In this cohesive, dramatic, and highly readable book, the author establishes a roadmap for the diagnosis and psychotherapeutic treatment of psychotic disorders based on finding, understanding and reordering of unbearable affect. He provides concrete clinical advice, vivid examples, and crisp jargon-free descriptions of theoretical concepts and clinical techniques. Most of all, he demonstrates that it is possible for psychotic patients to take control of their conditions, rebuild family relationships, and establish themselves in the viable productive lives that they have long despaired of achieving.

Coen (training and supervising analyst, Columbia U. Center for Psychoanalytic Training and Research) offers advice to psychoanalysts working with extremely difficult patients. His central premise is that both patients and therapists have difficulty tolerating intense affects (such as loving and hating) and that the clinician needs to "feel with and for his patient, over a prolonged time, what she finds so terrifying" (emphasis in original). Also stressed is the need for clinicians to confront their own fears and doubts about treatment. Annotation copyrighted by Book News, Inc., Portland, OR

Volume 17 of Progress in Self Psychology, The Narcissistic Patient Revisited, begins with the next installment of Strozier's "From the Kohut Archives": first publication of a fragment by Kohut on social class and self-formation and of four letters from his final decade. Taken together, Hazel Ipp's richly textured "Case of Gayle" and the commentaries that it elicits amount to a searching reexamination of narcissistic pathology and the therapeutic process. This illuminating reprise on the clinical phenomenology Kohut associated with "narcissistic personality disorder" accounts for the volume title. The ability of modern self psychology to integrate central concepts from other theories gains expression in Teicholz's proposal for a two-tiered theory of intersubjectivity, in Brownlow's examination of the fear of intimacy, and in Garfield's model for the treatment of psychosis. The social relevance of self psychology comes to the fore in an examination of the experience of adopted children and an inquiry into the roots of mystical experience, both of which concern the ubiquity of the human longing for an idealized parent imago. Among contributions that bring self-psychological ideas to bear on the arts, Frank Lachmann's provocative "Words and Music," which links the history of music to the history of psychoanalytic thought in the quest for universal substrata of psychological experience, deserves special mention. Annette Lachmann's consideration of empathic failure among the characters in Shakespeare's Othello and Silverstein's reflections on Schubert's self-states and selfobject needs in relation to the specific poems set to music in his Lieder round out a collection as richly broad based as the field of self psychology itself.

This handbook provides a comprehensive summary of the most important and exciting advances in our understanding of suicide and self-injury and our ability to predict and prevent it.

Donald Kalsched explores the interior world of dream and fantasy images encountered in therapy with people who have suffered unbearable life experiences. He shows how, in an ironical twist of psychical life, the very images which are generated to defend the self can become malevolent and destructive, resulting in further trauma for the person. Why and how this happens are the questions the book sets out to answer. Drawing on detailed clinical material, the author gives special attention to the problems of addiction and psychosomatic disorder, as well as the broad topic of dissociation and its treatment. By focusing on the archaic and primitive defenses of the self he connects Jungian theory and practice with contemporary object relations theory and dissociation theory. At the same time, he shows how a Jungian understanding of the universal images of myth and folklore can illuminate treatment of the traumatised patient. Trauma is about the rupture of those developmental transitions that make life worth living. Donald Kalsched sees this as a spiritual problem as well as a psychological one and in The Inner World of Trauma he provides a compelling insight into how an inner self-care system tries to save the personal spirit.

In Awakening the Dreamer: Clinical Journeys, Philip Bromberg continues the illuminating explorations into dissociation and clinical process begun in Standing in the Spaces (1998). Bromberg is among our most gifted clinical writers, especially in his unique ability to record peripheral variations in relatedness - those subtle, split-second changes that capture the powerful workings of dissociation and chart the changing self-states that analyst and patient bring to the moment. For Bromberg, a model of mind premised on the centrality of self-states and dissociation not only offers the optimal lens for comprehending and interpreting clinical data; it also provides maximum leverage for achieving true intersubjective relatedness. And this manner of looking at clinical data offers the best vantage point for integrating psychoanalytic experience with the burgeoning findings of contemporary neuroscience, cognitive and developmental psychology, and attachment research. Dreams are approached not as texts in need of deciphering but as means of contacting genuine but not yet fully conscious self-states. From here, he explores how the patient's "dreamer" and the analyst's "dreamer" can come together to turn the "real" into the "really real" of mutative therapeutic dialogue. The "difficult," frequently traumatized patient is newly appraised in terms of tensions within the therapeutic dyad. And then there is the "haunted" patient who carries a sense of preordained doom through years of otherwise productive work - until the analyst can finally feel the patient's doom as his or her own. Laced with Bromberg's characteristic honesty, humor, and thoughtfulness, these essays elegantly attest to the mind's reliance on dissociation, in both normal and pathological variants, in the ongoing effort to maintain self-organization. Awakening the Dreamer, no less than Standing in the Spaces, is destined to become a permanent part of the literature on therapeutic process and change.

