One of the most challenging tasks facing clinicians today is the assessment of patients' capacities to consent to treatment. The protection of a patient's right to decide, as well as the protection of incompetent patients from the potential harm of the decisions they might make, rests largely on clinicians' abilities to judge patients' capacities to decide what treatment they will receive.

Confusing laws and complex ethical questions surrounding competence to consent to treatment have made the process of competence assessment intimidating for many clinicians. Health professionals - physicians, medical students nad residents, nurses, and mental health practitioners - have long needed a consice guidebook that translates the issue for practice. This is what this book accomplishes.

The aurthors describe the place of competence in the doctrine of informed consent and show how assessments of competence to consent to treatment can be structured by using a specific set of general medical and psychiatric treatment settings, explain how the assessment should be conducted, and offer a structured interview method to assist the task. They also explore the often difficult process of making the judgement about competence and desire what to do when patients' capacities are limited.

Non-violent resistance (NVR) is an approach for parents and other caregivers that helps to increase presence and overcome impulsive and dangerous behaviors, while reducing conflict and escalation. The practical, evidence-based advice accompanies a detailed list of all the new applications of NVR and an overview of the supporting literature. A step-by-step presentation of the treatment is laid out alongside a useful model on escalation and its prevention. The approach achieves high parent engagement and cooperation, with over twenty controlled studies showing that NVR effectively reduces parental helplessness, parental impulsiveness, parent-child conflicts, and family discord.

The many significant technological and medical advances of the 21st century cannot overcome the escalating risk posed to older adults by such stressors as pain, weakness, fatigue, depression, anxiety, memory and other cognitive deficits, hearing loss, visual impairment, isolation, marginalization, and physical and mental illness. In order to overcome these and other challenges, and to maintain as high a quality of life as possible, older adults and the professionals who treat them need to promote and develop the capacity for resilience, which is innate in all of us to some degree. The purpose of this book is to provide the current scientific theory, clinical guidelines, and real-world interventions with regard to resilience as a clinical tool. To that end, the book addresses such issues as concepts and operationalization of resilience; relevance of resilience to successful aging; impact of personality and genetics on resilience; relationship between resilience and motivation; relationship between resilience and survival; promoting resilience in long-term care; and the lifespan approach to resilience. By addressing ways in which the hypothetical and theoretical concepts of resilience can be applied in geriatric practice, Resilience in Aging provides inroads to the current knowledge and practice of resilience from the perspectives of physiology, psychology, culture, creativity, and economics. In addition, the book considers the impact of resilience on critical aspects of life for older adults such as policy issues (e.g., nursing home policies, Medicare guidelines), health and wellness, motivation, spirituality, and survival. Following these discussions, the book focuses on interventions that increase resilience. The intervention chapters include case studies and are intended to be useful at the clinical level. The book concludes with a discussion of future directions in optimizing resilience in the elderly and the importance of a lifespan approach to aging.

The field of psychoanalytically oriented psychotherapy has tended to fragment into disparate theoretical orientations that often find little in common with each other, though each sheds light on important aspects of the psyche. This book addresses the question, how can these disparate orientations best be brought together in the service of interpretation? Starting from the conviction that treatment becomes more effective and comprehensive if as many aspects of the psyche as possible are addressed, Robert Hooberman proposes that character structure - an aspect of psychic functioning traditionally given short shrift in psychoanalytic discourse - can provide a framework in which multiple theoretical perspectives can have their say. Numerous case examples are used for illustration.

""Behavioral Addictions" is a timely landmark achievement and a must read for anyone interested in addictive and compulsive behavior and its treatment. Rosenberg and Feder have brought us leading addiction experts, who clearly present the growing evidence for including behavioral addictions in the DSM-5 and how best to treat them. While gambling is the first to be included in the DSM-5 chapter on substance related disorders, other behavioral addictions are likely to follow as evidence grows. This is the most important new textbook in addiction psychiatry in recent years." - Richard Frances MD, Founding President, American Academy of Addiction Psychiatry

DSM-V broke new ground in May of 2013, designating a new disorder called "behavioral addiction." Clinicians immediately wanted to know: how is a behavioral addiction different from an impulse control disorder? What are the criteria for determining that some behaviors are addictions rather than impulses? What, if anything, does this mean in terms of effective treatment?

