Holding and Psychoanalysis 2nd edition

Author: Joyce Anne Slochower
Publisher: Routledge
ISBN: 1135011699
Format: PDF, Kindle
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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, ePub, Mobi
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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.

Coasting in the Countertransference

Author: Irwin Hirsch
Publisher: Taylor & Francis
ISBN: 113546944X
Format: PDF, ePub, Mobi
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Winner of the 2009 Goethe Award for Psychoanalytic Scholarship! Irwin Hirsch, author of Coasting in the Countertransference, asserts that countertransference experience always has the potential to be used productively to benefit patients. However, he also observes that it is not unusual for analysts to 'coast' in their countertransferences, and to not use this experience to help treatment progress toward reaching patients' and analysts' stated analytic goals. He believes that it is quite common that analysts who have some conscious awareness of a problematic aspect of countertransference participation, or of a mutual enactment, nevertheless do nothing to change that participation and to use their awareness to move the therapy forward. Instead, analysts may prefer to maintain what has developed into perhaps a mutually comfortable equilibrium in the treatment, possibly rationalizing that the patient is not yet ready to deal with any potential disruption that a more active use of countertransference might precipitate. This 'coasting' is emblematic of what Hirsch believes to be an ever present (and rarely addressed) conflict between analysts’ self-interest and pursuit of comfortable equilibrium, and what may be ideal for patients’ achievement of analytic aims. The acknowledgment of the power of analysts’ self-interest further highlights the contemporary view of a truly two-person psychology conception of psychoanalytic praxis. Analysts’ embrace of their selfish pursuit of comfortable equilibrium reflects both an acknowledgment of the analyst as a flawed other, and a potential willingness to abandon elements of self-interest for the greater good of the therapeutic project.

Conservative and Radical Perspectives on Psychoanalytic Knowledge

Author: Aner Govrin
Publisher: Routledge
ISBN: 1317515145
Format: PDF
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Psychoanalysis really should not exist today. Until a few years ago, most of the evidence suggested that its time was drawing to a close, and yet psychoanalysis demonstrated remarkable resilience in the face of criticism, alongside significant resurgence over the course of the last years. In "Conservative and Radical Perspectives on Psychoanalytic Knowledge: The Fascinated and the Disenchanted" psychoanalyst and philosopher Aner Govrin describes the mechanisms of sociology within the psychoanalytic community which have enabled it to withstand the hostility levelled at it and to flourish as an intellectual and pragmatic endeavour. He defends the most criticized aspect of psychoanalysis: the fascination of analysts with their theories. Govrin demonstrates that fascination is a common phenomenon in science and shows its role in the evolution of psychoanalysis. Govrin argues that throughout its history, psychoanalysis has successfully embraced an amalgam of what he has defined and termed "fascinated" and "troubled communities." A "fascinated community" is a group that embraces a psychoanalytic theory (such as Bion's, Klein's, Winnicott s) as one embraces truth. A "troubled community" is one that is not satisfied with the state of psychoanalytic knowledge and seeks to generate a fundamental change that does not square with existing traditions (such as new psychoanalytic schools, scientifically troubled communities and the relational approach). It is this amalgam and the continuous tension between these two groups that are responsible for psychoanalysis' rich and varied development and for its ability to adapt to a changing world. Clinical vignettes from the work of Robert Stolorow, Betty Joseph, Antonino Ferro and Michael Eigen illustrate the dynamic by which psychoanalytic knowledge is formed. "Conservative and Radical Perspectives on Psychoanalytic Knowledge" will be of interest to psychoanalysts, psychotherapists and philosophers alike.

Traumatic Narcissism

Author: Daniel Shaw
Publisher: Routledge
ISBN: 1134672721
Format: PDF, Kindle
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In this volume, Traumatic Narcissism: Relational Systems of Subjugation, Daniel Shaw presents a way of understanding the traumatic impact of narcissism as it is engendered developmentally, and as it is enacted relationally. Focusing on the dynamics of narcissism in interpersonal relations, Shaw describes the relational system of what he terms the 'traumatizing narcissist' as a system of subjugation – the objectification of one person in a relationship as the means of enforcing the dominance of the subjectivity of the other. Daniel Shaw illustrates the workings of this relational system of subjugation in a variety of contexts: theorizing traumatic narcissism as an intergenerationally transmitted relational/developmental trauma; and exploring the clinician's experience working with the adult children of traumatizing narcissists. He explores the relationship of cult leaders and their followers, and examines how traumatic narcissism has lingered vestigially in some aspects of the psychoanalytic profession. Bringing together theories of trauma and attachment, intersubjectivity and complementarity, and the rich clinical sensibility of the Relational Psychoanalysis tradition, Shaw demonstrates how narcissism can best be understood not merely as character, but as the result of the specific trauma of subjugation, in which one person is required to become the object for a significant other who demands hegemonic subjectivity. Traumatic Narcissism presents therapeutic clinical opportunities not only for psychoanalysts of different schools, but for all mental health professionals working with a wide variety of modalities. Although primarily intended for the professional psychoanalyst and psychotherapist, this is also a book that therapy patients and lay readers will find highly readable and illuminating.

Relational Theory and the Practice of Psychotherapy

Author: Paul L. Wachtel
Publisher: Guilford Press
ISBN: 1609180453
Format: PDF, ePub, Docs
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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.

Transforming Aggression

Author: Frank M. Lachmann
Publisher: Jason Aronson, Incorporated
ISBN: 1461632196
Format: PDF, Mobi
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Dr. Frank M. Lachmann, eminent clinician, teacher, and researcher, offers help to clinicians working with difficult-to-treat patients. Designed to avoid escalating spirals of aggression and prevent therapeutic stalemates, the process of change begins with an understanding of the nature, causes, and function of the patient's aggression.

Valuing Emotions

Author: Michael Stocker
Publisher: Cambridge University Press
ISBN: 9780521567862
Format: PDF, ePub
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This 1996 book is the result of a uniquely productive union of philosophy, psychoanalysis and anthropology, and explores the complexity and importance of emotions. Michael Stocker places emotions at the very centre of human identity, life and value. He lays bare how our culture's idealisation of rationality pervades the philosophical tradition and leads those who wrestle with serious ethical and philosophical problems into distortion and misunderstanding. Professor Stocker shows how important are the social and emotional contexts of ethical dilemmas and inner conflicts, and he challenges philosophical theories that try to overgeneralise and over-simplify by leaving out the particulars of each situation. In offering a realistic account of emotions and an in-depth analysis of how psychological factors affect judgments of all kind, this book will interest a broad range of readers across the disciplines of philosophy and psychology.

De Idealizing Relational Theory

Author: Lewis Aron
Publisher: Routledge
ISBN: 1351625586
Format: PDF, ePub, Mobi
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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.

The Analyst in the Inner City

Author: Neil Altman
Publisher: Taylor & Francis
ISBN: 0881635006
Format: PDF, ePub
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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.