This book uses clear language, modern contexts, and key psychoanalytic concepts to exemplify how Sigmund Freud's thinking and legacy is directly relevant to contemporary therapists. Interweaving theory with history, Freudian Thought for the Contemporary Clinician allows readers to take a walk in Freud's shoes, offering a new framework for understanding his arcane language and the cultural mores of the early 20th century. Robert Mendelsohn explores topics including sexuality and gender, racial injustices, and cultural differences with direct reference to Freud's (...) cases, demonstrating how traditional psychoanalytic ideas may inform solutions to issues we face today. Featuring clinical examples and philosophical explorations delivered in an accessible style, Freudian Thought for the Contemporary Clinician will be a key text for psychoanalytic clinicians in practice and in training. It will also be of great interest to academics and scholars of psychoanalytic studies, the history of psychology and the history of ideas. (shrink)

In order to properly distinguish between pastoral and psychotherapeutic counseling, one must clarify both the interpretive presuppositions underlying each of these professional practices and their respective societal contexts. As a common ground for both kinds of practice, at least insofar as they maintain a distance from the usual medical-scientific model of therapeutic intervention, an ontology of playing is recommended. More precisely, in order for counseling to truly come “into play,” any latent neo-pastoral power discourses must be critically exposed. (...) Psychoanalytic counseling is characterized by rules of abstinence and neutrality as well as by attention to unconscious dynamics, especially those of transference and countertransference. Pastoral counseling, even when it takes place outside of the Ignatian exercises, can still orient itself toward the Ignatian model of spiritual accompaniment, thus requiring a discernment of spirits and a reference to transcendence. Both pastoral and psychotherapeutic counseling can profit from each other. Both must be evaluated in terms of whether, in the course of an authentic communication, they succeed in proposing what truly profits the person seeking advice. All of this applies with special urgency to bioethical decision making and conflict resolution: Persons seeking pastoral advice desire an authentic exposition of the values of the Gospel and their church community in order to reach a well-founded conclusion in conscience. Other persons (or even the same ones) seeking psychotherapeutic help in a bioethical conflict situation desire an empathetic mirroring back of the biographic background framing their decision and of possible psychic consequences that may ensue from their acting accordingly. (shrink)

RE-ISSUED WITH INDEX 'Therapy may be mad,' declares Rob Weatherill in this outspoken volume. Therapy here means particularly psychotherapy and counselling, but should be also taken to signify the universal logic of the post-modern therapeutic culture of well-being, happiness and enjoyment. More and more people want to believe in therapy who have lost belief in anything else. Counselling and therapy increasingly inform all human interaction. The dominant ethos is a holistic one. This book aims to refute, primarily through the prism (...) of modern psychoanalysis and key theorists like Baudrillard, Levinas, Lyotard, Paz, Steiner, Reiff as well as Žižek, the fashion for a return to a pre-Cartesian ideal of harmony and integration. On the contrary, there is something monstrous, something excessive, that Freud termed the death drive, at the heart of the Real upon which ordinary reality, so to speak, rests. Enlightenment thought, in which we in the West in particular are caught, is entirely incapable of going beyond the ideal humanist version of man – our last great illusion. (shrink)

Thomas Kretschmar and Andreas Hamburger provide an important overview of psychodynamic work in companies, presenting different viewpoints and explaining key psychoanalytic terms and techniques for coaching and supervision. Written in the form of a dialog between Kretschmar, an entrepreneur, and Hamburger, a psychoanalyst, the book provides unique insight into psychodynamic coaching and supervision. Psychodynamic Coaching and Supervision for Executives begins with an overview of coaching, psychodynamic approaches, the unconscious and relevant psychoanalytic theory. Kretschmar and Hamburger then consider Operationalized (...) Psychodynamic Diagnosis (OPD) in business, assess current research into coaching and supervision and present a selection of key case studies. At the end of each chapter, the authors compare their positions, giving important contextual information, exploring objections, complications and improvements, and providing a precise summary of the topic. This book will be an illuminating guide for therapists and professionals who wish to learn how psychoanalytic theory and practice can be used for coaching, counseling, and supervision in an organizational context. (shrink)

The World Health Organisation recently listed air pollution as the most significant threat to human health. Air pollution comprises particulate matter (PM), metals, black carbon and gases such as ozone (O3), nitrogen dioxide (NO2) and carbon monoxide (CO). In addition to respiratory and cardiovascular disease, PM exposure is linked with increased risk of neurodegeneration as well as neurodevelopmental impairments. Critically, studies suggest that PM crosses the placenta, making direct in utero exposure a reality. Rodent models reveal that neuroinflammation, neurotransmitter imbalance (...) and oxidative stress are triggered following gestational/early life exposure to PM, and may be exacerbated by concomitant mitochondrial dysfunction. Gestational PM exposure (potentiated by mitochondrial impairment in the metabolically active neonatal brain) not only impacts neurodevelopment but may sensitise the brain to subsequent cognitive impairment. Having reviewed this field, we conclude that strategies are urgently required to reduce exposure to PM during this sensitive developmental period. (shrink)

On counselling, psychology, and psychotherapy.