""

"Behavioral Addictions "is the first and most authoritative text ever written on the subject of behavioral addictions. This comprehensive work explains the criteria used to determine addiction, the evidence for identifying assorted behaviors as addictions, and the evidence-based treatment for each.

With contributions from preeminent experts covering an exhaustive list of behavioral addictions, this book is unique in its coverage of behavioral addictions, their criteria, and treatment. It is a valuable and timely resource for any clinician treating addictions.
A guide to understanding the new DSM-V designation of behavioral addictionDefines the criteria for behavior to be consideredan addiction designationDiscusses the evidence for behaviors meeting addiction criteriaIdentifies what is now, likely will be, and is not a behavioral addiction per evidenceDiscussesbehaviors formerly considered impulse control disordersPresents evidence-based treatment for each behavioral addiction"

Cyclical Psychodynamics and the Contextual Self articulates in new ways the essential features and most recent extensions of Paul Wachtel's powerfully integrative theory of cyclical psychodynamics. Wachtel is widely regarded as the leading advocate for integrative thinking in personality theory and the theory and practice of psychotherapy. He is a contributor to cutting edge thought in the realm of relational psychoanalysis and to highlighting the ways in which the relational point of view provides especially fertile ground for integrating psychoanalytic insights with the ideas and methods of other theoretical and therapeutic orientations. In this book, Wachtel extends his integration of psychoanalytic, cognitive-behavioral, systemic, and experiential viewpoints to examine closely the nature of the inner world of subjectivity, its relation to the transactional world of daily life experiences, and the impact on both the larger social and cultural forces that both shape and are shaped by individual experience. Here, he discusses in a uniquely comprehensive fashiong the subtleties of the clinical interaction, the findings of systematic research, and the role of social, economic, and historical forces in our lives. The chapters in this book help to transcend the tunnel vision that can lead therapists of different orientations to ignore the important discoveries and innovations from competing approaches. Explicating the pervasive role of vicious circles and self-fulfilling prophecies in our lives, Cyclical Psychodynamics and the Contextual Self shows how deeply intertwined the subjective, the intersubjective, and the cultural realms are, and points to new pathways to therapeutic and social change. Both a theoretical tour de force and an immensely practical guide to clinical practice, this book will be essential reading for psychoanalysts, psychotherapists and students of human behavior of all backgrounds and theoretical orientations.

Many patients with stroke, head injuries or dementia suffer severe memory impairment and in many cases improvement may fail to occur. This book, first published in 1984 followed by this second edition in 1992, offers practical guidelines to the problems and is supported by a discussion of theory about memory systems and functioning. It should enable therapists and psychologists to recognize, understand, assess and manage memory problems arising from injury, accident or infection of the brain. The authors are well-known for their interest in memory and memory therapy. Topics covered in this text include: the relationship between memory and practice, assessment, methods for improving memory, organization of memory therapy, selection of appropriate treatments for individual patients, role of the microcomputer in memory rehabilitation, use of drugs in stimulating memory, development of programmes to improve attention and the treatment of the memory-impaired in groups. This second edition has an update on drugs, electronic aids and assessment procedures, with further evidence of the effectiveness of memory therapy. This book would have been an asset for those professionals involved in the rehabilitation of the impaired memory at the time and can still be of value today.

Since the publication of the first edition in 1991, there has been substantial progress in our understanding of the etiology and associated features of domestic violence. As in the first edition, this book elucidates and highlights the complex multidisciplinary issues facing clinicians who work with family violence cases. Each chapter combines two illustrative cases with a broader discussion of the issues that are encountered by clinicians working with families that engage in abuse or neglect.

Mended by the Muse: Creative Transformations of Trauma is an in-depth exploration of the relationship between trauma and creativity. It is about art in the service of healing, mourning, and memorialization. This book addresses the questions of how artistic expression facilitates the healing process; what the therapeutic action of art is, and if there is a relationship between mental instability and creativity. It also asks how self-analysis through art-making can be integrated with psychoanalytic work in order to enrich and facilitate emotional growth. Drawing on four decades of clinical practice and a critical reading of creativity literature, Sophia Richman presents a new theory of the creative process whose core components are relational conceptualizations of dissociation and witnessing. This is an interdisciplinary book which draws inspiration from life histories, clinical case material, neuroscience, and interviews with creators, as well as from various art forms such as film, literature, paintings, and music. Some areas of discussion include: art born of genocide, confrontation with mortality in illness and aging, and the clinical implications of memoirs written by psychoanalysts. Visual images are interspersed throughout the text that illustrate the reverberations of trauma and its creative transformation in the work of featured artists. Mended by the Muse: Creative Transformations of Trauma powerfully articulates how creative action is one of the most effective ways of coping with trauma and its aftershocks - it is in art, in all its forms, that sorrow is given shape and meaning. Here, Sophia Richman shows how art helps to master the chaos that follows in the wake of tragedy, how it restores continuity, connection and the will for a more fully lived life. This book is written for psychoanalysts as well as for other mental health professionals who practice and teach in academic settings. It will also be of interest to graduate and post-graduate students and will be relevant for artists who seek a better understanding of the creative process.

