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Patients with psychosomatic diseases lack the capacity for emotional connection and symbolic thinking and the physical symptoms of asthma, anorexia nervosa and ulcerative colitis have been outside our domain. In this volume, Philip Wilson and his collaborators illuminate the lives of these patients and provide the linking "red thread" by identifying the underlying personality disorder. They reveal that behind the pseudo normal development is a world of primitive emotions and fantasies, archaic guilt and magical thinking. The authors decipher the meaning of the physical symptoms and reveal patients' capacity for intense, if ambivalent, transference. In case after case, Dr Wilson et al authoritatively analyze the perfectionims, repression, infantilization, hypermorality and unconscious pre-genital conficts with profound therapeutic effect. ... Read more

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This updated edition of The Handbook of Child and Adolescent Psychotherapy reflects the many changes in the profession. It includes:

• additional chapters on neuroscience, work with ‘looked after children’ and with foster parents, working in schools
• enlarged chapters on research, attachment theory, work with parents, and developments in child and adolescent psychotherapy around the world
• chapters on areas of specialist interest including violence, sexual abuse and abusing, trauma, parent-infant psychotherapy, autism, victims of political violence, delinquency and gender dysphoria.

The Handbook remains accessible and jargon-free. It will be a valuable resource for all who work in allied professions where the emotional well-being of children is of concern – health, education, social services – as well as trainee psychotherapists and experienced practitioners.

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In 1995, Neil Altman did what few psychoanalysts did or even dared to do: He brought the theory and practice of psychoanalysis out of the cozy confines of the consulting room and into the realms of the marginalized, to the very individuals whom this theory and practice often overlooked. In doing so, he brought together psychoanalytic and social theory, and examined how divisions of race, class and culture reflect and influence splits in the developing self, more often than not leading to a negative self image of the "other" in an increasingly polarized society.

Much like the original, this second edition of The Analyst in the Inner City opens up with updated, detailed clinical vignettes and case presentations, which illustrate the challenges of working within this clinical milieu. Altman greatly expands his section on race, both in the psychoanalytic and the larger social world, including a focus on "whiteness" which, he argues, is socially constructed in relation to "blackness." However, he admits the inadequacy of such categorizations and proffers a more fluid view of the structure of race. A brand new section, "Thinking Systemically and Psychoanalytically at the Same Time," examines the impact of the socio-political context in which psychotherapy takes place, whether local or global, on the clinical work itself and the socio-economic categories of its patients, and vice-versa. Topics in this section include the APA’s relationship to CIA interrogation practices, group dynamics in child and adolescent psychotherapeutic interventions, and psychoanalytic views on suicide bombing.

Ranging from the day-to-day work in a public clinic in the South Bronx to considerations of global events far outside the clinic’s doors (but closer than one might think), this book is a timely revision of a groundbreaking work in psychoanalytic literature, expanding the import of psychoanalysis from the centers of analytical thought to the margins of clinical need.

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Highly recommended for psychology students
The Analyst In The Inner City: Race, Class, And Culture Through A Psychoanalytic Lens by Neil Altman (faculty member and supervisor at the New York University Post-doctoral Program in Psychotherapy and Psychoanalysis) is an effort to connect racial, cultural, and social-class divisions to the splits that take root in an individual's sense of self. A clearly presented and scholarly analysis of social and clinical theory, The Analyst In The Inner City is a cold, hard look at how people compartmentalize groups of other people who are different, apply stereotypes, and project unwanted or rejected qualities in themselves onto the "foreign", "other", or "not-me" groups. Highly recommended for psychology students and practitioners with a fascinating, disturbing, and intense study of the mind-games human beings play on themselves without ever knowing it. ... Read more

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Wilfred Bion’s insights into the analytic process have had a profound influence on how psychoanalysts and psychotherapists understand emotional change and pathological mental states. One of his most influential ideas concerns the notion that we need the minds of others to develop our own emotional and cognitive capacities.

