Transformational Processes In Clinical Psychoanalysis

In this book, Lawrence J. Brown offers a contemporary perspective on how the mind transforms, and gives meaning to, emotional experience that arises unconsciously in the here-and-now of the clinical hour. Brown surveys the developments in theory and practice that follow from Freud’s original observations and traces this evolution from its conception to contemporary analytic field theory. Brown emphasizes that these unconscious transformational processes occur spontaneously, in the blink of an eye, through the "unconscious work" in which the analyst and patient are engaged. Though unconscious, these processes are accessible and the analyst must train himself to become aware of the subtle ways he is affected by the patient in the clinical moment. By paying attention to one’s reveries, countertransference manifestations and even supposed "wild" or extraneous thoughts, the analyst is able to obtain a glimpse of how his unconscious is transforming the ambient emotions of the session in order to formulate an interpretation. Brown casts a wide theoretical net in his exploration of these transformational processes and builds on the contributions of Freud, Theodor Reik, Bion, Ogden, the Barangers, Cassorla, Civitarese and Ferro. Bion’s theories of alpha function, transformations, dreaming and his clinical emphasis on the present moment are foundational to this book. Brown’s writing is clear and aims to describe the various theoretical ideas as plainly as possible. Detailed clinical material is given in most chapters to illustrate the theoretical perspectives. Brown applies this theory of transformational processes to a variety of topics, including the analyst’s receptivity, countertransference as transformation, the analytic setting, the paintings of J.M.W. Turner, "autistic transformations" and other clinical situations in the analysis of children and adults. Transformational Processes in Clinical Psychoanalysis will be of great interest to all psychoanalysts and psychoanalytic psychotherapists.

In From Sign to Symbol: Transformational Processes in Psychoanalysis, Psychotherapy, and Psychology, Joseph Newirth describes the evolution of the unconscious from the psychoanalytic concept that reflected Freud’s positivist focus on symptoms and repressed memories to the contemporary structure that uses symbols and metaphors to create meaning within intimate, intersubjective relationships. Newirth integrates psychoanalytic theory with cognitive, developmental, and neuropsychological theories, and he differentiates two broad therapeutic strategies: an asymmetrical strategy that utilizes the logic of consciousness and emphasizes the differentiation of person, place, time, and causality in the world of objects, and a symmetrical strategy that utilizes the logic of the unconscious in the world of emotional, intersubjective experience. He presents multiple approaches to the use of these symmetrical therapeutic strategies, including the use of humor, dreams, metaphors, and implicit procedural learning, in transforming concrete symptoms and signs into the symbolic organizations of meaning. Examples from both psychotherapeutic practice and supervision are presented to illustrate the development of the capacity for symbolic thought or mentalization.

This book presents key psychoanalytic theories from a fresh perspective: that of the mystical element. The author explores the depth-structure of central assumptions in psychoanalytic theory to uncover the mystical core of conventional analytic thinking. Exploring authors from Freud and Ferenczi, through Bion and Winnicott, to contemporary voices such as Ogden, Bollas and Eigen, the book shows that psychoanalysis has always operated on the assumption of psychic overlap, a "soul-to-soul" contact, between patient and analyst. Surprisingly, the book shows how this "magical" facet goes hand in hand with a pragmatic worldview that explores the epistemological complexities of psychoanalysis in search of a way to join the subjective, even the mystical, with the practical aim of serving as a validated mental health discipline. This is accomplished through an interdisciplinary and intertextual encounter between psychoanalysis and the innovative pairing of William James’ pragmatic philosophy and Martin Buber’s dialogic thought. The author's paradoxical stance surrounding the nature and role of psychoanalysis and its mystical facet resonate the great challenge embedded in Winnicott's insistence on tolerating paradox and Bion's demand to respect all parts of the (psychoanalytic) truth, in this case, the practical and mundane alongside the mystical and magical. The book’s broad, interdisciplinary outlook will captivate both psychoanalysts and psychoanalytic therapists as well as scholars of philosophy.

