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Trauma and Primitive Mental States: An Object Relations Perspective offers a clinically based framework through which adult survivors of early childhood trauma can re-engage with painful past events to create meaningful futures for themselves. The book highlights the use of the body and the mind in working with these early unmentalized and unrepresented states, illustrating the value of finding language that embodies emotions, and working in the here and now of transference and counter-transference. Including a range of examples of how early trauma can thus be re-presented and clinically understood, the book illustrates how patients can discover themselves and leave their repetitive patterns of suffering behind. Written by a clinician with over 30 years’ experience, this will be fascinating reading for psychoanalysts and psychotherapists as well as any mental health professional working with childhood trauma.
Traditional psychoanalysis relies on the presence of certain meaning-making capacities in the patient for its effectiveness. Primitive Mental States examines how particular capacities including those for symbolising, fantasising, dreaming, experiencing and finding meanings in those experiences, can be taken for granted. Many of us lack these capacities in certain dimensions of our minds making traditional psychoanalysis ineffective. In this book, international contributors are brought together to consider a radical evolution in contemporary psychoanalytic theory developed from a combination of ultrasound studies, infant analysis, and observation of mothers and babies. These findings demonstrate how much mental life exists even before birth and considers unevolved, unborn and barely born aspects of the self such as the birth of emotion and the birth of alpha functioning. Topics covered include: prenatal imprints on the mind and body difficult to treat patients non-verbal, non-symbolic, disembodied states of being early relational and attachment trauma. Illustrated throughout with original data and extensive clinical discussions from some of the biggest names in the field, Primitive Mental States will be a useful resource for students and seasoned analysts alike.
This clinically focused book explores W. R. Bion’s thinking on primitive and unrepresented mental states and shows how therapists can work effectively with traumatized patients who are difficult to reach. The author illuminates how trauma survivors suffer from direct access to primal undifferentiated positions of the psyche that lie outside the symbolic order of the mind and are resistant to treatment. This access, unmediated by symbolic representation but represented in the body, disrupts the normal trajectory of development and of relationship. Integrating theory and clinical application, the book addresses processes of symbolization, somatic receptivity, and the use of countertransference when working therapeutically with undeveloped areas of the mind. It also demonstrates how primitive body relations and object relations include the body of the analyst as part of the analytic frame and are essential in establishing a therapeutic alliance. Illustrated with detailed clinical vignettes, Bion and Primitive Mental States is important reading for psychoanalysts, psychologists, social workers, and educators who wish to understand primitive states of mind and body in patients who have previously been considered untreatable.
In examining both the scientific and clinical aspects of psychobiological states - the formative states that interpenetrate the domain of the body as well as the mind - this collection supports its editor's contention that the time is right for a rapprochement between psychoanalysis and neurobiology. The multidisciplinary approach of these essays, including notable contributions from James Grotstein and Michael Paul, reaffirms the fruitfulness of this integration. It enables the construction of an entirely new paradigm for the study of primitive mental states - one that permits the detailed examination of disorganized psychological processes as well as more healthy and desirable ones.
Trauma does not just happen to a few unlucky people; it is the bedrock of our psychology. Death and illness touch us all, but even the everyday sufferings of loneliness and fear are traumatic. In The Trauma of Everyday Life renowned psychiatrist and author of Thoughts Without a Thinker Mark Epstein uncovers the transformational potential of trauma, revealing how it can be used for the mind's own development. Epstein finds throughout that trauma, if it doesn't destroy us, wakes us up to both our minds' own capacity and to the suffering of others. It makes us more human, caring and wise. It can be our greatest teacher, our freedom itself, and it is available to all of us. Western psychology teaches that if we understand the cause of trauma, we might move past it while many drawn to Eastern practices see meditation as a means of rising above, or distancing themselves from, their most difficult emotions. Both, Epstein argues, fail to recognize that trauma is an indivisible part of life and can be used as a tool for growth and an ever deeper understanding of change. When we regard trauma with this perspective, understanding that suffering is universal and without logic, our pain connects us to the world on a more fundamental level. Guided by the Buddha's life as a profound example of the power of trauma, Epstein's also closely examines his own experience and that of his psychiatric patients to help us all understand that the way out of pain is through it.
