Ritual and Spontaneity in the Psychoanalytic Process


Book Description

The psychoanalytic process is characterized by a complex weave of interrelated polarities: transference and countertransference, repetition and new experience, enactment and interpretation, discipline and personal responsiveness, the intrapsychic and the interpersonal, construction and discovery. In Ritual and Spontaneity in the Psychoanalytic Process, Irwin Z. Hoffman, through compelling clinical accounts, demonstrates the great therapeutic potential that resides in the analyst's struggle to achieve a balance within each of these dialectics. According to Hoffman, the psychoanalytic modality implicates a dialectic tension between interpersonal influence and interpretive exploration, a tension in which noninterpretive and interpretive interactions continuously elicit one another. It follows that Hoffman's "dialectical constructivism" highlights the intrinsic ambiguity of experience, an ambiguity that coexists with the irrefutable facts of a person's life, including the fact of mortality. The analytic situation promotes awareness of the freedom to shape one's life story within the constraints of given realities. Hoffman deems it a special kind of crucible for the affirmation of worth and the construction of meaning in a highly uncertain world. The analyst, in turn, emerges as a moral influence with an ironic kind of authority, one that is enhanced by the ritualized aspects of the analytic process even as it is subjected to critical scrutiny. An intensely clinical work, Ritual and Spontaneity in the Psychoanalytic Process forges a new understanding of the curative possibilities that grow out of the tensions, the choices, and the constraints inhering in the intimate encounter of a psychoanalyst and a patient. Compelling reading for all analysts and analytic therapists, it will also be powerfully informative for scholars in the social sciences and the humanities.




The Patient and the Analyst


Book Description

This is a completely revised and enlarged edition of the well-known classic. In the twenty years since the previous edition was published much progress has been made in regard to the clinical concept of psychoanalysis, and this new edition brings the subject completely up to date. New knowledge of the psychoanalytic process has been added, together with advances in understanding the clinical situation, the treatment alliance, transference, countertransference, resistance, the negative therapeutic reaction, acting out, interpretations and other interventions, insight, and working through. The book is both a readable introduction to the subject and an authorities work of reference.




Psychoanalytic Diagnosis, Second Edition


Book Description

This acclaimed clinical guide and widely adopted text has filled a key need in the field since its original publication. Nancy McWilliams makes psychoanalytic personality theory and its implications for practice accessible to practitioners of all levels of experience. She explains major character types and demonstrates specific ways that understanding the patient's individual personality structure can influence the therapist's focus and style of intervention. Guidelines are provided for developing a systematic yet flexible diagnostic formulation and using it to inform treatment. Highly readable, the book features a wealth of illustrative clinical examples. New to This Edition *Reflects the ongoing development of the author's approach over nearly two decades. *Incorporates important advances in attachment theory, neuroscience, and the study of trauma. *Coverage of the contemporary relational movement in psychoanalysis. Winner--Canadian Psychological Association's Goethe Award for Psychoanalytic and Psychodynamic Scholarship




The Process of Psychoanalytic Therapy


Book Description

In his extensive description of the heuristic approach to psychoanalytic therapy, Peterfreund discusses the strategies used by both patient and therapist as they move toward discovery and deeper understanding.




The Play Within the Play: The Enacted Dimension of Psychoanalytic Process


Book Description

In The Play within the Play: The Enacted Dimension of Psychoanalytic Process Gil Katz presents and illustrates the "enacted dimension of psychoanalytic process." He clarifies that enactment is not simply an overt event but an unconscious, continuously evolving, dynamically meaningful process. Using clinical examples, including several extended case reports, Gil Katz demonstrates how in all treatments, a new version of the patient’s early conflicts, traumas, and formative object relationships is inevitably created, without awareness or intent, in the here-and-now of the analytic dyad. Within the enacted dimension, repressed or dissociated aspects of the patient’s past are not just remembered, they are re-lived. Katz shows how, when the enacted dimension becomes conscious, it forms the basis for genuine and transforming experiential insight.