This book offers a therapeutic approach to a problem that many families and mental health institutions face: a growing number of adult children who struggle to progress to a psychological, social adulthood. The family patterns that revolve around adult children can remain inert for decades, are often resistant to conventional therapy, and can cause chronic suffering to adult children, parents, and extended families. The authors present a guide that addresses parents of adult children as suffering people in their own right and as essential to assisting their child into entering functional adulthood. The authors, one of whom is the originator of the Non-Violent Resistance Therapy approach (NVR), provide an intervention manual that implements NVR principles for helping families of adult children. The book is based on the authors' ten-year journey of helping such families in cases where traditional interventions and therapeutic values seem not to work.

Mended by the Muse: Creative Transformations of Trauma is an in-depth exploration of the relationship between trauma and creativity. It is about art in the service of healing, mourning, and memorialization. This book addresses the questions of how artistic expression facilitates the healing process; what the therapeutic action of art is, and if there is a relationship between mental instability and creativity. It also asks how self-analysis through art-making can be integrated with psychoanalytic work in order to enrich and facilitate emotional growth. Drawing on four decades of clinical practice and a critical reading of creativity literature, Sophia Richman presents a new theory of the creative process whose core components are relational conceptualizations of dissociation and witnessing. This is an interdisciplinary book which draws inspiration from life histories, clinical case material, neuroscience, and interviews with creators, as well as from various art forms such as film, literature, paintings, and music. Some areas of discussion include: art born of genocide, confrontation with mortality in illness and aging, and the clinical implications of memoirs written by psychoanalysts. Visual images are interspersed throughout the text that illustrate the reverberations of trauma and its creative transformation in the work of featured artists. Mended by the Muse: Creative Transformations of Trauma powerfully articulates how creative action is one of the most effective ways of coping with trauma and its aftershocks - it is in art, in all its forms, that sorrow is given shape and meaning. Here, Sophia Richman shows how art helps to master the chaos that follows in the wake of tragedy, how it restores continuity, connection and the will for a more fully lived life. This book is written for psychoanalysts as well as for other mental health professionals who practice and teach in academic settings. It will also be of interest to graduate and post-graduate students and will be relevant for artists who seek a better understanding of the creative process.

Archetypal psychology is a post-Jungian mode of theory and practice initiated primarily through the prolific work of James Hillman. Hillman's writing carries a far-reaching collection of evocative ideas with a wealth of vital implications for the field of clinical psychology. With the focus on replacing the dominant fantasy of a scientific psychology with psychology as logos of soul, archetypal psychology has shifted the focus of therapy away from cure of the symptom toward vivification and expression of the mythopoetic imagination. This book provides the reader with an overview of the primary themes taken up by archetypal psychology, as differentiated from both classical Jungian analysis and Freudian derivatives of psychoanalysis. Throughout the text, Jason Butler gathers the disparate pieces of archetypal method and weaves them together with examples of dreams, fantasy images and clinical vignettes in order to depict the particular style taken up by archetypal psychotherapy-a therapeutic approach that fosters an expansion of psychological practice beyond mere ego-adaptation and coping, providing a royal road to a life and livelihood of archetypal significance. Archetypal Psychotherapy: The clinical legacy of James Hillman will be of interest to researchers and academics in the fields of Jungian and archetypal psychology looking for a new perspective, as well as practising psychotherapists.

