The Emergence Of Analytic Oneness

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The Emergence of Analytic Oneness

Author : Ofra Eshel
Publisher : Routledge
ISBN 13 : 9781315212531
Total Pages : 320 pages
Book Rating : 4.2/5 (125 download)

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Book Synopsis The Emergence of Analytic Oneness by : Ofra Eshel

Download or read book The Emergence of Analytic Oneness written by Ofra Eshel and published by Routledge. This book was released on 2019 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Emergence of Analytic Oneness is a profound and penetrating exploration of a fundamental dimension of analytic presence and patient-analyst interconnectedness that offers new possibilities for extending the reach of psychoanalytic treatment and working with some of the most difficult treatment situations. Eshel listens with a 'hearing heart' and gives herself over to being within the patient's experiential world and the grip of the unfolding analytic process. She has gone with her patients into black holes, dissociation, deadness, sleepiness, petrifaction, silence, longings, the depths of perversion, and the enigmas of telepathic dreams, while experiencing the emergence of patient-analyst two-in-oneness, with its challenges and mysteries. Drawing on Winnicott's posthumous writings and Bion's late work and going beyond recent analytic notions of intersubjectivity and witnessing to interconnectedness and 'withnessing,' Eshel offers her own understanding of at-one-ment or "being-in-oneness" with the patient's emotional reality as the only state of analytic being that can meet and transform core unthinkable breakdown and mental catastrophe. The critical question here is to what extent the analyst is willing and able to open the boundaries of his or her psyche to the patient, especially in difficult, unbearable and devastated-devastating states. Eshel's clinical narratives are detailed, intense, theoretically grounded, and very moving. The Emergence of Analytic Oneness will be an invaluable guide for psychoanalysts, psychotherapists, and students in these fields who want to extend their reach into deeper levels of disturbance in the difficult clinical work they do.

Applying Psychoanalytic Thought to Contemporary Mental Health Practice

Author : Paul Ian Steinberg
Publisher : Routledge
ISBN 13 : 1000486311
Total Pages : 199 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Applying Psychoanalytic Thought to Contemporary Mental Health Practice by : Paul Ian Steinberg

Download or read book Applying Psychoanalytic Thought to Contemporary Mental Health Practice written by Paul Ian Steinberg and published by Routledge. This book was released on 2021-11-29 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in psychoanalytic theory and technique can be usefully applied in virtually all psychotherapeutic settings, as well as in the management of patients in many nonmental health settings, to enhance understanding of patients. In this book, Steinberg reviews a collection of his own essays, incorporating developments in psychoanalytic theory and new ideas since his essays were published. Chapters clearly describe the evolving psychoanalytic approaches to treatment and illustrate how to use psychoanalytic concepts when working with patients. A variety of clinical situations are covered, including group psychotherapy, partial hospitalization, and individual psychotherapy. This book provides the foundation of analysis and offers varied clinical experiences appealing to a wide range of practitioners and case examples offering descriptive details and interventions. This book will be essential reading for all mental health professionals wanting to improve their working relationships with patients.

The Analyst's Torment

Author : Dhwani Shah
Publisher : Phoenix Publishing House
ISBN 13 : 1800130732
Total Pages : 216 pages
Book Rating : 4.8/5 (1 download)

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Book Synopsis The Analyst's Torment by : Dhwani Shah

Download or read book The Analyst's Torment written by Dhwani Shah and published by Phoenix Publishing House. This book was released on 2022-10-20 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dhwani Shah moves the focus from using psychoanalytic theory and technique to explore the patient's mind from a safe distance. Instead, he concentrates on the analyst's feelings, subjective experiences, and histories, and how these impact on the intersubjective space between analyst and patient. His eight chapters each highlight a particular emotional state or problematic feeling and explore their impact on the analytic work, which requires emotional honesty and open reflection. This authenticity is vital for every unique encounter within the shared space of both the analyst and patient. The analyst must strive to be responsive, yet disciplined, and this requires the work of mentalization. An ability to "go there" with patients offers the best chance at helping them. The analyst's uncomfortable and disowned emotional states of mind are inevitably entangled with the therapeutic process and this has the potential to derail or facilitate progress. The chapters deal with uncomfortable themes for the analyst to face: arrogance, racism, dread and its close relation erotic dread, dissociation, shame, hopelessness, and jealousy. These bring up common ways in which analysts stop listening and struggle in the face of uncertainty and intensity; the difficulties in facing unbearable experiences with patients, such as suicidality; disruptions to being with patients in an affective and embodied way; and thwarted fantasies of being the "hero". With all of these difficult topics, Shah describes painful and tormenting experiences in a clinically meaningful way that allow growth. In this exceptional debut work, Shah demonstrates that what analysts feel, in their affects, bodies, and reveries with patients, is vital in helping them to understand and metabolise the patients' emotional experiences. This is a must-read for all practising clinicians.