The nature of psychoanalysis seems contradictory - deeply personal, subjective and intuitive, yet requiring systematic theory and principles of technique. The objective quality of psychoanalytic knowledge is paradoxically dependent on the personal engagement of the knower with what is known. In The Dove that Returns, The Dove that Vanishes , Michael Parsons explores the tension of this paradox. As they respond to it, and struggle to sustain it creatively, analysts discover their individual identities. The work of outstanding clinicians such (...) as Marion Milner and John Klauber is examined in detail. The reader also encounters oriental martial arts, Greek Tragedy, the landscape painting of John Constable, a Winnicottian theory of creativity and a discussion of the significance of play in psychoanalysis. From such varied topics evolves a deepening apprehension of the nature of the clinical experience. Illustrated throughout with clinical examples, The Dove that Returns, The Dove that Vanishes will prove valuable to those in the field of psychoanalysis, and to those in the arts and humanities who are interested in contemporary psychoanalytic thinking. (shrink)

1940s was a time of great change in the psychoanalytic world.

Objects of Hope brings ranging scholarship and refreshing candor to bear on the knotty issue of what can and cannot be achieved in the course of psychoanalytic therapy. It will be valued not only as an exemplary exercise in comparative psychoanaly.

In this critique and extension of Foulkes' work, Farhad Dalal presents a contemporary appraisal of the theory of group psychoanalysis as a whole. Dalal argues that Foulkes was ultimately unable to take the group seriously because he did not develop a specific set of group concepts.

For a long time the human sciences have debated the relationship between social structures--the group, and subjectivity--the individual, with much of the debate centering round areas such as identity, (gender, race, sexuality), discourse, (talk, conversation, the limits of language), and therapy. This book, by a well-known and highly respected academic in the cross-cutting fields of gender studies, therapy, and psychoanalysis, brings together important material on these debates, and provides a substantial contribution to theory on the relationships between psychology, psychotherapy, and (...) social theory. (shrink)

The need for a concise, comprehensive guide to the main principles and practice of psychoanalysis and psychoanalytic psychotherapy has become pressing as the psychoanalytic movement has expanded and diversified. An introductory text suitable for a wide range of courses, this lively, widely referenced account presents the core features of contemporary psychoanalytic theory and practice in an easily assimilated, but thought-provoking manner. Illustrated throughout with clinical examples, it provides an up-to-date source of reference for a wider range of (...) mental health professionals as well as those training in psychoanalysis, psychotherapy or counselling. (shrink)

Jacques Lacan's impact upon the theory and practice of psychoanalysis worldwide cannot be underestimated. _Lacanian Psychoanalysis_ looks at the current debates surrounding Lacanian practice and explores its place within historical, social and political contexts. The book argues that Lacan’s elaboration of psychoanalytic theory is grounded in clinical practice and needs to be defined in relation to the four main traditions: psychiatry, psychology, psychotherapy and spirituality. As such topics of discussion include: the intersection between psychoanalysis and social transformation a new (...) way through deadlocks of current Lacanian debate a new approach to ‘clinical structures’ of neurosis, perversion and psychosis _Lacanian Psychoanalysis_ draws on Lacan's work to shed light on issues relevant to current therapeutic practice and as such it will be of great interest to students, trainees and practitioners of psychoanalysis, psychotherapy, counselling and other domains of personal and social change. (shrink)

