Through the discussion of numerous case studies, this second volume Psychoanalytic Practice illustrates the application of the principles presented in volume 1. The parallel arrangement of topics in both volumes facilitates cross-reference between the more clinical and the more theoretical discussions of the psychoanalytic situation and specific technical problems. The many faces of psychoanalysis are described here with reference to typical examples. These descriptions of succinct transference, countertransference, and resistance processes stem from the analyses of 37 patients who suffered from a wide variety of psychic and psychosomatic illnesses. The authors present case histories and treatment reports from a period spanning three decades, enabling them in many cases to examine the long-term effectiveness of psychoanalytic therapy. The case studies are based on traditional protocols and summaries of treatment and on transcripts of dialogues. This willingness of the analysts to report openly on their own therapeutic action is unusual. Patients' comments also constitute an important aspect of the discussion on the outcome of therapy. The clinical discussion together with the extensive indexes and reference list make this volume a work in its own right and the two-volume set an honest account of psychoanalytic work.
Author(s): Helmut Thomä, Horst Kächele, M. Wilson, S. Ahrens, A. Bilger, M. Cierpka, W. Goudsmit, R. Hohage, M. Hölzer, J.P. Jimenez, L. Köhler, M. Löw-Beer, R. Marten, J. Scharfenberg, R. Schors, W. Steffens, I. Szecsödy, B. Thomä
Edition: 1
Publisher: Springer
Year: 1991
Language: English
Pages: 486
Contents: 1 - 4.6......Page 2
Contents: 5 - 9.2......Page 3
Contents: 9.2.1 - 10.3.2......Page 4
Preface......Page 5
Introduction......Page 7
Index of Patient's Code Names......Page 11
1.1 Back to Freud and the Path to the Future......Page 16
1.2 Case Histories......Page 23
1.3 Treatment Reports......Page 28
1.4 Approximating the Dialogue: Tape Recordings and Transcriptions......Page 33
2 Transference and Relationship......Page 40
2.1.1 Promoting the Helping Alliance......Page 42
2.1.2 Support and Interpretation......Page 45
2.1.3 Common Ground and Independence......Page 47
2.2.1 Mild Positive Transference......Page 49
2.2.2 Strong Positive Transference......Page 53
2.2.3 Fusion Desires......Page 58
2.2.4 Erotized Transference......Page 62
2.2.5 Negative Transference......Page 65
2.3.1 Rediscovery of the Father......Page 71
2.3.2 Brother Envy......Page 76
2.4.1 The Analyst As Object and As Subject......Page 80
2.4.2 Identification with the Analyst's Functions......Page 82
3 Countertransference......Page 91
3.1 Concordant Countertransference......Page 93
3.2 Complementary Countertransference......Page 95
3.3 Retrospective Attribution and Fantasizing......Page 98
3.4 Making the Patient Aware of Countertransference......Page 102
3.4.1 Erotized Countertransference......Page 105
3.4.2 Aggressive Countertransference......Page 107
3.5 Irony......Page 110
3.6 Narcissistic Mirroring and Selfobject......Page 112
3.6.1 Mirror Image and Selfobject......Page 115
3.6.2 Self-Psychological Perspective......Page 118
3.7.1 Case 1......Page 121
3.7.2 Case 2......Page 125
3.7.3 Notes on Projective Identification......Page 128
4 Resistance......Page 132
4.1 Disavowal of Affects......Page 135
4.2 Pseudoautonomy......Page 138
4.3 Unpleasure As Id Resistance......Page 142
4.4 Stagnation and the Decision to Change Analysts......Page 147
4.5 Closeness and Homosexuality......Page 151
4.6 Resistance and the Security Principle......Page 153
5.1 Self-Representation in Dreams......Page 160
5.1.1 Dysmorphophobia and Spasmodic Torticollis......Page 161
5.2 A Dream Sequence......Page 163
5.2.1 Dream About an Injection......Page 164
5.2.2 Dream About the Crane......Page 167
5.2.3 Dream About Automobile Repairs......Page 170
5.2.4 Dream About an Agent......Page 171
5.2.5 Dream About an Amputation......Page 173
5.2.6 Decapitation Dream......Page 174
5.3 Dream About the Symptom......Page 178
5.4 Thoughts About Psychogenesis......Page 180
6.1 An Initial Interview......Page 185
6.2 Specific Problems......Page 189
6.2.1 Social Class......Page 190
6.2.2 Delinquency......Page 197
6.2.3 Adolescence......Page 207
6.3 The Patient's Family......Page 216
6.4 Third-Party Payment......Page 220
6.5 Reviewing and Transference......Page 229
7 Rules......Page 233
7.1 Dialogue......Page 234
7.2 Free Association......Page 237
7.3 Evenly Suspended Attention......Page 242
7.4 Questions and Answers......Page 244
7.5.1 Psychoanalytic Aspects......Page 248
7.5.2 Linguistic Interpretations......Page 255
7.6 Value Freedom and Neutrality......Page 263
7.7 Anonymity and Naturalness......Page 272
7.8 Audio Tape Recordings......Page 278
7.8.1 Examples......Page 279
7.8.2 Counterarguments......Page 285
8.1.1 Scheduling......Page 287
8.1.2 Remembering and Retaining......Page 290
8.1.3 Anniversary Reactions......Page 294
8.2 Life, Illness, and Time: Reconstructing Three Histories......Page 297
8.3 Interpretations......Page 303
8.4 Acting Out......Page 308
8.5.1 Repetition of Trauma......Page 313
8.5.2 Denial of Castration Anxiety......Page 320
8.5.3 Splitting of Transference......Page 325
8.5.4 Mother Fixation......Page 328
8.5.5 Commonplace Mistakes......Page 334
8.6 Interruptions......Page 337
9.1 Anxiety and Neurosis......Page 341
9.2 Anxiety Hysteria......Page 348
9.2.1 Conversion and Body Image......Page 352
9.3 Anxiety Neurosis......Page 355
9.3.1 Separation Anxiety......Page 357
9.3.2 Termination Phase......Page 360
9.3.3 Confirmation and Self-Esteem......Page 365
9.4 Depression......Page 370
9.5 Anorexia Nervosa......Page 373
9.6 Neurodermatitis......Page 380
9.7 Nonspecificity......Page 388
9.8 Regression......Page 391
9.9 Alexithymia......Page 394
9.10 The Body and the Psychoanalytic Method......Page 398
9.11 Results......Page 402
9.11.1 Patients' Retrospection......Page 404
9.11.2 Changes......Page 407
9.11.3 Separation......Page 409
10.1 Consultation......Page 413
10.2 Theoretical Remarks About a "Good Hour"......Page 418
10.3 Religiosity......Page 428
10.3.1 The Image of God as Projection......Page 431
10.3.2 The Analyst on Theological Thin Ice?......Page 435
References......Page 439
Name Index......Page 463
Subject Index......Page 470