James F. Masterson

Author : Loray Daws
Publisher : Taylor & Francis
ISBN 13 : 1003846319
Total Pages : 108 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis James F. Masterson by : Loray Daws

Download or read book James F. Masterson written by Loray Daws and published by Taylor & Francis. This book was released on 2024-02-01 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this volume, Loray Daws traces the life and work of Dr. James F. Masterson, with a focus on the scientific development and later expansion of the six developmental stages of the Masterson Method. Exploring more than 15 of Masterson’s volumes, as well as countless articles, Daws shows how Masterson’s approach to Object Relations and the developmental self can serve clinicians in both conceptualizing and treating borderline, narcissistic, and schizoid disorders of self. Considering the pioneering and innovative nature of Masterson’s work, Daws looks at how he creatively expanded on Freud’s theories on repression, successfully developing therapeutically sound ways to touch and transform developmental trauma and trauma reflected in a deep abandonment depression. James F. Masterson: A Contemporary Introduction will be of interest to students in psychology, psychiatry, and psychiatric nursing, as well as psychoanalytically orientated psychotherapists, psychoanalysts, and those specializing in the ever-growing field of the treatment of the disorders of the self.

The Oneness Hypothesis

Author : Philip J. Ivanhoe
Publisher : Columbia University Press
ISBN 13 : 0231544634
Total Pages : 487 pages
Book Rating : 4.2/5 (315 download)

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Book Synopsis The Oneness Hypothesis by : Philip J. Ivanhoe

Download or read book The Oneness Hypothesis written by Philip J. Ivanhoe and published by Columbia University Press. This book was released on 2018-06-26 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: The idea that the self is inextricably intertwined with the rest of the world—the “oneness hypothesis”—can be found in many of the world’s philosophical and religious traditions. Oneness provides ways to imagine and achieve a more expansive conception of the self as fundamentally connected with other people, creatures, and things. Such views present profound challenges to Western hyperindividualism and its excessive concern with self-interest and tendency toward self-centered behavior. This anthology presents a wide-ranging, interdisciplinary exploration of the nature and implications of the oneness hypothesis. While fundamentally inspired by East and South Asian traditions, in which such a view is often critical to their philosophical approach, this collection also draws upon religious studies, psychology, and Western philosophy, as well as sociology, evolutionary theory, and cognitive neuroscience. Contributors trace the oneness hypothesis through the works of East Asian and Western schools, including Confucianism, Mohism, Daoism, Buddhism, and Platonism and such thinkers as Zhuangzi, Kant, James, and Dewey. They intervene in debates over ethics, cultural difference, identity, group solidarity, and the positive and negative implications of metaphors of organic unity. Challenging dominant views that presume that the proper scope of the mind stops at the boundaries of skin and skull, The Oneness Hypothesis shows that a more relational conception of the self is not only consistent with contemporary science but has the potential to lead to greater happiness and well-being for both individuals and the larger wholes of which they are parts.

Healing, Rebirth and the Work of Michael Eigen

Author : Ken Fuchsman
Publisher : Routledge
ISBN 13 : 1000338665
Total Pages : 290 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Healing, Rebirth and the Work of Michael Eigen by : Ken Fuchsman

Download or read book Healing, Rebirth and the Work of Michael Eigen written by Ken Fuchsman and published by Routledge. This book was released on 2021-03-08 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: This important book features collected essays on the distinguished psychoanalyst Dr Michael Eigen, who is an influential innovator within and beyond psychoanalysis. Drawing on the ideas of Bion, Winnicott, Kabbalah, and artists, Eigen’s work is noted for fusing spirituality with psychoanalysis and his extraordinary creativity. The book begins with Dr Eigen’s new essay "Rebirth: It’s been around a long time." The other essays feature a rich array of subjects and reflections, with many clinical examples and applications to domains beyond psychotherapy and include such titles as "Healing longing in the midst of damage: Eigen's psychoanalytic vision" and "Breakdown and recovery: Going Berserk and other rhythmic concerns." Dr Eigen is one of the most influential psychoanalysts of the current era and this collection of essays provides insightful discussion on his ideas. This celebration of Michael Eigen will fascinate any psychoanalyst interested in his work.

