American Board and Academy of Psychoanalysis Book Prize Winner for 2018 (Theoretical Category) We have entered the age of perversion, an era in which we are becoming more like machines and they more like us.The Age of Perversion explores the sea changes occurring in sexual and social life, made possible by the ongoing technological revolution, and demonstrates how psychoanalysts can understand and work with manifestations of perversion in clinical settings. Until now theories of perversion have limited their scope of inquiry to sexual behavior and personal trauma. The authors of this book widen that inquiry to include the social and political sphere, tracing perversion’s existential roots to the human experience of being a conscious animal troubled by the knowledge of death. Offering both creative and destructive possibilities, perversion challenges boundaries and norms in every area of life and involves transgression, illusion casting, objectification, dehumanization, and the radical quest for transcendence. This volume presents several clinical cases, including a man who lived with and loved a sex doll, a woman who wanted to be a Barbie doll, and an Internet sex addict. Also examined are cases of widespread social perversion in corporations, the mental health care industry, and even the government. In considering the continued impact of technology, the authors discuss how it is changing the practice of psychotherapy. They speculate about what the future may hold for a species who will redefine what it means to be human more in the next few decades than during any other time in human history. The Age of Perversion provides a novel examination of the convergence of perversion and technology that will appeal to psychoanalysts and psychoanalytic psychotherapists, social workers, mental health counselors, sex therapists, sexologists, roboticists, and futurists, as well as social theorists and students and scholars of cultural studies.

The book offers an overview of how to work with some of the most damaged members of society - children and adults with intellectual disabilities who abuse others. Drawing on insight from two decades of clinical work, the author examines how to assess risk and danger in the forensic disability patient, ways of working therapeutically with patients at all ends of the disability spectrum, and how to support members of the patient's network. Combining psychoanalytic, creative, forensic and systemic thinking, the book provides a template for assessing, managing, containing and treating those who present with multiple diagnoses, including cognitive and physical disabilities, mutism, psychiatric disorders and autism. Both group and individual approaches are examined. As our awareness of the incidence of forensic patients who also have disabilities increases, this work is a timely placing of the forensic disability patient onto the clinical agenda, and has a wide application, being of use to clinicians in the private consulting room, the community, the secure setting and the prison.

Perversion - its ubiquity in infantile life and its persistence in the psychical and sexual lives of some adults - was a central element of Freud's lifelong work. The problem of perversion has since been revisited by many psychoanalytic schools with the result that Freud's original view of perversion has been replaced by numerous - often contradictory - perspectives on its aetiology, development and treatment. The concept of perversion has also been significant for the disciplines of cultural studies and gender and queer theory, which have explored the creative and dissident powers of perversion, while expressing a suspicion of its operation as a pathological category. This bi-partite collection offers a series of perspectives on perversion by a range of psychoanalytic practitioners and theorists (edited by Dany Nobus), and a selection of papers by scholars who work with, or critique, psychoanalytic theories of perversion (edited by Lisa Downing). It stages a serious dialogue between psychoanalysis and its commentators on the controversial issue of non-normative sexuality.

In this important new book, Dr. Otto F. Kernberg, one of the world's foremost psychoanalysts, explores the role of aggression in severe personality disorders and in normal and perverse sexuality, integrating new developments in psychoanalytic theory with findings from clinical work with severely regressed patients. The book also integrates Dr. Kernberg's recent studies of the descriptive, structural, and psychodynamic features of problems stemming from pathological aggression with the vicissitudes of their psychoanalytic treatment. Finally, Dr. Kernberg demonstrates the importance of differential diagnosis for effective psychoanalytically inspired treatment of these disorders, providing a rich variety of clinical illustrations. The book begins by relating the dual-drive theory of libido and aggression to contemporary developments in affect theory. Dr. Kernberg then applies this general theory of affects to aggression, which in its pathological form centers on the affect of hatred. He analyzes sado-masochistic, hysterical-hysteroid, and narcissistic-antisocial spectrums of personality disorders, emphasizing how aggression is structured in each group. Dr. Kernberg next describes and updates the theoretical frame underlying his approach to the treatment of these disorders, outlines their clinical manifestations, and illustrates their diagnosis and treatment, ranging from standard psychoanalysis with infantile personalities, to psychoanalytic psychotherapy with borderline personalities, to the psychotherapeutic approach to the treatment of psychosis and hospital milieu treatment in the management of highly regressed patients. In the final section, Dr. Kernberg links the findings from psychoanalytic approaches to personality disorders with those from the psychoanalytic study of sexual perversions.

