This book charts the ways in which psychoanalytic psychotherapy has been implemented, developed and researched within the public sectors of twelve different countries around the world. It discusses how psychoanalytic practitioners locally have responded to the challenge of evidence-based practice. For each country the authors describe: • How people can access talking therapies as part of the national healthcare system, including a brief history of how this system has developed and the place of psychoanalytic psychotherapy inside/outside of this system historically • How clinicians train and qualify as a psychoanalytic practitioner, and demographic profiles of their communities of psychoanalytic practice • How evidence-based practice has impacted the mental health system and, in particular, access to and provision of talking therapies e.g. through the development and implementation of treatment guidelines • How outcome monitoring and reporting of access, waiting times and recovery rates are used in the commissioning and provision of psychological therapies • What is needed to secure a viable future for psychoanalytic psychotherapy The first of two volumes, this book will be of great interest to all practicing psychoanalysts and psychoanalytic psychotherapists. The chapters in these volumes were originally published as special issues of Psychoanalytic Psychotherapy.

This book, the second of the two volumes, continues to chart the ways in which psychoanalytic psychotherapy has been implemented, developed and researched within the public sectors of six different countries around the world. It discusses psychoanalytic practitioners locally have responded to the challenge of evidence-based practice. For each country the authors describe: • How people can access talking therapies as part of the national healthcare system, including a brief history of how this system has developed and the place of psychoanalytic psychotherapy inside/outside of this system historically • How clinicians train and qualify as a psychoanalytic practitioner, and demographic profiles of their communities of psychoanalytic practice • How evidence-based practice has impacted the mental health system and, in particular, access to and provision of talking therapies e.g. through the development and implementation of treatment guidelines • How outcome monitoring and reporting of access, waiting times and recovery rates are used in the commissioning and provision of psychological therapies • What is needed to secure a viable future for psychoanalytic psychotherapy The book concludes with a comprehensive review of changes in public sector psychoanalytic psychotherapy across Europe over the last 30 years and will be of great interest to all practicing psychoanalysts and psychoanalytic psychotherapists. The chapters in these volumes were originally published as a special issue of Psychoanalytic Psychotherapy.

None of us will escape the experience of personal loss, illness, aging, or mortality. Yet, psychoanalysis seems to shy away from a discussion of these core human experiences. Existential vulnerability is painful and we all avoid this awareness in different ways. However, when analysts fail to explore the topic of mortality, their own and their patients, they may foreclose an important exploration and short-change patient and therapist. Entering Night Country focuses on the existential condition, and explores how it penetrates professional lives, analytic work, and theoretical formulations. Each chapter explores this topic, shifting the lens from analytic process, to include theoretical assumptions, and professional communities. Stephanie Brody shows how the analytic process is a journey, no less profound than the epic journeys depicted in the classic literature of Homer and repeated in the patient’s own heroic and painful stories. Weaving literary references into the clinical experience of psychoanalysis, Brody reveals the transformative power of the analytic process for the patient and for the analyst. By relating the ancient past to our current struggles, psychoanalyst and patient together are guided to a destination, a life of meaning in the universe of possibilities. Clinical vignettes and personal reflections intersect with motifs from the epic poems and fantasy fiction, where the despair of loss and trauma do not extinguish the wish for change and the search for intimacy. Entering Night Country highlights the common themes that arise for patient and analyst as any person entering an unknown territory. It is intended for psychoanalysts, psychoanalytically oriented psychotherapists, and mental health clinicians. It will also be accessible to those outside the clinical profession, even to individuals who have little understanding of psychoanalysis.

Psychotic States brings together a number of the author's papers written between 1946 and 1964 dealing with the psychopathology and treatment of various psychotic and borderline conditions from a psychoanalytic viewpoint. Taking the theories and techniques developed by Melanie Klein in her work with infants and young children, the author investigated their application to a range of psychotic syndromes, including chronic and acute schizophrenia, severe hypochondriasis, drug addiction, severe depression and manic depression, both to determine their possible therapeutic efficacy and to see what light they might shed on the etiology of the psychosis.

A Western-trained psychoanalyst returns to her homeland and tells stories of displacement, nostalgia, love, and pain. Is psychoanalysis possible in the Islamic Republic of Iran? This is the question that Gohar Homayounpour poses to herself, and to us, at the beginning of this memoir of displacement, nostalgia, love, and pain. Twenty years after leaving her country, Homayounpour, an Iranian, Western-trained psychoanalyst, returns to Tehran to establish a psychoanalytic practice. When an American colleague exclaims, “I do not think that Iranians can free-associate!” Homayounpour responds that in her opinion Iranians do nothing but. Iranian culture, she says, revolves around stories. Why wouldn't Freud's methods work, given Iranians' need to talk? Thus begins a fascinating narrative of interlocking stories that resembles—more than a little—a psychoanalytic session. Homayounpour recounts the pleasure and pain of returning to her motherland, her passion for the work of Milan Kundera, her complex relationship with Kundera's Iranian translator (her father), and her own and other Iranians' anxieties of influence and disobedience. Woven throughout the narrative are glimpses of her sometimes frustrating, always candid, sessions with patients. Ms. N, a famous artist, dreams of abandonment and sits in the analyst's chair rather than on the analysand's couch; a young chador-clad woman expresses shame because she has lost her virginity; an eloquently suicidal young man cannot kill himself. As a psychoanalyst, Homayounpour knows that behind every story told is another story that remains untold. Doing Psychoanalysis in Tehran connects the stories, spoken and unspoken, that ordinary Iranians tell about their lives before their hour is up.