Commentaries on the Work of Michael Eigen

Author : Robin Bagai
Publisher : Taylor & Francis
ISBN 13 : 1000685829
Total Pages : 204 pages
Book Rating : 4.0/5 (6 download)

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Book Synopsis Commentaries on the Work of Michael Eigen by : Robin Bagai

Download or read book Commentaries on the Work of Michael Eigen written by Robin Bagai and published by Taylor & Francis. This book was released on 2022-10-18 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Commentaries on the Work of Michael Eigen is an accessible and engaging introduction to this ground-breaking psychoanalytic sage. Through exploration of Eigen’s two key texts, The Psychotic Core and Emotional Storm, the author addresses universal human concerns of madness and the difficulties of our emotional life. In conversational style, the book mirrors Eigen's chapter-by-chapter approach, focusing on and amplifying important aspects of each work. Bagai follows threads of several key themes from psychoanalysis, philosophy, literature, religious thought, and the humanities, and chapters include discussion of relevant theory from Freud, Jung, Klein, Winnicott, Bion, Buber, and Levinas, among others. Rather than a comprehensive or systematic exegesis of Eigen's work, Bagai’s commentary expands nodal aspects, illuminating and probing seminal themes and ideas. Through clinical case examples, the author explores intertwining of mind and body, self and the other using an array of carefully selected quotes from Eigen's kaleidoscopic vision. Commentaries on the Work of Michael Eigen will be essential reading for psychotherapists and psychoanalysts, as well as anyone seeking a greater understanding of Eigen’s work.

Oneness and the Displacement of Self

Author : Michael Krausz
Publisher : Rodopi
ISBN 13 : 9401209065
Total Pages : 98 pages
Book Rating : 4.4/5 (12 download)

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Book Synopsis Oneness and the Displacement of Self by : Michael Krausz

Download or read book Oneness and the Displacement of Self written by Michael Krausz and published by Rodopi. This book was released on 2013 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preliminary Material -- PROLOGUE -- ONENESS AND DEATH -- ONENESS AND SELF-REALIZATION -- LOVE AND MEDITATION -- INTENTIONALITY AND RATIONALITY -- LIMITS OF LANGUAGE -- THE DISPLACEMENT OF SELF -- FOR FURTHER READING -- ABOUT THE AUTHOR -- INDEX -- VIBS.

Michael Eigen

Author : Loray Daws
Publisher : Taylor & Francis
ISBN 13 : 1000638006
Total Pages : 155 pages
Book Rating : 4.0/5 (6 download)

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Book Synopsis Michael Eigen by : Loray Daws

Download or read book Michael Eigen written by Loray Daws and published by Taylor & Francis. This book was released on 2022-09-14 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: This insightful book critically reviews and presents an accessible introduction to the life and work of one of the most celebrated modern psychoanalysts, Michael Eigen. With work spanning over five decades, countless articles, and thirty published book volumes, Daws explores Eigen’s main works through key themes and concepts such as working with our psychotic core, psychic deadness, primary affects, and the need for spirituality for practicing psychoanalysts. The book covers Eigen’s early life and formative clinical years, explores his re-reading of Freud, Jung and Lacan, and lastly covers Eigen’s Seoul seminars, the impact of trauma, the importance of faith and the use of Kabbalah as a framework for analysis. This book will not only engage the first-time Eigen reader, but will also be of much interest to the experienced psychologist and psychoanalyst already familiar with Eigen’s work.

Hélène Smith

Author : Claudie Massicotte
Publisher : Oxford University Press
ISBN 13 : 0197680011
Total Pages : 185 pages
Book Rating : 4.1/5 (976 download)

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Book Synopsis Hélène Smith by : Claudie Massicotte

Download or read book Hélène Smith written by Claudie Massicotte and published by Oxford University Press. This book was released on 2023 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1896, a young Genevan medium named Hélène Smith perceived in trance the following words from a Martian inhabitant: "michma michtmon mimini thouainenm mimatchineg." Those attending her séance dutifully transcribed these words and the event marked the beginning of a series of occult experiences that transported her to the red planet. In her state of trance, Smith came to produce foreign conversations, a new alphabet, and paintings of the Martian surroundings that captured the popular and scientific imagination of Geneva. Alongside her Martian travels, she also retrieved memories of her past lives as a fifteenth-century "Hindoo" princess and as Queen Marie Antoinette. Today, Smith's séances may appear to be nothing more than eccentric practices at the margins of modernity. As author Claudie Massicotte argues, however, the medium came to embody the extreme possibilities of a new form of subjectivity, with her séances becoming important loci for pioneering authors' discoveries in psychology, linguistics, and the arts. Through analyses of archival documents, correspondences, and publications on the medium, Massicotte sheds light on the role of women in the construction of turn-of-the-century psychological discourses, showing how Smith challenged traditional representations of female patients as powerless victims and passive objects of powerful doctors. She shows how the medium became the site of conflicting theories about subjectivity--specifically one's relationship to embodiment, desire, language, art, and madness--while unleashing a radical form of creativity that troubled existing paradigms of modern sciences. Massicotte skillfully retraces the story of this prolific figure and the authors, scientists, and artists she inspired in order to bring to light a forgotten chapter in modern intellectual history.

