Coen (training and supervising analyst, Columbia U. Center for Psychoanalytic Training and Research) offers advice to psychoanalysts working with extremely difficult patients. His central premise is that both patients and therapists have difficulty tolerating intense affects (such as loving and hating) and that the clinician needs to "feel with and for his patient, over a prolonged time, what she finds so terrifying" (emphasis in original). Also stressed is the need for clinicians to confront their own fears and doubts about treatment. Annotation copyrighted by Book News, Inc., Portland, OR
Coen (training and supervising analyst, Columbia U. Center for Psychoanalytic Training and Research) offers advice to psychoanalysts working with extremely difficult patients. His central premise is that both patients and therapists have difficulty tolerating intense affects (such as loving and hating) and that the clinician needs to "feel with and for his patient, over a prolonged time, what she finds so terrifying" (emphasis in original). Also stressed is the need for clinicians to confront their own fears and doubts about treatment. Annotation copyrighted by Book News, Inc., Portland, OR
In this elegantly written book, eight distinguished psychoanalysts address the ubiquitous phenomenon of guilt. They describe the childhood experiences that form the bedrock of this emotion and delineate various types of guilt, including pre-oedipal guilt, oedipal guilt, survivor guilt, separation guilt, induced guilt, and so on. Noting that guilt, by itself, is neither ‘good’ nor ‘bad,’ these master clinicians highlight the adverse (e.g. self-punishment, masochism, irritability) and potentially positive (e.g. reparation, helpfulness towards others) outcomes of guilt. They critically assess previously published findings, review diverse theories, and offer illustrative material from treatment of children and adults. As a result, Guilt: Origins, Manifestations, and Management is replete with clinical pearls and highly useful tips for the management of patients driven by feelings of guilt and remorse.
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