Forced Endings in Psychotherapy and Psychoanalysis

Author: Anne Power
Publisher: Routledge
ISBN: 9781317510000
Release Date: 2015-08-31
Genre: Psychology

Forced Endings in Psychotherapy and Psychoanalysis: Attachment and Loss in Retirement explores the ambivalence the therapist may feel about letting go of a professional role which has sustained them. Anne Power explores the process of closing a private practice, from the first ethical decision-making, through to the last day when the door of the therapy room shuts. She draws on the personal accounts of retired therapists and others who had to impose an ending on clients due to illness, in order to move house, to take maternity leave or a sabbatical. A forced ending is an intrusion of the clinician’s own needs into the therapeutic space. Anne Power shows how this might compromise the work but may also be an opportunity for deeper engagement. Drawing on attachment theory to understand how the therapeutic couple cope with an imposed separation, Power includes interviews with therapists who took a temporary break to demonstrate the commonality of challenges faced by those who need to impose an ending on clients. Forced Endings in Psychotherapy and Psychoanalysis opens up an area which has been considered taboo in the profession so that future cohorts can benefit from the reflections and insights of this earlier generation. It will support clinicians making this transition and aims to support ethical practice so that clients are not exposed to unnecessary risks of the sudden termination of a long treatment. This book will be essential reading for practicing psychotherapists and psychoanalysts, and to undergraduate and post-graduate students in clinical psychology, psychiatry and social work

Good Enough Endings

Author: Jill Salberg
Publisher: Routledge
ISBN: 9781135847296
Release Date: 2011-01-19
Genre: Psychology

In the relational literature, the subject of termination - the ending of an analysis - has received scant attention, and traditional Freudian or ego-psychological criteria are not always enough to assess the readiness to terminate therapy in the coconstructed, intersubjective analytic relationship. Good Enough Endings seeks to remedy this gap, bringing together contributions from contemporary relational thinkers, while at the same time engaging with ideas from other psychoanalytic perspectives. Topics given consideration include: Can there be a relational criteria or paradigm for termination, and what would it include? How do treatment goals of the analyst and/or that of the patient affect the decision to terminate? How do recent developments in attachment theory and research influence the preparation to end analysis? What occurs for the patient after termination, and how do we assess the need for follow-up? Integrating elements of existing psychoanalytic theory with the fruits of the relational turn, Good Enough Endings expands and expounds upon the relational considerations in ending analysis, providing a resource for reflection and insight into the final - and perhaps most difficult - aspect of psychoanalytic treatment.

Myths of Termination

Author: Judy Leopold Kantrowitz
Publisher: Routledge
ISBN: 9781317645474
Release Date: 2014-07-25
Genre: Psychology

Psychoanalysis can make a huge difference in the lives of patients, their families and others they encounter. Myths have developed, however, about how psychoanalysis should end – what patients experience and what analysts do. These expectations come primarily from accounts by analysts in the analytic literature which are often perpetuated in an oversimplified form in teaching. Patients' perspectives are rarely presented. I her book, Judy Leopold Kantrowitz seeks to address this omission. Exploring the accounts of 82 former analysands, she illustrates the rich diversity of psychoanalytic endings and ways of maintaining analytic benefits after ending; in presenting patients' experiences Kantrowitz provides correctives for some myths about termination. Myths of termination: What patients can teach psychoanalysts about endings is not a book that seeks to refute or support any specific idea about a best way of ending analysis, but rather to show that there are countless ways of having a satisfactory conclusion to the process. Nor is the author espousing any particular analytic theory. Kantrowitz sets out to show that an oversimplified view of psychoanalytic endings not only diminishes an appreciation of the diversity of psychoanalytic outcomes but may also interfere with the creativity of individual psychoanalysts. In this book, former analysands describe and illustrate how their analyses ended. They reflect on the effect of non-mutual endings due to external factors (moving, retirement, illness or death) or psychological factors (wishing to avoid facing some issue); the impact of post-analytic contact; and the ways in which they have held on to their analytic benefits after ending their analyses. Myths of termination confronts and refutes the myths about the termination phase of psychoanalysis that are passed from generation to generation. It is a refreshing and insightful study that will be welcomed by psychoanalysts, psychodynamic therapists, such as clinical psychologists, social workers, and others trained or in training to do clinical work.

