In recent years, memories and reconstructions of incestuous
child abuse have become common features of psychoanalytic
treatment. Among some clinicians, such abuse is suspected even when
there is little evidence. How does the analyst distinguish between
incest real and imagined, and how do recovered memories of incest
affect the analyst?
In this poignant and beautifully written study, Elaine Siegel
brings new insights to bear on these timely questions. An
inveterate note taker, she discloses the countertransferential
ruminations and associations to the occurrence of incest at various
stages during the treatment process over the course of 30 years of
clinical work. The manner in which her "analytic instrument"
evolved and was shaped by her analysands' stories makes for a
fascinating subtext in a book that addresses itself to the
differences and similarities during treatment of real and imagined
incestuous abuse.
Among the powrfully disturbing clinical cases at the heart of
this study are two reports detailing the lengthy analyses of women
who found corroboration for multigenerational incest. Siegel also
presents two cases in which patients retracted their claims of
incest toward the end of their treatments. Through the medium of
these and other reports, Siegel explores how psychoanalysts are
struggling both to understand incestuous abuse and to accomodate
their treatment techniques to shifting societal perspectives.
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