Gender And Psychoanalytic Treatment

This collection of essays explores the significance of gender in contemporary psychoanalytic theory and practice. Areas covered include Freud's formulations on women in the light of object relations theory and the impact of a mother's core gender conflicts on her daughters' personality development.

Drawing on the author’s clinical work with gender-variant patients, Transgender Psychoanalysis: A Lacanian Perspective on Sexual Difference argues for a depathologizing of the transgender experience, while offering an original analysis of sexual difference. We are living in a "trans" moment that has become the next civil rights frontier. By unfixing our notions of gender, sex, and sexual identity, challenging normativity and essentialisms, trans modalities of embodiment can help reorient psychoanalytic practice. This book addresses sexual identity and sexuality by articulating new ideas on the complex relationship of the body to the psyche, the precariousness of gender, the instability of the male/female opposition, identity construction, uncertainties about sexual choice—in short, the conundrum of sexual difference. Transgender Psychoanalysis features explications of Lacanian psychoanalysis along with considerations on sex and gender in the form of clinical vignettes from Patricia Gherovici's practice as a psychoanalyst. The book engages with popular culture and psychoanalytic literature (including Jacques Lacan’s treatments of two transgender patients), and implements close readings uncovering a new ethics of sexual difference. These explorations have important implications not just for clinicians in psychoanalysis and mental health practitioners but also for transgender theorists and activists, transgender people, and professionals in the trans field. Transgender Psychoanalysis promises to enrich ongoing discourses on gender, sexuality, and identity.

The past two decades of psychoanalytic discourse have witnessed a marked transformation in the way we think about women and gender. The assignment of gender carries with it a host of assumptions, yet without it we can feel lost in a void, unmoored from the world of rationality, stability and meaning. The feminist analytic thinkers whose work is collected here confront the meaning established by the assignment of gender and the uncertainty created by its absence. The contributions brought together in Psychoanalytic Reflections on a Gender-free Case address a cross-section of significant issues that have both chronicled and facilitated the changes in feminist psychoanalysis since the mid 1980s. Difficult issues which have previously been ignored (such as the pregnancy of the therapist or sexual abuse regarded as more than a fantasy) are considered first. The book goes on to address family perspectives as they interact and shape the child’s experience of growing up male or female. Other topics covered are the authority of personal agency as influenced by the language and theory of patriarchy, male-centred concepts that consistently define women as inferior, and the concept of gender as being co-constructed within a relationship. The gender-free case presented here will fascinate all psychoanalysts interested in exploring ways of grappling with the elusive nature of gender, as well as those studying gender studies.

Shows the way women and feminine are represented in theory and how these representations function in practice. This book explores the underlying assumptions and values that function both in theory and in clinical practice in the two psychoanalytic models. It is suitable for those studying the psychology of women, and psychoanalytic studies.

Patients in psychoanalytic treatment present with a variety of problems that reflect contemporary cultural issues and values. Clinical Evolutions on the Superego, Body, and Gender in Psychoanalysis explores the effects of such societal changes on psychoanalytic theory and clinical practice, covering topics such as greed, envy and deception, body narcissism, gender roles, and relationships. Janice S. Lieberman includes numerous clinical vignettes and insights into working clinically with changing norms. Lieberman explores how changes in values and norms of behavior in the world beyond the consulting room have influenced what is now heard by analysts within it, using clinical data to demonstrate the psychological underpinnings of the values promulgated by current trends in politics and in society more widely. She explores what she observes to be "a new superego"; where deception abounds and often goes unpunished, where greed and envy have arguably increased and there is an enhanced emphasis on the body and its appearance. Traditional gender roles have been challenged in fortuitous ways, but a certain amount of chaos and confusion has ensued. Relationships are found and maintained using technology, yet many feel lonely and empty. She writes about the clinical dilemmas she has faced and offers suggestions for resolving them in working with today’s patients. Lieberman also sees parallels for these developments in several artists’ lives and in their work. Clinical Evolutions on the Superego, Body, and Gender in Psychoanalysis will be of great interest to psychoanalysts and psychoanalytic psychotherapists.

