Phenomenology, Uncertainty, and Care in the Therapeutic Encounter


Book Description

Phenomenology, Uncertainty and Care in the Therapeutic Encounter is the latest in a series of books where Mark Leffert explores the therapeutic encounter as both process and situation; looking for evidence of therapeutic effectiveness rather than accepting existing psychoanalytic concepts of theory or cure without question. Mark Leffert focuses on the uncomfortable fact that analysts and therapists can and do make many mistaken assumptions and false moves within their clinical practice, and that there is a tendency to ignore the significant levels of uncertainty in what they do. Beginning with a discussion of the phenomenology of the self and its relations with the world, the book moves on to explore the notion that interdisciplinary discourse both opens up possibilities in the therapeutic encounter but also imposes healthy constraints on what can be thought or theorized about psychoanalytically. Phenomenology, Uncertainty and Care in the Therapeutic Encounter contributes a new understanding of familiar material and brings a new focus to the care-giving and healing aspects of psychoanalysis and psychotherapy leading to a shift in the analyst’s identity from that of one who analyses to one who cares for and heals. This book will be of interest to Psychoanalysts and psychotherapists, neuroscientists and academics in the fields of psychiatry, comparative literature and literature and the mind.




Positive Psychoanalysis


Book Description

Psychoanalysis and Psychotherapy have, in one way or another, focused on the amelioration of the negative. This has only done half the job; the other half being to actively bring Positive Experience into patients’ lives. Positive Psychoanalysis moves away from this traditional focus on negative experience and problems, and instead looks at what makes for a positive life experience, bringing a new clinical piece to what psychoanalysts do: Positive Psychoanalysis and the interdisciplinary theory and research behind it. The envelope of functions entailed in Positive Psychoanalysis is an area of Being described as Subjective Well-Being. This book identifies three particular areas of function encompassed by SWB: Personal Meaning, Aesthetics, and Desire. Mark Leffert looks at the importance of these factors in our positive experiences in everyday life, and how they are manifested in clinical psychoanalytic work. These domains of Being form the basis of chapters, each comprising an interdisciplinary discussion integrating many strands of research and argument. Leffert discusses how the areas interact with each other and how they come to bear on the care, healing, and cure that are the usual subjects of psychoanalytic treatment. He also explores how they can be represented in contemporary psychoanalytic theory. This novel work discusses and integrates research findings, phenomenology, and psychoanalytic thought that have not yet been considered together. It seeks to inform readers about these subjects and demonstrates, with clinical examples, how to incorporate them into their clinical work with the negative, helping patients not just to heal the negative but also move into essential positive aspects of living: a sense of personal meaning, aesthetic competence, and becoming a desiring being that experiences Subjective Well-Being. Drawing on ideas from across neuroscience, philosophy, and social and culture studies, this book sets out a new agenda for covering the positive in psychoanalysis. Positive Psychoanalysis will appeal to psychoanalysts and psychotherapists, neuroscientists and philosophers, as well as academics across these fields and in psychiatry, comparative literature, and literature and the mind.




Psychoanalysis, the Self, and the World


Book Description

This book takes psychoanalysis into the 21st century, examining issues of existentialism, postphenomenology, social media, and death and death anxiety that have gone largely ignored in the psychoanalytic and psychotherapeutic literature. Using an interdisciplinary perspective, Leffert explains that it is impossible to close the door of the consulting room. The therapeutic relationship is invaded by the outside world and its relationships for both patient and therapist and cannot be isolated from these influences. Drawing on richly detailed case studies, Leffert demonstrates how the internet, social media, and the metaverse have changed and expanded the self in ways that could not have been imagined in the last century. In turn, Leffert acknowledges recent advances in the neurosciences, and addresses the lack of engagement with their implications for theories and practices of therapeutic action. Finally, the ways in which death and death anxiety impinge on the self, which have also gone mostly undealt with in psychoanalytic literature, become an important focus of this book. As a novel exploration of interdisciplinary connections, this book will be of use to both scholars and practitioners of psychotherapy, psychoanalysis, social network theory, philosophy, and neuroscience.




