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A Relational Psychoanalytic Approach to Couples Psychotherapy

Philip A Ringstom (USA)

RltnlPsychnlytAprchBkCoverA Relational Psychoanalytic Approach to Couples Psychotherapy presents an original model of couples treatment integrating ideas from a host of authors in relational psychoanalysis. It also includes other psychoanalytic traditions as well as ideas from the social sciences. This book addresses a vacuum in contemporary psychoanalysis devoid of a comprehensively relational way to think about the practice of psychoanalytically oriented couples treatment.

In this book,Philip Ringstrom sets out a theory of practice that is based on three broad themes:

1) The actualization of self experience in an intimate relationship
2) The partners’ capacity for mutual recognition versus mutual negation
3) The relationship having a mind of its own

Based on these three themes, Ringstrom’s model of treatment is articulated in six non-linear, non-hierarchical steps that wed theory with practice – each powerfully illustrated with case material. These steps initially address the therapist’s attunement to the partners’ disparate subjectivities including the critical importance of each one’s perspective on the “reality” they co-habit.Their perspectives are fleshed out through the exploration of their developmental histories with focus on factors of gender and culture and more. Out of this arises the examination of how conflictual pasts manifest in dissociated self-states, the illumination of which lends to the enrichment of self-actualization, the facilitation of mutual recognition, and the capacity to more genuinely renegotiate their relationship. The book concludes with a chapter that illustrates one couple treated through all six steps and a chapter on frequently asked questions (“FAQ’s”) derived from over thirty years of practice, teaching, supervision and presentations during the course of this books development.

A Relational Psychoanalytic Approach to Couples Psychotherapy  balances a great range of ways to work with couples, while also providing the means to authentically negotiate their differences in a way which is insightful and invaluable. This book is for practitioners of couples therapy and psychoanalytic practitioners. It is also aimed at undergraduate, graduates, and postgraduate students in the fields of psychiatry, psychology, marriage and family therapy, and social work.

 Reviews
“This outstanding new book is, to put it simply, the best book out there on the application of cutting-edge psychoanalytic thinking to couples therapy. Ringstrom writes in a nonjudgmental, even-handed way about the joint contributions to conflict from both partners. The problems of blame, failure of mutual recognition, and difficulties in self-actualization are clearly laid out. He recognizes the power of unconscious repetitions in intimate relationships, but he writes with an optimism that offers hope to the therapist and to the couple that their conflicts are not etched in granite and ultimately can be negotiated and managed in the service of a more fulfilling relationship. Most of all, he offers a clear and clinically useful road map to guide both the beginning therapist and the experienced clinician. I highly recommend it to all clinicians since even those patients in individual treatments must learn to live in dyads.”
– Glen O. Gabbard, MD, Author, Love and Hate in the Analytic Setting

“Dr. Ringstrom’s book, A Relational Psychoanalytic Approach to Couples Therapy, perfectly lives up to the promise inherent in its title. It provides not only a step by step, organized model of the clinical process fundamental to Ringstrom’s approach to working with couples, replete with rich case illustrations; its opening chapter also offers a deeply comprehensive, yet eminently readable, theoretical explanation for the Relational framework itself. But the book goes even further than the promise it makes. It is about couples treatment, to be sure, but more, it provides a basis for understanding and conducting treatment in any modality: adult, child, adolescent, and family. What a gift to the clinician!”
– Estelle Shane, is Founding Member, Training and Supervising Analyst, and Faculty Member of Institute of Contemporary Psychoanalysis, and Training and Supervising Analyst and Faculty Member of New Center for Psychoanalysis, Los Angeles

“Ringstrom approaches couples therapy not with a narrow view of resolving psychological conflict, but with the conviction that we enter couple relations with the hope of a fuller self-development and creativity that can only emerge in robust, mutually recognizing engagement. In this theoretically wide-ranging and ambitious account he offers both a concise guide to relational thought and a vivid account of work in the consulting room that brings theory to life. In a voice that is at once remarkably clear and humane he depicts the core struggle in which two human beings strive to awaken one another, caught between repeating the dreaded past and the hope for fulfillment of deep longings. A Relational Psychoanalytic Approach to Couples Therapy is a book imbued with deep empathy and thoughtfulness about the purposes and perplexities of love.”
      – Jessica Benjamin, author, Shadow of the Other, Intersubjectivity and Gender in Psychoanalysis,(Routledge, 1998); Supervising Faculty, New York University Postdoctoral Psychology Program in Psychotherapy and Psychoanalysis

Use code IRK71 at www.routledgementalhealth.com to save 20% 

PRingstromDSC_0560Philip A. Ringstrom, PhD, PsyD, is a Senior Training and Supervising Analyst and faculty member at the Institute for Contemporary Psychoanalysis in Los Angeles. He is a member of the editorial boards of both the International Journal of Psychoanalytic Self Psychology and Psychoanalytic Dialogues. He is also a member of the International Council of Self Psychologists, and on the Board of Directors of the International Association of Relational Psychoanalysis and Psychotherapy. The cover painting is by the author.

