Outcome Research and the Future of Psychoanalysis explores the connection between outcome studies and important and complex questions of clinical practices, research methodologies, epistemology, and sociological considerations. Presenting the ideas and voices of leading experts in clinical and extra-clinical research in psychoanalysis, the book provides an overview of the state of the art of outcome research, its results and implications. Furthermore, its contributions discuss the basic premises and ideas of outcome research and in which way the contemporary Zeitgeist might shape the future of psychoanalysis. Divided into three parts, the book begins by discussing the scientific basis of psychoanalysis and advances in psychoanalytic thinking as well as the state of the art of psychoanalytic outcome research, critically analyzing so-called evidence-based therapies. Part II of the book contains exemplary research projects that are discussed from a clinical perspective, illustrating the dialogue between researchers and clinicians. Lastly, in Part III, several psychoanalysts review the importance of critical thinking and research in psychoanalytical education. Thought-provoking and expertly written and researched, this book is a useful resource for academics, researchers and postgraduate students in the fields of mental health, psychotherapy, and psychoanalysis.

Is psychoanalysis in decline? Has its understanding of the human condition been marginalized? Have its clinical methods been eclipsed by more short-term, problem-oriented approaches? Is psychoanalysis unable (or unwilling) to address key contemporary issues and concerns? With contributors internationally recognized for their scholarship, Progress in Psychoanalysis: Envisioning the Future of the Profession offers both an analysis of how the culture of psychoanalysis has contributed to the profession’s current dilemmas and a description of the progressive trends taking form within the contemporary scene. Through a broad and rigorous examination of the psychoanalytic landscape, this book highlights the profession’s very real progress and describes a vision for its increased relevance. It shows how psychoanalysis can offer unparalleled value to the public. Economic, political, and cultural factors have contributed to the marginalization of psychoanalysis over the past 30 years. But the profession’s internal rigidity, divisiveness, and strong adherence to tradition have left it unable to adapt to change and to innovate in the ways needed to remain relevant. The contributors to this book are prominent practitioners, theoreticians, researchers, and educators who offer cogent analysis of the culture of psychoanalysis and show how the profession’s foundation can be strengthened by building on the three pillars of openness, integration, and accountability. This book is designed to help readers develop a clearer vision of a vital, engaged, contemporary psychoanalysis. The varied contributions to Progress in Psychoanalysis exemplify how the profession can change to better promote and build on the very real progress that is occurring in theory, research, training, and the many applications of psychoanalysis. They offer a roadmap for how the profession can begin to reclaim its leadership in wide-ranging efforts to explore the dynamics of mental life. Readers will come away with more confidence in psychoanalysis as an innovative enterprise and more excitement about how they can contribute to its growth.

This book is concerned with the question of what psychoanalytic training should look like today. Should we go on with the system that has developed over time? Or should we abandon it, and if so, for which reasons?It provides a detailed and compelling account of the ongoing, sometimes heated, international debate about psychoanalytic training. After nearly a century since the onset of formal psychoanalytic training in the 1920s in Berlin, experiences with the prevalent Eitingon model are presented and looked at from different perspectives. Experienced psychoanalysts from all the regions of the psychoanalytic world and from different schools of psychoanalytic thought and clinical conceptualizations share their ideas, critique, and on occasion, their diagnoses. Perhaps no other topic of present-day scientific discussion in the field is as prone to evoke more controversial and passionate reactions than the subject of training.

Training in psychoanalysis is a long and demanding process. However, the quality of education available is hugely variable across the world. The structure of psychoanalytic education, centered on the hierarchical "training analysis" system, reflected a concerted effort to maintain a stable and high quality educational process. However, throughout time this system has become a major source of institutional contradictions that affect the training of candidates, the scientific developments within psychoanalysis, and the nexus of psychoanalytic theory and practice with the surrounding scientific, social and cultural world. Psychoanalytic Education at the Crossroads examines the ways in which group processes, the hierarchal culture in institutes, the influence of individual personalities, the lack of research and the faults in supervision can all stifle creativity and hinder candidates’ progress. In this compelling work, Otto Kernberg sets out clear suggestions for how these issues can be addressed, and how he sees the future of psychoanalytic education across all psychoanalytic settings and schools of thought. The first part of this volume is focused primarily on the analysis of the nature of these problems and their effects on the personal analysis and supervision of candidates; on theoretical and clinical seminars; on selection, progression, and graduation; on educational principles and requirements, developments of theory and technique and, in particular, limitation versus expansion of the realm of interests and applications of psychoanalysis. The second part of this volume deals with proposals of solutions to the problems encountered, and major suggestions for innovation in psychoanalytic education. The author’s work in this area has been hugely influential. Kernberg has made a substantive difference in the development of psychoanalytic institutes and education, and continues to do so. Psychoanalytic Education at the Crossroads will be essential reading to anyone involved in psychoanalytic education, whether as a psychoanalyst, psychoanalytic psychotherapist, trainee, trainer, or supervisor.

