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"This chapter provides an introduction to efficacious treatments for PTSD. Despite their efficacy, many patients do not respond to these treatments or have persistent symptoms. PTSD psychotherapy treatments used at the VA, including prolonged exposure therapy and cognitive processing therapy, are described. While these treatments can be helpful, many patients are avoidant of trauma processing and homework. Furthermore, both treatments tend to focus on one central trauma, around which to target exposure exercises, whereas most Veterans experience multiple traumas. An overview of the development and framework of Trauma-Focused Psychodynamic Psychotherapy (TFPP), a PTSD symptom focused brief dynamic therapy, is presented. A brief background of psychoanalytic and psychodynamic literature and thinking about trauma is provided to further frame the place of TFPP"--
Psychoanalytic Complexity is the application of a multidisciplinary, explanatory theory to clinical psychoanalysis and psychotherapy. It carries with it incisive and pivotal attitudes that aim to transform our understanding of therapeutic action and the change process. Here, William Coburn offers a revolutionary and far-reaching counterpoint to the remnants of Cartesianism and scientism, respecting and encouraging human anomaly rather than pathologizing or obliterating the uniqueness of the individual person. In Psychoanaltyic Complexity, William Coburn explores the value of complexity theory previously understood as an explanatory framework with which clinicians can better understand, retro...
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 contr...
Structures of Subjectivity: Explorations in Psychoanalytic Phenomenology and Contextualism, is a revised and expanded second edition of a work first published in 1984, which was the first systematic presentation of the intersubjective viewpoint – what George Atwood and Robert Stolorow called psychoanalytic phenomenology – in psychoanalysis. This edition contains new chapters tracing the further development of their thinking over the ensuing decades and explores the personal origins of their most essential ideas. In this new edition, Atwood and Stolorow cover the philosophical and theoretical assumptions of psychoanalysis and present a broad approach that they have designated phenomenolog...
Empathy is an essential component of the psychoanalyst’s ability to listen and treat their patients. It is key to the achievement of therapeutic understanding and change. A Rumor of Empathy explores the psychodynamic resistances to empathy, from the analyst themselves, the patient, from wider culture, and seeks to explore those factors which represent resistance to empathic engagement, and to show how these can be overcome in the psychoanalytic context. Lou Agosta shows that classic interventions can themselves represent resistances to empathy, such as the unexamined life; over-medication, and the application of devaluing diagnostic labels to expressions of suffering. Drawing on Freud, Koh...
Work with patients with severe neuroses very often has to cope with the phenomenon that every progress in the analytic or therapeutic work is followed paradoxically by a clinical deterioration. There are a number of dynamic factors that converge to bring about this negative therapeutic reaction, including many-layered guilt and shame, aspects of envy and jealousy, attachment to negative affects, turning trauma from passive to active, conflicts within the superego, and the defensive use of omnipotence of responsibility. In Nothing Good Is Allowed to Stand, Wurmser, Jarass, and their colleagues consider these and other factors insightfully, such as the extent to which traumatization lives on in self-directed aggressions of the superego in the claim of omnipotence; the significant role of deep conflicts between opposite values and loyalties in bringing about the prohibition of anything "good" and thus of the negative therapeutic reaction in particular and masochism in general; and the extent to which envy, jealousy, and resentment can be encountered in the "inner object," the "inner judge" (i.e., the superego), and how they are directed against the self.
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.
Metaphor and Fields is an explanation and demonstration of the value of metaphoric processes and fields in psychoanalysis. In this book, Montana Katz articulates a future direction for psychoanalysis which is progressively explored, taking into account features essential to psychoanalysts of all persuasions, clinically and theoretically. In this way, psychoanalysis is brought into the postmodern future by fashioning an umbrella for the discipline. With this umbrella, the barriers to mutual understanding may be dismantled and a path permanently forged to the possibility of meaningful international, intercultural, interdisciplinary and poly-perspectival psychoanalytic exchange. Metaphor and Fi...
In psychoanalysis, enlivenment is seen as residing in a sense of self, and this sense of self is drawn from and shaped by lived experience. Enlivening the Self: The First Year, Clinical Enrichment, and the Wandering Mind describes the vitalizing and enrichment of self-experience throughout the life cycle and shows how active experience draws on many fundamental functional capacities, and these capacities come together in support of systems of motivation; that is, organized dynamic grouping of affects, intentions, and goals. The book is divided into three essays: Infancy – Joseph Lichtenberg presents extensive reviews of observation and research on the first year of life. Based on these rev...
Psychoanalytic Theory, Research and Clinical Practice: Reading Joseph D. Lichtenberg explores both Lichtenberg’s psychoanalytic theoretical contributions and innovations in clinical technique, and how these have influenced the work of other psychoanalysts and researchers. Lichtenberg’s approach integrates a developmental perspective on the life cycle, self-psychology, attachment theory, and his theory of motivational systems. The commentaries in this volume are divided into several sections. Section One is devoted to informal interviews with Lichtenberg that portray an account of the evolution of psychoanalysis through Lichtenberg’s eyes interwoven with the development of his own psych...