I want to begin by saying that the terms of reference of this series of lectures grated on me, in particular, the word ‘power’. One thing it conjured up was the criticism made by people who say we use our power over our patients to brainwash them, that the psychotherapeutic relationship is inescapably authoritarian, domineering, coercive. This was widely said in the sixties by leftist and feminists and others who sought a therapeutic relationship that was more equal, co-counselling, for example, (...) where the client and the therapist took turns exposing their problems. In my experience, most people who took up that position eventually saw the merits of relatively orthodox psychotherapy, and many have trained in conventional psychodynamic psychotherapy. I asked my partner, who is also a psychoanalytic psychotherapist, what the term power conjured up for her and got an uncharacteristically sharp response. She said, ‘I hate that word. It’s used by humanistic therapists who are afraid of authority, difference and knowledge and want us all to be the same. It’s like saying colour doesn’t matter. They confuse the abuse of power with the use of power. They assume that all exercise of power is abusive.’. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Adolph Meyer’s Psychobiology in Historical Context, and Its Relationship to George Engel’s Biopsychosocial ModelEdwin R. Wallace IV (bio)Keywordspsychobiology, integrative models of psychiatry, biopsychosocial modelBefore addressing the importance of Adolf Meyer and the question of his impact on the biopsychosocial model of the psychoanalytical internist George Engel, let us tersely sketch the history of functionalism in medicine/psychiatry, and of the nineteenth/early twentieth century’s progressive abandonment of it in favor of (...) basic science reductive models of “disease,” not illness.FunctionalismWhereas Hippocratic physicians diagnosed diatheses in terms of humoral excesses or deficiencies, their primary emphasis was on the ill person. They began with careful histories of the patient’s complaints and his or her daily life course, customary activities, typical foods and beverages imbibed, and the exacerbation or relief of symptoms associated with any or all of these. They also asked questions about his physical and social environment. They carefully looked for any clinically pertinent signs, and might physically examine the patient or his excretions. When they arrived at a diagnosis (say, an excess of yellow or black bile, or of blood or phlegm), they would educate the patient about it and discuss possible approaches. Although leeching, emetics, or purgatives might be prescribed, “dietetics” was the core of the treatment. Much more than recommendations about dietary intake, this involved conversations about “lifestyle” management in general: exercise, fresh air, habit changes, and perhaps bathing in mineral waters or spas. If the patient were “melancholic” (which then included what we would now consider a variety of psychiatric disorders), he or she might be prescribed daily swimming and other forms of vigorous exercise, conversations with a philosopher, [End Page 347] attendance at theatrical comedies, or even referral to an Asklepian temple for “incubation sleep” and priestly dream interpretation. Often doctors worked closely with physical trainers, to whom they sent their patients. In short, their orientation was holistic (“mind”/”body” integration), directed first and foremost toward an individual ill person.In the second century, C.E. Galen, despite his humoral and anatomical pathologies, was similarly holistic or functionalist. He resorted to a variety of physical examinational methods while also attending to the patient’s mental/emotional status. He described one case where he was attending a woman for syncopal episodes. His examinations of her included his customary attention to the pulse. During one evening session, a servant entered and happened to mention that he had just seen the handsome Pylades dancing. Suddenly her pulse became irregular and she fainted straight away. This led Galen to consider love sickness, and perhaps not humoral or organ pathology. He tested his hypothesis during subsequent visits. Whenever another dancer or actor was mentioned, her pulse remained regular and her sensorium alert, but when Pylades was mentioned the irregular pulse and fainting recurred. Because she was married, Galen realized her insoluble conflict, and treated her accordingly.From the fall of Rome until the rise of University Medicine in the later Middle Ages, medical lore and doctoring was in monastic hands—each monastery had its clerical medic, who might also attend outsiders. They were attuned to the traditional triad of major mental disorders—mania, melancholia, and phrenitis—which they explained somatically. However, they also encountered lesser mental/emotional disorders for which they developed their own nosology. “Scrupulosity,” for example, characterized a committed monk with an unrealistic sense of sinfulness and guilt—which often drove him to self-mortification such as flagellation, hair shirts with chains underneath, and so forth, for which the remedy was kindly pastoral counseling. “Accedia” was akin to our “dysthymia,” whose sufferer was affected by sadness, lassitude, and impaired capacity to carry out the monastic routine. This was viewed as straddling the boundary between sickness and sin. Routine physical labor (“occupational therapy”) and prayers, confession, penance, and “pep talks” were prescribed.When universities with medical schools arose in the latter Middle Ages, students’ educations were mostly bookish and theoretical. Hippocratic and Galenic somatic orientations were still preeminent. (Vesalius would not publish his illustrated anatomical text until 1543.) Dietetics and purgatives, bloodletting, and so on were still favored treatments. Nevertheless, doctors gave considerable time and attention to their patients as ill... (shrink)

