In this innovative text, Carol Holmes provides students and professional psychotherapists with an historical account leading to the most up-to-date information on the core psychoanalytic concept of counter-transference and the subsequent changes that have occurred in its clinical application. This book uniquely examines the fundamental principles and practice that underpin some of the major schools of psychotherapy including psychoanalysis, existential, humanistic, integrative, systemic and communicative therapy. The author compares the philosophies that underline these diverse schools and explores their precepts in relation to the notion of counter-transference. In contrast to traditional psychoanalytic texts, the counter-transference theme of the book is examined in relation to the biased and contradictory aspect of the concept, and highlights some of the more radical and interpersonal ideas that endorse the relational and complementary qualities between therapist and client. The text offers concise and engaging introductions to the main schools of psychotherapy, and includes interviews and case study analyses from notable practitioners and trainers from these competing approaches. This book will be invaluable for those interested in understanding the importance of the hidden messages that are concealed in our communications.

Management of Countertransference with Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient.

Despite a half-century of literature documenting the experience and meanings of countertransference in analytic practice, the concept remains a source of controversy. For Peter Carnochan, this can be addressed only by revisiting historical, epistemological, and moral issues intrinsic to the analytic enterprise. Looking for Ground is the first attempt to provide a comprehensive understanding of countertransference on the basis of a contemporary reappraisal of just such foundational assumptions. Carnochan begins by reviewing the history of the psychoanalytic encounter and how it has been accompanied by changes in the understanding of countertransference. He skillfully delineates the complexities that underlie Freud's apparent proscription of countertransference before tracing the broadening of the concept in the hands of later theorists. Part II examines the problem of epistemology in contemporary analytic practice. The answer to this apparent quandary, he holds, resides in a contemporary appreciation of affect, which, rather than merely limiting or skewing perception, forms an essential "promontory" for human knowing. The final section of Looking for Ground takes up what Carnochan terms the "moral architecture" of psychoanalysis. Rejecting the claim that analysis operates in a realm outside conventional accounts of value, he argues that the analytic alternative to traditional moralism is not tantamount to emancipation from the problem of morality. With wide-ranging scholarship and graceful writing, Carnochan refracts the major theoretical and clinical issues at stake in contemporary psychoanalytic debates through the lens of countertransference - its history, its evolution, its philosophical ground, its moral dimensions. He shows how the examination of countertransference provides a unique and compelling window through which to apprehend and reappraise those basic claims at the heart of the psychoanalytic endeavor.

This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse. For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion webpage. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.

How has psychoanalysis developed in France in the years since Lacan so dramatically polarized the field? In this book, Dana Birksted-Breen and Sara Flanders of the British Psychoanalytical Society, and Alain Gibeault of the Paris Psychoanalytical Society provide an overview of how French psychoanalysis has developed since Lacan. Focusing primarily on the work of psychoanalysts from the French Psychoanalytical Association and from the Paris Psychoanalytical Society, the two British psychoanalysts view the evolution of theory as it appears to them from the outside, while the French psychoanalyst explains and elaborates from inside the French psychoanalytic discourse. Seminal and representative papers have been chosen to illuminate what is special about French thinking. A substantial general introduction argues in favour of the specificity of 'French psychoanalysis', tracing its early influences and highlighting specific contemporary developments. Sections are made up of introductory material by Alain Gibeault, followed by illustrative papers in the following categories: the history of psychoanalysis in France the pioneers and their legacy the setting and the process of psychoanalysis phantasy and representation the body and the drives masculine and feminine sexuality psychosis. An excellent introduction to French psychoanalytical debate, Reading French Psychoanalysis sheds a complementary light on thinking that has evolved differently in England and North America. It will be ideal reading for beginners and advanced students of clinical theory as well as experienced psychoanalysts wanting to know more about French Psychoanalytic theory, and how it has developed.

