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intolerably painful states of mind and how the analyst can interpret these states, using them as a basis for insight and psychic change in the patient. Employing extensive and detailed clinical ...
intolerably painful states of mind and how the analyst can interpret these states, using them as a basis for insight and psychic change in the patient. Employing extensive and detailed clinical examples and addressing important areas of Kleinian theory, Ruth Riesenberg-Malcolm examines
the problems that underlie severe pathology and shows how meaningful analytic work can take place, even with very disturbed patients.
Bearing Unbearable States of Mind should be a useful and practical guide for psychoanalysts and psychotherapists and all those working in
psychological settings with severely disturbed patients.
'...a remarkable series of papers, noteworthy for their clarity on what many analysts are concerned with today: the complex issue of the positions of mutual influence in the consulting-room - the ways in which the patient through projective identification exerts a subtle pressure on the analyst to recreate early object relations and the manner in which the analyst as a recipient of these projections is inevitably drawn into this in some way, and under these pressures is 'recruited' to enact something of the patient's disturbing primitive object relations. ...Therapists will be richly rewarded by the thoughtful and detailed descriptions of analytic work with patients who often seem unreachable. I believe they will find their clinical thinking deepened and challenged by this book.' - Erika Bard, Member of the British Psychoanalytical Society.
|Pt. I||The internal world in the transference|
|1||The Mirror: a perverse sexual phantasy in a woman seen as a defence against psychotic breakdown||15|
|2||Interpretation: the past in the present||38|
|3||The constitution and operation of the superego||53|
|4||Construction as reliving history||71|
|Pt. II||Defences against anxieties of the depressive position|
|5||Self-punishment as defence||93|
|6||Technical problems in the analysis of a pseudo-compliant patient||113|
|7||As-if: the phenomenon of not learning||125|
|8||Hyperbole in hysteria: 'How can we know the dancer from the dance?'||137|
|9||Pain, sorrow and resolution||150|
|Pt. III||Theoretical refinements|
|10||The three Ws: what, where and when: the rationale of interpretation||168|
|11||Conceptualisation of clinical facts in the analytic process||181|