Psychic Retreats

Author: John Steiner
Publisher: Routledge
ISBN: 1134858027
Size: 62.11 MB
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Essentially clinical in its approach, Psychic Retreats discusses the problem of patients who are 'stuck' and with whom it is difficult to make meaningful contact. John Steiner, an experienced psychoanalyst, uses new developments in Kleinian theory to explain how this happens. He examines the way object relationships and defences can be organized into complex structures which lead to a personality and an analysis becoming rigid and stuck, with little opportunity for development or change. These systems of defences are pathological organisations of the personality: John Steiner describes them as 'psychic retreats', into which the patient can withdraw to avoid contact both with the analyst and with reality. To provide a background to these original and controversial concepts, the author builds on more established ideas such as Klein's distinction between the paranoid-schizoid and depressive positions, and briefly reviews previous work on pathological organizations of the personality. He illustrates his discussion with detailed clinical material, with examples of the way psychic retreats operate to provide a respite from both paranoid-schizoid and depressive anxieties. He looks at the way such organizations function as a defence against unbearable guilt and describes the mechanism by which fragmentation of the personality can be reversed so the lost parts of the self can be regained and reintegrated in to the personality. Psychic Retreats is written with the practising psychoanalysts and psychoanalytic psychotherapists in mind. The emphasis is therefore clinical throughout the book, which concludes with a chapter on the technical problems which arise in the treatment of such severely ill patients.

A Practical Casebook Of Time Limited Psychoanalytic Work

Author: Robert Waska
Publisher: Routledge
ISBN: 1134090234
Size: 41.88 MB
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Modern Kleinian Therapy is a model of effective psychoanalytic work that offers relief to deep internal conflicts by establishing and maintaining analytic contact, and beginning to unravel, modify, and heal turbulent and torn minds. This book defines Modern Kleinian Therapy as a modality for treating severely affected patients in a fairly traditional psychoanalytic manner, even when the environment or frequency of sessions are compromised. Chapter by chapter the book provides detailed clinical material to illustrate the complex dynamics that unfold when working with more closed off patients, and each case report shows the often limited clinical situations that the contemporary analyst must contend with. The book's detailed material serves to emphasize the nature of psychoanalytic work with individuals and couples, who otherwise rarely find their way to healthy attachment or reciprocal whole object relational harmony. Included in the book: * Technical and theoretical methods of Modern Kleinian Therapy * Psychoanalytic treatments to modify internal object relational conflicts * The Modern Kleinian Therapy approach to couple's treatment * The value of analytic contact. A Practical Casebook of Time-Limited Psychoanalytic Work: A Modern Kleinian Approach introduces new aspects of Kleinian work and offers a contemporary view on Kleinian techniques and concepts. It will be valuable reading for psychotherapists, mental health workers, and psychoanalytic therapists.

Treating Severe Depressive And Persecutory Anxiety States

Author: Robert Waska
Publisher: Karnac Books
ISBN: 1780492944
Size: 67.19 MB
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This book serves two purposes. First, it provides the psychoanalyst or psychotherapist with a more flexible method of practicing psychoanalysis. This is the clinical approach of "analytic contact", a technical stance in which more patients can be reached in a deeper and more helpful manner. Analytic contact is an operationally robust Kleinian approach for the real world of private practice and targets the combination of internal and external factors there are consistently at play with all patients.The second aim of this book is to examine specific groups of patients that present unique challenges to the psychoanalyst. These populations are examined and new and creative ways of working with them are introduced. The author invites the reader to discover the clinical value and technical utility of analytic contact.

A Casebook Of Psychotherapy Practice With Challenging Patients

Author: Robert Waska
Publisher: Routledge
ISBN: 1317590813
Size: 42.25 MB
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Most contemporary psychoanalysts and psychotherapists see each patient once or twice a week at most. As many patients have reached a marked state of distress before seeking treatment, this gives the analyst a difficult task to accomplish in what is a limited amount of time. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach sets out a model for working with quite significantly disturbed, distressed, or resistant patients in a very limited time, which Robert Waska has termed "Modern Kleinian Therapy." Each chapter provides a vivid look into the moment-to-moment workings of a contemporary Kleinian focus on understanding projective identification, enactment, and acting out as well as the careful and thoughtful interpretive work necessary in these complex clinical situations. Individual psychotherapeutic work is represented throughout the book alongside instructive reports of psychoanalytic work with disturbed couples, and the more challenging patient is illustrated with several comprehensive reviews of films that follow such hard-to-reach individuals. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach is filled with a combination of contemporary theory building, a wealth of clinical vignettes, and practical advice. It is a hands-on guide for psychoanalysts and therapists who need to get to grips with complex psychoanalytic concepts in a short time and shows the therapeutic power the Modern Kleinian Therapy approach can have and how it can enable them to work most effectively with difficult patients. Robert Waska LPCC, MFT, PhD is an analytic member at the San Francisco Center for Psychoanalysis and conducts a full-time private psychoanalytic practice for individuals and couples in San Francisco and Marin County, California. He is the author of thirteen published textbooks on Kleinian psychoanalytic theory and technique, is a contributing author for three psychology texts, and has published over a hundred articles in professional journals.

Between Unknown Change And Familiar Retreat

Author: Robert Waska
Publisher: BRILL
ISBN: 900435719X
Size: 23.68 MB
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Dr. Robert Waska’s new book describes how the modern Kleinian approach makes it possible to potentially establish analytic contact within even the most chaotic clinical 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.

Interpretive Voices

Author: Jean Arundale
Publisher: Routledge
ISBN: 0429915101
Size: 51.93 MB
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The contributions in this book exemplify ways in which different analysts think about and treat the issue of interpretation, illustrating the distinctiveness with which an analyst expresses his or her own personality, creativity, and understanding within the medium of psychoanalysis. Entering the realm of the philosophical concept of the particularised universal in which the general concept finds its expression not in abstraction but only in its particular manifestation, each analyst construes the theories and body of knowledge of psychoanalysis in his or her own way. The editors believe that the analytic process can embrace not only different theoretical views, but also differences in how we listen to and communicate with our patients, the expressions of which create an analytic climate with its own particular diction, vocabulary, and distinctive voice. The individual voice is implicit in the literature, capable of being demonstrated, and an important factor in the analytic process.

Imprisoned Pain And Its Transformation

Author: Joan Symington
Publisher: Routledge
ISBN: 0429914784
Size: 15.25 MB
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This book is a festschrift for Sydney Klein, an eminent British Psychoanalyst whose work on such topics as children, groups, psychosomatic illness, delinquent perversions, manic states, and autistic phenomena is known worldwide. His thinking reflects the work of Melanie Klein and Wilfred Bion, as well as that of other eminent writers, such as Frances Tustin.In this volume, clinicians from a wide range of backgrounds reflect on the debt they owe to his work, and in particular on the idea of analysis as a means for understanding and transforming psychic pain. The papers cover a wide range of topics, from theoretical papers to detailed clinical discussions. Edna O'Shaughnessy discusses the anal organization of the instincts, Michael Feldman writes on projective identification, Leslie Sohn on the envious superego, Anne Alvarez on work with borderline children, and Mauro Maura on autism. In these and the other contributions, readers will find a depth of experience and clarity of thought reflecting amply Sydney Klein's contribution to psychoanalysis. This book is invaluable for anyone concerned with the state of psychoanalysis today.