Clinical And Observational Psychoanalytic Research

Few topics elicit greater controversy within psychoanalysis today than the role of research in justifying or expanding upon analytic theory. The text collects papers from a London conference, along with additional material, to explore the work of discussants Daniel Stern and Andre Green. Stern, whose work and psychoanalysis and infant observation is world-renowned, and Green, the French psychoanalyst whose trenchant views on the limitations of research are equally well known, each focus on the issue of infant research and its long history within the psychoanalytic movement.Additional discussions by three prominent British psychoanalysts, Anne Alvarez, Irma Brenman Pick, and Rozine Jozef Perelberg, expose a different point of view from that of green and Stern. Also included is a previous debate on this topic between Andre Green and Robert S. Wallerstein, former president of the International Psychoanalytic Association. An illuminating introductory chapter by Riccardo Steiner further describes the main points of the debate with marvelous clarity. This book will be invaluable for all those who wish to involve themselves with contemporary views on this important topic.

This book offers different theoretical approaches about what clinical research is. Clinical Research in Psychoanalysis is a unique contribution to the attempts to bridge the gap between clinicians and researchers and to create a culture of a more rigorous and systematic inquiry. It provides an innovative experience because for the first time different methods and perspectives were used to analyse one same clinical material. This was done by analysts from different working parties of the International Psychoanalytical Association (IPA), from a range of different schools of psychoanalytic thought. This allows the reader to have a vision of the different methods that are currently being used by some working parties of the IPA and to learn about the strengths of each one for certain situations and types of research. This book revaluates clinical research, intending to make links between the analysts working through the working parties and the different ways of thinking in clinical research. By covering key topics, such as how working parties can facilitate different types of research; the place of metaphor in psychoanalytic research and practice; and the future for psychoanalytic research, this text is a fruitful dialogue between different theoretical conceptions and between clinicians and researchers, that will expand our perspectives on the evidence we find in clinical material and will broaden our views on the patient. This book offers a unique and invaluable experience to psychologists and psychoanalysts who are trying to improve their clinical practice and bring research evidence into their psychoanalytic practice. It is an invaluable contribution to psychoanalytic training of candidates, teachers, and students.

In this landmark volume-- already acclaimed as "certain to become a milestone in the history of psychoanalysis and ego psychology"-- Joseph Weiss' theory of the psychotherapeutic process is presented and supported by the systematic, quantitative research carried out by Sampson, Weiss, and the Mount Zion Psychotherapy Research Group. This remarkable work delineates clear-cut implications for doing therapy and for conceptualizing the therapeutic process. The theory extends and develops concepts that Freud introduced in his later writings. It assumes that psychopathology stems from certain grim, unconscious, pathogenic beliefs that the patient acquires by inference from early traumatic experiences. The patient suffers unconsciously from these beliefs and the feelings of guilt, shame, and remorse that stem from them. He is, therefore, powerfully motivated unconsciously to change them. Moreover, the patient is able to exert considerable control over unconscious mental life and, indeed, to make and carry out unconscious plans. He works unconsciously throughout his treatment to change pathogenic beliefs, both by testing them in relation to the analyst and by using insights conveyed by the analyst's interpretations. Since the theory is close to observation it enables the clinician to monitor the patient's progress--to understand, throughout the treatment, how the patient improves, or is set back, by the analyst's interventions. The quantitative, empirical research presented bears directly on this theory. It offers strong evidence that the patient exerts control over the emergence of previously repressed mental contents, bringing them to consciousness when he unconsciously decides he may safely experience them. Supporting the hypothesis that the patient tests pathogenic beliefs throughout treatment in an effort to disconfirm them, it shows that the patient is very likely to respond favorably to interpretations that he can use in his struggle to disconfirm his pathogenic beliefs--but unfavorably to interpretations he cannot use for this purpose. A model of how rigorous psychoanalytic research can both sharpen and modify theoretical constructs and also lend support to a clinical approach, this distinguished volume will be valued by theoreticians, clinicians, researchers, and anyone interested in how the mind works. It provides a clear, accessible, and empirically testable approach to psychoanalytic practice.

Recognition of the need for empirical research and interest in its findings are growing in psychoanalysis. Many psychoanalysts now acknowledge that research is imperative to try to deal with the factors propelling the diminution in status and prestige of the discipline, as well as the number of patients in intensive psychoanalytic treatment. In addition, there is increased pressure to expose and acquaint candidates with analytic research in the course of their education. From Psychoanalytic Narrative to Empirical Single Case Research revivifies the experimental potential of psychoanalysis by focusing a number of structured research methods on a single case study. Drs. Kächele, Schachter, and Thomä, in tandem with the Ulm Psychoanalytic Process Research Study Group, bring their formidable tools and knowledge to bear on Amalia X, a former patient of Dr. Thomä’s, whose case history is well-documented, preserved and available for formal empirical study. After providing an intensive review of the problematic aspects of clinical psychoanalytic research and an exegesis on the use of the case study itself, the specific case history of Amalia X, which dominates and centers the remainder of the book, is thoroughly examined. The following two chapters – utilizing clinical and linguistic models, respectively – deconstruct Amalia’s psychopathology along a variety of methodological axes in an effort not only to uncover the roots of her presenting symptoms, but also to reify and validate the strange bedfellows of psychoanalysis and empiricism in general. The book would be incomplete, however, without its final chapter, which provides suggestions and insights into the clinical applications and implications of their combined research.

Researching the Unconscious provides an exposition of key issues in the philosophy and methods of the social sciences that are relevant to psychoanalysis, both as a clinical practice and as a human science. These include the debates initiated by Thomas Kuhn’s theory of scientific revolutions, the "actor-network theory" of Bruno Latour, the ideas of philosophical realism, distinctions between "meaningful" and "causal" explanation, and the relevance of complexity theory and "part–whole analysis" to psychoanalysis. The book goes on to discuss specific forms and methods of psychoanalytical research, including the role of case studies, of outcome research, and of "grounded theory" as a key methodological resource, of which it provides a detailed example. The book concludes by outlining principles and methods for psychoanalytic research in the wider contexts of infant observational studies, society, and culture. Michael Rustin provides a unifying account of the methodological principles that underlie the generation of knowledge in psychoanalysis, in the light of recent developments in the philosophy and sociology of science. In doing so, it provides a coherent rationale for psychoanalytic investigation, which will be of value to those pursuing research in this field. Researching the Unconscious is unusual in its being based both on a deep understanding of and respect for psychoanalytical clinical practice and on its author’s wider knowledge of the philosophy and sociology of science. It is unique in its comprehensive approach to the principles of psychoanalytic research.

Psychoanalytic infant observation is frequently used in training psychoanalytic psychotherapists and allied professionals, but increasingly its value as a research method is being recognised, particularly in understanding developmental processes in vulnerable individuals and groups. This book explores the scope of this approach and discusses its strengths and limitations from a methodological and philosophical point of view. Infant Observation and Research uses detailed case studies to demonstrate the research potential of the infant observation method. Divided into three sections this book covers infant observation as part of the learning process how infant observation can inform understanding and influence practice psychoanalytic infant observation and other methodologies. Throughout the book, Cathy Urwin, Janine Sternberg and their contributors introduce the reader to the nature and value of psychoanalytic infant observation and its range of application. This book will therefore interest a range of mental health practitioners concerned with early development and infants' emotional relationships, as well as academics and researchers in the social sciences and humanities.