The history of mental illnesses is as old as human history. Mental disorders are affected by changing social and cultural factors during the historical process, and have been conceptually restructured and their definitions and classifications have been changed. The evolution of obssessive-compulsive disorders with roots as old as human history into modern concepts took place in the 19th century. The first scientific views on the spiritual origin of OCD belong to S. Freud. Freud observed that mental causes in OCD are (...) different from other mental disorders, and he examined obsession as a separate and specific disorder. Over time, it has been understood that OCD is a very common disorder. The American Psychiatric Association (APA) has classified OCD under an independent title in the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by removing it from the category of anxiety disorders. OCD is a mental disorder caused by mental actions such as obsessive thoughts (obsessions) and / or repetitive and compulsive behaviors (compulsion). The patient is often aware that such thoughts and behaviors are irrational and absurd. For this reason, he tries to get away obsessive thoughts that he finds contrary to his beliefs, opinions, moral values and logic from his mind. However, as he tries, obsessive thoughts become more and more frequent and create a great anxiety in the person. This time, the patient resorts to compulsions to alleviate the anxiety he feels or to get rid of it completely. As his compulsions repeat, his anxiety increases and he goes into a vicious circle. There are many symptom subgroups of OCD that seriously worsen the quality of life of the individual. One of these, and even the most overwhelming, is religious obsessions. It has been thought that there has been a relationship between religion and OCD for a long time in the psychology literature, and some remarkable studies have been conducted to clarify this relationship. Although there are many research findings showing that religion is an indispensable element in the protection of the mental health integrity of the individual, some forms of religious understanding and some experiences gained as a result of religious experiences may affect the concerns about OCD. This stage of religiosity is closely related to some sub-symptom groups of OCD. The explanations of the founder of the psychoanalytic method, Freud psychoanalytic method, and his followers made a great contribution to the understanding of OCD. However, since the psychoanalytic method exhibits a theoretically reductionist approach to religion, it is possible that the individual's devotion to religion is initially evaluated as a pathology or at least an important obstacle to insight. Today, cognitive behavioral psychotherapies are considered the most effective psychological treatment method for OCD, but their success rates in the treatment of religious OCD are low. Since religious OCD concerns often involve spiritual issues rather than concrete repeatable situations, behavioral methods can be quite difficult to apply in the treatment of religious OCD. Therefore, traditional psychotherapy approaches, even if they are not openly against religions, are insufficient to relieve the suffering in the lives of individuals with religious obsessions, as they generally neglect the religious dimension. Due to the vacuum that arises from restricting spiritual treatments to secular approaches, religious patients are threatened by the illegal practices of people who abuse religious feelings. Clinically, religious obsessions are more worrying and overwhelming. Therefore, their treatment is more difficult than others. Selective approaches that use different scientific disciplines together in the treatment of OCD and can stretch around religious beliefs and values can create more effective treatment models. Thus, the success rate in the treatment of religious OCD can be carried to higher levels thanks to the appropriate cooperation of the disciplines of medicine, psychology and theology. There is a rich religious cultural heritage that can support this collaboration in terms of theological disciplines. As an example, Abū Zayd al-Balkhī (d. 322/934), in his Maṣāliḥ al-abdān wa-l-anfus, probably made a clear distinction between neuroses and psychosis and classified neurotic disorders for the first time about ten centuries before Freud. In this study, the importance of approaching to religious obsessions as both a psychological disorder and a theological problem is emphasized. For this reason, cooperation of psychiatric and psychological approaches with spiritual counseling and guidance is recommended in the treatment of religious OCD. The difficulty in distinguishing whether the symptoms seen in a religious person are normal, natural religious thoughts and behaviors of religious life or abnormal appearances in the religious guise necessitates this interdisciplinary cooperation. (shrink)

In psychoanalysis, enlivenment is seen as residing in a sense of self, and this sense of self is drawn from and shaped by lived experience. _Enlivening the Self: The First Year, Clinical Enrichment, and the Wandering Mind _describes the vitalizing and enrichment of self-experience throughout the life cycle and shows how active experience draws on many fundamental functional capacities, and these capacities come together in support of systems of motivation; that is, organized dynamic grouping of affects, intentions, and goals. The (...) book is divided into three essays: Infancy – _Joseph Lichtenberg_ presents extensive reviews of observation and research on the first year of life. Based on these reviews, he delineates twelve foundational qualities and capacities of the self as a doer doing, initiating and responding, activating and taking in. Exploratory therapy – _James L. Fosshage _looks where therapeutic change is entwined with development. There are many sources illustrated for enhancing the sense of self, and _Frank M. Lachmann _pays particular attention to humor and to the role that the twelve qualities and capacities play in the therapeutic process. The wandering mind – _Frank M. Lachmann _covers the neuroscience and observation that "mind wandering" is related to the immediacy of the sense of self linking now with past and future. Throughout the book the authors’ arguments are illustrated with rich clinical vignettes and suggestions for clinical practice. This title will be a must for psychoanalysts, including trainees in psychoanalysis, psychiatry residents and candidates at psychoanalytic institutes and also graduate students in clinical and counselling psychology programs. (shrink)

Leading international scholars present novel dialogues between different psychoanalytic orientations as well as between the particularities of diverse socio-cultural and historical contexts in order to offer critical insights which are ...

Multicultural Counseling: Responding With Cultural Humility, Empathy, and Advocacy is divided up into three sections. The first section is comprised of four chapters and explores the counselors' worldview. The second section is made up of 19 chapters that encapsulate the clients' worldview. The third section includes four chapters that demonstrate the application of multicultural counseling by broaching race and culture; providing culturally responsive assessment, diagnosing, and treatment planning; finding a supervisor who prepares advocates; and designing a culturally sensitive (...) workplace. Each chapter opens with questions designed to have counselors consider their beliefs, attitudes, and judgments and how they might show up in their work with diverse clients. Chapters include clinical case scenarios where students can conceptualize cases using empathy, humility, and advocacy. A distinguishing feature of this book is that it includes cultures that may have been overlooked elsewhere. The authors also sought to include various faiths in this text-such as agnosticism, atheism, and indigenous spiritual practices-with hopes that counselors' first experience with such would be in this book rather than on their couches with clients. Another chapter is dedicated specifically to transgender people. The goal of this book is to give learners the framework to begin to understand who the people are that they will be serving. (shrink)

Philosophical counseling is an educational activity in which philosophers engage in dialogue with clients who wish to address questions or manage problems that arise during the course of everyday life. This chapter offers three contrasting perspectives on the question of what philosophical counselors do: first, an institutional scope of practice for philosophical counseling; second, an anecdotal list of common issues for which clients seek philosophical counseling; and third, a heterogeneous set of views by several pioneers of philosophical (...) counseling. From what we have seen thus far, it may already be clear that there exist both parallels and anti‐parallels between philosophical counseling and psychotherapy. First and foremost, anyone who wants to become a philosophical counselor should earn an accredited graduate degree in philosophy in whichever area of specialization captures their interest. (shrink)