Mended by the Muse: Creative Transformations of Trauma

Sophia Richman (USA)

Mended-by-the-Muse-coverMended by the Muse: Creative Transformations of Trauma is an in-depth exploration of the relationship between trauma and creativity. It is about art in the service of healing, mourning, and memorialization. This book addresses questions such as: How does artistic expression facilitate the healing process: What is the therapeutic action of art? And is there a relationship between mental instability and creativity? It also asks how self-analysis through art-making can be integrated with psychoanalytic work in order to enrich and facilitate emotional growth.

Drawing on four decades of clinical practice and a critical reading of creativity literature, Sophia Richman presents a new theory of the creative process whose core components are relational conceptualizations of dissociation and witnessing. This is an interdisciplinary book which draws inspiration from life histories, clinical case material, neuroscience, and interviews with creators, as well as from various art forms such as film, literature, paintings, and music. Some areas of discussion include: art born of genocide, confrontation with mortality in illness and aging, and the clinical implications of memoirs written by psychoanalysts. Visual images are interspersed throughout the text that illustrate the reverberations of trauma and its creative transformation in the work of featured artists.

Mended by the Muse powerfully articulates how creative action is one of the most effective ways of coping with trauma and its aftershocks—it is in art, in all its forms, that sorrow is given shape and meaning. Here, Sophia Richman shows how art helps to master the chaos that follows in the wake of tragedy, how it restores continuity, connection and the will for a more fully lived life.

SRichmanphoto-1-3Sophia Richman is a psychoanalyst and psychologist in private practice. She is affiliated with the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis where she supervises. She is the author of the award winning memoir, A Wolf in the Attic: The Legacy of a Hidden Child of the Holocaust (Routledge, 2002) and she is a painter.

Reviews
“In this profound, novel, and moving account of the role of creativity in healing trauma that is, in the very process of developing her ideas–Sophia Richman offers us a living example of being “mended by the muse.” But that is the least of what we learn here. We readers, too, have suffered trauma and dissociation. If we allow ourselves to dwell in Richman’s sense of what creative action can do, we too are mended in reading these pages, and we emerge from them better able than we were before to mend ourselves, and to assist in the mending of others. A stirring and beautiful book.”
    – Donnel Stern, Ph.D., The William Alanson White Institute.

“With this extraordinary book Dr. Richman not only offers a contemporary theoretical explanation of creativity but she also takes the reader into the minds of artists as they experience this enlivening and restorative process. The emphasis on experience makes the book invaluable for clinicians whose work is guided by recognizing the healing power residing in interacting subjectivities. With its breadth and depth, the book is also highly recommended to those who wish to embark on a most satisfying journey that penetrates the mystery of creativity.”
    – Anna Ornstein, M.D. Professor Emerita, University of Cincinnati; Lecturer in Psychiatry Harvard Medical School

“The relationship between creativity and mental illness has been one of the most debated issues in psychology. In this heavily researched volume, Sophia Richman reviews the insights psychoanalysis has contributed to this issue, through the lens of the tragic turmoils of the last century and of her personal experience. In the process, she convincingly argues that as the pearl that forms inside the oyster’s shell to protect it from abrasive sand, creativity is formed to protect us from otherwise intolerable aspects of life.”
Mihaly Csikszentmihalyi, Distinguished Professor of Psychology and Management, Claremont Graduate University, CA, USA

published by Routledge in the Psychoanalysis in a New Key Series.

available on amazon.com

A Felt Sense: More Explorations of Psychoanalysis and Kabbalah

Michael Eigen (USA)

AfltSnsBkCoverSynopsis:
This book picks up where Michael Eigen’s previous work, Kabbalah and Psychoanalysis, left off. It is based on two expanded transcriptions of seminars given for the New York University Postdoctoral Program Contemplative Studies Project. As noted in the previous book, W. R. Bion once said that he uses the Kabbalah as a framework for psychoanalysis. This book enlarges the inner sense of this statement. The seminars depict intricate intertwining of processes in psychoanalysis and Kabbalah, processes important in helping us live more richly. Religious language helps bring out nuances of psychological states and psychology helps make the language of the spirit more meaningful to emotional concerns today.

Bion and Winnicott are the main psychoanalytic heroes of this work, each adding richness to a “root sense” out of which their clinical and written work grow. A felt sense, spans many dimensions, traversing sensory life, vital sensing, common sense, the sense of language, cultural sensing, intuition, Freud’s use of consciousness as a sense organ of psychical perception, and other qualities still unknown.