Object Relations in Psychoanalytic Theory


Book Description

Object Relations in Psychoanalytic Theory provides a masterful overview of the central issue concerning psychoanalysts today: finding a way to deal in theoretical terms with the importance of the patient's relationships with other people. Just as disturbed and distorted relationships lie at the core of the patient's distress, so too does the relation between analyst and patient play a key role in the analytic process. All psychoanalytic theories recognize the clinical centrality of “object relations,” but much else about the concept is in dispute. In their ground-breaking exercise in comparative psychoanalysis, the authors offer a new way to understand the dramatic and confusing proliferation of approaches to object relations. The result is major clarification of the history of psychoanalysis and a reliable guide to the fundamental issues that unite and divide the field. Greenberg and Mitchell, both psychoanalysts in private practice in New York, locate much of the variation in the concept of object relations between two deeply divergent models of psychoanalysis: Freud's model, in which relations with others are determined by the individual's need to satisfy primary instinctual drives, and an alternative model, in which relationships are taken as primary. The authors then diagnose the history of disagreement about object relations as a product of competition between these disparate paradigms. Within this framework, Sullivan's interpersonal psychiatry and the British tradition of object relations theory, led by Klein, Fairbairn, Winnicott, and Guntrip, are shown to be united by their rejection of significant aspects of Freud's drive theory. In contrast, the American ego psychology of Hartmann, Jacobson, and Kernberg appears as an effort to enlarge the classical drive theory to accommodate information derived from the study of object relations. Object Relations in Psychoanalytic Theory offers a conceptual map of the most difficult terrain in psychoanalysis and a history of its most complex disputes. In exploring the counterpoint between different psychoanalytic schools and traditions, it provides a synthetic perspective that is a major contribution to the advance of psychoanalytic thought.




Creating a Psychoanalytic Mind


Book Description

Bringing a fresh contemporary Freudian view to a number of current issues in psychoanalysis, this book is about a psychoanalytic method that has been evolved by Fred Busch over the past 40 years called Creating a Psychoanalytic Mind. It is based on the essential curative process basic to most psychoanalytic theories - the need for a shift in the patient's relationship with their own mind. Busch shows that with the development of a psychoanalytic mind the patient can acquire the capacity to shift the inevitability of action to the possibility of reflection. Creating a Psychoanalytic Mind is derived from an increasing clarification of how the mind works that has led to certain paradigm changes in the psychoanalytic method. While the methods of understanding the human condition have evolved since Freud, the means of bringing this understanding to patients in a way that is meaningful have not always followed. Throughout, Fred Busch illustrates that while the analyst's expertise is crucial to the process, the analyst's stance, rather than mainly being an expert in the content of the patient's mind, is primarily one of helping the patient to find his own mind. Creating a Psychoanalytic Mind will appeal to psychoanalysts and psychotherapists interested in learning a theory and technique where psychoanalytic meaning and meaningfulness are integrated. It will enable professionals to work differently and more successfully with their patients.




