This study is a philosophical critique of the foundations of Sigmund Freud's psychoanalysis. As such, it also takes cognizance of his claim that psychoanalysis has the credentials of a natural science. It shows that the reasoning on which Freud rested the major hypotheses of his edifice was fundamentally flawed, even if the probity of the clinical observations he adduced were not in question. Moreover, far from deserving to be taken at face value, clinical data from the psychoanalytic treatment setting are themselves epistemically quite suspect.

Past scholars have tried to classify psychoanalysis as an intrinsically positivist science, with varying degrees of success. Their critics have fared little better with narrow applications of postmodern thought, which focus on smaller areas within psychoanalysis and, as a result, neglect the evolution of the discipline as a whole. In an effort to provide a ground for current psychoanalytic thought, Mark Leffert creates an interreferential schema which balances the influences of postmodernism, complexity theory, and neuroscience as its key factors. Using the heterogeneity of postmodern thought as a starting point, he traces its impact on and implications for the development of the discipline, leading into the realm of complexity theory – which is relatively new to the psychoanalytic literature – and how it informs as well as constrains certain psychoanalytic assumptions. The book then turns to neuroscience, the "hard" scientific study of the complexities of the brain, and how recent research informs psychoanalytic theory and may shed light on aspects of memory, the conscious, and the unconscious. Taken together, these three elements create a firm basis for the current trends in psychoanalysis and the direction of its development in the years to come.

This book is a unique and superb gateway to current psychoanalytic thinking. Thirty of America's foremost psychoanalysts -- leaders in defining the current pluralistic state of the profession -- have each presented what they consider to be their most significant contribution to the field. No mere anthology, these are the key writings that underlie current discussions of psychoanalytic theory and technique. The chapters cover contemporary ideas of intersubjectivity, object relations theory, self psychology, relational psychoanalysis, hermeneutics, clinical technique, changing concepts of unconscious, empirical research, infant observation, gender and sexuality, and more. While the differences in point of view are profound, there is also a striking coherence on some core issues. Each of the contributions features an introduction by the volume editor and a note by the author explaining the rationale for its selection. The brilliant introduction by Peter Fonagy provides an overview and places each author in the context of contemporary psychoanalysis. A list of the authors may convey the astonishing breadth of this volume:Brenner, Bromberg, Busch, Chodorow, Cooper, Emde, Friedman, Gabbard, Goldberg, Greenberg, Grossman, Hoffman, Jacobs, Kantrowitz, Kernberg, Levenson, Luborsky, Michels, Ogden, Ornstein, Person, Pine, Renik, Schafer, Schwaber, Shapiro, Smith, Stern, Stolorow, Wallerstein This is a "best of the best" volume -- cutting-edge writing, highly accessible and studded with vivid clinical illustrations. Anyone wishing to acquire a comprehensive, authoritative, readily accessible -- even entertaining -- guide to American psychoanalytic thinking will find their goal fulfilled in this monumental collection.

Winner of th 2023 American Board and Academy of Psychoanalytic and Psychodynamic Psychology (ABAPPP) Annual Award! This book aims to integrate different psychoanalytic schools and relevant research findings into an integrated psychoanalytic theory of the mind. A main claim explored here, is that a revised and expanded ego psychology constitutes the strongest foundation not only for a unified psychoanalytic theory, but also for the integration of relevant research findings from other disciplines. Sophisticated yet accessible, the book includes a description of the basic tenets of ego psychology and necessary correctives and revisions. It also discusses research and theory on interpersonal understanding, capacity for inhibition, defense, delay of gratification, autonomous ego aims and motives, affect regulation, the nature of psychopathology; and the implications of a revised and expanded ego psychology for approaches to treatment. The book will appeal to readers who are interested in psychoanalysis, the nature of the mind, the nature of psychopathology, and the implications of theoretical formulations and research findings for approaches to treatment. As such, it will also be of great value on graduate and training courses for psychoanalysis.

Advances in psychoanalytic theory and technique can be usefully applied in virtually all psychotherapeutic settings, as well as in the management of patients in many nonmental health settings, to enhance understanding of patients. In this book, Steinberg reviews a collection of his own essays, incorporating developments in psychoanalytic theory and new ideas since his essays were published. Chapters clearly describe the evolving psychoanalytic approaches to treatment and illustrate how to use psychoanalytic concepts when working with patients. A variety of clinical situations are covered, including group psychotherapy, partial hospitalization, and individual psychotherapy. This book provides the foundation of analysis and offers varied clinical experiences appealing to a wide range of practitioners and case examples offering descriptive details and interventions. This book will be essential reading for all mental health professionals wanting to improve their working relationships with patients.