Traumatic Ruptures Abandonment and Betrayal in the Analytic Relationship

Author: Robin A. Deutsch
Publisher: Routledge
ISBN: 9781317700425
Release Date: 2014-05-09
Genre: Psychology

For much of its history, psychoanalysis has been strangely silent about sudden ruptures in the analytic relationship and their immediate and far-reaching effects for those involved. Such issues of betrayal and abandonment – the death of an analyst, a patient’s suicide, an ethical violation – disrupt the stability and cohesion of the analytic framework and leave indelible marks on both individuals and institutions alike. In Traumatic Ruptures an international range of contributors present first-person, highly personal and sometimes painful accounts of their experiences and the occasionally difficult yet redeeming lessons they have taken from them. Presented in four parts, the book explores multiple meanings and consequences of the break in the analytic relationship. Part One, Ruptured Subjectivity: Lost and Found, presents accounts of clinical encounters with death. Part Two, Rupture: The Clinical Process, addresses the sudden loss of an analyst, the trauma of patient suicide and the issue of countertransference when working with patients who have suffered the unexpected loss of their first analyst. Part Three, The Long Shadow of Rupture, examines the effects of ethical violations in the short and long term. Finally, Part Four, Ruptures’ Impact on Organizations, looks at the wider impact of ethical and sexual boundary violations in the context of an organization and the effect of trauma on a psychoanalytic institute. By giving voice to issues that are usually silenced, the authors here open the door to understanding the complex nature of traumatic rupture within the analytic field. This intimate exploration of psychoanalytic treatments and communities is ideal for psychoanalysts, psychologists, clinical social workers, psychiatrists and family therapists. It is an important text for clinicians working with individuals who have experienced traumatic ruptures and for members of organisations dealing with their effects.

Science Systems and Psychoanalysis

Author: Robert Langs
Publisher: Karnac Books
ISBN: 9781780498959
Release Date: 1992-12-31
Genre: Psychology

This book has been written for a broad audience. It is addressed to anyone who is at all concerned with a scientific grounding for the art of psychotherapy and psychoanalysis, and for the understanding of the human mind and its outputs via emotionally charged communication. The book begins by establishing the need for a formal science of psychoanalysis and then presents the distinctive features of the communicative approach that moved it towards the creation of that science.

Still Practicing

Author: Sandra Buechler
Publisher: Routledge
ISBN: 9780415879125
Release Date: 2012
Genre: Psychology

"Still practicing" has several meanings. Still practicing suggests that the balance of heartaches and joys must not deter us from pursuing a clinical practice. At the same time, still practicing suggests that for the clinician "practice" never "makes perfect." We continue to refine our clinical instruments over our entire working lives. Framed by her previous work on the concept of emotional balance, Sandra Buechler investigates how vicissitudes in a clinical career can have a profound and lasting impact on the clinician's emotional balance, and considers how the clinician's resilience is maintained in the face of the personal fallout of a lifetime of clinical practice. At each juncture, from training to early phases of clinical experience, through mid and late career, she asks, what can help us maintain a vital interest in our work? How do we not burn out? Aimed at the nexus of the personal and theoretical, Still Practicing concentrates on the sadness, feelings of shame, and satisfactions inherent in practice, and encourages newcomers and veterans alike to make career choices mindful of their potential long-term impact on their feelings about being therapists. It poses a question vital to the life of the clinician: How can we strike a balance between the work's inevitable pain and its potential joy?

