Coasting In The Countertransference

Winner of the 2009 Goethe Award for Psychoanalytic Scholarship! Irwin Hirsch, author of Coasting in the Countertransference, asserts that countertransference experience always has the potential to be used productively to benefit patients. However, he also observes that it is not unusual for analysts to 'coast' in their countertransferences, and to not use this experience to help treatment progress toward reaching patients' and analysts' stated analytic goals. He believes that it is quite common that analysts who have some conscious awareness of a problematic aspect of countertransference participation, or of a mutual enactment, nevertheless do nothing to change that participation and to use their awareness to move the therapy forward. Instead, analysts may prefer to maintain what has developed into perhaps a mutually comfortable equilibrium in the treatment, possibly rationalizing that the patient is not yet ready to deal with any potential disruption that a more active use of countertransference might precipitate. This 'coasting' is emblematic of what Hirsch believes to be an ever present (and rarely addressed) conflict between analysts’ self-interest and pursuit of comfortable equilibrium, and what may be ideal for patients’ achievement of analytic aims. The acknowledgment of the power of analysts’ self-interest further highlights the contemporary view of a truly two-person psychology conception of psychoanalytic praxis. Analysts’ embrace of their selfish pursuit of comfortable equilibrium reflects both an acknowledgment of the analyst as a flawed other, and a potential willingness to abandon elements of self-interest for the greater good of the therapeutic project.

While transference has been fully described in the literature, countertransference has been viewed as its ugly sibling, and hence there are still not as many reflective accounts or guidance for trainees about how to handle difficult emotions, such as shame and envy and conflict in the consulting room. As a counterpoint, this book provides an integrative guide for therapists on the concept of countertransference, and takes a critical stance on the phenomenon, and theorising, about the "so-called" countertransference, viewing it as a framework to explore the transformative potential in managing strong emotions and difficult transactions. With an explicit focus on teaching, this book informs therapeutic practice by mixing theories and case studies from the authors' own clinical and teaching experiences, which involves the reader in case studies, reflection and action points. Countertransference is explored in a wide range of clinical settings, including in reflective practice and in research in the field of therapy, as well as in art therapy and in the school setting. It also considers countertransference in dream interpretation, in the supervision and teaching environment and in work with groups and organisations. Introduction to Countertransference in Therapeutic Practice offers psychotherapists and counsellors, both practicing and in training, a comprehensive overview of this important concept, from its roots in Freud’s work to its place today in a global, transcultural society.

Dhwani Shah moves the focus from using psychoanalytic theory and technique to explore the patient's mind from a safe distance. Instead, he concentrates on the analyst's feelings, subjective experiences, and histories, and how these impact on the intersubjective space between analyst and patient. His eight chapters each highlight a particular emotional state or problematic feeling and explore their impact on the analytic work, which requires emotional honesty and open reflection. This authenticity is vital for every unique encounter within the shared space of both the analyst and patient. The analyst must strive to be responsive, yet disciplined, and this requires the work of mentalization. An ability to "go there" with patients offers the best chance at helping them. The analyst's uncomfortable and disowned emotional states of mind are inevitably entangled with the therapeutic process and this has the potential to derail or facilitate progress. The chapters deal with uncomfortable themes for the analyst to face: arrogance, racism, dread and its close relation erotic dread, dissociation, shame, hopelessness, and jealousy. These bring up common ways in which analysts stop listening and struggle in the face of uncertainty and intensity; the difficulties in facing unbearable experiences with patients, such as suicidality; disruptions to being with patients in an affective and embodied way; and thwarted fantasies of being the "hero". With all of these difficult topics, Shah describes painful and tormenting experiences in a clinically meaningful way that allow growth. In this exceptional debut work, Shah demonstrates that what analysts feel, in their affects, bodies, and reveries with patients, is vital in helping them to understand and metabolise the patients' emotional experiences. This is a must-read for all practising clinicians.

