The Power of Countertransference


Book Description

A signpost of the relational turn in contemporary psychoanalysis, Karen Maroda's The Power of Countertransference, published in 1991, is perhaps the first systematic effort to integrate the need for mutual emotional exchanges, which may include the analyst's own self-disclosures, into an interactive model of psychoanalytic practice. Maroda's call for emotional honesty and affective self-disclosure had an immediate impact on the field and led Harold Searles to comment, "If we follow the example set by Maroda, we shall be minimally likely to 'act in' our emotions in our sessions with our patients. They will benefit greatly as a result; we practitioners shall benefit; and the profession of psychoanalysis and psychoanalytic therapy will become healthier and stronger than it is at present." This revised edition includes a new Foreword by Lewis Aron and an Afterword in which Maroda clarifies her own position and comments on the evolution of psychoanalytic technique since the publication of The Power of Countertransference.




Coasting in the Countertransference


Book Description

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.




Seduction, Surrender, and Transformation


Book Description

Seduction, Surrender, and Transformation demonstrates how interpersonal psychoanalysis obliges analysts to engage their patients with genuine emotional responsiveness, so that not only the patient but the analyst too is open to ongoing transformation through the analytic experience. In so doing, the analyst moves from the position of an "interpreting observer" to that of an "active participant and facilitator" whose affective communications enable the patient to acquire basic self-trust along with self-knowledge. Drawing on the current literature on affect, Maroda argues that psychological change occurs through affect-laden interpersonal processes. Given that most patients in psychotherapy have problems with affect management, the completing of cycles of affective communication between therapist and patient becomes a vitally important aspect of the therapeutic enterprise. Through emotionally open responses to their patients and careful use of patient-prompted self-disclosures, analysts can facilitate affect regulation responsibly and constructively, with the emphasis always remaining on the patients' experience. Moments of mutual surrender - the honest emotional giving over of patient to analyst and analyst to patient - epitomize the emotionally intense interpersonal experiences that lead to enduring intrapsychic change. Maroda's work is profoundly personal. She does not hesitate to share with the reader how her own personality affects her thinking and her work. Indeed, she believes her theoretical and clinical preferences are emblematic of the way in which the analyst's subjectivity necessarily shapes theory choice and practice preferences in general. Seduction, Surrender, and Transfomation is not only a powerful brief for emotional honesty in the analytic relationship but also a model of the personal openness that, according to Maroda, psychoanalysis demands of all its practitioners.




A Disturbance in the Field


Book Description

The field, as Steven Cooper describes it, is comprised of the inextricably related worlds of internalized object relations and interpersonal interaction. Furthermore, the analytic dyad is neither static nor smooth sailing. Eventually, the rigorous work of psychoanalysis will offer a fraught opportunity to work through the most disturbing elements of a patient's inner life as expressed and experienced by the analyst - indeed, a disturbance in the field. How best to proceed when such tricky yet altogether common therapeutic situations arise, and what aspects of transference/countertransference should be explored in the service of continued, productive analysis? These are two of the questions that Steven Cooper explores in this far-ranging collection of essays on potentially thorny areas of the craft. His essays try to locate some of the most ineffable types of situations for the analyst to take up with patients, such as the underlying grandiosity of self-criticism; the problems of too much congruence between what patients fantasize about and analysts wish to provide; and the importance of analyzing hostile and aggressive aspects of erotic transference. He also tries to turn inside-out the complexity of hostile transference and countertransference phenomena to find out more about what our patients are looking for and repudiating. Finally, Cooper raises questions about some of our conventional definitions of what constitutes the psychoanalytic process. Provocatively, he takes up the analyst's countertransference to the psychoanalytic method itself, including his responsibility and sources of gratification in the work. It is at once a deeply clinical book and one that takes a post-tribal approach to psychoanalytic theory - relational, contemporary Kleinian, and contemporary Freudian analysts alike will find much to think about and debate here.




Emotional Communication


Book Description

This offers an integrated theory of communication, an alternative to classical, contemporary relational and inter-subjective approaches to treatment.




Psychodynamic Techniques


Book Description

Helping therapists navigate the complexities of emotional interactions with clients, this book provides practical clinical guidelines. Master clinician Karen J. Maroda adds an important dimension to the psychodynamic literature by exploring the role of both clients' and therapists' emotional experiences in the process of therapy. Vivid case examples illustrate specific techniques for becoming more attuned to one's own experience of a client; offering direct feedback and self-disclosure in the service of treatment goals; and managing intense feelings and conflict in the relationship. Maroda clearly distinguishes between therapeutic and nontherapeutic ways to work with emotion in this candid and instructive guide.




The Analyst’s Vulnerability


Book Description

This book closely examines the analyst’s early experiences and character traits, demonstrating the impact they have on theory building and technique. Arguing that choice of theory and interventions are unconsciously shaped by clinicians’ early experiences, this book argues for greater self-awareness, self-acceptance, and open dialogue as a corrective. Linking the analyst’s early childhood experiences to ongoing vulnerabilities reflected in theory and practice, this book favors an approach that focuses on feedback and confrontation, as well as empathic understanding and acceptance. Essential to this task, and a thesis that runs through the book, are analysts’ motivations for doing treatment and the gratifications they naturally seek. Maroda asserts that an enduring blind spot arises from clinicians’ ongoing need to deny what they are personally seeking from the analytic process, including the need to rescue and be rescued. She equally seeks to remove the guilt and shame associated with these motivations, encouraging clinicians to embrace both their own humanity and their patients’, rather than seeking to transcend them. Providing a new perspective on how analysts work, this book explores the topics of enactment, mirror neurons, and therapeutic action through the lens of the analyst’s early experiences and resulting personality structure. Maroda confronts the analyst’s tendencies to favor harmony over conflict, passivity over active interventions, and viewing the patient as an infant rather than an adult. Exploring heretofore unexamined issues of the psychology of the analyst or therapist offers the opportunity to generate new theoretical and technical perspectives. As such, this book will be invaluable to experienced psychodynamic therapists and students and trainees alike, as well as teachers of theory and practice.




Transference Countertransference (Chiron Clinical Series) [Paperback]


Book Description

Fundamental issues of transference and countertransference are dealt with in reference to subjects such as dreams, eating disorders, sexual acting out, and borderline conditions.




Management of Countertransference with Borderline Patients


Book Description

Management of Countertransference with Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient.




History of Countertransference


Book Description

The constant and polymorphous development of the field of psychoanalysis since its inception has led to the evolution of a wide variety of psychoanalytic ‘schools’. In seeking to find common ground between them, Alberto Stefana examines the history of countertransference, a concept which has developed from its origins as an apparent obstacle, to become an essential tool for analysis, and which has undergone profound changes in definition and in clinical use. In History of Countertransference, Stefana follows the development of this concept over time, exploring a very precise trend which begins with the original notion put forward by Sigmund Freud and leads to the ideas of Melanie Klein and the British object relations school. The book explores the studies of specific psychoanalytic theorists and endeavours to bring to light how the input from each one may have been influenced by previous theories, by the personal history of the analyst, and by their historical-cultural context. By shedding light on how different psychoanalytic groups work with countertransference, Stefana helps the reader to understand the divergences that exist between them. This unique study of a key psychoanalytical concept will be essential reading for psychoanalysts in practice and in training, and academics and students of psychoanalytic studies and the history of psychology.