In Pursuit of Psychic Change


Book Description

The members of the Betty Joseph Workshop have provided major contributions to psychoanalytic thinking since the meeting's inception in 1962. This book is a celebration of Betty Joseph's work, and the work of a group of analysts who have joined her to discuss obstacles to psychic change in psychoanalytic treatment. A prestigious line up of contributors present clinical material for discussion on a range of topics including: Supporting psychic change Complacency in analysis and everyday life Containment, enactment and communication. The history of psychoanalysis is one of an ongoing struggle to reach a new understanding of the human psyche and develop more effective methods of treatment. In Pursuit of Psychic Change reflects this tradition - discussions of each contribution by other members of the group provide an in-depth exploration of the merits and limitations of a developing analytic technique, in the hope of achieving true psychic change. All psychoanalysts will benefit from the insights provided into the original and stimulating work of the members of the Betty Joseph Workshop.




Psychic Equilibrium and Psychic Change


Book Description

Betty Joseph's work has become an outstanding influence in the development and theory of psychoanalytic technique in the Kleinian tradition. This collection of her most important papers examines the development of her thought and shows why a crucial part of her theory and practice is concerned with the detailed, sensitive scrutiny of the therapeutic process itself. Fundamental and controversial topics explored and discussed include projective identification, transference and countertransference, unconscious phantasy, and Kleinian views on envy and the death instinct.




In Pursuit of Psychic Change


Book Description

The members of the Betty Joseph Workshop have provided major contributions to psychoanalytic thinking since the meeting's inception in 1962. This book is a celebration of Betty Joseph's work, and the work of a group of analysts who have joined her to discuss obstacles to psychic change in psychoanalytic treatment. A prestigious line up of contributors present clinical material for discussion on a range of topics including: Supporting psychic change Complacency in analysis and everyday life Containment, enactment and communication. The history of psychoanalysis is one of an ongoing struggle to reach a new understanding of the human psyche and develop more effective methods of treatment. In Pursuit of Psychic Change reflects this tradition - discussions of each contribution by other members of the group provide an in-depth exploration of the merits and limitations of a developing analytic technique, in the hope of achieving true psychic change. All psychoanalysts will benefit from the insights provided into the original and stimulating work of the members of the Betty Joseph Workshop.




Mentalizing and Epistemic Trust


Book Description

This is an open access title available under the terms of a [CC BY-NC-ND 4.0 International] licence. It is free to read at Oxford Clinical Psychology Online and offered as a free PDF download from OUP and selected open access locations. The theory of mentalizing and epistemic trust introduced by Peter Fonagy and colleagues at the Anna Freud Centre has been an important perspective on mental health and illness. Mentalizing and Epistemic Trust is the first comprehensive account and evaluation of this perspective. The book explores twenty primary concepts that organize the contributions of Fonagy and colleagues: adaptation, aggression, the alien self, culture, disorganized attachment, epistemic trust, hypermentalizing, reflective function, the P factor, pretend mode, the primary unconscious, psychic equivalence, mental illness, mentalizing, mentalization-based therapy, non-mentalizing, the self, sexuality, the social environment, and teleological mode. The biographical and social context of the development of these ideas is examined. The book also specifies the current strengths and limitations of the theory of mentalizing and epistemic trust, with attention to the implications for both clinicians and researchers. This book will be of interest to historians of the human sciences, developmental psychologists, and clinicians interested in taking a broader perspective on psychological theory and concepts.




Enduring Trauma Through the Life Cycle


Book Description

This is a multi-authored book on the complex subject of psychic trauma as encountered at different stages of the life-cycle, and describes some of the clinical challenges, technical issues and differing theoretical approaches that arise when working with the traumatized individual.The concept of psychic trauma is a complex subject, but one which has more recently gained prominence. This book contains a collection of papers which grew out of a series of talks given by the Psychoanalytic Forum of the British Psychoanalytical Society entitled Trauma Through the Life Cycle. The authors, all highly respected authorities in their fields, give insights into what we mean by psychic trauma, what constitutes a traumatic event, and the psychopathological sequelae to trauma at different stages of life. Judith Trowell and Nick Midgley look at the effects of infantile and childhood traumas. Catalina Bronstein and Sara Flanders, from differing psychoanalytic perspectives consider how childhood traumas can become reactivated in adolescence and colour subsequent developmental situations.




Klein in the Trenches


Book Description

This book explores the theoretical and technical aspects of Modern Kleinian Therapy with borderline, narcissistic, and psychotic patients who are in great psychological conflict and who struggle to find stable footing in the relational world. These are the patients who are most taxing and troubling for all therapists as they suffer greatly in life but tend to leave a great deal of suffering in their wake. Throughout the book, the reader is provided a close up clinical view of what really takes place in psychoanalytic treatment with psychologically disorganized, predatory, or internally terrorized patients who often can barely begin or maintain a therapeutic relationship as they experience it as emotionally threatening, dangerous, and unbearable. Aspects of Kleinian theory are highlighted through examining very personal verbatim accounts from patients of their internal emotional experiences. And, Kleinian concepts and techniques are clinically demonstrated. Change is shown to be possible in situations that initially seem unchangeable and acceptance is shown to be reachable in situations that initially seem unbearable. While success can be fleeting or unreachable, the author shows how to best find the potential for therapeutic success and to learn from the failures or modest achievements so common with more difficult patients. In that sense, this book serves as inspiration and hope to all therapists working with borderline, narcissistic, and psychotic patients.




