Real People, Real Problems, Real Solutions: The Kleinian Psychoanalytic Approach with Difficult Patients

Real People, Real Problems, Real Solutions: The Kleinian Psychoanalytic Approach with Difficult Patients

Real People, Real Problems, Real Solutions: The Kleinian Psychoanalytic Approach with Difficult Patients

Real People, Real Problems, Real Solutions: The Kleinian Psychoanalytic Approach with Difficult Patients

Synopsis

Real People, Real Problems, Real Solutions offers a clear introduction to psychoanalytic practice from a Kleinian perspective and shows how the modern Kleinian works with the most taxing and least conforming of their patients. Illustrated by extensive case material this book: *reviews Freud's original theoretical concepts and examines Klein's contributions to the field of psychoanalysis, clarifying and comparing the two approaches in the clinical setting. *identifies and explores who makes up the psychoanalyst's most challenging case load and demonstrates how the Kleinian psychoanalytic approach is helpful to these individuals. *discusses the current state of traditional methods of training at psychoanalytic institutes, which are shown to be in need of renewal and critical restructuring. Real People, Real Problems, Real Solutions shows how the average psychoanalyst and psychotherapist face many difficult patients in a typical days work. Together with its questioning of what really constitutes psychoanalytic therapy, this is a refreshing read for all practising and training psychoanalysts and psychotherapists.

Excerpt

This book begins with a summary of the psychoanalytic method, first with the Freudian approach and then with an overview of the Kleinian stance. Levenson (1983) describes how the many different schools within psychoanalysis all share a common principle. the analyst sifts through the patient's symptoms, associations, and transference reactions to put some sort of order to the patient's experience. This is relayed to the patient in the form of a transference interpretation. When successful, this brings on new material that is then again reordered within an object-relational context.

Chapter 1 introduces the reader to the basic ingredients of the Freudian approach and how this perspective helps the patient to understand and process their internal experiences. the core techniques that guide the Freudian analyst are examined.

Chapter 2 offers a brief historical background of Melanie Klein and the psychoanalytic movement she fostered. Her views on the mind are outlined and compared to Freud's theories. Contemporary Kleinian approaches to psychoanalysis are explored, including the Kleinian understanding of the ego and the object.

Chapter 3 provides the reader with an understanding of the role of the contemporary Kleinian psychoanalyst. While many essential cornerstones of classical theory and clinical technique remain unchanged, the Modern Kleinian is an analyst who now emphasizes certain methods over others. Recent literature is reviewed to show the details of what makes up today's Kleinian practitioner.

Chapter 4 discusses the utility of the psychoanalytic perspective as an instrument of theory building, a method of diagnosis, and a manner of treatment. Psychological treatments that are infused by the psychoanalytic method have a deeper and richer quality. These offer more for patients who need more, due to their shattered inner lives. These difficult and complex patients are explored from both a Freudian and then a Kleinian perspective. Case material is used to look at the internal states of mind these individuals struggle with and the types of often chaotic, dynamic situations they establish in the analytic setting.

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