This book is an outcome of the European Conference on the theme of transsexualism held in Catania, Italy in 2006. It shows how psychoanalysis can reflect, discuss, dialogue and formulate useful insights on one of the most challenging situations that confront the mental health community.

Drawing on the author’s clinical work with gender-variant patients, Transgender Psychoanalysis: A Lacanian Perspective on Sexual Difference argues for a depathologizing of the transgender experience, while offering an original analysis of sexual difference. We are living in a "trans" moment that has become the next civil rights frontier. By unfixing our notions of gender, sex, and sexual identity, challenging normativity and essentialisms, trans modalities of embodiment can help reorient psychoanalytic practice. This book addresses sexual identity and sexuality by articulating new ideas on the complex relationship of the body to the psyche, the precariousness of gender, the instability of the male/female opposition, identity construction, uncertainties about sexual choice—in short, the conundrum of sexual difference. Transgender Psychoanalysis features explications of Lacanian psychoanalysis along with considerations on sex and gender in the form of clinical vignettes from Patricia Gherovici's practice as a psychoanalyst. The book engages with popular culture and psychoanalytic literature (including Jacques Lacan’s treatments of two transgender patients), and implements close readings uncovering a new ethics of sexual difference. These explorations have important implications not just for clinicians in psychoanalysis and mental health practitioners but also for transgender theorists and activists, transgender people, and professionals in the trans field. Transgender Psychoanalysis promises to enrich ongoing discourses on gender, sexuality, and identity.

Current Critical Debates in the Field of Transsexual Studies introduces new thinking on non-conforming gender representation, addressing transsexuality as a subjective experience that highlights universal dilemmas related to how we conceive identity and exploring universal questions related to gender: its objects, objections, and obstacles. This book seeks to disassemble prejudicial orientations to the challenges and the everydayness of transsexuality and build new understanding and responses to issues including: medical biases, the problem of authenticity, and the agency of the child. Oren Gozlen leads an examination of three central pressures: transformation of a medical model, the social experience of becoming transgender, and the question of self-representation through popular culture. The chapters reframe several contemporary dilemmas, such as: authenticity, pathology, normativity, creativity, the place of the clinic as a problem of authority, the unpredictability of sexuality, the struggle with limits of knowledge, a demand for intelligibility and desire for certainty. The contributors consider sociocultural, theoretical, therapeutic, and legal approaches to transsexuality that reveal its inherent instability and fluidity both as concept and as experience. They place transsexuality in tension and transition as a concept, as a subject position, and as a subjectivity. The book also reflects the way in which political and cultural change affects self and other representations of the transsexual person and their others, asking: how does the subject metabolize the anxieties that relate to these transformations and facilitations? How can the subject respond in contexts of hostility and prohibition? Offering a much-needed interdisciplinary exploration, Current Critical Debates in the Field of Transsexual Studies will appeal to psychoanalysts and psychotherapist as well as psychologists and scholars of gender studies, cultural studies and sociology.

In this book the author examines the series of connections that give rise to the intimate relationship between environment and individual in the construction of emotional suffering, emphasising both the undisputed pathogenic action of environmental stimuli and the active participation of whoever is obliged to suffer the negative situation. The author shows that the way in which one tries to escape suffering is what often seriously jeopardises growth. Working with Difficult Patients points out the intrinsic link between some forms of mental suffering and the distorted responses that the patient has received from his or her original environment. For this reason the author explores the concept of the emotional trauma in particular, since this trauma, which occurs in the primary relationship, often impels the child into relational withdrawal and towards constructing pathological structures that will accompany him or her for the rest of their life. The chapters are ordered according to a scale of increasing treatment difficulty, which is proportional to the potential pathogenicity of the underlying psychopathological structure.

The greater part of this book focuses on a critical analysis of the logics and ways of thinking supporting both explicit and implicit theories of sexual difference and the masculine/feminine pair. These theories may be private or collective; conscious, preconscious, or unconscious. They impact heavily on interpretations and constructions made in analytic practice, while they also affect transference-countertransference patterns. This conceptual analysis reviews the Freudian oeuvre as well as the work of other significant authors, post-Freudian and contemporary, that have contributed specifically to this topic. The concept of sexual difference contains a persistent problem: binary, dichotomous thinking and its blind spots and aporias. For this reason, the author has turned to other epistemologies that offer novel forms to think about the same problems, such as the paradigm of hyper-complexity, as well as thinking at intersections and limits between different categories.