The Dissociative Mind in Psychoanalysis: Understanding and Working With Trauma is an invaluable and cutting edge resource providing the current theory, practice, and research on trauma and dissociation within psychoanalysis. Elizabeth Howell and Sheldon Itzkowitz bring together experts in the field of dissociation and psychoanalysis, providing a comprehensive and forward-looking overview of the current thinking on trauma and dissociation. The volume contains articles on the history of concepts of trauma and dissociation, the linkage of complex trauma and dissociative problems in living, different modalities of treatment and theoretical approaches based on a new understanding of this linkage, as well as reviews of important new research. Overarching all of these is a clear explanation of how pathological dissociation is caused by trauma, and how this affects psychological organization -- concepts which have often been largely misunderstood. The Dissociative Mind in Psychoanalysis will be essential reading for psychoanalysts, psychoanalytically oriented psychotherapists, trauma therapists, and students.

Psychosis as a Personal Crisis seeks to challenge the way people who hear voices are both viewed and treated. This book emphasises the individual variation between people who suffer from psychosis and puts forward the idea that hearing voices is not in itself a sign of mental illness. In this book the editors bring together an international range of expert contributors, who in their daily work, their research or their personal acquaintance, focus on the personal experience of psychosis. Further topics of discussion include: accepting and making sense of hearing voices the relation between trauma and paranoia the limitations of contemporary psychiatry the process of recovery. This book will be essential reading for all mental health professionals, in particular those wanting to learn more about the development of the hearing voices movement and applying these ideas to better understanding those in the voice hearing community.

Since the publication of Self Experiences in Group in 1998—the first book to apply self psychology and intersubjectivity to group work—there have been tremendous advancements in the areas of affect, attachment, infant research, intersubjective regulation, motivational theory, neurobiology, philosophy, somatic understanding, and trauma. Carefully edited by Irene Harwood, Walter Stone, and Malcolm Pines, Self Experiences in Group, Revisited is a completely revised and updated application of self-psychological and intersubjective perspectives to couples, family, and group work, incorporating many of these recent findings and theories of the past decade. Divided into five sections, the contributors take an updated approach to the prenate and neonate in group; couples and the family in group; group theory, technique, and application; working with trauma; and group processes and artistic applications. Throughout, the reader is engaged in affectively understanding what is experienced by individuals in the regulation and dysregulation of self as part of the interpersonal relating, learning, and change that can occur in groups. Contributors: Mary Dluhy, Barbara Feld, Darryl Feldman, Vivian Gold, Irene Harwood, Gloria Batkin Kahn, Joseph Lichtenberg, Louisa Livingston, Marty Livingston, Jane van Loon, Judy McLaughlin-Ryan, Malcolm Pines, John Schlapobersky, Robert Schulte, Rosemary Segalla, Emanuel Shapiro, Walter Stone, Paula Thomson

Social work and relational theory have long been clinical comrades, given their shared goals and ideals. This close fit continues to be productive as client populations and their needs grow more diverse. Clinical Social Work Practice with Diverse Populations sorts through vital matters of race, ethnicity, sexuality, religion and social status--and addresses groups and issues often seen in practice but rarely encountered in print--with a profound understanding of the healing power of relational-based treatment. Case examples illustrate all stages of social work process, offering practice guidelines for working with members of diverse groups while emphasizing the uniqueness of every therapeutic dyad. The coverage recognizes the multiple relationships that comprise individuals' lives as well as the individuality that co-exists within group identity. And the contributors carefully show readers how to check themselves for biases and us-versus-them thinking and how to develop confidence along with clinical skills. Included in this first-of-its-kind text: · Practice technique and research support for relational therapy. · Whiteness: Deconstruction of a practice paradox. · Racial and ethnic diversity, including African American, Latino, Asian American, and Asian Indian clients. · Religious diversity: evangelical Christians, Muslim, and Orthodox Jewish clients. · Diversity of sexual identity: LGBT clients. · Diversity of life-altering experiences: combat veterans, reentry from incarceration, homelessness. · Plus: background chapters providing a framework for applying relational theory to social work. Bridging the knowledge gaps between the diversity literature and the practical literature, Relational Social Work Practice with Diverse Populations supplies clinical social work professionals, educators, and counselors with tools and concepts for effective, efficient practice.