Cover -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- 1 Narrative and meaning -- 2 The dialogic nature of narrative in creativity and the clinical exchange -- 3 Resilience, seeking, and narratives about the self -- 4 Music as narrative -- 5 The dream narrative -- 6 Narrative tradition: placing the clinical narrative within a broader narrative tradition -- 7 Storying suffering of every conceivable sort -- 8 The Ghost Kingdom: the secret narrative of the adoptee's birth and origins -- 9 At the edge of the knowable: personal reflections on how far narrative takes us -- 10 Narrative contributions to the core sense of self, identity, and individuality -- Index

This book provides a clear introduction to the main contemporary psychoanalytic theoretical perspectives. Psychoanalysis is often thought of as an obscure and outdated method, and yet those familiar with it recognize the profound value of psychoanalytic theory and technique. Part of the obscurity may come from psychoanalytic language itself, which is often impenetrable. The complexity of the subject matter has lent itself to a confusion of tongues and yet, at base, psychoanalysis remains an earnest attempt to make sense of and ease human distress. Introduction to Contemporary Psychoanalysis seeks to make this rich wealth of information more accessible to clinicians and trainees. Psychoanalytic clinicians from various schools here describe the key ideas that underlie their particular perspective, helping the reader to see how they apply those ideas in their clinical work. Inviting the contributors to speak about their actual practice, rather than merely providing an overview, this book helps the reader to see common threads that run across perspectives, but also to recognize ways in which the different lenses from each of the perspectives inform interventions Through brief vignettes, the reader is offered an experience-near sense of what it might be like to apply those ideas in their own work. The contributors also note the limits or weaknesses of their particular theory, inviting the reader to consider the broader spectrum of these diverse offerings so that the benefits of each might be more visible. Introduction to Contemporary Psychoanalysis offers readers the richness and diversity of psychoanalytic theory and technique, so that the advantages of each particular lens might be visible and accessible as a further tool in their clinical work. This novel, comparative work will be an essential text for any psychoanalyst or psychoanalytically inclined therapist in training, as well as clinicians and those who teach psychoanalytic theory and technique.

Sexualities: Contemporary Psychoanalytic Perspectives presents a broad selection of contemporary psychoanalytic thinking on sexuality from a wide range of psychoanalytic traditions. Sexuality remains at the heart of much psychoanalytic theory and practice but it is a complex and controversial subject. Edited by Alessandra Lemma and Paul E. Lynch, this volume includes a range of international contributions that examine contemporary issues and trace common themes needed to understand any sexuality, including the basics of sexuality, and the myriad ways in which sexuality is lived. The clinical examples provided here demonstrate contemporary psychoanalytic techniques that uncover meanings that are both fresh and enlightening, and address heterosexuality, homosexuality, gender, and perversion from a psychoanalytic perspective. Divided into four parts, the book includes the following: Historical context Foundational concepts: Contemporary elaborations Homosexuality Perversion revisited Throughout Sexualities: Contemporary Psychoanalytic Perspectives the reader will find psychoanalytic wisdom that is transferrable to work with patients of all sexualities, and will see that the essentials of sexuality may be more similar than they are different for homo- and hetero-sexuality. Psychoanalysts and psychoanalytic psychotherapists, as well as academics interested in the subjects of psychoanalysis, gender, sexuality, or homosexuality will find this book an invaluable resource. Alessandra Lemma, PhD is Director of the Psychological Therapies Development Unit at the Tavistock and Portman NHS Foundation Trust. She is a Fellow of the British Psychoanalytic Society and Visiting Professor in the Psychoanalysis Unit, University College London. She is a Consultant Adult Psychotherapist at the Portman Clinic where she specializes in working with transsexuals. She has published extensively on psychoanalysis, the body and trauma. Paul E. Lynch, MD is on the faculty of the Boston Psychoanalytic Society and Institute, the Massachusetts Institute for Psychoanalysis, and the China American Psychoanalytic Alliance. He teaches about psychoanalysis, gender, and sexuality, and has been a popular speaker on issues of homosexuality and psychoanalysis. He is also a Clinical Instructor of Psychiatry at the Tufts University School of Medicine.

Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis! The contemporary relevance of psychoanalysis is being increasingly questioned; Off the Couch challenges this view, demonstrating that psychoanalytic thinking and its applications are both innovative and relevant, in particular to the management and treatment of more disturbed and difficult to engage patient groups. Chapters address: clinical applications in diverse settings across the age range the relevance of psychoanalytic thinking to the practice of CBT, psychosomatics and general psychiatry the contribution of psychoanalytic thinking to mental health policy and the politics of conflict and mediation. This book suggests that psychoanalysis has a vital position within the public health sector and discusses how it can be better utilised in the treatment of a range of mental health problems. It also highlights the role of empirical research in providing a robust evidence base. Off the Couch will be essential reading for those practicing in the field of mental health and will also be useful for anyone involved in the development of mental health and public policies. It will ensure that practitioners and supervisors have a clear insight into how psychoanalysis can be applied in general healthcare.

In this time of vulnerable marriages and partnerships, many couples seek help for their relationships. Psychoanalytic couple therapy is a growing application of psychoanalysis for which training is not usually offered in most psychoanalytic and analytic psychotherapy programs. This book is both an advanced text for therapists and a primer for new students of couple psychoanalytic psychotherapy. Its twenty-eight chapters cover the major ideas underlying the application of psychoanalysis to couple therapy, many clinical illustrations of cases and problems in various dimensions of the work. The international group of authors comes from the International Psychotherapy Institute based in Washington, DC, and the Tavistock Centre for Couple Relationships (TCCR) in London. The result is a richly international perspective that nonetheless has theoretical and clinical coherence because of the shared vision of the authors.