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Endings and Beginnings, Second Edition - On terminating psychotherapy and psychoanalysis (Hardcover, 2nd edition)
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Endings and Beginnings, Second Edition - On terminating psychotherapy and psychoanalysis (Hardcover, 2nd edition)
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In this second edition of Endings & Beginnings (Routledge,
2006), Herbert J. Schlesinger explores endings and beginnings
within psychoanalysis and psychoanalytic therapy; both the obvious
main endings and beginnings of any course in treatment, and the
many little endings and beginnings that permeate analysis. The
second edition contains new chapters including one on transference
and counter-transference as sources of information about the
process of therapy and as sources of difficulty in ending. It deals
especially with the impact of prospective ending on the therapist,
which if not understood and well handled, might interfere with
working through and impede termination, if not ending itself.
Another new chapter deals with the difficulties in terminating with
especially narcissistic patients. One of the main criticisms
against psychoanalysis and the psychotherapies derived from it is
that it lacks criteria for when the patient has had enough. Herbert
J. Schlesinger shows how we may view the process as a series of
episodes each with an ending and possibly with a new beginning. He
presents the way patients signal, even before they are aware of it,
that ending is "in the air," and how it organizes how they
experience the therapy. If alerted, the therapist can make use of
these signals to locate self and patient in the process. So
informed, the therapist is better able to discern when the therapy
should end and help the patient work through the issues of
separation and loss to terminate the treatment constructively. All
patients tend to end psychotherapy in the way they end all other
relationships. In several chapters on the problems related to
severe regression, therapists can learn how to help vulnerable
patients, for whom attachment is problematic, deal with separation
non-traumatically. In Endings & Beginnings 2nd Edition, the
theory of the continuous experience of ending and beginning and the
array of landmarks that parse the clinical process are distinct
advances to the technique of psychoanalysis and the psychotherapies
derived from it. Schlesinger offers many clinical examples of
ending and beginning with their technical problems and solutions.
This contribution to the technique of ending and beginning
psychotherapy electively will be useful to practicing
psychotherapists and psychoanalysts, and to undergraduate and
post-graduate students in clinical psychology, psychiatry and
social work.
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