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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.
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.
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.
In this richly nuanced assessment of the various dimensions of mutuality in psychoanalysis, Aron shows that the relational approach to psychoanalysis is a powerful guide to issues of technique and therapeutic strategy. From his reappraisal of the concepts of interaction and enactment, to his examination of the issue of analyst self-disclosure, to his concluding remarks on the relational import of the analyst's ethics and values, Aron squarely accepts the clinical responsibilities attendant to a postmodern critique of psychoanalytic foundations.
Since trauma is a thoroughly relational phenomenon, it is highly unpredictable, and cannot be made to fit within the scientific framework Freud so admired. In Toward a Psychology of Uncertainty: Trauma-Centered Psychoanalysis, Doris Brothers urges a return to a trauma-centered psychoanalysis. Making use of relational systems theory, she shows that experiences of uncertainty are continually transformed by the regulatory processes of everyday life such as feeling, knowing, forming categories, making decisions, using language, creating narratives, sensing time, remembering, forgetting, and fantasizing. Insofar as trauma destroys the certainties that organize psychological life, it plunges our relational systems into chaos and sets the stage for the emergence of rigid, life-constricting relational patterns. These trauma-generated patterns, which often involve denial of sameness and difference, the creation of complexity-reducing dualities, and the transformation of certainty into certitude, figure prominently in virtually all of the complaints for which patients seek analytic treatment. Analysts, she claims, are no more strangers to trauma than are their patients. Using in-depth clinical illustrations, Dr. Brothers demonstrates how a mutual desire to heal and to be healed from trauma draws patients and analysts into their analytic relationships. She recommends the reconceptualization of what has heretofore been considered transference and countertransference in terms of the transformation of experienced uncertainty. In her view the increased ability of both analytic partners to live with uncertainty is the mark of a successful treatment. Dr. Brothers’ perspective sheds fresh light on a variety of topics of great general interest to analysts as well as many of their patients, such as gender, the acceptance of death, faith, cult-like training programs, and burnout. Her discussions of these topics are enlivened by references to contemporary cinema and theatre.
2015 Gradiva Award Winner The Embodied Analyst brings together the history of embodied analysis found in the work of Freud and Reich and contemporary relational analysis, particularly as influenced by infant research. By integrating the ‘old’ embodied and the ‘new’ relational traditions, the book contributes to a new clinical perspective focusing on form and process rather than content and structure – the ‘how’, rather than the ‘what’ and the ‘why’. This perspective is characterised by a focus on movement, emotional interaction and the therapists own bodily experience in the analytic encounter. Jon Sletvold presents a user-friendly approach to embodied experience, providing the history, theory, training and practice of embodied experience and expression as a way of expanding clinical attention. Starting with a Spinozan view of the embodied mind, Part One: History of Embodied Psychoanalysis presents an overview of the history of the field in the works of Freud and Reich as well as a look at the Norwegian Character Analytic tradition . Part Two: Conceptual Framework and Clinical Guidelines explains how clinical interaction can be navigated based on the embodied concepts of subjectivity, intersubjectivity and reflexivity. Part Three: Embodied Training and Supervision presents innovative approaches to training in emotional communication inspired by the performing arts. The book ends with a consideration of the embodied analyst in the 21st century consulting room. Capturing key aspects of a transitional movement in the development of psychoanalysis and psychotherapy, The Embodied Analyst is ideal for those working and training in psychoanalysis and psychotherapy.