In Containing States of Mind Duncan Cartwright explores and develops some of the implications that Bion’s container model has on clinical practice. He argues that the analyst or therapist best fulfils a containing function by negotiating irreconcilable internal tensions between his role as ‘dream object’ and ‘proper object’. The container model is also used to illustrate different ‘modes of interaction’ in the analytic field, the nature of particular pathological states and some of the key dilemmas faced in attempting to make unbearable mental states more bearable.

As well as addressing key theoretical problems, Containing States of Mind is a clinical text that renders complex ideas accessible and useful for psychotherapeutic and analytic practice and as such will be essential reading for all those involved in the fields of psychoanalysis and psychotherapy.

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To find more information on Rowman & Littlefield titles, please visit us at www.rowmanlittlefield.com. ... Read more

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A review of the multiple psychoanalytic perspective on transference. It asks the question of how to balance understanding the transference interaction as mutually created here-and-now distortion with identifying its roots in the patient's genetic past. ... Read more

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Discusses Freud's theories on dreams and dreaming and the author's clinical applications of these theories. For psychoanalytic trainees, beginning practitioners, social workers, and clinical psychologists. DNLM: Dreams--psychology. ... Read more

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Before the 1960s, psychoanalysis and psychodynamic psychotherapy were the dominant modes of treatment within psychiatry. These treatments have faced increasing scrutiny and skepticism as the movement towards evidence-based treatments has intensified and the mental health field has been asked to treat increasingly ill and severely character-disordered patients. Psychodynamic psychotherapy has lost status within the mental health field as other forms of treatment have developed a strong and well-funded research base. At the same time, the exciting bursts of knowledge about the functioning of the brain and the subsequent development of psychopharmacologic treatments have added to treatment alternatives. This development has served to help patients but also to decrease the frequency with which dynamic treatments are indicated. Criticisms of psychoanalytic treatments, which are grounded in elaborate theories of the mind that have been evolving since the late 19th century, have been valid to the extent that a scientific basis for the work was missing.Recently, however, there has been an explosion in empirical research on psychoanalytic theories and treatments. There have been more than 70 randomized controlled trials of psychodynamic psychotherapy and psychoanalysis, and much more research supporting psychodynamic principles and specific psychodynamic treatments for many diagnostic categories. In this volume of Psychodynamic Psychotherapy Research: Evidence-Based Practice and Practice-Based Evidence we demonstrate the relevance of and scientific support for psychodynamic treatment across a wide range of diagnostic categories and treatment strategies. One of the difficulties in the field of psychodynamic psychotherapy is that researchers and clinicians have not embraced one another. Clinicians have felt that researchers are ivory tower academics not on the front lines of clinical care, and researchers have felt that clinicians have little appreciation for the value of empirical research or the evidence that certain treatment principles are more effective with specific diagnostic populations. This volume presents the integration of clinical work and research through the scientist-practitioner model. Almost every author who has committed to write a chapter is an active clinician-researcher.The chapters and researchers we have selected all emphasize the relevance of their studies for clinical work by including clinical vignettes with discussion of the influence of their research on treatment. We have asked authors to keep this integrative principle in mind throughout their chapters. Once again, there is a section on Efficacy and Effectiveness Studies. Within this section, there are three chapters that review evidence-based psychodynamic treatments including long-term psychotherapy and treatments for depression and anxiety disorders. In addition, there is a section on the role of the single case study in psychodynamic psychotherapy and psychoanalysis, and once again, there is a section on diagnostic and outcome measures particularly relevant to studying psychodynamic psychotherapy.In this second volume, we also plan to include an expanded section on Neurobiology and Psychotherapy and have proposed six potential chapters. Modern psychiatry reflects the advances in neuroimaging technology, and research findings using this method, which will be highlighted in this section, are particularly powerful in the field at this point in time.Finally, there is a section in which eminent psychodynamic psychotherapy researchers will write their thoughts about the value of psychotherapy research over time for clinical work. They respond to the question, "What have we learned from psychodynamic psychotherapy research that has proven to be clinically useful?" ... Read more

