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.
Drawing on concepts from Freud to Kohut, the authors of this volume remove the pathological stigma of homosexuality per se, a theoretical bias that may have long prevented dynamic therapists from working more effectively with gay clients. The authors manage to weave sophisticated theory with specific, pragmatic advice that is readily applicable in the first session of therapeutic work. Traditional analytic topics such as resistance, interpretation, and countertransference are all thoughtfully discussed as they apply specifically to the gay client. Given the immense contemporary popularity of object relations theory, readers will particularly welcome such unique contributions as the chapter on borderline personality disorder and the gay client. Case vignettes appear throughout the book and these are immensely helpful in putting a client's sexual orientation within the context of total personality organization. The contributions strike a nice balance. On the one hand, the concerns of the gay client are "normalized," that is, placed within the general framework of issues all clients face, such as social sex roles, self-esteem, and identity cohesion. On the other hand, specialized issues such as the gay client's motivation for treatment, the effects of a patient's HIV status, and the relative merits of a gay client seeing a gay vs. a heterosexual therapist are all covered in depth... The historical material carefully traces the myriad of theoretical justifications that have been used to demonstrate the supposed inevitably pathological nature of homosexuality. These sections serve as an important, if unpleasant, reminder that well-intentioned people often use "scientific theory" to preserve the societal status quo, with potentially disastrous effects on the individual. The authors show how theory, particularly Kohutian conceptualizations of narcissism, may also be used to provide an affirmative therapeutic stance that emphasizes normal, not pathological developmental processes. In so doing, this book addresses and provides an antidote for one of the unfortunate pitfalls of psychodynamic psychotherapy. In short, analytic theory and technique may often, perhaps inadvertently, be utilized in a manner that is quite pejorative toward the patient. This book is clearly a unique and long overdue resource that helps bring the wisdom and potential effectiveness of psychodynamic therapy to a specific patient population traditionally viewed as untreatable. In a broader sense, it provides valuable reading for clinicians of all experience levels working with all clients who suffer the understandable and universal reaction of shame as a response to sustained injuries to self-esteem.
Contemporary psychodynamic theory profoundly impacts our understanding of the development of psychopathology in children and adolescents. This book creates new concepts derived from contemporary psychodynamic theory that necessitate a revision to the principles underlying our understanding of and approach to young patients in psychotherapy. Moreover, this book reviews recent contributions from contemporary two-person relational psychodynamic theory and makes use of detailed case examples to bring to life this theory’s practical applications in child and adolescent psychotherapy. Psychotherapists and students of psychotherapy will find this book a valuable source of information on contemporary psychodynamic theory and a useful resource for introducing a contemporary style into their practice, co-constructing with the patient a narrative to achieve the desired goals.
Do the conventional insights of depth psychology have anything to offer the gay patient? Can contemporary psychoanalytic theory be used to make sense of gay identities in ways that are helpful rather than hurtful, respectful rather than retraumatizing? In Psychoanalytic Therapy and the Gay Man Jack Drescher addresses these very questions as he outlines a therapeutic approach to issues of sexual identity that is informed by traditional therapeutic goals (such as psychological integration and more authentic living) while still respecting, even honoring, variations in sexual orientation. Drescher's exploration of the subjectivities of gay men in psychoanalytic psychotherapy is more than a long-overdue corrective to the inadequate and often pathologizing tomes of traditional psychoanalytic writers. It is a vitally human testament to the richly varied inner experiences of gay men. Drescher does not assume that sexual orientation is the entire or even major focus of intensive psychotherapy. But he does argue, passionately and convincingly, that issues of sexual identity - which encompass a spectrum of possibilities for any gay man - must be addressed in an atmosphere of honest encounter that allows not only for exploration of conflict and dissociation but also for restitutive confirmation of the patient's right to be himself. Through its abundance of first-person testimony from both clinical and literary sources, Psychoanalytic Therapy and the Gay Man provides the reader with an unforgettable grasp of what it is like to discover that one is gay in our society and then to find the courage and humanity to live with that knowledge. Any mental health professional - regardless of his or her sexual orientation - who wishes to deal therapeutically with gay men will find Drescher's work indispensable. But it will also be compelling reading for anyone seeking psychological insight into gay men's lives and concerns.
Publisher: Macmillan International Higher Education
All counsellors are compelled to take account of the diverse society in which they practice and to inform themselves of best practice with all client groups. This book provides a contemporary psychodynamic perspective on difference and diversity to bring practitioners up to date with current thinking when faced with a client who is in some way 'different'. References to race, culture or disability in classical psychoanalytic literature are few. In a society that embraces diversity and seeks to afford equality for all, theories of male and female identity development need revisiting. Older people make up a large proportion of the population and religious beliefs make headline news, but psychodynamic perspectives on clinical work with such groups are limited. Indeed, the social context of the twenty first century, that provides the backdrop for the hopes, fears and aspirations of our clients, warrants attention, as people and organisations are shaped by the social systems that prevail. In the past decade equal opportunities legislation and the need to be proactive in thinking about diversity has begun to make its mark. Complacency is no longer tolerated. This book is essential reading for counsellors and psychotherapists in training and for experienced practitioners whose continuous professional development will be enhanced by re-evaluating how diversity affects their practice.
This long-awaited book is the first to present Otto Kernberg's successful model of psychodynamic psychotherapy with borderline patients. Using abundant clinical vignettes and transcripts, the authors take the reader through the treatment--from establishing contact to dealing with termination--always explaining the theory that underlies the technique. Bibliography and Index.