This book bridges psychoanalytic thought and sexual science. It brings sexuality back to the center of psychoanalysis and shows how important it is for students of human sexuality to understand motives that are often irrational and unconscious. The authors present a new perspective about male and female development, emphasizing the ways in which sexual orientation and homophobia appear early in life. The clinical section of the book focuses on the psychodynamics and treatment of homophobia and internalized homophobia.

In recent years, there has been an explosion in the number of children and young people who diagnose themselves as gender dysphoric, or trans. In the UK, and worldwide, there is a growing tendency to refer them on to 'specialist' gender services almost as soon as they express any confusion or distress about their biological sex or gender identity. Due to the rapidly rising numbers and various pressures on the system, patients are increasingly likely to be offered life-altering medication and/or surgical treatments, often with little exploration of their emotional world. As so little is yet known or understood regarding this increase in gender incongruent patients, it seems precipitous to proceed onto physical treatments before any assessment work is undertaken. Many who present as gender dysphoric have complex needs with comorbid problems such as autism, histories of abuse or trauma, social phobias, depression, eating disorders, and other mental health symptoms. Therefore, all aspects of the individual's life deserve thorough assessment and therapeutic work. This book is aimed primarily at clinicians working in the field to provide a model for understanding, assessing, and treating gender dysphoria. The model uses a psychoanalytic framework to help explain disturbed states of mind and how psychic defences can be enlisted unconsciously to avoid overwhelming psychic pain. This offers professionals a way of trying to think with, and offer understanding to, their trans-identifying clients. Clinical examples are given to illustrate these processes and promote the understanding of transgender children, adolescents, and young people and their internal worlds, their thinking, and their interpersonal relationships. As well as clinical exploration and understanding, the book includes an overview of the current political, social, and clinical environments which have all impacted on the clinical care of trans-identifying individuals. As well as professional and trainee clinicians, this book might also prove useful to parents, other professionals, and possibly the gender dysphoric person too.

"Here is a book that both creates and illuminates the space where psychoanalysis, feminism, gender studies, and sexualities join. . . . A collection of cutting edge work that brims with the excitement of new possibility." -Dr. Sam Gerson Combining clinical psychoanalysis with feminism, postmodernism, and psychoanalytic theory, this pioneering collection represents a major step forward in psychoanalytic gender studies.

Sexuality and Gender Now uses a psychoanalytic approach to arrive at a more informed view of the experience and relationships of those whose sexuality and gender may not align with the heterosexual "norm". This book confronts the heteronormative bias dominant in psychoanalysis, using a combination of theoretical and clinical material, offering an important training tool as well as being relevant for practicing clinicians. The contributors address the shift clinicians must make not only to support their patients in a more informed and non-prejudicial way, but also to recognise their own need for support in developing their clinical thinking. They challenge assumptions, deconstruct theoretical ideas, extend psychoanalytic concepts, and, importantly, show how clinicians can attend to their pre-conscious assumptions. They also explore the issue of erotic transference and countertransference, which, if unaddressed, can limit the possibilities for supporting patients more fully to explore their sexuality and gender. Theories of psychosexuality have tended to become split off from the main field of psychoanalytic thought and practice or read from an assumed moral high ground of heteronormativity. The book specifically addresses this bias and introduces new ways of using psychoanalytic ideas. The contributors advocate a wider and more flexible attitude to sexuality in general, which can illuminate an understanding of all sexualities, including heterosexuality. Sexuality and Gender Now will be essential reading for professionals and students of psychoanalysis who want to broaden their understanding of sexuality and gender in their clinical practice beyond heteronormative assumptions.

This text brings together the contributions of psychoanalytic theory and sociological analysis to explore the interrelationship between the inner and outer worlds which impact on a woman's identity.