A pioneering ethnography of psychoanalysis, Illusions of a Future explores the political economy of private therapeutic labor within industrialized medicine. Focusing on psychoanalysis in Chicago, a historically important location in the development and institutionalization of psychoanalysis in the United States, Kate Schechter examines the nexus of theory, practice, and institutional form in the original instituting of psychoanalysis, its normalization, and now its "crisis." She describes how contemporary analysts struggle to maintain conceptions of themselves as capable of deciding what psychoanalysis is and how to regulate it in order to prevail over market demands for the efficiency and standardization of mental health treatments. In the process, Schechter shows how deeply imbricated the analyst-patient relationship is in this effort. Since the mid-twentieth century, the "real" relationship between analyst and patient is no longer the unremarked background of analysis but its very site. Psychoanalysts seek to validate the centrality of this relationship with theory and, through codified "standards," to claim it as a privileged technique. It has become the means by which psychoanalysts, in seeking to protect their disciplinary autonomy, have unwittingly bound themselves to a neoliberal discourse of regulation.

Malcolm Bowie is already well known as a writer who has made "theory" and "criticism" intelligible to each other in new ways. In this new collection he examines the meanings that psychoanalysis has ascribed to the tense and the devices by which later Lacan completes and complexifies Freud's discussions of temporality. "What kind of future can psychoanalysis have when it talks about futurity in this fashion?" In answering this question Malcolm Bowie focuses on an exemplary moment of crisis in the history of psychoanalytic thought. He challenges some of the fundamental Freudian assumptions about temporality of discourse and draws attention to a whole new range of opportunities that a "future-conscious" psychoanalysis might offer critics and theorists of other intellectual persuasions. Bowie calls for a new openness towards art among psychoanalytic theorists, drawing his examples from a wide variety of artistic practices. Musicians (Mozart, Mahler, Schoenberg and Fauré), visual artists (Michelangelo, Leonardo, Tiepolo and Matisse) and writers (Goethe, Proust and Svevo) are all placed in an illuminating two-way relationship with the writings of Freud.

The Organizational Life of Psychoanalysis is a wide-ranging exploration and examination of the organizational conflicts and dilemmas that have troubled psychoanalysis since its inception. Kenneth Eisold provides a unique, detailed, and closely reasoned account of the systems needed to carry out the tasks of training, quality control, community building, and relationships with the larger professional community. He explores how the freedom to innovate and explore can be sustained in a context where the culture has insisted on certain standards being set and enforced, standards that have little to do with providing effective pathways to cure. Each chapter in this collection addresses a specific dilemma faced by the profession, including: Who is to be in charge of training and who will determine those who succeed the existing leadership? Which theories and practices are to be approved and which proscribed and censored? How is the competition with alternative methods, including psychotherapy informed by psychoanalysis, to be managed? Several chapters are devoted to exploring the reciprocal influence of Freudian psychoanalysis and Jungian Analytical Psychology. Others explore the specific dilemmas and difficulties affecting the field currently, stemming from the massive restructuring of the health care industry and the changes affecting all professions, as they are reshaped into massive organizations no longer marked by personal relationships and individual control. The Organizational Life of Psychoanalysis will be essential reading for psychoanalysts, psychoanalytic psychotherapists, and anyone interested in the future of psychoanalysis as a profession. It will appeal greatly to anyone who has assumed full or partial responsibility for the management of a psychoanalytic institute or association.

Psychoanalysis with Wilfred R. Bion is the product of François Lévy’s efforts over a period of twenty years to represent clearly the classical elements and the innovatory propositions of the thought and work of Bion, who offers both new and modified ways of practising and thinking about the psychoanalytic experience. Bion’s thought, methodical and intuitive, gave rise to profound modifications in the approach to the psychology of groups, clinical work with psychoses, and the conception of the genesis of thought. Some of his original notions – psychic growth, processes of thinking, transformations, alpha function, maternal reverie – constitute valuable tools for rethinking psychoanalytic practice. This book places Bion’s thought within a filiation that is faithful to those of Sigmund Freud and Melanie Klein. It shows the parallels that exist between Bion’s formalisations and those of Lacan. It also lays emphasis on the mechanisms of thought arising from the negative (André Green), from logic (Lewis Carroll), from causalist philosophy (David Hume), from literature (Milton, Blanchot) and from the physical sciences (Stephen Hawking). Finally, Lévy underlines the importance of placing individuals within the collective from which they have originated. Psychoanalysis with Wilfred R. Bion will appeal to psychoanalysts and psychoanalytic psychotherapists looking to draw on the ideas of one of the most important and influential figures in the history of psychoanalysis.

Addressing the art and science of psychodynamic treatment, Nancy McWilliams distills the essential principles of clinical practice, including effective listening and talking; transference and countertransference; emotional safety; and an empathic, attuned attitude toward the patient. The book describes the values, assumptions, and clinical and research findings that guide the psychoanalytic enterprise, and shows how to integrate elements of other theoretical perspectives. It discusses the phases of treatment and covers such neglected topics as educating the client about the therapeutic process, handling complex challenges to boundaries, and attending to self-care. Presenting complex information in personal, nontechnical language enriched by in-depth clinical vignettes, this is an essential psychoanalytic work and training text for therapists.