Psychoanalysis with Wilfred R. Bion

Author : François Lévy
Publisher : Routledge
ISBN 13 : 100049733X
Total Pages : 196 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Psychoanalysis with Wilfred R. Bion by : François Lévy

Download or read book Psychoanalysis with Wilfred R. Bion written by François Lévy and published by Routledge. This book was released on 2019-07-25 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychoanalysis with Wilfred R. Bion is the product of François Lévy’s efforts over a period of twenty years to represent clearly the classical elements and the innovatory propositions of the thought and work of Bion, who offers both new and modified ways of practising and thinking about the psychoanalytic experience. Bion’s thought, methodical and intuitive, gave rise to profound modifications in the approach to the psychology of groups, clinical work with psychoses, and the conception of the genesis of thought. Some of his original notions – psychic growth, processes of thinking, transformations, alpha function, maternal reverie – constitute valuable tools for rethinking psychoanalytic practice. This book places Bion’s thought within a filiation that is faithful to those of Sigmund Freud and Melanie Klein. It shows the parallels that exist between Bion’s formalisations and those of Lacan. It also lays emphasis on the mechanisms of thought arising from the negative (André Green), from logic (Lewis Carroll), from causalist philosophy (David Hume), from literature (Milton, Blanchot) and from the physical sciences (Stephen Hawking). Finally, Lévy underlines the importance of placing individuals within the collective from which they have originated. Psychoanalysis with Wilfred R. Bion will appeal to psychoanalysts and psychoanalytic psychotherapists looking to draw on the ideas of one of the most important and influential figures in the history of psychoanalysis.

Psychoanalysis, Mysticism and the Problem of Epistemology

Author : Alice Bar Nes
Publisher : Routledge
ISBN 13 : 1000435768
Total Pages : 182 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Psychoanalysis, Mysticism and the Problem of Epistemology by : Alice Bar Nes

Download or read book Psychoanalysis, Mysticism and the Problem of Epistemology written by Alice Bar Nes and published by Routledge. This book was released on 2021-09-09 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

The Collected Works of D.W. Winnicott

Author : Donald Woods Winnicott
Publisher : Oxford University Press
ISBN 13 : 0190271337
Total Pages : 593 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis The Collected Works of D.W. Winnicott by : Donald Woods Winnicott

Download or read book The Collected Works of D.W. Winnicott written by Donald Woods Winnicott and published by Oxford University Press. This book was released on 2017 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Formulated Experiences

Author : Peter L. Rudnytsky
Publisher : Routledge
ISBN 13 : 0429575998
Total Pages : 300 pages
Book Rating : 4.4/5 (295 download)

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Book Synopsis Formulated Experiences by : Peter L. Rudnytsky

Download or read book Formulated Experiences written by Peter L. Rudnytsky and published by Routledge. This book was released on 2019-03-29 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Formulated Experiences, Peter L. Rudnytsky continues his quest for a "re-vision" of psychoanalysis by coupling his revival of the unjustly neglected figure of Erich Fromm with his latest groundbreaking research on Ferenczi and Groddeck. Committed at once to a humanistic and to a literary psychoanalysis, Rudnytsky explores the subjective roots of creativity and critiques the authoritarianism that has been a tragic aspect of Freud’s legacy. Through his clinically informed interpretations he brings out both "hidden realities" and "emergent meanings" of the texts and authors he examines, including Shakespeare’s Othello and Macbeth, as well as Milton’s Paradise Lost. A preeminent scholar of the history and theory of psychoanalysis, Rudnytsky displays an interdisciplinary expertise that makes Formulated Experiences truly sui generis and unlike any existing book. Bridging the artificial divide between the academic and clinical worlds, his eloquent championing of the interpersonal and relational traditions will captivate contemporary psychoanalysts and psychotherapists, while his insightful close readings provide a model for psychoanalytic literary critics.