Case descriptions include extended work with an alcoholic man, opening new paths to living, and a detailed account of helping a creative, tormented woman die well. Aspects of psychosis, creativity, mysticism and everyday life blend and have a say. The main focus is psychic reality, with psychoanalysis and Kabbalah tools in this great enterprise of learning to work with ourselves.

Available at Karnac Books:
http://www.karnacbooks.com/Product.asp?PID=35047&MATCH=1

Michael Eigen

Michael Eigen

and at Amazon.com:   http://tinyurl.com/knhhc72

Traumatic Ruptures: Abandonment and Betrayal in the Analytic Relationship

Robin A. Deutsch (USA)

TrmtcRptrsCoverFor much of its history, psychoanalysis has been strangely silent about sudden ruptures in the analytic relationship and their immediate and far-reaching effects for those involved. Such issues of betrayal and abandonment – the death of an analyst, a patient’s suicide, an ethical violation – disrupt the stability and cohesion of the analytic framework and leave indelible marks on both individuals and institutions alike.

 In Traumatic Ruptures an international range of contributors present first-person, highly personal and sometimes painful accounts of their experiences and the occasionally difficult yet redeeming lessons they have taken from them. Presented in four parts, the book explores multiple meanings and consequences of the break in the analytic relationship. Part One, Ruptured Subjectivity: Lost and Found, presents accounts of clinical encounters with death. Part Two, Rupture: The Clinical Process, addresses the sudden loss of an analyst, the trauma of patient suicide and the issue of countertransference when working with patients who have suffered the unexpected loss of their first analyst. Part Three, The Long Shadow of Rupture, examines the effects of ethical violations in the short and long term. Finally, Part Four, Ruptures’ Impact on Organizations, looks at the wider impact of ethical and sexual boundary violations in the context of an organization and the effect of trauma on a psychoanalytic institute. By giving voice to issues that are usually silenced, the authors here open the door to understanding the complex nature of traumatic rupture within the analytic field.

This intimate exploration of psychoanalytic treatments and communities is ideal for psychoanalysts, psychologists, clinical social workers, psychiatrists and family therapists. It is an important text for clinicians working with individuals who have experienced traumatic ruptures and for organizations dealing with their effects.

The text is now available from Routledge:
http://www.routledgementalhealth.com/books/details/9780415539319/

robin_deutschRobin A. Deutsch, Ph.D.
5318 Bryant Avenue
Oakland, California 94618
robindeutsch@earthlink.net
510-547-7543

Erotic Revelations: Clinical Applications and Perverse Scenarios

Andrea Celenza (USA)

ErtcRvltnsThis book is about erotic desires and fantasies, how our sexuality expresses our inner being and defines the ways in which we engage in the psychoanalytic situation. I am using erotic life in its broadest sense – the way we desire and love or desire to be loved on all levels, including within our sexual being. We are drawn to the hidden and mysterious; we are tempted to push boundaries, even in the most permissive contexts. Erotic experience exemplifies this urge. What is the nature of this push, this urge to get beyond the immediate and concrete? What are we looking for, what does it feel like? These are some of the questions that pertain to the present exploration into erotic life in the psychoanalytic and psychotherapeutic situation.

In large part, this book addresses the ‘desexualization’ of the psychoanalytic field and proposes several reasons for this phenomenon. It is, in part, an attempt to explain and correct this desexualization, along with offering recommendations to practitioners for dealing with erotic material when it arises. It has been said that psychoanalysis is all about sex; except for sex – that’s about aggression. This book aims to ‘put sexuality back in psychoanalytic theorizing’ in both early formulations (as in the maternal erotic) and to delineate a place for pure erotic longing, along with the illustration of the variety of forms of homo-erotic and hetero-erotic desires. My focus on the erotic nature of the therapeutic situation is an effort to reclaim sexuality as one of the many nexes that are of central concern to our patients. At the very least, I am asserting that erotic transferences of whatever shape, should make their way into every thorough-going analysis or therapy.

Throughout the book, the framework of felt-experience (embodiment), multiplicity, and contradictory gender theory is employed to propose ways in which binarial constraints (e.g., feminine and masculine) may be transcended. I propose that symptoms, inhibitions, and anxieties often result from the individual’s unconscious over commitment to one pole of the masculine/feminine binary, rather than a more balanced reckoning with the social and cultural demands associated with each.

