Intersubjectivity In Psychoanalysis

In this book, Lewis Kirshner explains and illustrates the concept of intersubjectivity and its application to psychoanalysis. By drawing on findings from neuroscience, infant research, cognitive psychology, Lacanian theory, and philosophy, Kirshner argues that the analytic relationship is best understood as a dialogic exchange of signs between two subjects—a semiotic process. Both subjects bring to the interaction a history and a set of unconscious desires, which inflect their responses. In order to work most effectively with patients, analysts must attend closely to the actual content of the exchange, rather than focusing on imagined contents of the patient's mind. The current situation revives a history that is shaped by the analyst's participation. Supported by numerous case studies, Intersubjectivity in Psychoanalysis: A Model for Theory and Practice is a valuable resource for psychotherapists and analysts seeking to refine their clinical goals and methods.

This volume is the first concentrated effort to offer a philosophical critique of relational and intersubjective perspectives in contemporary psychoanalytic thought. The distinguished group of scholars and clinicians assembled here trace the theoretical underpinnings of relational psychoanalysis, its divergence from traditional psychoanalytic paradigms, and the broader implications for clinical reform and therapeutic practice.

From an overview of the basic principles of intersubjectivity theory, Orange, Atwood, and Stolorow proceed to contextualist critiques of the concept of psychoanalytic technique and of the myth of analytic neutrality. They then examine the intersubjective contexts of extreme states of psychological disintegration, and conclude with an examination of what it means, philosophically and clinically, to think and work contextually. This lucidly written and cogently argued work is the next step in the development of intersubjectivity theory. In particular, it is a clinically grounded continuation of Stolorow and Atwood's Contexts of Being (TAP, 1992), which reconceptualized four foundational pillars of psychoanalytic theory -- the unconscious, mind-body relations, trauma, and fantasy -- from an intersubjective perspective. Working Intersubjectively expounds and illustrates the contextualist sensibility that grows out of this reconceptualization. Like preceding volumes in the Psychoanalytic Inquiry Book Series by Robert Stolorow and his colleagues, it will be theoretically challenging and clinically useful to a wide readership of psychoanalysts and psychoanalytically informed psychotherapists.

'At last we have a book that provides a comprehensive overview and assessment of the intersubjective turn in psychoanalysis, showing its logical and clinical limitations and exploring its social and cultural determinants. Bohleber emphasizes the clinical importance of real traumatic experience along with the analysis of the transference as he reviews and broadens psychoanalytic theories of memory in relation to advances in cognitive psychology and neuroscience. Psychoanalytic ideas on personality, adolescence and identity are re-thought and updated. Bohleber brilliantly presents a unique understanding of malignant narcissism and prejudice in relation to European anti-Semitism and to contemporary religiously inspired terrorist violence.'- Cyril Levitt, Dr Phil, Professor and former Chair Department of Sociology, McMaster University Hamilton, Ontario. Psychoanalyst in private practice, Toronto, Ontario

Intersubjective Self Psychology: A Primer offers a comprehensive overview of the theory of Intersubjective Self Psychology and its clinical applications. Readers will gain an in depth understanding of one of the most clinically relevant analytic theories of the past half-century, fully updated and informed by recent discoveries and developments in the field of Intersubjectivity Theory. Most importantly, the volume provides detailed chapters on the clinical treatment principles of Intersubjective Self Psychology and their application to a variety of clinical situations and diagnostic categories such as trauma, addiction, mourning, child therapy, couples treatment, sexuality, suicide and sever pathology. This useful clinical tool will support and inform everyday psychotherapeutic work. Retaining Kohut’s emphasis on the self and selfobject experience, the book conceptualizes the therapeutic situation as a bi-directional field of needed and dreaded selfobject experiences of both patient and analyst. Through a rigorous application of the ISP model, each chapter sheds light on the complex dynamic field within which self-experience and selfobject experience of patient and analyst/therapist unfold and are sustained. The ISP perspective allows the therapist to focus on the patient’s strengths, referred to as the Leading Edge, without neglecting work with the repetitive transferences, or Trailing Edge. This dual focus makes ISP a powerful agent for transformation and growth. Intersubjective Self Psychology provides a unified and comprehensive model of psychological life with specific, practical applications that are clinically informative and therapeutically powerful. The book represents a highly useful resource for psychoanalysts and psychoanalytic psychotherapists around the world.

Using a European style of analysis Frie examines the complex relationship between the theories of intersubjectivity, subjectivity, language and love in the work of a diverse body of philosophers and psychoanalysts.

Intersubjective Processes and the Unconscious looks at how the minds of the therapist and the patient interact with each other in a profound and unconscious way: a concept first described by Freud. This book expands Freud’s ideas further and examines how these have been greatly elaborated by contributions from the Kleinian School as well as from the work of Bion. It explores how, together, patient and therapist co-create a narrative through these unconscious intersubjective processes. Topics of discussion include: the unconscious dimensions of intersubjective processes an historical overview of Freudian, Kleinian and Bionian contributions an integrated theory of the nature of unconscious intersubjective processes the central importance of dreaming in intersubjective processes the clinical implications of this intersubjective model The author offers in-depth clinical examples and case vignettes to illustrate the application of these principles when working with trauma, countertransference dreams and supervision. As such, this book will be invaluable to all psychoanalysts and psychotherapists interested in the topic of intersubjectivity as well as those who want to learn more about the interactional dimensions of Freud, Klein and Bion.

Psychoanalytic Treatment: An Intersubjective Approach fleshes out the implications for psychoanalytic understanding and treatment of adopting a consistently intersubjective perspective. In the course of the study, the intersubjective viewpoint is demonstrated to illuminate a wide array of clinical phenomena, including transference and resistance, conflict formation, therapeutic action, affective and self development, and borderline and psychotic states. As a consequence, the authors demonstrate that an intersubjective approach greatly facilitates empathic access to the patient's subjective world and, in the same measure, greatly enhances the scope and therapeutic effectiveness of psychoanalysis. Psychoanalytic Treatment is another step in the ongoing development of intersubjectivity theory, as born out in Structures of Subjectivity (1984), Contexts of Being (1992), and Working Intersubjectively (1997), all published by the Analytic Press

Given the complexity of scientific developments inside and outside the psychoanalytic field, traditional definitions of basic psychoanalytic notions are no longer sufficiently comprehensive. We need conceptualizations that encompass new clinical phenomena observed in present-day patients and that take into account contributions inside, outside, and on the boundaries of our practice. This book discusses theoretical concepts which explain current clinical expressions that are as ineffable as they are commonplace. Our patients resort to these expressions when they feel distressed by their perception of themselves as unreal, empty, fragile, non-existent, non-desiring, doubtful about their identity, beset by feelings of futility and apathy, and emotionally numb. The book aims at contrasting the ideas of Winnicott and Kohut, which are connected with a clinical practice that sees each patient as unique and are moreover in direct contact with empirical facts, and applies them to the benefit of complex patients. These ideas facilitate the expansion of paths in both the theory and the practice of our profession. Uniquely contrasting the works of two seminal thinkers with a Latin American perspective, Winnicott and Kohut on Intersubjectivity and Complex Disorders will be invaluable to clinicians and psychoanalysts.

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