The Psychoanalytic Process


Book Description

In this landmark volume-- already acclaimed as "certain to become a milestone in the history of psychoanalysis and ego psychology"-- Joseph Weiss' theory of the psychotherapeutic process is presented and supported by the systematic, quantitative research carried out by Sampson, Weiss, and the Mount Zion Psychotherapy Research Group. This remarkable work delineates clear-cut implications for doing therapy and for conceptualizing the therapeutic process. The theory extends and develops concepts that Freud introduced in his later writings. It assumes that psychopathology stems from certain grim, unconscious, pathogenic beliefs that the patient acquires by inference from early traumatic experiences. The patient suffers unconsciously from these beliefs and the feelings of guilt, shame, and remorse that stem from them. He is, therefore, powerfully motivated unconsciously to change them. Moreover, the patient is able to exert considerable control over unconscious mental life and, indeed, to make and carry out unconscious plans. He works unconsciously throughout his treatment to change pathogenic beliefs, both by testing them in relation to the analyst and by using insights conveyed by the analyst's interpretations. Since the theory is close to observation it enables the clinician to monitor the patient's progress--to understand, throughout the treatment, how the patient improves, or is set back, by the analyst's interventions. The quantitative, empirical research presented bears directly on this theory. It offers strong evidence that the patient exerts control over the emergence of previously repressed mental contents, bringing them to consciousness when he unconsciously decides he may safely experience them. Supporting the hypothesis that the patient tests pathogenic beliefs throughout treatment in an effort to disconfirm them, it shows that the patient is very likely to respond favorably to interpretations that he can use in his struggle to disconfirm his pathogenic beliefs--but unfavorably to interpretations he cannot use for this purpose. A model of how rigorous psychoanalytic research can both sharpen and modify theoretical constructs and also lend support to a clinical approach, this distinguished volume will be valued by theoreticians, clinicians, researchers, and anyone interested in how the mind works. It provides a clear, accessible, and empirically testable approach to psychoanalytic practice.




A Fresh Look at Psychoanalytic Technique


Book Description

This collection of selected papers explores psychoanalytic technique, exemplifying Fred Busch’s singular contribution to this subject, alongside the breadth and depth of his work. Covering key topics such as what is unique about psychoanalysis, interpretation, psychic truth, the role of memory and the importance of the analyst's reveries, this book brings together the author's most important work on this subject for the first time. Taken as a whole, Busch’s work has provided an updated Freudian model for a curative process through psychoanalysis, along with the techniques to accomplish this. Meticulous in providing the theoretical underpinnings for their conclusions, these essays depict how Busch, as a humanist, has continuously championed what in retrospect seems basic to psychoanalytic technique but which has not always been at the forefront of our thinking: the patient’s capacity to hear, understand and emotionally feel interventions. Presenting a deep appreciation for Freudian theory, this book also integrates the work of analysts from Europe and Latin America, which has been prevalent in his recent work. Comprehensive and clear, these works focus on clinical issues, providing numerous examples of work with patients whilst also presenting concise explanations of the theoretical background. In giving new meaning to basic principles of technique and in reviving older methods with a new focus, A Fresh Look at Psychoanalytic Technique will be of great interest to psychoanalysts and psychoanalytically oriented psychotherapists.




Attachment Theory and the Psychoanalytic Process


Book Description

Attachment theory, the brainchild of child psychiatrist and psychoanalyst John Bowlby, has begun to have a worldwide impact among clinicians within the last ten years. This interest marks a departure from the early fate of attachment theory. At first shunned by the psychoanalytic community, Bowlby's brilliant and groundbreaking effort to recast basic psychoanalytic concepts within system theories and a new, ethologically based model of the importance of affectional ties across the life span was taken up by a group of gifted developmental researchers. Empirical research not only tested and confirmed many basic propositions of attachment theory, but also extended Attachment theory in unexpected and creative ways. Bowlby was surprised and gratified by this turn of events, but also disappointed that his intended clinical audience has not taken the theory and run with it. This edited book is in part a testament to the fact that clinicians are beginning to do just that; they are taking Attachment theory and research creatively to examine clinical issues. In doing so, new vistas and hypothesis are being put forward showing that Attachment theory is alive and well. In this volume the editors gathered a distinguished group of clinician-scholars from around the world (Argentina, Italy, Mexico, UK, USA and Spain) to examine and extend Bowlby's legacy.The book should be of interest to clinicians regardless of their orientation. Attachment theory cuts across boundaries of clinical modalities-individual, group or family therapy-and orientations-psychoanalytic, cognitive or behavioural. The book should also be of interest to researchers who may find the heuristic value of clinical insights a valuable addition to the legacy of Attachment theory.