How can we, analysts, evaluate whether analysis is generating transformations in our patients? The IPA Project Committee on Clinical Observation and Testing offers a tool: The Three-Level Model for Observing Patient Transformations (3-LM); a guide for refining, conceptualizing, and systematizing clinical observations about patient transformations. It seeks to enhance clinical observations, making them more accurate and more useful for theory testing and theory building through a systematic analysis of clinical material. Time for Change: Tracking Transformations in Psychoanalysis - The Three-Level Model focuses on the question of how to observe changes in psychoanalysis. It presents the model and the outcome of having worked with the 3-LM tool, which has been applied to adult patients, adolescents and children, as well as in analytic training. The 3-LM goes from clinic to theory, from implicit to explicit theory, from unquestioned hypotheses to reviewed hypotheses enriched by the work on the clinical material after its discussion by several participants with different perspectives.

Plunged into the experience of an analytic session, analysand and analyst can come closer to what Freud terms the "primary processes". A clear-cut distinction between body and mind tends to become blurred while the bodily-egos of both protagonists are more effectively present to each other. How deeply can they affect each other, and can the transformational working through of the drives give access to potential transformations not only within the dimension of the erogeneous body but also of the soma? This book explores these complex issues from a number of different perspectives: the clinical approach of patients with somatic diseases; the metapsychology of the analyst at work, including different aspects and functions of formal regression; the function of figurability of certain bodily enactments; the specific use the analyst can make of his own subjectivity (relationship between subjectivity and neutrality) and how this leads to a specific way of thinking about intersubjectivity in psychoanalysis; and the way in which some works of art can enrich how we confront the body-mind-soma issue in our analytic experiences with our patients.

Psychoanalysis of the Psychoses brings together a distinguished international set of contributors, offering a range of views and approaches, to explore the latest thinking in the psychoanalytic treatment of psychosis and related disorders. Drawing on findings from neuroscience, theory and clinical material from many schools of psychoanalytic thought, this book offers a comprehensive guide to understanding how psychosis is conceptualised from a psychoanalytic perspective. It looks at how to work with psychotic patients, typical problems in treating psychosis and the role of pharmacology. It demonstrates the relational dimension, capable of strengthening the patient’s observing Ego and facilitating the integration of the different areas of the personality. This process can identify and work through the main psychological stress factors involved in psychotic disturbances, transforming chaotic thoughts into springboards for important insights, and offering patients the precious chance to construct for the first time a creative relationship with their own existence. Psychoanalysis of the Psychoses will be of great interest to psychoanalysts and psychoanalytic psychotherapists as well as psychiatrists wishing to draw upon psychoanalytic ideas in their work.

Psychoanalysis and Psychiatry: Partners and Competitors in the Mental Health Field offers a comprehensive overview of the many links between the two fields. There have long been connections between the two professions, but this is the first time the many points of contact have been set out clearly for practitioners from both fields. Covering social and cultural factors, clinical practice, including diagnosis and treatment, and looking at teaching and continuing professional development, this book features contributions and exchange of ideas from an international group of clinicians from across both professions. Psychoanalysis and Psychiatry: Partners and Competitors in the Mental Health Field will appeal to all practicing psychoanalysts and psychiatrists and anyone wanting to draw on the best of both fields in their theoretical understanding and clinical practice.

Psychoanalytic Work with Families and Couples rethinks the ways in which conflicts present today in psychoanalytic consulting rooms and the nature of suffering in family, couple, and sibling bonds. Based on two major concepts, that of device (drawn from the philosophers Foucault, Deleuze, and Agamben) and that of link (developed by Berenstein and Puget), the authors have developed new approaches to clinical practice with families and couples that focus on the complexity, singularity, and immanence of patient-analyst interaction in the session. In thinking about link dynamics, moreover, they go beyond the consulting room to reflect on how these dynamics develop in other spaces, such as institutions, organizations, and the fraternal circle of colleagues. Part I, Couples and Families Today, discusses changes undergone by families and couples in the last thirty years and their effects on psychoanalytic practice. Attributing a link logic to suffering and to the situations that condition it implies making significant decisions regarding our clinical strategy, our choice of a device and of an interpretive path. Faithful to the idea that the clinical dimension calls for transformations, the second part, Facing Clinical Challenges, includes clinical materials from manifold treatment devices that attest to changes both in contemporary paradigms and in the professional lives of psychoanalysts. Psychoanalytic Work with Families and Couples will be of great interest to all practicing psychoanalysts and psychoanalytic psychotherapists.