Counseling Ethics for the 21st Century prepares students to address ethical issues arising in contemporary counseling practice. Drawing on their own clinical and practical experiences, authors Elliot D. Cohen and Gale Spieler Cohen present detailed, realistic, and engaging clinical case studies along with a comprehensive five-step model that can be used to manage the complex ethical problems raised throughout the book. Each chapter focuses on particular virtues in the context of examining a particular counseling issue, including online (...) counseling, digital record keeping, and social media. Students will be empowered to define problems, identify relevant facts, conduct ethical analyses, and make the best decisions for their clients. (shrink)

Critiques existing theoretical approaches and practices of philosophical counseling and presents a new model.

The majority of women who freeze their eggs for non-medical or social reasons, commonly referred to as elective egg freezing (EEF), do not eventually utilize their frozen eggs. This would result in an accumulated surplus of unused frozen eggs in fertility clinics worldwide, which represents a promising source of donation to infertile women undergoing IVF treatment. Rigorous and comprehensive counseling is needed, because the process of donating one’s unused surplus frozen eggs involves complex decision-making. Prospective EEF donors can be (...) broadly categorized into those who have achieved motherhood and those who remained childless and have given up on motherhood aspirations. A two-step systematic counseling protocol is proposed. Firstly, it is imperative to verify and ensure that these women do not want to conceive any children with their surplus frozen eggs before proceeding with further counseling and signing of consent forms. Secondly, various motivating and dissuading factors in the donation of unused surplus frozen eggs should then be comprehensively discussed with egg freezers to facilitate informed decision-making. Key motivating factors for donation include reciprocity in wanting to share the joys of motherhood among egg freezers who already have children, goodwill to help others in need, and avoiding the wastage of surplus frozen eggs after expending so much money, time, and effort. Key dissuading factors include fear of accidental incest between natural and unknown donor-conceived offspring, as well as apprehension of unexpected future contact with unknown donor-conceived offspring due to either donor anonymity being abolished in their jurisdiction or widespread consumer DNA testing. (shrink)

In dialogue with the most famous myth for the origin of different languages - The Tower of Babel - A Psychoanalytic Exploration on Sameness and Otherness: Beyond Babel provides a series of timely reflections on the themes of sameness and otherness from a contemporary psychoanalytic perspective. How are we dealing with communication and its difficulties, the confusion of tongues and loss of common ground within a European context today? Can we move beyond Babel? Confusion and feared loss of (...) shared values and identity are a major part of the daily work of psychoanalytic psychotherapists. Bringing together an international range psychoanalytic practitioners and researchers, the book is divided into six parts and covers an array of resonant topics, including: language and translation; cultural identity; families and children; the cyber world; the psychotherapeutic process; and migration. Whereas the quest for unity, which underpins the myth of Babel, leads to mystification, simplification and the exclusion of people or things, multilingual communities necessitate mutual understanding through dialogue. This book examines those factors which further or threaten communication, aiming not to reduce but to gain complexity. It suggests that diversification enriches communication and that, by relating to others, we can create something new. As opposed to cultural and linguistic homogeneity, Babel is not only a metaphor for mangled communication, alienation, and distraction, it is also about the acceptance or rejection of differences between self and other. This book will be of great interest to psychoanalytic psychotherapists and researchers from a wide variety of backgrounds. (shrink)

Pragmatic-Psychoanalytic Interpretations of Amos Oz's Writings: Words Significantly Uttered presents intermediate links between three intellectual domains: the literary works of Amos Oz, American Pragmatism, and object-relations psychoanalysis.

_ Source: _Volume 28, Issue 2, pp 103 - 131 Although the distinction between counsel and command in Hobbes’s works, especially _Leviathan_, has been often acknowledged, it has been little studied. This article provides background and analysis of this critical distinction by placing it in conversation with the works of Henry Parker and in the context of the English Civil War, especially as regards the discussion of prudence, interests and crisis. In so doing, three conclusions can be drawn. First, it (...) becomes clear that for both Parker and Hobbes, counsel serves as a foundation to their arguments about the placement and function of sovereignty. Second, in grounding their arguments about sovereignty in the discourse of counsel, both authors – intentionally or unintentionally – undermine the previously critical discourse of counsel. Finally, we see that especially Hobbes’s engagement with and overthrow of the discourse of counsel profoundly alters of the terms and focus of modern political debate, moving from a ‘monarchy of counsel’ to a discussion of political sovereignty. (shrink)

This multi-faceted collection of women's perspectives on the renaissance in philosophical practices provides an international overview on the professional practice of philosophical counseling as rooted in the ancient philosophical discipline of life and its essential difference from modern mainstream philosophy.

