Introduction to psychoanalysis : contemporary theory and practice. [E-book]

Intro -- Endorsements -- Half Title -- Title Page -- Copyright Page -- Contents -- Preface to the First Edition -- References -- Preface to the Second Edition -- References -- Part I: Theory -- Chapter 1: Introduction: history and controversy -- Introduction -- History of the psychoanalytic movement -- 1885-1897: the "pre-analytic" phase -- 1897-1908: psychoanalysis proper -- Freud's wilderness years -- 1907/1908-1920: the beginnings of the psychoanalytic movement -- 1920 to Freud's death in 1939 -- Psychoanalysis in Britain -- Psychoanalysis in the Americas -- Psychoanalysis in Continental Europe -- Psychoanalysis in Africa -- Psychoanalysis in Asia -- Current psychoanalytic dilemmas and controversies -- Psychoanalysis versus psychoanalytic psychotherapies -- One psychoanalysis or many? -- The scientific status of psychoanalysis -- Neuropsychoanalysis -- How does psychoanalysis cure? -- Training -- Psychoanalytic values -- References -- Chapter 2: Models of the mind -- The unconscious -- The unconscious as a "thing in itself -- The unconscious as reservoir of latent meaning -- The mystery of the unconscious -- Past unconscious and present unconscious -- Freud's models -- The affect-trauma model -- The topographical model -- The "two principles -- Unconscious and preconscious -- Instinct theory -- Limitations of the topographical model -- Structural theory -- Id -- Superego -- Ego -- Conflict and adaptation -- Post-Freudian models -- Ego psychology -- The Klein-Bion model -- The Kleinian "positions -- Phantasies and drives -- Bion and containment -- Object relations theory -- Object seeking -- The representational world -- Transitional space -- Hate -- The interpersonal model -- Self-psychology -- Necessary narcissism -- Attachment theory -- Conclusions -- References -- Chapter 3: Origins of the internal world -- Stages" versus phases.

The origins of internal objects -- The nature of memory -- The "clinical" infant and the "observed" infant -- Two-person phase: defence or deficit? -- The early weeks of life: "autism" or symbiosis -- The Klein-Kernberg model of early infancy -- Interpersonal models of early infancy -- Separation-individuation -- The Oedipal or three-person phase -- The Kleinian perspective on Oedipus -- The Lacanian perspective -- Feminism and Oedipus -- The reality of the modern family -- Summary -- Adolescence -- Adulthood -- Mourning -- Marriage and adult couple relationships -- Maturation -- Conclusion -- References -- Chapter 4: Mechanisms of defence -- The concept of defence -- Coping mechanisms -- History -- Repression - a fundamental defence -- Anna Freud -- Melanie Klein -- Summary -- Primitive mechanisms -- Splitting -- Projection, identification, and projective identification -- Neurotic mechanisms -- Denial and disavowal -- Reaction formation -- identification with the aggressor -- Isolation and undoing -- Internalisation and incorporation -- Intellectualisation and rationalisation -- Mature mechanisms -- Research -- References -- Chapter 5: Transference and countertransference -- Transference -- Transference interpretation: classical and modern -- Distortion or reality? -- General or specific? -- All or part? -- Special forms of transference -- Self-object" transferences -- Psychotic transference -- Erotic transference -- Countertransference -- Countertransference, empathy, and projective identification -- Definitions of countertransference -- Summary and conclusions -- References -- Chapter 6: Dreams, symbols, and the psychoanalytic imagination -- Freud's model -- Post-Freudian psychoanalytic views of dreaming -- Dreams and modern neuroscience -- Dreams and the language of the unconscious -- Symbolism and the creative imagination -- Play -- References.

Part II: Practice -- Chapter 7: The assessment interview -- Conducting the assessment interview -- Introduction and preliminaries -- Opening moves -- The presenting problem and its antecedents -- The interview plan -- The interview as a psychodynamic "probe -- Therapeutic interventions: the "trial interpretation -- Options, decision, contract -- The psychodynamic formulation -- Diagnostic schemes in psychoanalysis -- Selecting patients for psychoanalysis -- References -- Chapter 8: The therapeutic relationship -- The therapeutic contract -- The couch -- The setting -- Length of session -- Free association -- The "rule of abstinence -- The treatment process -- The analyst's role -- Mutative ingredients -- Regression -- Resistance -- Repression resistance -- Transference resistance -- Superego resistance -- The spectrum of therapeutic interventions -- Interpretation -- The Malan/Menninger triangles -- The "mutative interpretation -- Analyst-centred and patient-centred interpretations -- Non-interpretive interjections -- Insight and working through -- Termination -- References -- Chapter 9: Clinical dilemmas -- Problems concerning the analytic process -- Lateness -- Breaks -- Impasse -- Enactment: acting in -- Physical contact -- The patient's family -- Enactment: acting out -- Suicide -- Special groups -- Analysis in adolescence -- Analysis with older patients -- Patients on psychotropic medication -- Money -- References -- Chapter 10: Psychoanalysis and mental health practice -- Psychotic processes -- The psychopathology of schizophrenia -- Kleinian views -- Affect -- Cognition -- Relationships -- Defences -- The ego in psychosis -- Therapeutic strategies -- Borderline processes -- Conflict models of borderline -- Narcissistic personality disorder -- Deficit models -- Therapeutic strategies.

The complex patient: hospital treatment in borderline personality disorder -- Affective processes -- Anxiety -- Superego anxiety -- Castration anxiety -- Separation anxiety -- Persecutory anxiety and disintegration anxiety -- Treatment -- Depression -- Treatment -- Conclusion -- References -- Chapter 11: Research in psychoanalysis -- Methodology -- Psychotherapy research and psychoanalysis -- The effectiveness of psychotherapy -- The placebo problem in psychotherapy research -- Therapist and patient contributions to psychotherapy outcomes -- Immediate and long-term outcomes of psychoanalysis -- Can meaning be quantified? -- Transference interpretation as clinical technique -- Effectiveness of psychoanalysis -- Adaptations of psychoanalysis -- Mentalisation-based treatment -- Transference-focused psychotherapy -- Single-case studies -- Conclusion -- References -- Chapter 12: The future of psychoanalysis: challenges and opportunities -- Teleanalysis -- Sexuality and gender -- Race and culture -- References -- Index.

What is psychoanalysis? Is it relevant to today's mental health crisis? How can psychoanalysis help people suffering from psychological distress and illness? This vital new book examines how psychoanalysis has changed since its inception, and how it has adapted to the needs and concerns of 21st-century mental health professionals and patients.

The first part of this book provides a concise and unbiased account of the origins of psychoanalysis, and the theories which characterise the main post-Freudian schools - neo-Freudian, Kleinian, interpersonal, self-psychological, Lacanian - and the ways in which they agree and diverge. The second part uses clinical illustrations to examine the practicalities of psychoanalytic technique in the consulting room - assessment, free association, dream analysis, transference, and counter-transference. Whatever their allegiance or role, mental health professionals - psychologists, psychiatrists, social workers, child mental health professionals, mental health nurses - need to be conversant with the strengths, relevance, and limitations of the psychoanalytic approach.

This book provides an indispensable, up-to-date, and accessible account of psychoanalysis today. Shaped throughout by considering the viewpoint of an interested 21st-century reader, it is of great interest to psychoanalysts and related mental health professionals, as well as students and all those interested in the treatment of mental health.

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