands the holding construct beyond the needs of dependent patients by examining its therapeutic function across the clinical spectrum. Emphasizing holding’s coconstructed nature, Slochower explores the contribution of both patient and analyst the holding moment. This second Edition introduces new theoretical and clinical material, including four additional chapters. Two of these address holding’s impact on the patient’s capacity to access, articulate and process affect states; the third moves outside the consulting room to explore how holding functions in acts of memorial ritual across the lifespan. A final chapter presents Slochower’s latest ideas about holding’s clinical function in buffering shame states. Integrating Winnicott's seminal contributions with contemporary relational and feminist/psychoanalytic perspectives, Joyce Slochower addresses the therapeutic limitations of both interpretive and interactive clinical work. There are times, she argues, when patients cannot tolerate explicit evidence of the analyst's separate presence and instead need a holding experience. Slochower conceptualizes holding within a relational frame that includes both deliberate and enacted elements. In her view, the analyst does not hold alone; patient and analyst each participate in the establishment of a co-constructed holding space. Slochower pays particular attention to the analyst's experience during moments of holding, offering rich clinical vignettes that illustrate the complex struggle that holding entails. She also addresses the therapeutic limits of holding and invites the reader to consider the analyst’s contribution to these failures. Slochower locates the holding process within a broader clinical framework that involves the transition toward collaboration—a move away from holding and into an explicitly intersubjective therapeutic frame. Holding and Psychoanalysis offers a sophisticated integration of Winnicottian and relational thought that privileges the dynamic impact of holding moments on both patient and analyst. Thoroughly grounded in case examples, the book offers compelling clinical solutions to common therapeutic knots. Clearly written and carefully explicated, it will be an important addition to the libraries of psychoanalysts and psychoanalytic psychotherapists.

Holding and Psychoanalysis

Author: Joyce Anne Slochower
Publisher: Routledge
ISBN: 1135891710
Format: PDF, Kindle
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In Holding and Psychoanalysis: A Relational Perspective, Joyce Slochower brings a contemporary relational framework to bear on Winnicott's notion of the analytic holding environment. She presents a fresh, thought-provoking, and clinically useful integration of Winnicott's seminal insights with contemporary relational and feminist/psychoanalytic contributions. Seeking to broaden the concept of holding beyond work with severely regressed patients, she addresses holding in a variety of clinical contexts and focuses especially on holding processes in relation to issues of dependence, self-involvement, and hate. She also considers clinical work with patients "on the edge" - patients who seem deperately to need a holding experience that remains paradoxically elusive. Slochower begins her study by questioning the therapeutic limitations of an interactive style. There are times, she proposes, when certain patients simply cannot tolerate evidence of the analyst's separate subjective presence and instead need a holding experience. Though this holding function is essential to work with difficult patients, it enters into the treatment of all patients, whether as figure or ground. Slochower's relational understanding of holding leads her to consider the impact of holding on patient and analyst alike. Throughout, she emphasizes the analyst's and the patient's co-construction, during moments of holding, of an essential illusion of analytic attunement; this illusion serves to protect the patient from potentially disruptive aspects of the analyst's subjective presence. Slochower's case vignettes helpfully illuminate the intersubjective aspects of the holding process, including the clinical picture when a holding frame fails. She elaborates her thesis by considering the therapeutic function of holding in mourning. And she concludes her study with a cogent examination of the theoretical and clinical limitations of working with a holding process. A welcome reprise on an essential Winnicottian theme, Holding and Psychoanalysis broadens and deepens our understanding of the therapeutic role of the analyst's holding function.

The Silent Past and the Invisible Present

Author: Paul Renn
Publisher: Routledge
ISBN: 0415898587
Format: PDF, ePub
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Drawing on research in the fields of cognitive and developmental psychology, attachment, trauma, and neuroscience, as well as 20 years in forensic and private practice, Paul Renn deftly illustrates the ways in which this research may be used to inform an integrated empirical/hermeneutic model of clinical practice. He suggests that silent, invisible processes derived from the past maintain non-optimal ways of experiencing and relating in the present, and that a neuroscience understanding of the dynamic nature of memories, and of the way in which the implicit and explicit memory systems operate and interact, is salient to a concomitant understanding of trauma, personality development, and therapeutic action. Specifically, Renn argues that an intersubjective psychodynamic model can use the power of an emotionally meaningful therapeutic relationship to gradually facilitate both relational and neurological changes in patients with trauma histories. Taken as a whole, these themes reflect a paradigmatic shift in psychoanalytic thinking about clinical work and the process of change.