Trauma is one of the hottest contemporary topics within psychoanalysis, whilst many psychoanalysts are increasingly interested in applying their skills outside the traditional setting of the consulting room, especially in response to disasters, wars and serious social issues. Psychoanalysis, Trauma, and Community seeks to correct the misconceptions of what analysts do and how they do it and debunk the stereotype of psychoanalysts stuck in their offices plying their wares on the worried well. Bringing together a group of eminent contributors, this volume considers how psychoanalysis may best be expanded to help in social and community settings, to understand these wider issues from a psychoanalytic perspective, and provide clear clinical guidance and clinical examples of how best to work in a wide variety of non-traditional ways. The innovative work featured includes taking testimony, in-situ interviewing, documentary film-making, social activism, ethnic and political conflict mediation, on-site workshops as well as direct clinical interventions. The reader is taken from the Holocaust, Hiroshima and the Vietnam War to the Balkan Wars and Palestinian-Israeli conflict, from the political violence of the disappeared in Argentina to the devastation wrought by Hurricane Katrina, and from chronic conditions of poverty in India to racism in the post-Jim Crow South. Psychoanalysis, Trauma, and Community will appeal to psychoanalysts, psychoanalytic psychotherapists and anyone studying on the increasing number of trauma courses being given today in universities. Lay readers with an interest in the traumatic fallout as a result of chronic conditions or the myriad disasters that occur globally will find this book illuminating. For the non-specialist mental health professional, including non-analytic psychotherapists, social workers and others who work in the community, this book offers concrete advice on dealing with intervention issues such as entry and integration, as well as on management of multiple and complex trauma in a non-clinical setting.
Psychoanalysts increasingly find themselves working with patients and states that are not amenable to verbal and dialogic engagement. Such patients are challenging for a psychoanalytic approach that assumes that the patient relates in the verbal realm and is capable of reflective function. Both the classical stance of neutrality and abstinence and a contemporary relational approach that works with mutuality and intersubjectivity, can often ask too much of patients. The Unobtrusive Relational Analyst introduces a new psychoanalytic register for working with such patients and states, involving a present and engaged analyst who is unobtrusive to the unfolding of the patient’s inner world and the flow of mutual enactments. For the unobtrusive relational analyst, the world and idiom of the patient becomes the defining signature of the clinical interaction and process. Rather than seeking to bring patients into greater dialogic relatedness, the analyst companions the patient in the flow of enactive engagement and into the damaged and constrained landscapes of their inner worlds. Being known and companioned in these areas of deep pain, shame and fragmentation is the foundation on which psychoanalytic transformation and healing rests. In a series of illuminating chapters that include vivid examples drawn from his work with individuals and with groups, Robert Grossmark illustrates the work of the unobtrusive relational analyst. He reconfigures the role of action and enactment in psychoanalysis and group-analysis, and expands the understanding of the analyst’s subjectivity to embrace receptivity, surrender and companioning. Offering fresh concepts regarding therapeutic action and psychoanalytic engagement, The Unobtrusive Relational Analyst will be of great interest to all psychoanalysts and psychoanalytic psychotherapists.
The safe management of the complex distributed systems and critical infrastructures which constitute the backbone of modern industry and society entails identifying and quantifying their vulnerabilities to design adequate protection, mitigation, and emergency action against failure. In practice, there is no fail-safe solution to such problems and various frameworks are being proposed to effectively integrate different methods of complex systems analysis in a problem-driven approach to their solution. Vulnerable Systems reflects the current state of knowledge on the procedures which are being put forward for the risk and vulnerability analysis of critical infrastructures. Classical methods of reliability and risk analysis, as well as new paradigms based on network and systems theory, including simulation, are considered in a dynamic and holistic way. Readers of Vulnerable Systems will benefit from its structured presentation of the current knowledge base on this subject. It will enable graduate students, researchers and safety and risk analysts to understand the methods suitable for different phases of analysis and to identify their criticalities in application.
The Consulting Room and Beyond is not a typical example of clinical writing in the field of psychoanalysis. Therese Ragen, pushing the boundaries of the genre, thoughtfully explores in a very immediate way the intersubjective nature of psychoanalysis, particularly looking at the role of the psychoanalyst’s subjectivity, both how it influences and is influenced by the psychoanalytic relationship. The profound ways in which analyst and patient affect each other are captured as the author moves from a moment with a patient, to one of her own memories, to a dream, to a professional consultation and back to the session with the patient. Ragen’s detailed descriptions of her subjective experiences and clinical skill help to weave the anecdotes into a compelling narrative, worthy of the attention of theorists, academics and clinicians alike.