Projective Identification


Book Description

In this book Elizabeth Spillius and Edna O'Shaughnessy explore the development of the concept of projective identification, which had important antecedents in the work of Freud and others, but was given a specific name and definition by Melanie Klein. They describe Klein's published and unpublished views on the topic, and then consider the way the concept has been variously described, evolved, accepted, rejected and modified by analysts of different schools of thought and in various locations – Britain, Western Europe, North America and Latin America. The authors believe that this unusually widespread interest in a particular concept and its varied ‘fate’ has occurred not only because of beliefs about its clinical usefulness in the psychoanalytic setting but also because projective identification is a universal aspect of human interaction and communication. Projective Identification: The Fate of a Concept will appeal to any psychoanalyst or psychotherapist who uses the ideas of transference and counter-transference, as well as to academics wanting further insight into the evolution of this concept as it moves between different cultures and countries.




The Modern Kleinian Approach to Psychoanalytic Technique


Book Description

The Modern Kleinian Approach to Psychoanalytic Technique: Clinical Illustrations describes how today's practitioner typically treats a number of types of very disturbed and hard-to-reach patients who, while prone to intense acting out and early termination, are in great need of in-depth psychological reorganization. Many cases barely get off the ground due to levels of pathological conflict and destructive phantasy that make self/object connection extremely fragile. However, the modern Kleinian approach makes it possible to establish analytic contact within even the most chaotic situations and create a therapeutic experience that can be significant and meaningful. In doing so, there can be a healing process and the birth of new object relational experiences and interpersonal exchanges. Robert Waska details a more flexible method of practicing psychoanalysis, Analytic Contact, an approach that brings the healing possibilities of psychoanalysis to the more disturbed patients who tend to fill private practice offices. In addition, Analytic Contact enables the clinician to reach populations that are not usually considered easily treatable by the psychoanalytic method, including psychotic patients, couples who are seeking help with marital issues, and chronic borderline and narcissistic individuals.




The Psychotic Wavelength


Book Description

The Psychotic Wavelength provides a psychoanalytical framework for clinicians to use in everyday general psychiatric practice and discusses how psychoanalytic ideas can be of great value when used in the treatment of seriously disturbed and disturbing psychiatric patients with psychoses, including both schizophrenia and the affective disorders. In this book Richard Lucas suggests that when clinicians are faced with psychotic patients, the primary concern should be to make sense of what is happening during their breakdown. He refers to this as tuning into the psychotic wavelength, a process that allows clinicians to distinguish between, and appropriately address, the psychotic and non-psychotic parts of the personality. He argues that if clinicians can find and identify the psychotic wavelength, they can more effectively help the patient to come to terms with the realities of living with a psychotic disorder. Divided into five parts and illustrated throughout with illuminating clinical vignettes, case examples and theoretical and clinical discussions, this book covers: the case for a psychoanalytical perspective on psychosis a historical overview of psychoanalytical theories for psychosis clinical evidence supporting the concept of a psychotic wavelength the psychotic wavelength in affective disorders implications for management and education. The Psychotic Wavelength is an essential resource for anyone working with disturbed psychiatric patients. It will be of particular interest to junior psychiatrists and nursing staff and will be invaluable in helping to maintain treatment aims and staff morale. It will also be useful for more experienced psychiatrists and psychoanalysts.




Melanie Klein


Book Description

Melanie Klein: The Basics provides an accessible and concise introduction to the life and work of Melanie Klein, whose discoveries advanced those of Freud and other analysts, deepening our insight into the unconscious domain of psychology in human beings. Klein began her work by developing a method of psychoanalysis for children, who suffer from anxiety and other, often unrecognised, conflicts, which enabled understanding of those crucial early steps in the development of human mind and identity. Although she initiated one strand of clinical and theoretical developments, many of her discoveries are well-regarded by other schools of psychoanalysis. The book contains four parts, as well as further reading suggestions and a helpful glossary of key terms. Part I introduces Melanie Klein in the context of her life, her early interest in psychoanalysis and her first discoveries; Part II takes up the development of her technique of child analysis and discusses the ways in which her insights and conclusions in this area influenced the technique of adult analysis and the more general understanding of the human mind; Part III focuses on further scientific and clinical developments in psychoanalytic technique – especially those referring to the understanding and treatment of serious emotional disturbance, e.g. psychosis or affective disorders; Part IV focuses on contemporary developments in Kleinian and post-Kleinian psychoanalysis, considering clinical, cultural, and socio-political applications. Each chapter poses a basic question at the outset, provides an account of how Klein faced this question and worked with it to develop her ideas, and ends by posing a follow up question to be addressed in the subsequent chapter. This book will greatly appeal to readers from any field seeking a clear and concise introduction to Melanie Klein. It will also interest researchers and professionals working within the field of psychoanalysis seeking a succinct overview of Melanie Klein’s contribution.