Winner of the American Board & Academy of Psychoanalysis Prize for best Edited book published in 2016 Psychoanalysis in Italy is a particularly diverse and vibrant profession, embracing a number of influences and schools of thought, connecting together new thinking, and producing theorists and clinicians of global renown. Reading Italian Psychoanalysis provides a comprehensive guide to the most important Italian psychoanalytic thinking of recent years, including work by major names such as Weiss, E.Gaddini, Matte Blanco, Nissim Momigliano, Canestri, Amati Mehler, and Ferro. It covers the most important theoretical developments and clinical advances, with special emphasis on contemporary topics such as transference, trauma and primitive states of mind where Italian work has been particular influential. In this volume, Franco Borgogno, Alberto Luchetti and Luisa Marino Coe of the Italian Psychoanalytical Society provide an overview of how Italian psychoanalysis has developed from the 1920’s to the present day, tracing its early influences and highlighting contemporary developments. Forty-six seminal and representative papers of psychoanalysts belonging to the two Italian psychoanalytical societies (the Italian Psychoanalytical Society and the Italian Association of Psychoanalysis) have been chosen to illuminate what is special about Italian theoretical and clinical thinking, and what is demonstrative of the specificity of its psychoanalytic discourse. The selected papers are preceded by a first introductory section about the history of psychoanalysis in Italy and followed by a "swift glance at Italian psychoanalysis from abroad". They are grouped into sections which represent the areas particularly explored by Italian psychoanalysis. Each section is accompanied by introductory comments which summarize the main ideas and concepts and also their historical and cultural background, so as to offer to the reader either an orientation and stimulus for the debate and to indicate their connections to other papers included in the present volume and to the international psychoanalytic world. The book is divided into six parts including: History of psychoanalysis in Italy Metapsychology Clinical practice, theory of technique, therapeutic factors The person of the analyst, countertransference and the analytic relationship/field Trauma, psychic pain, mourning and working-through Preverbal, precocious, fusional, primitive states of the mind This volume offers an excellent and detailed "fresco" of Italian psychoanalytic debate, shining a light on thinking that has evolved differently in France, England, North and Latin America. It is an ideal book for beginners and advanced students of clinical theory as well as experienced psychoanalysts wanting to know more about Italian psychoanalytic theory and technique, and how they have developed.

This book reports on clinical work in, and at the boundaries of, the intermediate space between patient and therapist, perhaps the space between reaching toward dreams and taking the transference. Though the clinical work to be described here was influenced quite deeply by the writing of Winnicott primarily and then of Lacan, it is meant to stand for itself as the record of - and a set of stories about - one therapist's experiences and learning. The chapters that follow take up a range of clinical conditions (hopelessness, self-destructiveness, psychosis), clinical phenomena (regression, impasse, trauma), technical issues (interpretation, transference, free association) and related topics (dreams, creativity, the analytic setting). Most of this work took place at the Austen Riggs Center, a small psychiatric hospital in Stockbridge, Massachusetts, in which quite troubled patients are offered intensive psychoanalytic psychotherapy in a completely open and voluntary therapeutic community setting.

How do children and parents shape clinical practice? How can clinicians learn from the impact of their patients upon them? How do we recognise if health care practices are adversely affecting health care? Children's health problems can place enormous strain on both children and their families. Whether symptoms are acute or chronic, assessment and treatment can be confusing and frightening even when the illness itself is not dangerous. Understanding the impact of illness on emotions, relationships and development is an essential part of providing good health care services. For health care professionals it is necessary to understand how their clinical practice affects their patients and how this reciprocal relationship shapes good or bad practice. Introducing key psychoanalytic concepts Adrian Sutton illustrates through detailed clinical studies how psychoanalytic theory can be applied in a health care setting involving children and their families. Paediatrics, Psychiatry and Psychoanalysis specifically describes the impact of the patient on the professional, how conscious and unconscious elements need to be taken into account, and to what extent these can influence practice enhancing diagnostic and therapeutic treatment. Paediatrics, Psychiatry and Psychoanalysis is an exploration of the central importance of the patient-doctor relationship and how the psychodynamics of this relationship are crucial in providing information that can aid treatment. It will be of interest to child mental health professionals – psychoanalysts, psychotherapists, psychiatrists, psychologists, nurses, paediatric practitioners and those working in social welfare and educational settings.

In Building Bridges, Stuart A. Pizer gives much-needed recognition to the central role of negotiation in the analytic relationship and in the therapeutic process. Building on a Winnicottian perspective that comprehends paradox as the condition for preserving an intrapsychic and relational “potential space,” Pizer explores how the straddling of paradox requires an ongoing process of negotiation and demonstrates how such negotiation articulates the creative potential within the potential space of analysis. Following careful review of Winnicott’s perspective on paradox—via the pairings of privacy and interrelatedness, isolation and interdependence, ruthlessness and concern, and the notion of transitional phenomena—Pizer locates these elemental paradoxes within the negotiations of an analytic process. Together, he observes, analyst and patient negotiate the boundaries, potentials, limits, tonalities, resistances, and meanings that determine the course of their clinical dialogue. Elaborating on the theme of a multiply constituted, “distributed” self, Pizer presents a model for the tolerance of paradox as a developmental achievement related to ways in which caretakers function as “transitional mirrors.” He then explores the impact of trauma and dissociation on the child’s ability to negotiate paradox and clarifies how negotiation of paradox differs from negotiation of conflict. Pizer also broadens the scope of his study by turning to negotiation theory and practices in the disciplines of law, diplomacy, and dispute resolution. Enlivened by numerous clinical vignettes and a richly detailed chronicle of an analytic case from its earliest negotiations to termination,Building Bridges adds a significant dimension to theoretical understanding and clinical practice. Now republished as a Classic Edition with an Introduction by Donnel Stern, this book is altogether a psychoanalytic work of our time.

Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.