North American psychoanalysis has long been deeply influenced and substantially changed by clinical and theoretical perspectives first introduced by interpersonal psychoanalysis. Yet even today, despite its origin in the 1930s, many otherwise well-read psychoanalysts and psychotherapists are not well informed about the field. The Interpersonal Perspective in Psychoanalysis, 1960s–1990s provides a superb starting point for those who are not as familiar with interpersonal psychoanalysis as they might be. For those who already know the literature, the book will be useful in placing a selection of classic interpersonal articles and their writers in key historical context. During the time span covered in this book, interpersonal psychoanalysis was most concerned with revising the understanding of the analytic relationship—transference and countertransference-and how to work with it. Most of the works collected here center on this theme. The interpersonal perspective introduced the view that the analyst is always and unavoidably a particular, "real" person, and that transference and countertransference need to be reconceptualized to take the analyst’s individual humanity into account. The relationship needs to be grasped as one taking place between two very particular people. Many of the papers are by writers well known in the broader psychoanalytic world, such as Bromberg, Greenberg, Levenson, and Mitchell. But also included are those by writers who, while not as widely recognized beyond the interpersonal literature, have been highly influential among interpersonalists, including Barnett, Schecter, Singer, and Wolstein. Donnel B. Stern and Irwin Hirsch, prominent interpersonalists themselves, present each piece with a prologue that contextualizes the author and their work in the interpersonal literature. An introductory essay also reviews the history of interpersonal psychoanalysis, explaining why interpersonal thinking remains a coherent clinical and theoretical perspective in contemporary psychoanalysis. The Interpersonal Perspective in Psychoanalysis, 1960s–1990s will appeal greatly to psychoanalysts and psychoanalytic psychotherapists wanting to know more about interpersonal theory and practice than can be learned from current sources.

This exemplary introduction to countertransference and transference focuses on three areas in which Freud's classical presentation of these concepts must be expanded: (1) the treatment of difficult character disorders; (2) the conduct of brief psychotherapy; and (3) analytic work by and with women.

Parenting:Contemporary Clinical Perspectives offers fresh insights into treating parents and their children that highlight the evolving role of parents throughout the lifespan and amidst contemporary social pressure and change. By drawing from their own personal experiences as well as those from clinical practice, distinguished clinicians and analysts examine each phase of parenting through a variety of lenses to tackle our biggest parenting questions. While we must be highly present for our children to help them develop a sense of self-worth, we must simultaneously step back if we want them to develop a sense of autonomy and individuality. As our role as parent changes, how can we maintain a sense of grace, humor, and perspective? How can our work in practice inform and enrich our parenting, and vice versa? Thoughtful and engaging, this volume is a valuable resource for family therapists and clinicians, especially those who are parents themselves.

2015 Gradiva Award Winner Clinical Implications of the Psychoanalyst’s Life Experience explores how leaders in the fields of psychoanalysis and psychotherapy address the phenomena of the psychoanalyst’s personal life and psychology. In this edited book, each author describes pivotal childhood and adult life events and crises that have contributed to personality formation, personal and professional functioning, choices of theoretical positions, and clinical technique. By expanding psychoanalytic study beyond clinical theory and technique to include a more careful examination of the psychoanalyst’s life events and other subjective phenomena, readers will have an opportunity to focus on specific ways in which these events and crises affect the tenor of the therapist’s presence in the consulting room, and how these occurrences affect clinical choices. Chapters cover a broad range of topics including illness, adoption, sexual identity and experience, trauma, surviving the death of one’s own analyst, working during 9/11, cross cultural issues, growing up in a communist household, and other family dynamics. Throughout, Steven Kuchuck (ed) shows how contemporary psychoanalysis teaches that it is only by acknowledging the therapist’s life experience and resulting psychological makeup that analysts can be most effective in helping their patients. However, to date, few articles and fewer books have been entirely devoted to this topic. Clinical Implications of the Psychoanalyst’s Life Experience forges new ground in exploring these under-researched areas. It will be essential reading for practicing psychoanalysts, psychotherapists, psychologists, social workers, those working in other mental health fields and graduate students alike.

In The Interpersonal Tradition: The Origins of Psychoanalytic Subjectivity, Irwin Hirsch offers an overview of psychoanalytic history and in particular the evolution of Interpersonal thinking, which has become central to much contemporary psychoanalytic theory and practice. This book of Hirsch’s selected papers provides an overview of his work on the topic over a thirty year period (1984-2014), with a new introductory chapter and a brief updating prologue to each subsequent chapter. Hirsch offers an original perspective on clinical psychoanalytic process, comparative psychoanalysis and psychoanalytic theory, particularly explicating the many ways in which Interpersonal thinking is absolutely central to contemporary theory and practice. Each chapter is filled with theoretical explication and clinical examples that illustrate the degree to which the idiosyncratic person of each psychoanalyst inevitably plays a significant role in both analytic praxis and analytic theorizing. Key to this perspective is the recognition that each unique individual analyst is an inherently subjective co-participant in all aspects of analytic process, underscoring the importance that analysts maintain an acute sensitivity to the participation of both parties in the transference-countertransference matrix. Overall, the book argues that the Interpersonal psychoanalytic tradition, more than any other, is responsible for the post-modern and Relational turn in contemporary psychoanalysis. Based on a range of seminal papers that outline how the Interpersonal psychoanalytic tradition is integral to understanding much of contemporary psychoanalytic thought, this book will be essential reading for practitioners and students of psychoanalysis.