Holding And Psychoanalysis

Author: Joyce Anne Slochower
Publisher: Routledge
ISBN: 1135891710
Size: 79.19 MB
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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.

Holding And Psychoanalysis 2nd Edition

Author: Joyce Anne Slochower
Publisher: Routledge
ISBN: 1135011699
Size: 13.20 MB
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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.

Coasting In The Countertransference

Author: Irwin Hirsch
Publisher: Taylor & Francis
ISBN: 113546944X
Size: 52.93 MB
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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
Size: 36.56 MB
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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.

Toward Mutual Recognition

Author: Marie T. Hoffman
Publisher: Routledge
ISBN: 113583847X
Size: 63.51 MB
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Ever since its nascent days, psychoanalysis has enjoyed an uneasy coexistence with religion. However, in recent decades, many analysts have been more interested in the healing potential of both psychoanalytic and religious experience and have explored how their respective narrative underpinnings may be remarkably similar. In Toward Mutual Recognition, Marie T. Hoffman takes just such an approach. Coming from a Christian perspective, she suggests that the current relational turn in psychoanalysis has been influenced by numerous theorists - analysts and philosophers alike - who were themselves shaped by an embedded Christian narrative. As a result, the redemptive concepts of incarnation, crucifixion, and resurrection - central to the tenets of Christianity - can be traced to relational theories, emerging analogously in the transformative process of mutual recognition in the concepts of identification, surrender, and gratitude, a trilogy which she develops as forming the "path of recognition." Each movement on this path of recognition is given thought-provoking, in-depth attention. Chapters dedicated to theoretical perspectives utilize the thinking of Benjamin, Hegel, and Ricoeur. In her historical perspectives, she explores the personal and professional histories of analysts such as Sullivan, Fairbairn, Winnicott, Erikson, Kohut, and Ferenczi, among others, who were influenced by the Christian narrative. Uniting it all together is the clinical perspective offered in the compelling extended case history of Mandy, a young lady whose treatment embodies and exemplifies each of the steps along the path of growth in both the psychoanalytic and Christian senses. Throughout, a relational sensibility is deployed as a cooperative counterpart to the Christian narrative, working both as a consilient dialogue and a vehicle for further integrative exploration. As a result, the specter of psychoanalysis and religion as mutually exclusive gives way to the hope and redemption offered by their mutual recognition.

Transforming Aggression

Author: Frank M. Lachmann
Publisher: Jason Aronson, Incorporated
ISBN: 1461632196
Size: 46.22 MB
Format: PDF
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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
Size: 66.27 MB
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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.

The Analyst In The Inner City

Author: Neil Altman
Publisher: Taylor & Francis
ISBN: 0881635006
Size: 32.50 MB
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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.

Psychoanalytic Collisions

Author: Joyce Slochower
Publisher: Routledge
ISBN: 1317819640
Size: 44.31 MB
Format: PDF
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Psychoanalytic Collisions Second Edition wrestles with a theme that confronts every psychotherapist: the gap between illusions and realities about the professional self. Joyce Slochower closely examines situations in which the therapist’s professional and personal wishes collide with the actuality of everyday clinical work. The book unpacks the dynamics of these collisions on both beginning and seasoned therapists, offering ways of sustaining a professional ideal while also exploring the mixed impact of that ideal on clinical work. In examining how illusions and ideals affect the therapeutic encounter for both better and worse, Psychoanalytic Collisions invites the reader into the consulting room. This Second Edition has been substantially revised. It includes updated clinical and theoretical material as well as a new chapter about mutual idealizations that coalesce between patient and analyst. Slochower argues that psychoanalytic?collisions can be productively engaged, even if they often cannot be fully resolved.The very act of engagement—whether by establishing new grounds for collaboration in the wake of real-world catastrophe, wrestling with clinical impasses that arise from the divergent expectations of analyst and patient, or owning up to and addressing the analyst’s "secret delinquencies"—reveals how therapeutic hopefulness can coexist with an acceptance of the analyst’s all-too-human fallibility. Psychoanalytic Collisions shows how idealization is intrinsic both to forging an analytic identity and practicing across a lifetime. Slochower’s work challenges readers to confront their own vulnerabilities and limits while also embracing a professional ideal that is at once human and inspiring. The book is an essential resource for psychoanalysts, psychotherapists, pastoral counselors, and readers interested in the practice of psychotherapy today.

Relational Theory And The Practice Of Psychotherapy

Author: Paul L. Wachtel
Publisher: Guilford Press
ISBN: 1609180453
Size: 58.91 MB
Format: PDF
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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.