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Boundaries and Boundary Violations in Psychoanalysis

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In this volume, Glen O. Gabbard and Eva P. Lester take on the delicate and crucial issue of boundaries in psychoanalysis. With clarity and balance, Boundaries and Boundary Violations in Psychoanalysis develops linkages between the psychoanalytic literature on intrapsychic boundaries and the newer literature and analytic boundaries between patient and analyst. The authors trace the work of Freud, Tausk, Federn, Jacobson, Hartmann, and others. They show how key psychoanalytic concepts, old and new, expand our ...
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Overview

In this volume, Glen O. Gabbard and Eva P. Lester take on the delicate and crucial issue of boundaries in psychoanalysis. With clarity and balance, Boundaries and Boundary Violations in Psychoanalysis develops linkages between the psychoanalytic literature on intrapsychic boundaries and the newer literature and analytic boundaries between patient and analyst. The authors trace the work of Freud, Tausk, Federn, Jacobson, Hartmann, and others. They show how key psychoanalytic concepts, old and new, expand our understanding of the analytic frame and serve to create a context for the emergence of "the analytic object." Gabbard and Lester map out professional boundary violations in the practice of psychoanalysis and discuss the early history of such transgressions, illustrating the influence of figures such as Jung, Ferenczi, and Ernest Jones. They then provide a psychoanalytic understanding of sexual boundary violations, using detailed cases, and devote a chapter to nonsexual boundary violations and the link to enactments. They open up discussions of post-termination boundaries and the role of boundaries in psychoanalytic supervision. The final chapter addresses practical strategies for coping with serious boundary violations. Gabbard and Lester illustrate preventive techniques, approaches to assessment and rehabilitation, and transference/countertransference difficulties. For clinicians and psychoanalytic institutes treating individuals who have transgressed professional boundaries, or for any therapist giving serious consideration to ethical issues in treatment, this solid and daring book will help them chart a new course for the practice of psychoanalysis.
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Editorial Reviews

Psychoanalytic Dialogues Stephen A. Mitchell Ph.D.

An important book for clinicians at all levels of experience.

Stephen A. Mitchell Ph.D.
An important book for clinicians at all levels of experience.

(Psychoanalytic Dialogues)

Doody's Review Service
Reviewer: John Claro Onate, BS, MD (Rush University Medical Center)
Description: This book is about the meaning of boundaries in psychoanalysis and the clinical assessment of events of crossing and violating inner and interpersonal boundaries.
Purpose: The purpose is to describe and define the meaning of boundaries and understand how violations of those boundaries take place in the psychoanalytic setting. This is a significant issue for all mental healthcare practitioners, but this is a very specialized view of boundary violations. This book did meet the authors' goal in a concise and, even for nonanalysts, clear manner.
Audience: Psychoanalysts, therapists, psychiatrists, and residents in psychiatry and psychology are the intended audience. The book is written with psychoanalysts in mind and those familiar with that terminology and philosophy. However, the ideas can be easily translated to many different kinds of patient-doctor or patient-health provider roles. Some background in psychoanalysis is needed. The authors have contributed to the literature on this subject.
Features: The book begins with a review of the history and the different views of boundaries in psychoanalysis and characterize how boundaries vary. The next part describes how boundaries fit in to the different aspects of psychoanalysis. The heart of the book starts with the history of boundary violations and goes on to describe abstracted cases and illustrate different types of violations and different types of violators. The next section looks at what happens when therapy ends. The book ends with a discussion of the role of supervisors and how institutions react to these violations by their staff and trainees. The strength of the book is in the middle part in which the authors go into detail about the personality styles of practitioners who take advantage or commit boundary violations. The use of cases abstracted from treatment records is very helpful in bringing the terminology to life. The book is well written and has helped my understanding of psychoanalysis in general. The book could have been expanded to look at other specialties, but, overall, it was better for the authors to stay in their realm of expertise.
Assessment: This is a great book for psychiatrists or therapists in training. It helps take some of the mystery out of transference and counter-transference issues in therapy. It points out character traits in mental health professionals which would make them more prone to commit boundary violations. This is an appropriate book for those starting or about to start practicing therapy. I was impressed by how much information was contained in such a concise book.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780465095773
  • Publisher: Basic Books
  • Publication date: 1/28/1995
  • Edition number: 1
  • Pages: 240
  • Lexile: 1390L (what's this?)
  • Product dimensions: 6.34 (w) x 9.48 (h) x 0.91 (d)

Meet the Author

Glen O. Gabbard, M.D., is Professor and Director of the Baylor Psychiatry Clinic at the Baylor College of Medicine and Training and Supervising Analyst at the Houston-Galveston Psychoanalytic Institute in Houston, Texas. He was previously Director of the Menninger Hospital in Topeka, Kansas. Dr. Gabbard is the author or editor of sixteen books and currently is joint Editor-in-Chief and Editor for North America of the International Journal of Psychoanalysis. His numerous awards include the 2000 Mary Sigourney Award for outstanding contributions to psychoanalysis.

Eva P. Lester, M.D., is Professor of Psychiatry in the Faculty of Medicine at McGill University and Training and Supervising Analyst at the Canadian Institute of Psychoanalysis. She is former Editor-in-Chief of the Canadian Journal of Psychoanalysis/Revue Canadienne de Psychoanalyse.

American Psychiatric Publishing

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Table of Contents

Foreword
Introduction
Ch. 1 The Concept of Boundaries in Psychoanalysis 1
Ch. 2 Boundaries and the Psychoanalytic Process 21
Ch. 3 The Analytic Frame, Analytic Boundaries, and the Analytic Object 38
Ch. 4 Boundaries and Gender 55
Ch. 5 The Early History of Boundary Violations in Psychoanalysis 68
Ch. 6 Sexual Boundary Violations 87
Ch. 7 Nonsexual Boundary Violations 122
Ch. 8 The Fate of the Transference: Posttermination Boundaries 148
Ch. 9 Boundaries in Psychoanalytic Supervision 165
Ch. 10 Institutional Responses 175
References 197
Index 217
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