Innovations in Psychodynamic Perspectives and Practice
Author: Leslie C. Jackson
Publisher: Guilford Press
Focusing on the breadth of issues that affect psychotherapy with African American women, this unique volume is designed to help clinicians develop a broader understanding of what is useful and what is problematic when applying psychodynamic concepts to their clients. From an array of seasoned clinicians, chapters present innovative and creative reformulations of theory and technique that build upon and challenge existing models. Issues addressed include the psychological dilemmas confronting diverse African American women as they negotiate a society that is hostile to them on multiple levels; how ethnicity, class, gender, sexual orientation and other differences come into play within the therapeutic dyad; and approaches to unraveling the complex interplay of sociopolitical, intrapsychic, and interpersonal concerns in treatment. Filled with illustrative clinical material and pointers for practice, the volume will enhance the cultural competence of mental heath practitioners and students across a range of disciplines.
Textbook of Homosexuality and Mental Health brings together in one volume the entire range of material and variety of perspectives concerning homosexuality and mental health. With more than 50 chapters written by leaders in the field, this book is the most complete review of the topics of homosexuality and mental health and treatment of gay men, lesbians, bisexuals, and transsexuals to date. Starting from the belief that homosexuality is a normal variation of human sexuality and not a mental illness, this revolutionary book presents current information on homosexuality from a mental health and medical perspective. Sections focus on demographic, cultural, genetic, biological, and psychological perspectives; development throughout the life cycle; relationships and families; psychotherapy; multicultural identities and communities; professional education; and medical care. A variety of special issues, such as sexuality, substance abuse, violence, suicide, religion, and HIV/AIDS, are discussed. Also included are several unique chapters that cover topics not readily available elsewhere, among them transsexuality; minority gay, lesbian, and bisexual people; the impact of the sexual orientation of the therapist; latency development in prehomosexual boys; and clinical issues specific to psychotherapy with gay, lesbian, and bisexual patients. The clinical and theoretical richness contained in this volume makes it an accessible and invaluable reference for clinicians and the general public alike. Chapters complement each other, while providing enough information to be useful if read on their own.
Bringing together important articles from Psychodynamic Psychiatry, this volume shows how contemporary practitioners are using a multidimensional biopsychosocial approach to increase the robustness of clinical research and the effectiveness of patient care. Chapters review cutting-edge approaches to formulating anxiety and mood disorders, eating disorders, traumatic grief, substance use and addictive behaviors, obsessive–compulsive disorder, personality disorders, schizophrenia, somatic symptom disorders, and trauma and stressor-related disorders. Treatment of specific populations is addressed, including infants and parents, children, spouses of the chronically ill, survivors of intimate partner violence, criminal offenders, and the elderly. Featuring rich case illustrations, the book integrates psychoanalytic concepts with advances in knowledge about neuroscience, gene–environment interactions, and the physiological impact of adversity.
This text examines the issue of female sexuality from psychological, biological and sociological perspectives. It explores the major changes in the female life cycle: the menstrual cycle, pregnancy and postpartum, the menopause and the development of sexual orientation.
Introduction -- Section I: Ethics -- A methodology for ethical analysis -- The stakeholders and their issues -- Section II: Morally relevant facts and fictions -- Homosexual incidence and prevalence -- Cross cultural sexuality -- Bisexuality -- Heterosexism, homonegativity, and homophobia -- Section III: Original theories and theories of origin -- The essentialists and social constructionists -- A biological philosophy of sexual orientation -- A psychological philosophy of sexual orientation -- Sexual reorientation interventions -- The professional associations -- Section IV: Queer philosophy -- Identity evolution and the historical homosexual -- Queer theory -- Homosexual identity development -- Section V: Bioethics -- Bioethics and substituted judgment -- Bioethics and biotechnology -- Bioethics and religion -- Bioethics of sexual shame -- Bioethics and psychiatry -- Section VI: Bioethical analysis -- Postmodern bioethics.
One in a series of primers responding to the Psychiatry Residency Review Committee's mandate that all psychiatric residents be trained to competency in five different psychotherapies. It could also be used in courses for other mental health and helping profession students.
Recent contributions to the psychoanalytic and psychotherapeutic literature have moved beyond traditional views of lesbianism, but they have tended to address lesbian identity from one theoretical vantage point or another. Rarely have new ideas been linked to the process issues that arise in actual clinical situations. Lesbian Identity and Contemporary Psychotherapy undertakes this very task, and, in so doing, documents the therapeutic gains that result from validating lesbian sexual identity and life experience. Drawing on contemporary relational thinking and new perspectives on gender and sexuality, Goldstein and Horowitz describe and illustrate an affirmative approach to clinical work with lesbians at various stages of the life cycle. Adolescent, young adult, and family issues are all brought within their compass. Making ample use of case vignettes, they demonstrate the ways in which therapists can elicit their patients' personal narratives of self-acceptance as lesbians and coming out experiences; work with the transference and countertransference dynamics subsequent to such disclosures; and finally explore the collaborative process through which therapist and patient seek to understand their therapeutic interaction. A range of life circumstances are brought within the authors' refreshingly "hands-on" clinical approach. Special consideration is given to issues arising when lesbians date and initiate romantic relationships and to the relationship problems that develop in ongoing partnerships during the middle and later years. The book concludes by discussing the issues faced by lesbian therapists in treating lesbian patients and in interacting with heterosexual colleagues. An exemplary overview of newer views of lesbian identity and of the challenges of lesbian life, Lesbian Identity and Contemporary Psychotherapy is equally valuable as an up to date, relationally informed guide to clinical work with lesbian patients.
Mormons embrace the term "peculiar people" as a badge of honor. It represents pride in being God's people and therefore different from the rest of society. The term is equally applicable to gay Mormons who experience misunderstanding, guilt, and derision, often at the hands of fellow parishioners for whom discrimination is now a distant memory.