Domestic violence is a major public health concern, affecting millions worldwide. It is underreported, often devastating and sometimes ends in murder. In Toxic Couples: The Psychology of Domestic Violence, Anna Motz integrates psychological and criminological data with clinical illustrations and discussion of current high-profile cases. She examines the complex manifestations and multiple causes of intimate partner violence. Motz disentangles the roles played by those involved and examines the addictive nature of these damaging partnerships. The book describes various forms of abuse, including physical, sexual and emotional, and analyses how intimate partner violence can escalate to murder. She explores important factors including: the role of addiction; homelessness and vulnerability; the intergenerational transmission of abuse; sadomasochistic relationships; honour-based violence. The book emphasizes the significance of female- as well as male-perpetrated violence and outlines the powerful impact on the children of abusive parents, extending the clinical awareness of professionals working with those affected. Toxic Couples: The Psychology of Domestic Violence is ideal for clinicians working with the victims and perpetrators of intimate partner violence, for students of psychology, gender studies and social care courses and for anyone interested in the psychological forces behind violence in relationships. ]

The first book of its kind to provide a detailed analysis of the history of the unconscious from the underworlds of Greek and Egyptian mythology to psychoanalysis and metaphysics, Jon Mills presents here a unique study of differing philosophies of the unconscious. Mills examines how three major philosophical systems on the nature of the unconscious emerge after modern philosophy, finding their most celebrated elaborations in Freud, Lacan and Jung. These three psychoanalytic traditions, quite separate from one another in terms of their emphasis and philosophical presuppositions, are scrutinised alongside contemporaneous movements in existential phenomenology, semiotics, epistemology, transcendental psychology and Western metaphysics in the texts of Hegel, Heidegger, Sartre and Whitehead. Underworlds provides a scholarly exegesis and critique of the main philosophies of the unconscious to have transpired in the history of ideas. Exploring the unconscious from its philosophical beginnings in antiquity to its systematic articulation brought about by the rise of psychoanalysis, Underworlds is ideal for practicing psychoanalysts, academics of Freud, Jung and Lacan, and scholars of psychology, philosophy and the humanities.

Pain is felt by everyone, yet understanding its nature is fragmented across myriad modes of thought. In this compact, yet thoroughly integrative account uniting medical science, psychology, and the humanities Ronald Schleifer offers a deep and complex understanding along with possible strategies of dealing with pain in its most overwhelming forms. A perfect addition to many courses in medicine, healthcare, counseling psychology, and social work.

An injury to the brain can affect virtually any aspect of functioning and, at the deepest level, can alter sense of self or the essential qualities that define who we are. In recent years, there has been a growing body of research investigating changes to self in the context of brain injury. Developments in the cognitive and social neurosciences, psychotherapy and neurorehabilitation have together provided a rich perspective on self and identity reformation after brain injury. This book draws upon these theoretical perspectives and research findings to provide a comprehensive account of the impact of brain injury on self-identity. The second half of this book provides an in-depth review of clinical strategies for assessing changes in self-identity after brain injury, and of rehabilitation approaches for supporting individuals to maintain or re-establish a positive post-injury identity. The book emphasizes a shift in clinical orientation, from a traditional focus on alleviating impairments, to a focus on working collaboratively with people to support them to re-engage in valued activities and find meaning in their lives after brain injury. Self-Identity after Brain Injury is the first book dedicated to self-identity issues after brain injury which integrates theory and research, and also assessment and intervention strategies. It will be a key resource to support clinicians and researchers working in brain injury rehabilitation, and will be of great interest to researchers and students in clinical psychology, neuropsychology, and allied health disciplines.

Sex offending, and in particular child sex offending, is a complex area for policy makers, theorists and practitioners. A focus on punishment has reinforced sex offending as a problem that is essentially 'other' to society and discourages engagement with the real scale and scope of sexual offending in the UK. This book looks at the growth of work with sex offenders, questioning assumptions about the range and types of such offenders and what effective responses to these might be. Divided into four sections, this book sets out the growth of a broad legislative context and the emergence of child sexual offenders in criminal justice policy and practice. It goes on to consider a range of offences and victim typologies arguing that work with offenders and victims is complex and can provide a rich source of theoretical and practical knowledge that should be utilised more fully by both policy makers and practitioners. It includes work on female sex offenders, electronic monitoring and animal abuse as well as exploring interventions with sex offenders in three different contexts; prisons, communities and hostels. Bringing together academic, practice and policy experts, the book argues that a clear but complex theoretical and policy approach is required if the risk of re- offending and further victimisation is to be reduced. Ultimately, this book questions whether it makes sense to locate responsibility for responding to sexual offending solely within the criminal justice domain.