The Spiritual Psyche in Psychotherapy

Author : Willow Pearson
Publisher : Routledge
ISBN 13 : 1000214931
Total Pages : 220 pages
Book Rating : 4.0/5 (2 download)

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Book Synopsis The Spiritual Psyche in Psychotherapy by : Willow Pearson

Download or read book The Spiritual Psyche in Psychotherapy written by Willow Pearson and published by Routledge. This book was released on 2020-11-09 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the interaction of spiritual and psychoanalytic lineages with psychotherapy in everyday practice. Written by a team of seasoned clinicians and illustrated through clinical vignettes, chapters explore topics pertaining to the mystical dimensions of psychological and spiritual life and how it may be integrated into clinical practice. Topics discussed include dreams, dissociation, creativity, therapeutic relationship, free association, transcendence, poetry, paradox, doubleness, loss, death, grief, mystery, embodiment and soul. The authors, clinicians with decades of experience in psychotherapy, psychoanalysis and spiritual practice, draw from their deep engagement with spirituality and psychoanalysis, focusing on a particular theme and its application to clinical work that is supported by the generative conversation among these lineages. At once applied and theoretical, this book weaves insights from the heart of Vajrayana Buddhism, Zen Buddhism, Christianity, Catholicism, Ecumenicism, Integral Spirituality, Judaism, Kabbalah, Non-violence, Sufism and Vedanta. They are in conversation with psychoanalytic perspectives including Jungian, Post-Jungian, Winnicottian, Bionian, Post-Bionian and Relational. A felt sense of the spiritual psyche in clinical practice emerges from this conversation among spiritual and psychoanalytic lineages, beckoning clinicians ever further on the path of spiritually rooted, psychodynamic practice.

Relational Conversations on Meeting and Becoming

Author : Michal Barnea-Astrog
Publisher : Taylor & Francis
ISBN 13 : 100080223X
Total Pages : 200 pages
Book Rating : 4.0/5 (8 download)

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Book Synopsis Relational Conversations on Meeting and Becoming by : Michal Barnea-Astrog

Download or read book Relational Conversations on Meeting and Becoming written by Michal Barnea-Astrog and published by Taylor & Francis. This book was released on 2022-12-30 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Demonstrating a relational, dialogic way of thinking and writing, this book offers an innovative perspective on the human potential for intersubjective engagement and on the nature of true encounter. The authors engage in creative, associative dialogues and trialogues inspired by psychoanalysis and Buddhism, poetry and religion, theory and case studies, academic and free styles of writing – each enriching the other. Reflecting on the essence of relating, they convey a flow between inner, private reveries and shared ones, and between individual expressions of thought and evolvements of newly born thirds. Through this interdisciplinary, experimental setting, the authors explore the possibility to reach truths and meanings that each individual would not have achieved on their own. Offering new concepts and formulations that may nourish psychotherapists’ thought and be usefully implemented in their practice, this book presents a pressingly unique and essential viewpoint for psychoanalysts and psychoanalytic psychotherapists in training and in practice.

On Coming into Possession of Oneself

Author : Donnel B. Stern
Publisher : Taylor & Francis
ISBN 13 : 1040100732
Total Pages : 231 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis On Coming into Possession of Oneself by : Donnel B. Stern

Download or read book On Coming into Possession of Oneself written by Donnel B. Stern and published by Taylor & Francis. This book was released on 2024-09-05 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is Donnel B. Stern’s latest contribution to the kind of understanding of the psychotherapeutic and psychoanalytic process offered by field theory. Stern anchors his understanding of therapeutic action in the freedom of both patient and analyst to create a meaningful experience with minimum inhibition. The field’s capacity to generate meaning—and thus to make possible fully realized human living—rows from its freedom to respond spontaneously to the feelings, wants, and needs of its participants. To whatever extent this spontaneity is diminished, as it is in unconscious mutual enactment, we can be sure that some part of the field is frozen or otherwise rigidified. This position serves as the foundation of the psychoanalysis that Stern practices. The analyst aims to feel their way into compromises in the field, and then do whatever they can to grasp and dissolve them, knowing that they will have to be visited repeatedly, and dissolved again. These insights into interpersonal and relational field theory lead to descriptions of clinical interventions that are focused on the moment-to-moment emotional experience of both the patient and the analyst. With valuable contributions to theory and emotionally immediate clinical vignettes, this book is essential for all psychoanalysts and psychoanalytic psychotherapists wishing to understand how the analyst’s interventions grow from the analyst’s emotional involvement in the clinical process.