Informed consent is a key condition for prenatal screening programmes to reach their aim of promoting reproductive autonomy. Reaching this aim is currently being challenged with the introduction of non-invasive prenatal testing (NIPT) in first-trimester prenatal screening programmes: amongst others its procedural ease—it only requires a blood draw and reaches high levels of reliability—might hinder women’s understanding that they should make a personal, informed decision about screening. We offer arguments for a renewed recognition and use of informed consent compared to (...) informed choice, and for a focus on value-consistent choices and personalized informational preferences. We argue for a three-step counselling model in which three decision moments are distinguished and differently addressed: (1) professionals explore women’s values concerning whether and why they wish to know whether their baby has a genetic disorder; (2) women receive layered medical-technical information and are asked to make a decision about screening; (3) during post-test counselling, women are supported in decision-making about the continuation or termination of their pregnancy. This model might also be applicable in other fields of genetic (pre-test) counselling, where techniques for expanding genome analysis and burdensome test-outcomes challenge counselling of patients. (shrink)

Informed consent is a key condition for prenatal screening programmes to reach their aim of promoting reproductive autonomy. Reaching this aim is currently being challenged with the introduction of non‐invasive prenatal testing (NIPT) in first‐trimester prenatal screening programmes: amongst others its procedural ease—it only requires a blood draw and reaches high levels of reliability—might hinder women’s understanding that they should make a personal, informed decision about screening. We offer arguments for a renewed recognition and use of informed consent compared to (...) informed choice, and for a focus on value‐consistent choices and personalized informational preferences. We argue for a three‐step counselling model in which three decision moments are distinguished and differently addressed: (1) professionals explore women’s values concerning whether and why they wish to know whether their baby has a genetic disorder; (2) women receive layered medical‐technical information and are asked to make a decision about screening; (3) during post‐test counselling, women are supported in decision‐making about the continuation or termination of their pregnancy. This model might also be applicable in other fields of genetic (pre‐test) counselling, where techniques for expanding genome analysis and burdensome test‐outcomes challenge counselling of patients. (shrink)

We present an inference to the best explanation of the immense cultural success of Freudian psychoanalysis as a hermeneutic method. We argue that an account of psychoanalytic facts as products of unintended declarative speech acts explains this phenomenon. Our argument connects diverse, seemingly independent characteristics of psychoanalysis that have been independently confirmed, and applies key features of John Searle’s and Eerik Lagerspetz’s theory of institutional facts to the psychoanalytic edifice. We conclude with a brief defence of the institutional (...) approach against more contentious social constructivist approaches to science and psychoanalysis. (shrink)

2020 Gradiva Award Nominee, Best Edited Book Psychoanalytic Perspectives on Women and Their Experience of Desire, Ambition and Leadership considers how these factors can be understood, nurtured, or thwarted and the subsequent impact on women's identity, authority and satisfaction. Psychoanalysis has long struggled with its ideas about women, about who they are, how to work with them, and how to respect and encourage what women want. This book argues that psychoanalytic theory and practice must evolve to maintain its (...) relevance in a volatile landscape. Each section of the book begins with a chapter that reviews contemporary ideas regarding women, as well as psychoanalytic history, gender bias, and societal norms and deficits. Three composite clinical stories allow our distinguished contributors to discuss the contexts within which individual experience can be affected, and the role that clinical work may have to mobilize and advance passion and vitality. In their discussions, the interplay of clinical psychoanalysis, sociopolitical context, and understanding of gender, combine to offer a unique perspective, built on decades of scholarship, personal experience, and clinical expertise. Psychoanalytic Perspectives on Women and Their Experience of Desire, Ambition and Leadership will serve as a reference for all psychoanalysts and psychoanalytic psychotherapists as well as gender studies scholars interested in the progress of psychoanalytic theory regarding women in the 21st century. Contributors to this book include: Rosemary Balsam, Brenda Bauer, Andrea Celenza, Diane Elise, Adrienne Harris, Dorothy Holmes, Nancy Kulish, Vivian Pendar, Dionne Powell, and Arlene Richards. (shrink)

The main purpose of this book is to look at a range of ubiquitous phenomena that make up our daily life and to ask not so much "whether" but "what" psychoanalytic thinking can add to our current understanding of these phenomena. Could there be another layer, below the obvious surface-layer, that needs to be explored further? And if so, can psychoanalytic light reflect upon and illuminate some of the new contours and shapes perhaps previously not fully seen or (...) appreciated? What interim conclusions can we reach as a result of this reflection upon our modern world? This book is linked to its immediate predecessor Psychoanalytic Perspectives on a Turbulent World but it differs significantly in tone, light and composition. This new book no longer addresses itself to the complex and troubling issues such as war, conflict, the global financial crisis and our struggle with leadership, instead, it tends to focus on the lighter side of life. (shrink)