Toward Mutual Recognition

Author: Marie T. Hoffman
Publisher: Routledge
ISBN: 113583847X
Format: PDF, Mobi
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Ever since its nascent days, psychoanalysis has enjoyed an uneasy coexistence with religion. However, in recent decades, many analysts have been more interested in the healing potential of both psychoanalytic and religious experience and have explored how their respective narrative underpinnings may be remarkably similar. In Toward Mutual Recognition, Marie T. Hoffman takes just such an approach. Coming from a Christian perspective, she suggests that the current relational turn in psychoanalysis has been influenced by numerous theorists - analysts and philosophers alike - who were themselves shaped by an embedded Christian narrative. As a result, the redemptive concepts of incarnation, crucifixion, and resurrection - central to the tenets of Christianity - can be traced to relational theories, emerging analogously in the transformative process of mutual recognition in the concepts of identification, surrender, and gratitude, a trilogy which she develops as forming the "path of recognition." Each movement on this path of recognition is given thought-provoking, in-depth attention. Chapters dedicated to theoretical perspectives utilize the thinking of Benjamin, Hegel, and Ricoeur. In her historical perspectives, she explores the personal and professional histories of analysts such as Sullivan, Fairbairn, Winnicott, Erikson, Kohut, and Ferenczi, among others, who were influenced by the Christian narrative. Uniting it all together is the clinical perspective offered in the compelling extended case history of Mandy, a young lady whose treatment embodies and exemplifies each of the steps along the path of growth in both the psychoanalytic and Christian senses. Throughout, a relational sensibility is deployed as a cooperative counterpart to the Christian narrative, working both as a consilient dialogue and a vehicle for further integrative exploration. As a result, the specter of psychoanalysis and religion as mutually exclusive gives way to the hope and redemption offered by their mutual recognition.

Relational Theory and the Practice of Psychotherapy

Author: Paul L. Wachtel
Publisher: Guilford Press
ISBN: 1609180453
Format: PDF
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This important and innovative book explores a new direction in psychoanalytic thought that can expand and deepen clinical practice. Relational psychoanalysis diverges in key ways from the assumptions and practices that have traditionally characterized psychoanalysis. At the same time, it preserves, and even extends, the profound understanding of human experience and psychological conflict that has always been the strength of the psychoanalytic approach. Through probing theoretical analysis and illuminating examples, the book offers new and powerful ways to revitalize clinical practice.

The Analyst in the Inner City Second Edition

Author: Neil Altman
Publisher: Routledge
ISBN: 1135468524
Format: PDF, ePub, Docs
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In 1995, Neil Altman did what few psychoanalysts did or even dared to do: He brought the theory and practice of psychoanalysis out of the cozy confines of the consulting room and into the realms of the marginalized, to the very individuals whom this theory and practice often overlooked. In doing so, he brought together psychoanalytic and social theory, and examined how divisions of race, class and culture reflect and influence splits in the developing self, more often than not leading to a negative self image of the "other" in an increasingly polarized society. Much like the original, this second edition of The Analyst in the Inner City opens up with updated, detailed clinical vignettes and case presentations, which illustrate the challenges of working within this clinical milieu. Altman greatly expands his section on race, both in the psychoanalytic and the larger social world, including a focus on "whiteness" which, he argues, is socially constructed in relation to "blackness." However, he admits the inadequacy of such categorizations and proffers a more fluid view of the structure of race. A brand new section, "Thinking Systemically and Psychoanalytically at the Same Time," examines the impact of the socio-political context in which psychotherapy takes place, whether local or global, on the clinical work itself and the socio-economic categories of its patients, and vice-versa. Topics in this section include the APA’s relationship to CIA interrogation practices, group dynamics in child and adolescent psychotherapeutic interventions, and psychoanalytic views on suicide bombing. Ranging from the day-to-day work in a public clinic in the South Bronx to considerations of global events far outside the clinic’s doors (but closer than one might think), this book is a timely revision of a groundbreaking work in psychoanalytic literature, expanding the import of psychoanalysis from the centers of analytical thought to the margins of clinical need.

Transforming Aggression

Author: Frank M. Lachmann
Publisher: Jason Aronson, Incorporated
ISBN: 1461632196
Format: PDF, Kindle
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Resources of empathy, humor, and creativity are needed by both the therapist and the patient to transform chronic, eruptive expressions of anger and transcend the tendency to violence. The task of therapy is to develop these resources. Dr. Frank M. Lachmann, eminent clinician, teacher, and researcher, offers help to clinicians working with difficult-to-treat patients. Creative, encouraging, and optimistic, this book offers therapists a refreshing perspective and invaluable clinical help.