Moments of Meeting in Psychoanalysis

Author: Susan Lord
Publisher: Routledge
ISBN: 9781315389943
Release Date: 2017-08-09
Genre: Psychology

There are moments of connection between analysts and patients during any therapeutic encounter upon which the therapy can turn. Moments of Meeting in Psychoanalysis explores how analysts and therapists can experience these moments of meeting, shows how this interaction can become an enlivening and creative process, and seeks to recognise how it can change both the analyst and patient in profound and fundamental ways. The theory and practice of contemporary psychoanalysis and psychoanalytic psychotherapy has reached an exciting new moment of generous and generative interaction. As psychoanalysts become more intersubjective and relational in their work, it becomes increasingly critical that they develop approaches that have the capacity to harness and understand powerful moments of meeting, capable of propelling change through the therapeutic relationship. Often these are surprising human moments in which both client and clinician are moved and transformed. Moments of Meeting in Psychoanalysis offers a window into the ways in which some of today’s practitioners think about, encourage, and work with these moments of meeting in their practices. Each chapter of the book offers theoretical material, case examples, and a discussion of various therapists’ reflections on and experiences with these moments of meeting.? With contributions from relational psychoanalysts, psychotherapists and Jungian analysts, and covering essential topics such as shame, impasse, mindfulness, and group work, this book offers new theoretical thinking and practical clinical guidance on how best to work with moments of meeting in any relationally oriented therapeutic practice. Moments of Meeting in Psychoanalysis will be of great interest to psychoanalysts, psychoanalytic psychotherapists,?psychologists, social workers, workers in other mental health fields, graduate students, and anyone interested in change processes.

Termination in Psychoanalysis and Psychotherapy

Author: Stephen K. Firestein
Publisher: International Universities PressInc
ISBN: 0823683176
Release Date: 2001-01-01
Genre: Psychology

Dr. Firestein examined the cases of four men and four women who entered the termination phase of analysis at the Treatment Center of the New York Psychoanalytic Institute. In the current paperback edition the case records of the eight psychoanalyses that formed the main portion of the earlier edition remain as they were. Although none of the analysts would today conduct those treatments in the same manner as is summarized, the accounts are faithful to what unfolded in each of the treatment collaborations. The current edition accomplishes several purposes: to amend the essay that reviewed the literature up to 1978 with selected references to contributions of the past two decades; to discuss ways in which termination of psychotherapy resembles, and is different from, termination in analysis, and to consider many facets of treatment termination in some detail.

Self and Emotional Life

Author: Adrian Johnston
Publisher: Columbia University Press
ISBN: 9780231535182
Release Date: 2013-06-11
Genre: Psychology

Adrian Johnston and Catherine Malabou defy theoretical humanities' deeply-entrenched resistance to engagements with the life sciences. Rather than treat biology and its branches as hopelessly reductive and politically suspect, they view recent advances in neurobiology and its adjacent scientific fields as providing crucial catalysts to a radical rethinking of subjectivity. Merging three distinct disciplines—European philosophy from Descartes to the present, Freudian-Lacanian psychoanalysis, and affective neuroscience—Johnston and Malabou triangulate the emotional life of affective subjects as conceptualized in philosophy and psychoanalysis with neuroscience. Their experiments yield different outcomes. Johnston finds psychoanalysis and neurobiology have the potential to enrich each other, though affective neuroscience demands a reconsideration of whether affects can be unconscious. Investigating this vexed issue has profound implications for theoretical and practical analysis, as well as philosophical understandings of the emotions. Malabou believes scientific explorations of the brain seriously problematize established notions of affective subjectivity in Continental philosophy and Freudian-Lacanian analysis. She confronts philosophy and psychoanalysis with something neither field has seriously considered: the concept of wonder and the cold, disturbing visage of those who have been affected by disease or injury, such that they are no longer affected emotionally. At stake in this exchange are some of philosophy's most important claims concerning the relationship between the subjective mind and the objective body, the structures and dynamics of the unconscious dimensions of mental life, the role emotion plays in making us human, and the functional differences between philosophy and science.

Thoughts Without A Thinker

Author: Mark Epstein
Publisher: Basic Books
ISBN: 9780465063925
Release Date: 2013-07-30
Genre: Psychology

The line between psychology and spirituality has blurred, as clinicians, their patients, and religious seekers explore new perspectives on the self. A landmark contribution to the field of psychoanalysis, Thoughts Without a Thinker describes the unique psychological contributions offered by the teachings of Buddhism. Drawing upon his own experiences as a psychotherapist and meditator, New York-based psychiatrist Mark Epstein lays out the path to meditation-inspired healing, and offers a revolutionary new understanding of what constitutes a healthy emotional life.