Lacan's psychoanalytic take on what makes a pervert perverse is not the fact of habitually engaging in specific "abnormal" or transgressive sexual acts, but of occupying a particular structural position in relation to the Other. Perversion is one of Lacan's three main ontological diagnostic structures, structures that indicate fundamentally different ways of solving the problems of alienation, separation from the primary caregiver, and castration, or having limits set by the law on one's jouissance. The perverse subject has undergone alienation but disavowed castration, suffering from excessive jouissance and a core belief that the law and social norms are fraudulent at worst and weak at best. In Perversion, Stephanie Swales provides a close reading (a qualitative hermeneutic reading) of what Lacan said about perversion and its substructures (i.e., fetishism, voyeurism, exhibitionism, sadism, and masochism). Lacanian theory is carefully explained in accessible language, and perversion is elucidated in terms of its etiology, characteristics, symptoms, and fundamental fantasy. Referring to sex offenders as a sample, she offers clinicians a guide to making differential diagnoses between psychotic, neurotic, and perverse patients, and provides a treatment model for working with perversion versus neurosis. Two detailed qualitative clinical case studies are presented—one of a neurotic sex offender and the other of a perverse sex offender—highlighting crucial differences in the transference relation and subsequent treatment recommendations for both forensic and private practice contexts. Perversion offers a fresh psychoanalytic approach to the subject and will be of great interest to scholars and clinicians in the fields of psychoanalysis, psychology, forensic science, cultural studies, and philosophy.

Understanding Perversion in Clinical Practice is a volume in the eagerly anticipated clinical practice monograph series from the Society of Analytical Psychology. Aimed primarily at trainees on the psychotherapy and psychodynamic counselling courses, those compact editions will be invaluable to all who wish to learn the basics of major psychoanalytic theories from an integrated viewpoint. The authors are Jungian analysts trained at the SAP, highly experienced in both theory and practice. Perversion is a concept that defies simplistic classification. This monograph provides a comprehensive study of the nature of perversion and the therapeutic relationship needed for treatment. Case studies are used throughout to illustrate aspects of perversion and notable psychoanalytic theories are detailed for greater understanding of what perversion is and how it can be treated. Female perversion is explored in a separate chapter as the symptoms and underlying reasons are quite different from those in male perversion.This is a helpful and succinct exploration of perversion in its numerous manifestations that provides a firm foundation in the subject.

This book explores what we mean when we use the term "perversion." Are we dealing with a sexological classification, a mental disturbance, an ethical deviation, a hedonistic style, or an historical-cultural artifact? The book retraces some of the fundamental stages in the field of psychoanalytic thought-from Freud to Masud Khan, Stoller, and Lacan-and proposes an original approach: that "paraphilias" today are taken as an ethical failure of the sexual relationship with the other. The perversions signal a specific relationship with the other, who is treated not simply as a sexual object, but someone whose subjectivity is ably exploited precisely in order to get a perverse pleasure. Acts, if considered perverse, are understood as a metaphorical re-edition of a trauma, above all sexual, in which the subject (as a child) suffered the bitter experience of exclusion or jealousy.

Psychotherapy: An Erotic Relationship challenges the traditional belief that transference and countertransference are merely forms of resistance which jeopardize the therapeutic process. David Mann shows how the erotic feelings and fantasies experienced by clients and therapists can be used to bring about a positive transformation. Combining extensive clinical material with theoretical insights and new research on infants, the author traces erotic development back to the parent-child relationship, drawing parallels between this relationship and the therapist/client dyad. Individual chapters explore the function of the erotic within the unconscious, pre-Oedipal and Oedipal material, homoeroticism in therapy, sexual intercourse as a metaphor for psychological change, the primal scene and the difficulties of working with perversions.