Stolorow and his collaborators' post-Cartesian psychoanalytic perspective – intersubjective-systems theory – is a phenomenological contextualism that illuminates worlds of emotional experience as they take form within relational contexts. After outlining the evolution and basic ideas of this framework, Stolorow shows both how post-Cartesian psychoanalysis finds enrichment and philosophical support in Heidegger's analysis of human existence, and how Heidegger's existential philosophy, in turn, can be enriched and expanded by an encounter with post-Cartesian psychoanalysis. In doing so, he creates an important psychological bridge between post-Cartesian psychoanalysis and existential philosophy in the phenomenology of emotional trauma.
This book explores the roots of borderline states of mind in early relational trauma and shows how it is possible, and necessary, to visit 'the darkest places' in order to work through these traumas. This is despite the fact that re-experiencing such traumas is unbearable for the patient and they naturally want to enlist the analyst in ensuring that they will never be experienced again. This is the backdrop for the extreme pressures and roles that are constellated in the analysis that can lead to impasse or breakdown of the analytic relationship. The author explores how these areas can be negotiated safely and that, whilst drawing heavily on recent developments in attachment, relational, trauma and infant development theory, an analytic attitude needs to be maintained in order to integrate these experiences and allow the individual to feel, finally, accepted and whole. The book builds on Freud's views of repetition compulsion and re-enactment and develops Jung's concept of the traumatic complex.
Imagining Animals explores the making of animal images in art therapy and child psychotherapy. It examines two contrasting primitive states of mind: the investing of the world about us with life through animism and participation mystique, and the lifeless world of autistic states of mind encountered in children who are hard to reach. Caroline Case examines how the emergence of animal imagery in therapy can act as a powerful catalyst for children in autistic states of mind, or with a background of trauma, abuse or depression. She also looks at animal / human relationships, and animal symbolism, as well as three-dimensional claywork and the development of personality. Subjects covered include: * animals on stage in therapy - anthropomorphic animal objects * the location of self in animals * entangled and confusional children: analytical approaches to psychotic thinking and autistic features in childhood. The book concludes with a compelling extended case study, which describes analytic work with a child with multiple symptoms, using the various therapeutic tools of play and art, painting and clay, and the development of character, plot and narrative. Imagining Animals offers a unique insight into the role and representation of animal imagery in art therapy and child psychotherapy, which will be of interest to all arts and play therapists working with children as well as adult psychotherapists interested in the use of imagery.
Mass trauma events, such as natural disasters, war and torture, affect millions of people every year. Currently, there is no mental health care model with the potential to address the psychological needs of survivors in a cost-effective way. This book presents such a model, along with guidance on its implementation, making it invaluable for both policy-makers and mental health professionals. Building on more than twenty years of extensive research with mass trauma survivors, the authors present a model of traumatic stress to aid understanding of mass trauma and how its psychological impact can be overcome with control-focused behavioral treatment. This text offers a critical review of various controversial issues in the field of psychological trauma in light of recent research findings. Including two structured manuals on earthquake trauma, covering treatment delivery and self-help, the book will be of use to survivors themselves as well as care providers.
The conflict and dissociation between the Body and the Mind have determinant implications in the context of our current clinical practice, and are an important source of internal and relational disturbances. Body-Mind Dissociation in Psychoanalysis proposes the concept as a new hypothesis, different from traumatic dissociation or states of splitting. This approach opens the door to a clinical confrontation with extreme forms of mental disturbance, such as psychosis or borderline disorders, and strengthens the relational power of the analytic encounter, through a focus on the internal sensory/emotional axis in both analyst and analysand. The book details this importance of the analyst’s intrasubjective relationship with the analysand in constructing new developmental horizons, starting from the body-mind exchange of the two participants. Body-Mind Dissociation in Psychoanalysis will be of use to students, beginners in psychotherapy, mental health practitioners and seasoned psychoanalysts.