In the course of nearly thirty years of work with patients in
psychiatric hospitals and private practice, Franoise Davoine and
Jean-Max Gaudilliere have uncovered the ways in which transference
and countertransference are affected by the experience of social
catastrophe. Handed down from one generation to the next, the
unspoken horrors of war, betrayal, dissociation, and disaster in
the families of patient and analyst alike are not only revived in
the therapeutic relationship but, when understood, actually provide
the keys to the healing process. The authors present vivid examples
of clinical work with severely traumatized patients, reaching
inward to their own intimate family histories as shaped by the
Second World War and outward toward an exceptionally broad range of
cultural references to literature, philosophy, political theory,
and anthropology. Using examples from medieval carnivals and
Japanese No theater, to Wittgenstein and Hannah Arendt, to Sioux
rituals in North Dakota, they reveal the ways in which
psychological damage is done--and undone. With a special focus on
the relationship between psychoanalysis and the neurosciences,
Davoine and Gaudilliere show how the patient-analyst relationship
opens pathways of investigation into the nature of madness, whether
on the scale of History--world wars, Vietnam--or on the scale of
Story--the silencing of horror within an individual family. In
order to show how the therapeutic approach to trauma was developed
on the basis of war psychiatry, the authors ground their clinical
theory in the work of Thomas Salmon, an American doctor from the
time of the First World War. In their case studies, they illustrate
how three of the four Salmonprinciples--proximity, immediacy, and
expectancy--affect the handling of the
transference-countertransference relationship. The fourth
principle, simplicity, shapes the style in which the authors
address their readers--that is, with the same clarity and
directness with which they speak to their patients.
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