The book is written in two parts, with clinical, theoretical, and technical discussions in each chapter. Part I presents the varieties and meanings of erotic transferences and countertransferences that are common in clinical situations. Each chapter focuses on a different manifestation, along with thorny technical dilemmas that confront the psychoanalytic clinician. Case illustrations of erotic material are used as examples of phases in treatment as well as moments of defensive impasse. These include the management of aggression, underlying merger fantasies, the uses of countertransferences (in multiple forms), and the dilemmas surrounding self-disclosure.  There are cases of both genders and the likely scenarios that emerge when the analyst is female are emphasized.  Process material is examined from both classical and contemporary perspectives in terms of theoretical understanding and technical considerations. Countertransference difficulties, including the handling of erotic countertransferences are discussed.

In Part II, the chapters focus on ‘perverse scenarios’ with the aim of reconceptualizing and restoring the term perversion into the clinical lexicon. By viewing perversion as a quality of relating rather than a specific action or behavior, the term is both narrowed and reformulated so that it may be (paradoxically) more broadly applied.  I define perversion as characterized by the impact of its constriction and constraint, the hidden and unbidden (Stoller, 1986).  Fundamental to the construction of perverse modes of relating is a means/end reversal (Stein, 2008), i.e. the use of constructive means for destructive purposes (either to the self or the other). Finally, I discuss the clinical observation that perverse modes of relating by males are often aimed at a perceived dangerous subjectivity of the other while females tend to perceive a dangerous subjectivity within. These dangers can be understood as organizing, delimiting, and unconsciously choreographing the dual capacities of receptivity and potency. Perverse scenarios can be viewed as unconscious enactments that serve to manage and control some imbalanced reckoning with this binarial construction and the ways in which the polarities have come to define one’s embodied and gendered subjectivity. Finally, I propose a schema of perverse scenarios that categorize 1) the localization of perceived dangers (within oneself or in the other), 2) the context (either dyadically or triadically conceived), and 3) degrees of severity (where a rigidly enacted perverse scenario may come to serve a transitional function as the individual’s capacities for growth expand).

Andrea Celenza

Andrea Celenza

Table of Contents

Introduction:  Transcending Binaries

  • Encountering Sexuality/Being
  • The Binary is Not Dead. It is not Even Binary.
  • Becky
  • Discussion

Part 1:  Erotics Embodied: Varieties and Meanings of Erotic Transferences

  • Desexulization in the literature and practice
  • Intimacy Embodied
  • Eros Embodied
  • Erotic Transferences and Countertransferences
  • Gender Embodied,
  • Opposite Gendered Selves

Chapter 1: Maternal Erotic Transferences and Merger Wishes

  • The Maternal Erotic
  • Longing for Sameness and Merger Wishes
  • Julia

Chapter 2: Maternal Erotic Transferences: Engaging the Mother Within

  • The De-sexualized Maternal Transference
  • Michael
  • Unrequited (Analytic) Love
  • The Temptation of the Maternal/Containing Transference

Chapter 3: Erotic Transference and the Role of Aggression

  • Michael, continued
  • The Sexualization of Aggression
  • Murderous Wishes
  • Continuing Resolution
  • Discussion
  • Aggressive Erotic Moves

Chapter 4:  The Guilty Pleasure of Erotic Countertransference:  Searching for Radial True

  • Comfort and Sexuality
  • Contacting Me: The Little Girl Inside
  • The Development of Erotic Countertransference
  • Multiplicity, Lost Selves, and Opposite-Gendered Selves
  • The Opposite Gendered Self: Contacting ‘Not Me’
  • Discussion

Chapter 5: Erotic Countertransference Revelations

  • The Undisclaimable Analytic Frame
  • Maintaining the Frame in the Heat of the Moment
  • Comfort and Clarity with Erotic Language
  • Verbal Disclosure of Erotic Countertransference
  • Necessary Conditions of Erotic Countertransference Disclosure
  • Final Thoughts

Part II:  Perverse Scenarios Revisited

  • Introduction
  • The Reformulation of Perverse Scenarios
  • The Perverse Quality of Relating
  • Means/End Reversal
  • Motives of Perverse Scenarios
  • Localization of Perceived Dangers in the Self or Other
  • Contexts of Threat
  • Degrees of Perverse Relating
  • What is Not Perversion?
  • Levels of Perverse Modes

Chapter 6:  Female Perverse Scenarios: The Objectified Self

  • Embodiment
  • From Embodied to Objectified Self
  • The Body as Fetish
  • Clinical Concerns
  • The White Swan as Objectified Self
  • The Fetishized Self or Other

Chapter 7:  Sadomasochistic Relating: What’s Sex Got to Do With It?

  • Introduction
  • Clinical Illustration
  • The Eros in Sadomasochism
  • Conclusion

Chapter 8:  Fetishes, the Anal Universe and Other Fantasies of  One Person Relating

  • Introduction
  • The Man with a Boot Fetish
  • Behind Her Back
  • An Anal Universe

Conclusion

  • Positions of Subjectivity:  The Ineluctable Construction of the Self

For more information, go to my website:  www.andreacelenza.com