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Despite the popularity of object relations theories,these theories are often abstract, with the relation between theoryand clinical technique left vague and unclear.In his widely praisedObject Relations Theories and Psychopathology: A Comprehensive Text(1994), Frank Summers provided critical accounts of the work of eachmajor object relations theorist with an eye to understanding how eachtheorist approached issues of technique.One point of his undertakingwas to demonstrate how object relations theorists differ amongthemselves, even contradict one another, in providing guidelines forclinical work.Now, in Transcending the Self: An Object RelationsModel of Psychoanalytic Therapy, Summers answers the need for anintegrative object relations model that can be understood and appliedby the clinician in the daily conduct of psychoanalytic therapy.Itis the object relations viewpoint, for Summers, that best addressescontemporary criticisms of classical psychoanalysis and ego psychologywhile retaining the depth-psychological focus that has always been thestrength of psychoanalytic therapy.Drawing on recent infancyresearch, developmental psychology, and the works of major theorists,including Bollas, Benjamin, Fairbairn, Guntrip, Kohut, and Winnicott,Summers melds diverse object-relational contributions into a coherentviewpoint with broad clinical applications.The object relationsmodel emerges as a distinct amalgam of interpersonal/relational andinterpretive perspectives.It is a model that can help patientsundertake the most gratifying and treacherous of personality journeys:that aiming at the transcendence of the childhood self.Self-transcendence, in Summers' sense, means moving beyond theprofound limitations of early life via the therapeutically mediatedcreation of a newly meaningful and authentic sense of self.Summersuses a full-length case presentation as the vehicle for situating hisobject relations model between two broad psychoanalytic paradigms, egopsychology and relational psychoanalysis.Following two chapters thatpresent the empirical and theoretical basis of the model, he launchesinto clinical applications by presenting the concept of therapeuticaction that derives from the model.Then, in three successivechapters, he applies the model to patients traditionallyconceptualized as borderline, narcissistic, and neurotic.Heconcludes with a chapter that addresses more broadly the craft ofconducting psychoanalytic therapy.Filled with richly detailed casediscussions, Transcending the Self provides practicing clinicians witha powerful demonstration of how psychoanalytic therapy informed by anobject relations model can effect radical personality change.It isan outstanding example of integrative theorizing in the service of areal-world therapeutic approach. ... Read more

Customer Reviews (4)

Subtle distinctions, clearly defined
This exceedingly readable book outlines the author's view of the application of object relations theory to clinical practice. There are many books that present discussion of object relations; Dr. Summers book presents a viewpoint that arises from, but is not limited by, the views of earlier theorists. Specifically, other analysts view the needs of the self as necessarily opposed to the "needs that draw toward others." Dr. Summers asserts that these two sets of needs can be "mutually necessary and enhancing," an optimistic and ultimately constructive view of the human mind. This view recognizes human development as a process of learning that conflict between one's own needs and those of the significant people in one's life is not necessary, rather than seeing conflict as inevitable. Carried far enough, it has implications for peace between peoples...

BRILLIANT WRITING FROM A BEAUTIFUL MAN
Absolutely NO amount of writing can describe the extent of professionalism and dead-on accuracy Summers possesses in his marvelous work of groundbreaking pshycological analysis.A++++++++.

Excellent book for practicing clinicians
This is a great book for practicing therapists interested in curent psychoanalytic theory.It is well written, clear, readable and includes numerous case examples to illustrate key points.The focus is on clarifying the differences between ego psychology, self psychology, and relational theories and proposing a neo-Winnicottian model that attempts to integrate and build on the best aspects of these.As a practicing psychologist in private practice (who is fairly well read in psychoanalytic theory) I found the book helpful both in terms of its comparisons of other models and its original contributions, especially the concepts of the buried authentic self, of the analyst's vision of what the patient can become, and the idea that focusing on these can help narcissistic patients tolerate defense interpretations with less injury.The descriptions of work with more severely disturbed, difficult or fragile patients were also particularly impressive and useful.I occasionally disagreed with some of the author's characterizations of the other models he compares, especially self psychology, but found this a minor factor in light of the strengths of the book.Overall it has helped me in my work with patients.