A Psychoanalytic Exploration of the Body in Today's World: On the Body examines the importance of the body in everyday psychoanalytic practice and beyond. Written by world leading clinicians and international scholars, this important book aims to relocate the psychoanalytic body in the modern, more challenging world. Bringing together perspectives from across the range of psychoanalytic schools of thought, it covers essential analytic topics such as family and parenting, sex and gender, illness and psychosomatics, and concepts (...) of the body in infancy. Though in Freud's writing the intertwining of body and psyche is fundamental, psychoanalytic thought has sometimes downplayed or ignored this idea. This book returns the body to its rightful place in psychoanalysis, and brings the body into the contemporary world of technology and change, offering fresh insight into the sick body, the sexual body, the speaking body, the body of the changing family in which the traditional gendered labels no longer fit seamlessly, gender dynamics and much more. A Psychoanalytic Exploration of the Body in Today's World gives renewed and increased emphasis to an essential tenant of psychoanalysis. With contributions from some of the most important modern psychoanalysts, this book will prove an essential work for both psychotherapists and academics. (shrink)

In this book, Raabe argues that philosophy can effectively inform and improve conventional methods of treating mental illness. He presents clinical evidence showing that mild and so-called clinical mental illnesses can be both prevented and alleviated with philosophical talk therapy. Raabe offers concrete case examples that support his findings.

The book is concerned with the shifting notions of self and identity and develops a Foucauldian analysis that examines these inherently philosophical notions in ...

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

In this paper, we deal with the issue of contradictory beliefs, particularly with regard to Philosophical Counseling: both voices from the philosophical tradition (with no claim of being exhaustive!) and concepts developed by philosophical practitioners will be considered, in order to make clear what a wide range of resources for dealing with contradictions is available to the philosopher who may wish to engage in Philosophical Counseling. Among the philosophical practitioners, we devote special consideration to Ben Mijuskovic and Gerd (...) Achenbach, and this for two main reasons: first, because the issue of contradiction plays a central role in their concept of Philosophical Counseling and, accordingly, it is given special consideration in their writings; second, because their approaches to Philosophical Counseling are so different that by looking at them one can get an impression of the variety of the positions one can adopt in Philosophical Counseling with respect to the issue of contradiction. (shrink)

Preface and acknowledgments -- The American independent tradition: Loewald, Erikson, and the (possible) rise of intersubjective ego psychology -- From Freud to Erikson -- Civilization and its discontents and beyond: drives, identity, and Freud's sociology -- the question of a weltanschauung, thoughts for the times on war and death, and why war: whatever happened to the link between psychoanalysis and the social? -- Born into a world at war: affect and identity in a war baby cohort -- The psychoanalytic (...) vision of Hans Loewald -- The psychoanalytic vision of Hans Loewald -- Reflections on Loewald's internalization, separation, mourning, and the superego -- A different universe: reading Loewald through on the therapeutic action of psychoanalysis -- American independence: theory and practice -- From behind the couch: uncertainty and indeterminacy in psychoanalytic theory and practice -- Listening to James McLaughlin: tribute to an American independent -- Regard for otherness: reading Warren Poland -- Individuality as bedrock in the consulting room and beyond -- Toward an American independent tradition: recapitulation -- Beyond the dyad: individual psychology, social world -- Why is it easy to be a psychoanalyst and a feminist but not a psychoanalyst and a sociologist? -- Afterword: could you direct me to the individuology department? -- Could you direct me to the individuology department psychoanalysis, the academy, and the self. (shrink)

School Counselling in a Chinese Context discusses research in school counselling in the Chinese context of Hong Kong schools and various educational settings, and provides a contextualized understanding of counselling issues. This book highlights key contextual conditions for counselling in Hong Kong a Chinese society. The sub themes addressed in the book include school practices and teacher perspectives on guidance, counselling, behaviour support and school discipline; whole-school guidance program for identity construction; school counselling for ethnic minority students; contextual influence of (...) the use of play therapy; school counselling for students with minority sexual orientation; Chinese cultural influence on counselling, etc. The book also develops new theoretical orientations to understanding various issues of counselling as arisen in the Chinese society of Hong Kong and helps school practitioners to develop culturally responsive approaches to school counselling for personal growth, spiritual and emotional education. The themes addressed in the book include: School practices and teacher perspectives on guidance, counselling, behavior support and school discipline School counselling for ethnic minority students Contextual and cultural influence of the use of play therapy School counselling for students with minority sexual orientation Chinese culture influence on parental participation in counselling School Counselling in a Chinese Context will be of interest to postgraduates and researchers in the field of Counselling, school psychology, child development and Chinese studies. ". (shrink)

In dialogue with the most famous myth for the origin of different languages - The Tower of Babel - A Psychoanalytic Exploration on Sameness and Otherness: Beyond Babel provides a series of timely reflections on the themes of sameness and otherness from a contemporary psychoanalytic perspective. How are we dealing with communication and its difficulties, the confusion of tongues and loss of common ground within a European context today? Can we move beyond Babel? Confusion and feared loss of (...) shared values and identity are a major part of the daily work of psychoanalytic psychotherapists. Bringing together an international range psychoanalytic practitioners and researchers, the book is divided into six parts and covers an array of resonant topics, including: language and translation; cultural identity; families and children; the cyber world; the psychotherapeutic process; and migration. Whereas the quest for unity, which underpins the myth of Babel, leads to mystification, simplification and the exclusion of people or things, multilingual communities necessitate mutual understanding through dialogue. This book examines those factors which further or threaten communication, aiming not to reduce but to gain complexity. It suggests that diversification enriches communication and that, by relating to others, we can create something new. As opposed to cultural and linguistic homogeneity, Babel is not only a metaphor for mangled communication, alienation, and distraction, it is also about the acceptance or rejection of differences between self and other. This book will be of great interest to psychoanalytic psychotherapists and researchers from a wide variety of backgrounds. (shrink)