Fractal dynamics provide an unparalleled tool for understanding the evolution of natural complexity throughout physical, biological, and psychological realms. This book’s conceptual framework helps to reconcile several persistent dichotomies in the natural sciences, including mind-brain, linear-nonlinear, subjective-objective, and even personal-transpersonal processes. A fractal approach is especially useful when applied to recursive processes of consciousness, both within their ordinary and anomalous manifestations. This novel way to study the interconnection of seemingly divided wholes encompasses multiple dimensions of experience and being. It brings together experts in diverse fields—neuropsychologists, psychiatrists, physicists, physiologists, psychoanalysts, mathematicians, and professors of religion and music composition—to demonstrate the value of fractals as model, method, and metaphor within psychology and related social and physical sciences. The result is a new perspective for understanding what has often been dismissed as too subjective, idiosyncratic, and ineffably beyond the scope of science, bringing these areas back into a natural-scientific framework.

“The time is out of joint”. This famous line from William Shakespeare’s Hamlet helps to describe the impression of de-centering, of deconstruction, which we currently live and experience. This phenomenon is caused by various factors and while it is happening worldwide, partly as a result of globalization, it is perceived in different ways in the various cultures and countries in the world. We find ourselves in front of an hybrid individual, the product of different cultures blending together. Such is the novelty and the spread of new means of communication and of social organization, that we might be witnessing the rise of a new type of subject: a bearer of transformations, the extent of which is difficult to measure. The contemporary world is dominated by radically new media, virtual space, technologies that subvert the perception of our body, post-humanism tending towards the cyborg, a cult of the body and youth, new definitions of sexuality, of procreation and of the family – all this reveals to us an overflowing of the subject in the direction of a dislocated fragmentation, lying far beyond its traditional boundaries and identity.

Developmental Perspectives in Child Psychoanalysis and Psychotherapy incorporates recent innovations in developmental theory and research into our understanding of the nature of change in child psychotherapy. Diverse psychoanalytic ideas and individual styles are represented, challenging the historical allegiance in analytic child therapy to particular, and so often singular, schools of thought. Each of the distinguished contributors offers a conceptually grounded and clinically rich account of child development, addressing topics such as refl ective functioning, the role of play, dreaming, trauma and neglect, the development of recognition and mutuality, autism, adoption, and non- binary conceptions of gender. Extended clinical vignettes offer the reader clear vision into the convergence of theory and practice, demonstrating the potential of psychoanalytic psychotherapy to move child development forward. This book will appeal to all practicing mental health professionals.

This book is a collection of essays about the current theory and practice of transgendering children. Essays are written against the grain of the popularised medical definition of ‘the transgender child’ as a young person whose ‘true’ gender lies in the brain, or pre-social ‘identity’. Contributors contest this diagnosis from a range of perspectives, including as social theorists, psychotherapists, persons living as transgender, individuals who have de-transitioned, and parents of adolescents identifying as transgender. They argue that medicine, social policy and the law build ideas about ‘the transgender child’, and contend that it is politics, not science, which accounts for the exponential rise in the number of children diagnosed as transgender by gender identity clinics. They conclude that today’s medical and social trend for transgendering children is not liberal and progressive, but politically reactionary, physically and psychologically dangerous and abusive.

'While Freud opened the door on the formative and motivating power of sexuality, contemporary psychoanalysts, with some notable exceptions, have consigned sexuality to the psychoanalytic closet. This book not only re-opens the door on the broad subject of psychosexuality, but also provides fresh insights into heterosexuality, bisexuality, homosexuality, gender identity disorder, transvestism and transsexualism. This publication brings together some of the leading psychoanalytic authorities from around the globe to consider in depth the complex interweaving of identity, gender and sexuality from theoretical, clinical, historical and research perspectives. The author strongly recommends "Identity, Gender and Sexuality" to those looking for a book that does not pull punches. The reader will find a debate about the relative merits of clinical, empirical, and conceptual research, critical assessments of interdisciplinary findings from infant and child development research, embodied cognitive science, academic psychology, neurobiology, genetics, ethology, and other fields of inquiry, and honest and illuminating psychoanalytic case studies. - Donald Campbell