Summers does it again!
In a tiresome rehash of most of the ideas of his previous book, Summers tries to present his version of psychoanalytic psychotherapy from an object relations perspective.Unfortunately, he misses the mark on several counts.First, there is very little original thinking in this text.As with his prior book, what we get is a synthetic rehash of other's ideas.Nothing new is added that is creative, incisive or evocative.Second, he fails entirely to cover any of the empirical literature on psychodynamic psychotherapy, which is more critical and skeptical, and ultimately helpful.He fails to cover Hans Strupp's work, he completely passes over the work of the Mt. Zion group on process research (e.g. Sampson , et al) and he fails in general as a clinical psychologist to advance the notion that close research into the process/outcome dimensions of psychodynamic psychotherapy is needed.Otherwise, what you will continue to get are more books like Summers', where the author simply regurgitates old theorist's ideas, or speaks from their own slanted clinical experience, then generalizes to all patients and psychopathology!(Although in Summer's defense, Freud did the same, but this was 100 years ago without the benefit of the research, history, and tools that Summers would have available.Of course, Freud also had an infinitely richer grasp of history, culture, etc., which would make his generalizations more compelling). ... Read more

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In this book, therapists, clinicians and researchers attempt to answer the question, "What are the seemingly intangible variables that enable patients to overcome symptomatology and maladaptive behaviours so as to develop and grow as productive human beings?". ... Read more

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Based on the highly successful fist edition, the long-awaited "Dynamic Psychotherapy Explained, Second Edition" is a concise but comprehensive overview of this important treatment. Assuming no prior knowledge, the book is clear and straightforward, explaining the links between psychotherapy and other psychiatric treatments, and between neurobiology and psychology. It spells out the relationship between a biological and a psychological approach to mental functioning. This book places psychotherapy in its context in psychiatry. It outlines the important theories of dynamic psychotherapy, and is packed with clinical examples to illustrate theory and practice. It explains the dynamics of common psychiatric conditions, and shows how to write a dynamic formulation. "Dynamic Psychotherapy Explained, Second Edition" is essential reading for postgraduate trainees in psychiatry, mental health nurses, general practitioners, psychiatrists, psychologists, social workers, counsellors, medical and nursing undergraduates and junior doctors. Patients too can benefit from a simple explanation of how dynamic therapy relates to other treatments and how it works.Covering much of the information needed for the MRCPsych examination, the book is an excellent study and revision tool. ... Read more

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This is a collection of a number of the papers published by Jacobs over the course of a distinguished career. They trace a restless development as he practiced and then came to questions aspects of that practice and theory. ... Read more

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The Psychodynamic Image is the first selection of John D. Sutherland’s major papers.  It provides an overview of the development of his thought on self and society and reveals the extent of his contribution to the field of mental health. 

Jill Savege Scharff introduces Sutherland’s most important and influential essays. These reflect his range as a theoretician, moving easily from the intrapsychic to the interpersonal level, building bridges between points of view and integrating psychoanalytic and social theories.  Sutherland’s work calls for changes at the individual level through understanding conflicts and unconscious processes as aspects of parts of the self in interaction.  He inspires respect and understanding of the self and its drive toward autonomy.

These papers push the boundaries of psychoanalytic thinking and succeed in demonstrating the relevance of psychoanalysis to the wider society. They will be of great interest to psychoanalysts, psychotherapists, counsellors and social workers.

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Combines process and commentary to present psychiatric and psychotherapeutic procedures. ... Read more

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This digital document is an article from Encyclopedia of Bioethics, brought to you by Gale®, a part of Cengage Learning, a world leader in e-research and educational publishing for libraries, schools and businesses.The length of the article is 4873 words.The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase.You can view it with any web browser.Contains general essays that historically trace the major religious families and traditions, as well as directory listings that include contact and descriptive information on individual churches, religious bodies, and spiritual groups. ... Read more

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Succinct and clear presentation of a program of psychotherapy research that can influence the practice of psychodynamically oriented therapists. Presents empirical research and includes recommendations for improving the efficiency and effectiveness of psychotherapy. Stresses blending supportive and interpretive strategies and gives guidelines for doing this. ... Read more