The emerging field of ‘psychoanalytic political theory’ has now reached a stage in its development and rapid evolution that deserves to be registered, systematically defined and critically evaluated. This Handbook provides the first reference volume which showcases the current state of psychoanalytic political theory, maps the genealogy of its development, identifies its conceptual and methodological resources and highlights its analytical innovations as well as its critical promise. The Handbook consists of 35 chapters offering original, comprehensive and critical reviews of this field of study. The chapters are divided into five thematic sections: Figures discusses the work of major psychoanalytic theorists who have influenced considerably the development of psychoanalytic political theory. Traditions genealogically recounts and critically reassesses the many attempts throughout the 20th century of experimenting with the articulation between psychoanalysis and political theory in a consistent way. Concepts asks what are the concepts that psychoanalysis offers for appropriation by political theory. Themes presents concrete examples of the ways in which psychoanalytic political theory can be productively applied in the analysis of racism, gender, nationalism, consumerism, etc. Challenges/Controversies captures the ways in which psychoanalytic political theory can lead the way towards theoretical and analytical innovation in many disciplinary fields dealing with cutting-edge issues. The Routledge Handbook of Psychoanalytic Political Theory will serve as scholarly reference volume for all students and researchers studying political theory, psychoanalysis, and the history of ideas.

Today many view Sigmund Freud as an elitist whose psychoanalytic treatment was reserved for the intellectually and financially advantaged. However, in this new work Elizabeth Ann Danto presents a strikingly different picture of Freud and the early psychoanalytic movement. Danto recovers the neglected history of Freud and other analysts' intense social activism and their commitment to treating the poor and working classes. Danto's narrative begins in the years following the end of World War I and the fall of the Habsburg Empire. Joining with the social democratic and artistic movements that were sweeping across Central and Western Europe, analysts such as Freud, Wilhelm Reich, Erik Erikson, Karen Horney, Erich Fromm, and Helene Deutsch envisioned a new role for psychoanalysis. These psychoanalysts saw themselves as brokers of social change and viewed psychoanalysis as a challenge to conventional political and social traditions. Between 1920 and 1938 and in ten different cities, they created outpatient centers that provided free mental health care. They believed that psychoanalysis would share in the transformation of civil society and that these new outpatient centers would help restore people to their inherently good and productive selves. Drawing on oral histories and new archival material, Danto offers vivid portraits of the movement's central figures and their beliefs. She explores the successes, failures, and challenges faced by free institutes such as the Berlin Poliklinik, the Vienna Ambulatorium, and Alfred Adler's child-guidance clinics. She also describes the efforts of Wilhelm Reich's Sex-Pol, a fusion of psychoanalysis and left-wing politics, which provided free counseling and sex education and aimed to end public repression of private sexuality. In addition to situating the efforts of psychoanalysts in the political and cultural contexts of Weimar Germany and Red Vienna, Danto also discusses the important treatments and methods developed during this period, including child analysis, short-term therapy, crisis intervention, task-centered treatment, active therapy, and clinical case presentations. Her work illuminates the importance of the social environment and the idea of community to the theory and practice of psychoanalysis.

From the author of In the Freud Archives and The Journalist and the Murderer comes an intensive look at the practice of psychoanalysis through interviews with “Aaron Green,” a Freudian analyst in New York City. Malcolm is accessible and lucid in describing the history of psychoanalysis and its development in the United States. It provides rare insight into the contradictory world of psychoanalytic training and treatment and a foundation for our understanding of psychiatry and mental health. "Janet Malcom has managed somehow to peer into the reticent, reclusive world of psychoanalysis and to report to us, with remarkable fidelity, what she has seen. When I began reading I thought condescendingly, 'She will get the facts right, and everything else wrong.' She does get the facts right, but far more pressive, she has been able to capture and convey the claustral atmosphere of the profession. Her book is journalism become art." —Joseph Andelson, The New York Times Book Review

Watching people protest, one hypothesis is that underlying these actions for specific justifiable causes is a sense of wishing to belong, of wishing not to be alone. Recent knowledge from patients and empirical research shows the importance of belonging to groups to both psychological and physical well-being. The problems of many students, minority group members, immigrants, terrorists, and lonely people are linked to an insufficient sense of belonging. Whereas psychoanalytic theory has focused on the need for a secure attachment to a primary caretaker, it has failed to note the importance of a sense of belonging to the family group, a friendship group, a community, a religious group, a nation-state, etc. This book demonstrates the difficulties faced by those who immigrate, those who never feel a sense of their true selves as belonging in a family or a cohesive professional group, and the difficulties of psychoanalysts themselves in knowing where they belong in patients’ lives. The problems of breaking up marital and professional relationships as well as our relationship with the Earth are also discussed. Freudian theory rejected the idea of a sense of "oneness" with humanity as being infantile. Recent developments regarding the similarities between meditational practices and psychoanalysis have questioned Freud’s idea. This book shows the importance of an interpersonal/relational psychoanalysis focusing on real relationships and not simply one that examines inner conflicts. It will be useful to psychologists, other mental health practitioners, social scientists, and anyone with normal struggles in life.