본고는 불교상담방법론을 불교상담의 특징, 불교상담가의 자세, 불교상담의 과정, 기제, 기법을 중심으로 기술하고자 한다. 불교상담은 불교의 궁극적 목표를 지향하는 상담이고, 관점을 열어가는 상담이고, 유해한 심소를 제거하고 푸는 상담이고, 보편적인 주제를 근원적인 차원에서 다루는 상담이라는 특징을 가진다고 할 수 있다. 불교상담가의 자세로는 마음의 원래 모습에 대한 이해를 추구하여야 하고, 상담자 자신과 내담자에게 역기능적으로 작용하는 번뇌를 제거하려는 노력을 기울여야 한다. 상담자와 내담자가 만나는 공간은 생멸하고 열려가는 역동적 공간으로 볼 수 있다. 불교상담의 초기과정에서는 궁극적 목표를 지향하는 가운데 현실적 목표를 잡고, 내담자의 괴로움에 대해서 보편적이고 (...) 근원적 차원에서 이해와 인식을 열어간다. 중기과정은 열림과 제거의 기제를 상호보완적으로 행하는 과정이고, 후기과정은 이러한 과정을 이후에도 지속적으로 유지할 수 있도록 하는 과정이다. 불교상담에는 열림과 제거라는 두 가지 기제가 있다. 열림은 마음의 두 가지 경향성 가운데 일원적 경향성과 연결되고, 제거는 다원적 경향성과 연결되어 있다. 불교상담의 기법은 마음중심, 마음열기, 마음풀기의 차원에서 볼 수 있고, 구체적인 기법으로는 알아차림 기법, 반조 기법, 정견 기법, 연기 기법, 정행 기법, 정사유 기법, 정어 기법, 대치 기법이 있다. (shrink)

이 글은 메를로-퐁티가 『지각의 현상학』에서 중심적으로 다루고 있는 신체론을 검토한 다. 그것은 게슈탈트론의 도입으로 신체의 의미문제를 해명하려는 현상학적 시도이다. 그 런데 정신분석에서도 신체의 게슈탈트적 측면을 주된 발상으로 다루는 개념이 있다. 라캉은 자신의 거울단계 이론의 ‘조각난 몸’과 ‘통합된 몸’이라는 비유적 두 신체를 설명할 때 퐁티의 게슈탈트적 신체를 도입한다. 한편 퐁티는 또 다른 저서인 『유아과 타자의 관계』에서 라캉의 거울단계를 직접 언급하며 신체와 타자의 관계를 공통된 게슈탈트적 지반 위에 서 설명한다. 또한 『에크리』 곳곳에서 라캉은 거울단계를 소개하면서 퐁티의 게슈탈트적 신체와 거울단계의 상관성을 보여주는 서술을 (...) 한다. 이론적 상황이 이러한 바, 퐁티의 ‘신 체’를 이해하기 위해서는 그가 참조하는 라캉의 거울단계(특히 조각난 몸의 상황)를 적극 적으로 독해해야 한다. 퐁티의 게슈탈트적 신체개념과 라캉의 거울단계는 단순히 유사한 개념만이 아니며, ‘게슈탈트’라는 공통의 지반 위에서 상보적 관계를 갖고, 나아가 존재론 적 지평도 공유하고 있음을 유추해 볼 수 있기 때문이다. 본고는 두 사상가의 각 개념에 대하여, 퐁티는 ‘신체-세계’의 지향적 관계에서 게슈탈 트적 의미통합체로서 신체를, 라캉은 ‘신체-의식’(조각난 몸-자아)의 반성적 관계에서 게슈탈트적 통합체인 신체를 제시함으로써 접점을 형성하고 있다고 제안한다. 즉 라캉의 개념에서 실재적 방식으로 구성되는 주체의 구성 과정이 ‘분리-통합’의 형태를 취하고 있 다는 것에 주목해, 퐁티의 신체개념에 적용한다. 그것은 신체와 세계의 관계에 ‘분리-통 합’적 방식이라는 해석을 부가함으로써 확장된 검토를 제안하는 것이다. 퐁티의 신체론 에서 이러한 해석을 적용할 때 의의는, 신체론 중심의 『지각의 현상학』이 단순히 신체의 의미론 연구에 그치는 것이 아니라 존재론 연구에 귀속되는 하나의 개념으로서 ‘신체현상학-신체존재론’으로 재조명될 수 있다는 것이다. 이에 신체에 대한 전통적 방식의 해석을 넘어서 신체가 그 자체로 하나의 사건이 되는 개념으로 해석될 단서를 발견하고자 한다. (shrink)