For some, life's introduction to death and grief comes early, and when it does it can take many forms. Not only does Dealing with Dying, Death, and Grief during Adolescence tackle them all, it does so with David Balk's remarkable sensitivity to and deep knowledge of the pressures and opportunities adolescents face in their transition from childhood to adulthood. In seamless, jargon-free language, Balk brings readers up to date with what we know about adolescent development, because over time such changes form the backstory we need to comprehend the impact of death and bereavement in an adolescent's life. The book's later chapters break down the recent findings in the study of life-threatening illness and bereavement during adolescence. And, crucially, these chapters also examine interventions that assist adolescents coping with these difficulties. Clinicians will come away from this book with both a grounded understanding of adolescent development and the adolescent experience of death, and they'll also gain specific tools for helping adolescents cope with death and grief on their own terms. For any clinician committed to supporting adolescents facing some of life's most difficult experiences, this integrated, up-to-date, and deeply insightful text is simply the book to have. David E. Balk is professor in the department of health and nutrition sciences at Brooklyn College (CUNY), where he directs the graduate program in thanatology. He is the author of Adolescent Development: Early Through Late Adolescence, Helping the Bereaved College Student, and several other books on death and bereavement. He is also co-editor of the 2nd edition of the Handbook of Thanatology (Routledge, 2013).

Psychoanalytic Therapy with Infants and Parents provides a clear guide to clinical psychoanalytic work with distressed babies and unhappy parents, a numerous clinical group so often in need of urgent help. Although psychoanalytic work is primarily verbal, and infants may have limited language, this form of treatment is receiving increased attention among therapists. Bjoern Salomonsson explores how such work can be possible and benefit infants, how to work with the parents (especially the mother), and how major psychoanalytic concepts such as primal repression, infantile sexuality and transference can be worked with and understood in these therapies. Bjoern Salomonsson argues that attachment concepts, though important, cannot solely help explain everyday problems with breastfeeding, sleeping, and weaning, or more recalcitrant interaction disorders. He shows how we also need psychoanalytic concepts to better understand, not only such "baby worries", but also adult clients' non-verbal communications and interactions. Throughout, he uses extensive practice-based examples and also refers to his research which provides evidence for the effectiveness of this practice. Psychoanalytic Therapy with Infants and Parents provides a unique perspective on working psychoanalytically with parents and infants. This book will be essential reading for psychoanalysts and therapists working with children as well as adults.

Pain is felt by everyone, yet understanding its nature is fragmented across myriad modes of thought. In this compact, yet thoroughly integrative account uniting medical science, psychology, and the humanities Ronald Schleifer offers a deep and complex understanding along with possible strategies of dealing with pain in its most overwhelming forms. A perfect addition to many courses in medicine, healthcare, counseling psychology, and social work.

For some years now, psychoanalysts have been trying to understand the implications of neuroscientific findings for psychoanalytic theory and practice. In On Psychoanalysis, Disillusion, and Death: Dead certainties Antonie Ladan looks at how findings from neuroscience and memory research can inform our understanding of some of the most important psychoanalytic concepts, such as transference and unconscious fantasy. Central to the book are the 'dead certainties' that, to a great extent, determine how we lead our lives. Antonie Ladan argues that these certainties are too self-evident to be seen, as invisible as the air we breathe. He shows how in our associations with others, we are in large measure 'guided' by 'dead certain' relational patterns of which we are not conscious, but that remain implicit. Using clinical examples, Ladan illustrates how a specific form of observation, where the analysand and the analyst pay careful attention to their relationship over an extended period of time, makes it possible to gradually recognise these automatic expectations and behaviours in relational situations. On Psychoanalysis, Disillusion, and Death explores how the psychoanalyst can bring the implicit patterns, within which analysands find themselves trapped, to their attention enabling them to look at the world from a 'disillusioning' perspective in order to accept life and the prospect of death for what they are. This book will be of interest to psychotherapists, analytical psychologists, psychoanalysts, therapists and students.

Grief is a family affair. When a loved one dies, the distress reverberates throughout the immediate and extended family. Family therapy has long attended to issues of loss and grief, yet not as the dominant therapeutic paradigm. Bereavement Care for Families changes that: it is a practical resource for the clinician, one that draws upon the evidence supporting family approaches to bereavement care and also provides clinically oriented, strategic guidance on how to incorporate family approaches into other models. Subsequent chapters set forth a detailed, research-based therapeutic model that clinicians can use to facilitate therapy, engage the ambivalent, deal with uncertainty, manage family conflict, develop realistic goals, and more. Any clinician sensitive to the roles family members play in bereavement care need look no further than this groundbreaking text.