Psychoanalysis and the Birth of the Self


Book Description

This book draws psychoanalysis out of unsubstantiated, hermeneutic speculation and into the science and philosophy of the Self. Mark Leffert offers a survey of where we as human beings come from, going back into prehistory and our development as individuals. Psychoanalysis and the Birth of the Self is written to provide psychoanalysts with interdisciplinary information drawn from fields that they may have had little access to. Leffert undertakes a novel integration of topics not frequently discussed together, resulting in a radical critique of the theorization of psychoanalysis. The book begins by setting the story with a short analysis of the history of psychoanalysis. A new science has been founded on the recognition of the impossibility of separating evolution from development; it is called Evo-Devo. Applied to the human condition, it integrates development with palaeoanthropology and forms the basis for exploring such topics as the neurophilosophy of consciousness, the birth of the Self, and its neurodevelopment. It includes epigenetics in the conversation. Leffert then takes a radical turn, integrating the biological Evo-Devo of the Self with the study of its Existence that is, Existentialism and Phenomenology. The integration of these two threads, Evo-Devo and Existentialism offers a powerful and unique tool for exploring the Self. The author offers an innovative way of understanding an individual that pulls together their biology, their development, and the way they choose to exist in the world. It steps outside of the traditional ways of clinically understanding an individual not by abandoning them but rather by powerfully supplementing them. Psychoanalysis and the Birth of the Self offers a novel, interdisciplinary braiding of disparate strands of knowledge that will be of interest to psychoanalysts as well as those in the disciplines of neuroscience, existentialism and phenomenology, and anthropology.




The Psychoanalysis of the Absurd


Book Description

The Psychoanalysis of the Absurd offers an interdisciplinary study of Existentialism and Phenomenology and their importance to the clinical work of Contemporary Psychotherapy and Psychoanalysis. The concept of Absurdity, developed by Camus, has never been applied to the therapeutic situation or directly contrasted with its antithesis; the search for personal meaning. The book begins with narrative accounts of the historical development of Psychoanalysis, Existentialism and Phenomenology in 20th century Europe. The focus here is on fin de siècle Vienna and Paris between the Wars as the principal incubators of the two disciplines. Accompanied by composite case illustrations, Leffert then explores his own development of the Psychoanalysis of the Absurd, drawing on the work of Camus, Heidegger and Sartre. Absurdity is first discussed in relation to the Bio-Psycho-Social Self and Dasein is posited as a bridge concept, with personal meaning as the antithesis to Absurdity, before being discussed in relation to the world and how it impinges on self. A final chapter attempts to tie together particular issues raised by the book: Subjective well-being, Meaning, thrownness, Absurdity, Death and Death Anxiety and how we have become technologically enhanced human beings. Existential psychotherapy and psychoanalysis have, until now, largely gone their own way: the goal of this book is to fold them back into Contemporary Psychoanalysis. Establishing that the concept of Absurdity is of singular clinical importance to both diagnosis and therapeutic action, this book will be of great interest to clinicians, philosophers, and interdisciplinary scientists.




Ecosophical Aesthetics


Book Description

Inspired by the ecosophical writings of Felix Guattari, this book explores the many ways that aesthetics – in the forms of visual art, film, sculpture, painting, literature, and the screenplay – can act as catalysts, allowing us to see the world differently, beyond traditional modes of representation. This is in direct parallel to Guattari's own attempt to break down the 19th century Kantian dialectic between man, art, and world, in favour of a non-hierarchical, transversal approach, to produce a more ethical and ecologically sensitive world view. Each chapter author analyses artworks which critique capitalism's industrial devastation of the environment, while at the same time offering affirmative, imaginative futures suggested by art. Including contributions from philosophers, film theorists and artists, this book asks: How can we interact with the world in a non-dominant and non-destructive way? How can art catalyze new ethical relations with non-human entities and the environment? And, crucially, what part can philosophy play in rethinking these structures of interaction?