De Idealizing Relational Theory

Author: Lewis Aron
Publisher: Routledge
ISBN: 1351625586
Format: PDF, ePub
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Self-examination and self-critique: for psychoanalytic patients, this is the conduit to growth. Yet within the field, psychoanalysts haven’t sufficiently utilized their own methodology or subjected their own preferred approaches to systematic and critical self-examination. Across theoretical divides, psychoanalytic writers and clinicians have too often responded to criticism with defensiveness rather than reflectivity. De-Idealizing Relational Theory attempts to rectify this for the relational field. This book is a first in the history of psychoanalysis; it takes internal dissension and difference seriously rather than defensively. Rather than saying that the other’s reading of relational theory is wrong, distorted, or a misrepresentation, this book is interested in querying how theory lends itself to such characterizations. How have psychoanalysts participated in conveying this portrayal to their critics? Might this dissension illuminate blind-spot(s) and highlight new areas of growth? It's a challenge to engage in psychoanalytic self-critique. To do so requires that we move beyond our own assumptions and deeply held beliefs about what moves the treatment process and how we can best function within it. To step aside from ourselves, to question the assumed, to take the critiques of others seriously, demands more than an absence of defensiveness. It requires that we step into the shoes of the psychoanalytic Other and suspend not only our theories, but our emotional investment in them. There are a range of ways in which our authors took up that challenge. Some revisted the assumptions that underlay early relational thinking and expanded their sources (Greenberg & Aron). Some took up specific aspects of relational technique and unpacked their roots and evolution (Mark, Cooper). Some offered an expanded view of what constitutes relational theory and technique (Seligman, Corbett, Grossmark). Some more directly critiqued aspects of relational theory and technique (Berman, Stern). And some took on a broader critique of relational theory or technique (Layton, Slochower). Unsurprisingly, no single essay examined the totality of relational thinking, its theoretical and clinical implications. This task would be herculean both practically and psychologically. We're all invested in aspects of what we think and what we do; at best, we examine some, but never all of our assumptions and ideas. We recognize, retrospectively, how very challenging a task this was; it asked writers to engage in what we might think of as a self-analysis of the countertransference. Taken together these essays represent a significant effort at self-critique and we are enormously proud of it. Each chapter critically assesses and examines aspects of relational theory and technique, considers its current state and its relations to other psychoanalytic approaches. De-Idealizing Relational Theory will appeal to all relational psychoanalysts and psychoanalytic psychotherapists.

Psychoanalytic Collisions

Author: Joyce Slochower
Publisher: Routledge
ISBN: 1317819640
Format: PDF, Docs
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Psychoanalytic Collisions Second Edition wrestles with a theme that confronts every psychotherapist: the gap between illusions and realities about the professional self. Joyce Slochower closely examines situations in which the therapist’s professional and personal wishes collide with the actuality of everyday clinical work. The book unpacks the dynamics of these collisions on both beginning and seasoned therapists, offering ways of sustaining a professional ideal while also exploring the mixed impact of that ideal on clinical work. In examining how illusions and ideals affect the therapeutic encounter for both better and worse, Psychoanalytic Collisions invites the reader into the consulting room. This Second Edition has been substantially revised. It includes updated clinical and theoretical material as well as a new chapter about mutual idealizations that coalesce between patient and analyst. Slochower argues that psychoanalytic?collisions can be productively engaged, even if they often cannot be fully resolved.The very act of engagement—whether by establishing new grounds for collaboration in the wake of real-world catastrophe, wrestling with clinical impasses that arise from the divergent expectations of analyst and patient, or owning up to and addressing the analyst’s "secret delinquencies"—reveals how therapeutic hopefulness can coexist with an acceptance of the analyst’s all-too-human fallibility. Psychoanalytic Collisions shows how idealization is intrinsic both to forging an analytic identity and practicing across a lifetime. Slochower’s work challenges readers to confront their own vulnerabilities and limits while also embracing a professional ideal that is at once human and inspiring. The book is an essential resource for psychoanalysts, psychotherapists, pastoral counselors, and readers interested in the practice of psychotherapy today.

The Possible Profession The Analytic Process of Change

Author: Theodore J. Jacobs
Publisher: Routledge
ISBN: 1135049068
Format: PDF, ePub, Mobi
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The Possible Profession: The Analytic Process of Change takes a fresh look at the many forms of unconscious communication that take place in the analytic situation. Bringing together two decades of the author’s previous writing as well as a considerable amount of new material, this book addresses a major contemporary issue in the field of psychoanalysis. Unconscious communication in the analytic situation takes many forms. This book explores a number of these pathways as the author has encountered them in clinical work. Including numerous clinical examples, chapters cover a variety of topics with a central focus on: the relationship between the inner worlds of patient and analyst the interplay between these intrapsychic forces how this interaction affects the analytic process and, more specifically, the therapeutic action of psychoanalysis. Written in a clear and concise way this book contributes to a new understanding of familiar material in a way that will be welcomed by teachers, students, and practitioners of psychoanalysis and psychotherapy. It will also be of interest to dynamic therapists of all persuasions and academics in various fields interested in psychoanalytic thinking.