Tales from a Traveling Couch

Author: Robert U. Akeret
Publisher: W. W. Norton & Company
ISBN: 0393314987
Release Date: 1996
Genre: Medical

After thirty-five years in practice, prominent New York psychotherapistand author Robert Akeret found himself in the thrall of a singlequestion: Did therapy make a real difference in his patients lives?

Jigsaw Cities

Author: Power, Anne
Publisher: Policy Press
ISBN: 1861346581
Release Date: 2007-03-14
Genre: Political Science

Looking at major British cities, using Birmingham as a case study, this title explores Britain's intensely urban and increasingly global communities as interlocking pieces of a complex jigsaw, which are hard to see apart yet they are deeply unequal

Celebrating the Wounded Healer Psychotherapist

Author: Sharon Klayman Farber
Publisher: Taylor & Francis
ISBN: 9781317405023
Release Date: 2016-10-04
Genre: Psychology

Why would someone decide to become a psychotherapist? It is well-known within the field that psychoanalysts and psychotherapists are often drawn to their future professions as a result of early traumatic experiences and being helped by their own psychoanalytic treatment. While dedicating their lives to relieving emotional suffering without being judgmental, they fear compromising their reputations if they publicly acknowledge such suffering in themselves. This phenomenon is nearly universal among those in the helping professions, yet there are few books dedicated to the issue. In this innovative book, Farber and a distinguished range of contributors examine how the role of the ‘wounded healer’ was instrumental in the formulation of psychoanalysis, and how using their own woundedness can help clinicians work more effectively with their patients, and advance theory in a more informed manner. Celebrating the Wounded Healer Psychotherapist will be of interest to psychoanalysts and psychoanalytic psychotherapists, graduate students in clinical disciplines including psychology, social work, ministry/chaplaincy and nursing, as well as the general public.

The Abyss of Madness

Author: George E. Atwood
Publisher: Routledge
ISBN: 9781136621260
Release Date: 2012-04-23
Genre: Psychology

Despite the many ways in which the so-called psychoses can become manifest, they are ultimately human events arising out of human contexts. As such, they can be understood in an intersubjective manner, removing the stigmatizing boundary between madness and sanity. Utilizing the post-Cartesian psychoanalytic approach of phenomenological contextualism, as well as almost 50 years of clinical experience, George Atwood presents detailed case studies depicting individuals in crisis and the successes and failures that occurred in their treatment. Topics range from depression to schizophrenia, bipolar disorder to dreams, dissociative states to suicidality. Throughout is an emphasis on the underlying essence of humanity demonstrated in even the most extreme cases of psychological and emotional disturbance, and both the surprising highs and tragic lows of the search for the inner truth of a life – that of the analyst as well as the patient.

The Empty Couch

Author: Gabriele Junkers
Publisher: Routledge
ISBN: 9781135946456
Release Date: 2013-03-20
Genre: Psychology

The Empty Couch is an introduction to the challenges and obstacles inherent in ageing as a psychoanalyst. It addresses the previously neglected issue of ill health, as well as the significance of ageing for psychoanalysts, exploring the analyst’s attitude towards getting older, impermanence and sense of time and space. Covering a wide range of topics Gabriele Junkers brings together expert contributors who discuss the problems of getting physically ill and how to conduct psychoanalysis as an ill therapist. Chapters also address the effects that ageing has on professional stamina, the grief inevitably caused by the losses endured in later life and inquires into the role that institutions (the relevant psychoanalytic institutes or societies) can play in this context. Setting out to encourage discussion on this vital topic, The Empty Couch brings this neglected area into sharp focus. It will be of interest to psychoanalysts, psychotherapists, counsellors, gerontologists and trainees in the psychoanalytic and psychotherapy worlds.