The Therapeutic Situation in the 21st Century


Book Description

Extending the themes of Contemporary Psychoanalytic Foundations, The Therapeutic Situation in the 21st Century is a systematic reformulation of fundamental psychoanalytic concepts, such as transference, therapeutic action, and the uses of psychotropic drugs, in the light of recent developments in postmodernism, complexity theory, and neuroscience. Leffert offers formulations of areas not previously considered in any depth by psychoanalysts, such as power relations in the analytic couple, social matrix theory, and narrative theory informed by considerations of archaeology, genealogy, complexity, memory, and recall. He also considers new areas, such as the role of uncertainty and love in the therapeutic situation. This book is part of an ongoing effort to place psychoanalysis in the current century, and looks to outside as well as inside areas of thought to inform how we work and how we think about our work.




Contemporary Psychoanalytic Foundations


Book Description

Past scholars have tried to classify psychoanalysis as an intrinsically positivist science, with varying degrees of success. Their critics have fared little better with narrow applications of postmodern thought, which focus on smaller areas within psychoanalysis and, as a result, neglect the evolution of the discipline as a whole. In an effort to provide a ground for current psychoanalytic thought, Mark Leffert creates an interreferential schema which balances the influences of postmodernism, complexity theory, and neuroscience as its key factors. Using the heterogeneity of postmodern thought as a starting point, he traces its impact on and implications for the development of the discipline, leading into the realm of complexity theory – which is relatively new to the psychoanalytic literature – and how it informs as well as constrains certain psychoanalytic assumptions. The book then turns to neuroscience, the "hard" scientific study of the complexities of the brain, and how recent research informs psychoanalytic theory and may shed light on aspects of memory, the conscious, and the unconscious. Taken together, these three elements create a firm basis for the current trends in psychoanalysis and the direction of its development in the years to come.




Phenomenology of Illness


Book Description

The experience of illness is a universal and substantial part of human existence. Like death, illness raises important philosophical issues. But unlike death, illness, and in particular the experience of being ill, has received little philosophical attention. This may be because illness is often understood as a physiological process that falls within the domain of medical science, and is thus outside the purview of philosophy. In Phenomenology of Illness Havi Carel argues that the experience of illness has been wrongly neglected by philosophers and proposes to fill the lacuna. Phenomenology of Illness provides a distinctively philosophical account of illness. Using phenomenology, the philosophical method for first-person investigation, Carel explores how illness modifies the ill person's body, values, and world. The aim of Phenomenology of Illness is twofold: to contribute to the understanding of illness through the use of philosophy and to demonstrate the importance of illness for philosophy. Contra the philosophical tendency to resist thinking about illness, Carel proposes that illness is a philosophical tool. Through its pathologising effect, illness distances the ill person from taken for granted routines and habits and reveals aspects of human existence that normally go unnoticed. Phenomenology of Illness develops a phenomenological framework for illness and a systematic understanding of illness as a philosophical tool.




Critical Psychiatry


Book Description

This book is a guide for psychiatrists struggling to incorporate transformational strategies into their clinical work. The book begins with an overview of the concept of critical psychiatry before focusing its analytic lens on the DSM diagnostic system, the influence of the pharmaceutical industry, the crucial distinction between drug-centered and disease-centered approaches to pharmacotherapy, the concept of “de-prescribing,” coercion in psychiatric practice, and a range of other issues that constitute the targets of contemporary critiques of psychiatric theory and practice. Written by experts in each topic, this is the first book to explicate what has come to be called critical psychiatry from an unbiased and clinically relevant perspective. Critical Psychiatry is an excellent, practical resource for clinicians seeking a solid foundation in the contemporary controversies within the field. General and forensic psychiatrists; family physicians, internists, and pediatricians who treat psychiatric patients; and mental health clinicians outside of medicine will all benefit from its conceptual insights and concrete advice.