The Modern Kleinian Approach To Psychoanalytic Technique

The Modern Kleinian Approach to Psychoanalytic Technique: Clinical Illustrations describes how today's practitioner typically treats a number of types of very disturbed and hard-to-reach patients who, while prone to intense acting out and early termination, are in great need of in-depth psychological reorganization. Many cases barely get off the ground due to levels of pathological conflict and destructive phantasy that make self/object connection extremely fragile. However, the modern Kleinian approach makes it possible to establish analytic contact within even the most chaotic situations and create a therapeutic experience that can be significant and meaningful. In doing so, there can be a healing process and the birth of new object relational experiences and interpersonal exchanges. Robert Waska details a more flexible method of practicing psychoanalysis, Analytic Contact, an approach that brings the healing possibilities of psychoanalysis to the more disturbed patients who tend to fill private practice offices. In addition, Analytic Contact enables the clinician to reach populations that are not usually considered easily treatable by the psychoanalytic method, including psychotic patients, couples who are seeking help with marital issues, and chronic borderline and narcissistic individuals.

This volume shows the therapeutic power the modern Kleinian psychoanalytic approach can have with patients throughout the diagnostic spectrum. By attending to the interpersonal, transactional, and intra-psychic levels of transference, counter-transference and unconscious phant...

Most contemporary psychoanalysts and psychotherapists see each patient once or twice a week at most. As many patients have reached a marked state of distress before seeking treatment, this gives the analyst a difficult task to accomplish in what is a limited amount of time. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach sets out a model for working with quite significantly disturbed, distressed, or resistant patients in a very limited time, which Robert Waska has termed "Modern Kleinian Therapy." Each chapter provides a vivid look into the moment-to-moment workings of a contemporary Kleinian focus on understanding projective identification, enactment, and acting out as well as the careful and thoughtful interpretive work necessary in these complex clinical situations. Individual psychotherapeutic work is represented throughout the book alongside instructive reports of psychoanalytic work with disturbed couples, and the more challenging patient is illustrated with several comprehensive reviews of films that follow such hard-to-reach individuals. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach is filled with a combination of contemporary theory building, a wealth of clinical vignettes, and practical advice. It is a hands-on guide for psychoanalysts and therapists who need to get to grips with complex psychoanalytic concepts in a short time and shows the therapeutic power the Modern Kleinian Therapy approach can have and how it can enable them to work most effectively with difficult patients. Robert Waska LPCC, MFT, PhD is an analytic member at the San Francisco Center for Psychoanalysis and conducts a full-time private psychoanalytic practice for individuals and couples in San Francisco and Marin County, California. He is the author of thirteen published textbooks on Kleinian psychoanalytic theory and technique, is a contributing author for three psychology texts, and has published over a hundred articles in professional journals.

Real People, Real Problems, Real Solutions offers a clear introduction to psychoanalytic practice from a Kleinian perspective and shows how the modern Kleinian works with the most taxing and least conforming of their patients. Illustrated by extensive case material this book: *reviews Freud's original theoretical concepts and examines Klein's contributions to the field of psychoanalysis, clarifying and comparing the two approaches in the clinical setting. *identifies and explores who makes up the psychoanalyst's most challenging case load and demonstrates how the Kleinian psychoanalytic approach is helpful to these individuals. *discusses the current state of traditional methods of training at psychoanalytic institutes, which are shown to be in need of renewal and critical restructuring. Real People, Real Problems, Real Solutions shows how the average psychoanalyst and psychotherapist face many difficult patients in a typical days work. Together with its questioning of what really constitutes psychoanalytic therapy, this is a refreshing read for all practising and training psychoanalysts and psychotherapists.

Modern Kleinian Therapy is a model of effective psychoanalytic work that offers relief to deep internal conflicts by establishing and maintaining analytic contact, and beginning to unravel, modify, and heal turbulent and torn minds. This book defines Modern Kleinian Therapy as a modality for treating severely affected patients in a fairly traditional psychoanalytic manner, even when the environment or frequency of sessions are compromised. Chapter by chapter the book provides detailed clinical material to illustrate the complex dynamics that unfold when working with more closed off patients, and each case report shows the often limited clinical situations that the contemporary analyst must contend with. The book's detailed material serves to emphasize the nature of psychoanalytic work with individuals and couples, who otherwise rarely find their way to healthy attachment or reciprocal whole object relational harmony. Included in the book: * Technical and theoretical methods of Modern Kleinian Therapy * Psychoanalytic treatments to modify internal object relational conflicts * The Modern Kleinian Therapy approach to couple's treatment * The value of analytic contact. A Practical Casebook of Time-Limited Psychoanalytic Work: A Modern Kleinian Approach introduces new aspects of Kleinian work and offers a contemporary view on Kleinian techniques and concepts. It will be valuable reading for psychotherapists, mental health workers, and psychoanalytic therapists.

The Concept of Analytic Contact presents practitioners with new ways to assist the often severely disturbed patients that come to see them in both private and institutional settings. In this book Robert Waska outlines the use of psychoanalysis as a method of engagement that can be utilised with or without the addition of multiple weekly visits and the analytic couch. The chapters in this book follow a wide spectrum of cases and clinical situations where hard to reach patients are provided with the best opportunity for health and healing through the establishment of analytic contact. Divided into four parts, this book covers: the concept of analytic contact caution and reluctance concerning psychological engagement drugs, mutilation, and psychic fragmentation clinical reality, psychoanalysis and the utility of analytic contact. Analytic contact is demonstrated to be a valuable clinical approach to working analytically with a complicated group of patients in a successful manner. It will be of great interest to all practitioners in the field of psychoanalysis and psychotherapy.

This volume is a collection of papers written from the modern Kleinian perspective on a variety of clinical issues encountered in day-to-day psychoanalytic practice. It provides the reader a unique opportunity to step into the consulting office of a Kleinian psychoanalyst and learn about the moment-to-moment methods of working with a variety of complicated and often confusing clinical situations. The selected topics are approached from a theoretical vantage which is then fleshed out with extensive case material, allowing the reader to share in the clinical experience. Rarely does a psychoanalytic text allow the reader into the "he said/she said" exchange in such a close range, intimate manner.