Infant Research and Adult Treatment is the first synoptic
rendering of Beatrice Beebe's and Frank Lachmann's impressive body
of work. Therapists unfamiliar with current research findings will
find here a comprehensive and up-to-date overview of infant
competencies. These competencies give rise to presymbolic
representations that are best understood from the standpoint of a
systems view of interaction. It is through this conceptual window
that the underpinnings of the psychoanalytic situation, especially
the ways in which both patient and therapist find and use
strategies for preserving and transforming self-organization in a
dialogic context, emerge with new clarity.
They not only show how their understanding of treatment has
evolved, but illustrate this process through detailed descriptions
of clinical work with long-term patients. Throughout, they
demonstrate how participation in the dyadic interaction reorganizes
intrapsychic and relational processes in analyst and patient alike,
and in ways both consonant with, and different from, what is
observed in adult-infant interactions. Of special note is their
creative formulation of the principles of ongoing regulation;
disruption and repair; and heightened affective moments. These
principles, which describe crucial facets of the basic patterning
of self-organization and its transformation in early life, provide
clinical leverage for initiating and sustaining a therapeutic
process with difficult to reach patients.
This book provides a bridge from the phenomenology of self
psychological, relational, and intersubjective approaches to a
systems theoretical understanding that is consistent with recent
developments in psychoanalytic therapy and amenable to further
clinical investigation. Both as reference work and teaching tool,
as research-grounded theorizing and clinically relevant synthesis,
Infant Research and Adult Treatment is destined to be a permanent
addition to every thoughtful clinician's bookshelf.
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