Psychoanalytic Therapy with Infants and Parents provides a clear guide to clinical psychoanalytic work with distressed babies and unhappy parents, a numerous clinical group so often in need of urgent help. Although psychoanalytic work is primarily verbal, and infants may have limited language, this form of treatment is receiving increased attention among therapists. Bjoern Salomonsson explores how such work can be possible and benefit infants, how to work with the parents (especially the mother), and how major psychoanalytic concepts such as primal repression, infantile sexuality and transference can be worked with and understood in these therapies. Bjoern Salomonsson argues that attachment concepts, though important, cannot solely help explain everyday problems with breastfeeding, sleeping, and weaning, or more recalcitrant interaction disorders. He shows how we also need psychoanalytic concepts to better understand, not only such "baby worries", but also adult clients' non-verbal communications and interactions. Throughout, he uses extensive practice-based examples and also refers to his research which provides evidence for the effectiveness of this practice. Psychoanalytic Therapy with Infants and Parents provides a unique perspective on working psychoanalytically with parents and infants. This book will be essential reading for psychoanalysts and therapists working with children as well as adults.

Psychoanalytic Collisions Second Edition wrestles with a theme that confronts every psychotherapist: the gap between illusions and realities about the professional self. Joyce Slochower closely examines situations in which the therapist's professional and personal wishes collide with the actuality of everyday clinical work. The book unpacks the dynamics of these collisions on both beginning and seasoned therapists, offering ways of sustaining a professional ideal while also exploring the mixed impact of that ideal on clinical work. In examining how illusions and ideals affect the therapeutic encounter for both better and worse, Psychoanalytic Collisions invites the reader into the consulting room. This Second Edition has been substantially revised. It includes updated clinical and theoretical material as well as a new chapter about mutual idealizations that coalesce between patient and analyst. Slochower argues that psychoanalytic collisions can be productively engaged, even if they often cannot be fully resolved.The very act of engagement-whether by establishing new grounds for collaboration in the wake of real-world catastrophe, wrestling with clinical impasses that arise from the divergent expectations of analyst and patient, or owning up to and addressing the analyst's "secret delinquencies"-reveals how therapeutic hopefulness can coexist with an acceptance of the analyst's all-too-human fallibility. Psychoanalytic Collisions shows how idealization is intrinsic both to forging an analytic identity and practicing across a lifetime. Slochower's work challenges readers to confront their own vulnerabilities and limits while also embracing a professional ideal that is at once human and inspiring. The book is an essential resource for psychoanalysts, psychotherapists, pastoral counselors, and readers interested in the practice of psychotherapy today.

Psychoanalytic Complexity is the application of a multidisciplinary, explanatory theory to clinical psychoanalysis and psychotherapy. It carries with it incisive and pivotal attitudes that aim to transform our understanding of therapeutic action and the change process. Here, William Coburn offers a revolutionary and far-reaching counterpoint to the remnants of Cartesianism and scientism, respecting and encouraging human anomaly rather than pathologizing or obliterating the uniqueness of the individual person.

In Psychoanaltyic Complexity, William Coburn explores the value of complexity theory previously understood as an explanatory framework with which clinicians can better understand, retrospectively, therapeutic action and the change process. He further extends this sensibility by examining the ways in which such a rich theoretical framework can inform what clinicians can do, prospectively, to effect positive change within the therapeutic relationship. He persuasively argues that the medium of bringing to light new ways of relating, emotional experiencing, and meaning making resides in the fundamental attitudes derived from a complexity theory sensibility as applied to psychoanalysis and psychotherapy.

Using a variety of clinical illustrations throughout, "Psychoanalytic Complexity" is a radical corrective to reductionism and the more traditional presumption that the problem lies with the patient and the cure lies with the therapist. It offers a new language, vocabulary, way of thinking, and a new way of being with others that are pivotal in arriving at affirmative therapeutic change. This book is intended for psychoanalysts, clinical psychologists, therapists, mental health counsellors, academics and teachers who are interested in new trends in psychoanalysis and psychotherapy.