In Psychoanalytic Therapy as Health Care, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care. Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients. Collectively, the contributors to Psychoanalytic Therapy as Health Care convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the "worried well." Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health care delivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care.

The Theory and Practice of Psychoanalytic Therapy: Listening for the Subtext outlines the core concepts that frame the reciprocal encounter between psychoanalytic therapist and patient, taking the reader into the psychoanalytic therapy room and giving detailed examples of how the interaction between patient and therapist takes place. The book argues that the therapist must capture both nonverbal affects and unsymbolized experiences, proposing a distinction between structuralized and actualized affects, and covering key topics such as transference, countertransference and enactment. It emphasizes the unconscious meaning in the here-and-now, as well as the need for affirmation to support more classical styles of intervention. The book integrates object relational and structural perspectives, in a theoretical position called relational oriented character analysis. It argues the patient’s ways-of-being constitute relational strategies carrying implicit messages – a "subtext" – and provides detailed examples of how to capture this underlying dialogue. Packed with detailed clinical examples and displaying a unique interplay between clinical observation and theory, this wide-ranging book will appeal to psychotherapists, psychoanalysts and clinical psychologists in practice and in training.

This book outlines the principles and practice of Brief Psychoanalytic Therapy. Accessibly written, and grounded in clinical practice, the book is a practical guide for psychotherapists and other professionals in the field of mental health.

This book, the second of the two volumes, continues to chart the ways in which psychoanalytic psychotherapy has been implemented, developed and researched within the public sectors of six different countries around the world. It discusses psychoanalytic practitioners locally have responded to the challenge of evidence-based practice. For each country the authors describe: • How people can access talking therapies as part of the national healthcare system, including a brief history of how this system has developed and the place of psychoanalytic psychotherapy inside/outside of this system historically • How clinicians train and qualify as a psychoanalytic practitioner, and demographic profiles of their communities of psychoanalytic practice • How evidence-based practice has impacted the mental health system and, in particular, access to and provision of talking therapies e.g. through the development and implementation of treatment guidelines • How outcome monitoring and reporting of access, waiting times and recovery rates are used in the commissioning and provision of psychological therapies • What is needed to secure a viable future for psychoanalytic psychotherapy The book concludes with a comprehensive review of changes in public sector psychoanalytic psychotherapy across Europe over the last 30 years and will be of great interest to all practicing psychoanalysts and psychoanalytic psychotherapists. The chapters in these volumes were originally published as a special issue of Psychoanalytic Psychotherapy.

Psychoanalytic Therapy with Infants and Parents provides a clear guide to clinical psychoanalytic work with distressed babies and unhappy parents, a numerous clinical group so often in need of urgent help. Although psychoanalytic work is primarily verbal, and infants may have limited language, this form of treatment is receiving increased attention among therapists. Björn Salomonsson explores how such work can be possible and benefit infants, how to work with the parents (especially the mother), and how major psychoanalytic concepts such as primal repression, infantile sexuality and transference can be worked with and understood in these therapies. Björn Salomonsson argues that attachment concepts, though important, cannot solely help explain everyday problems with breastfeeding, sleeping, and weaning, or more recalcitrant interaction disorders. He shows how we also need psychoanalytic concepts to better understand, not only such "baby worries", but also adult clients' non-verbal communications and interactions. Throughout, he uses extensive practice-based examples and also refers to his research which provides evidence for the effectiveness of this practice. Psychoanalytic Therapy with Infants and Parents provides a unique perspective on working psychoanalytically with parents and infants. This book will be essential reading for psychoanalysts and therapists working with children as well as adults.

Though the impetus for psychoanalytic and group-analytic inpatient psychotherapy largely came from Britain, it was in Germany that this work was supported, developed and researched to a greater extent than elsewhere. Originally published in English for the first time in 1994, Paul Janssen describes the different models which had been tried and evaluated and explains his own integrative model in detail, illustrating it with vivid clinical vignettes. The author also shows that inpatient groups are particularly effective in the treatment of severe personality disorders, borderline conditions and psychosomatic illness. This book will still be valuable reading for psychiatrists, psychotherapists, nurses, social workers and anyone working in healthcare today.

The outcomes of psychoanalysis, as with other psychotherapies, vary considerably. Psychoanalytic Treatment in Adults examines the results of a longitudinal study of change during psychoanalysis, illuminating the characteristics of patients, analysts and analyses which can help to predict outcomes of treatment. Written by experienced psychologists and psychoanalysts, chapters in the book draw upon sixty case studies to consider how patients with very different analytic outcomes respond at both the beginning and end of their analysis. Psychoanalysts used a clinician report measure, the Shedler-Westen Assessment Procedure, to describe a patient at the beginning of psychoanalysis and every six months until the analysis ended. This allowed the authors to learn about changes over analysis and, in turn, improved treatment planning and practice for the well-being of other patients. Chapters explore five outcomes: a negative therapeutic reaction; attrition when the patient drops out; attrition due to external events; mutual agreement between patient and analyst without maximum benefits; and mutual agreement between patient and analyst with maximum benefits. The findings from these chapters will be of interest to researchers and academics in the fields of psychoanalysis, psychotherapy, psychodynamic therapy, psychoanalytic education, psychiatry and psychology. The results should also help clinicians recognize potential problems early in analytic treatments so that they can work more effectively with patients.

This book presents the proceedings of the of the conference on the Psychoanalytic Therapy of Severe Disturbance held in Belfast in June 2008. The aim of the conference was to offer a state of the art communication of the key psychoanalytic thinking and approaches to the conceptualisation and treatment of severe disturbance. The result of a unique gathering of the most eminent psychoanalysts in the field with insights into their work on personality disorder, psychotic states and the nature and function of suicidal ideation.This book will be of interest to mental health professionals - psychiatrists, psychoanalysts, psychotherapists, psychologists, social workers and nurses who have an interest in psychoanalysis and psychotherapy.

Since its inception, and throughout its history, psychoanalysis has been defined as a psychology of conflict. Freud’s tripartite structure of id, ego and superego, and then modern conflict theory, placed conflict at the center of mental life and its understanding at the heart of therapeutic action. As psychoanalysis has developed into the various schools of thought, the understanding of the importance of mental conflict has broadened and changed.​ In Psychoanalytic Perspectives on Conflict, a highly distinguished group of authors outline the main contemporary theoretical understandings of the role of conflict in psychoanalysis, and what this can teach us for everyday psychoanalytic practice. The book fills a gap in psychoanalytic thinking as to the essence of conflict and therapeutic action, at a time when many theorists are re-conceptualizing conflict in relation to aspects of mental life as an essential component across theories. Psychoanalytic Perspectives on Conflict will be of interest to psychologists, psychoanalysts, social workers, and other students and professionals involved in the study and practice of psychoanalysis, psychotherapy, cognitive science and neuroscience.