In Psychoanalytic Therapy as Health Care, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care. Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients. Collectively, the contributors to Psychoanalytic Therapy as Health Care convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the "worried well." Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health care delivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care.

This outstanding memorial volume records and reassesses the contributions of Merton M. Gill (1914-1994), a principal architect of psychoanalytic theory and a principled exemplar of the modern psychoanalytic sensibility throughout the second half of the 20th century. Critical evaluations of Gill's place in psychoanalysis and a series of personal and professional reminiscences are joined to substantive reengagement of central controversies in which Gill played a key part. These controversies revolve around the "natural science" versus "hermeneutic" orientation in psychoanalysis (Holt, Eagle, Friedman); the status of psychoanalysis as a one-person and/or two-person psychology (Jacobs, Silverman); pyschoanalysis versus psychotherapy (Wallerstein, Migone, Gedo); and the meaning and use of transference (Kernberg, Wolitzky, Cooper).

Since its inception, and throughout its history, psychoanalysis has been defined as a psychology of conflict. Freud's tripartite structure of id, ego and superego, and then modern conflict theory, placed conflict at the center of mental life and its understanding at the heart of therapeutic action. As psychoanalysis has developed into the various schools of thought, the understanding of the importance of mental conflict has broadened and changed. In Psychoanalytic Perspectives on Conflict, a highly distinguished group of authors outline the main contemporary theoretical understandings of the role of conflict in psychoanalysis, and what this can teach us for everyday psychoanalytic practice. The book fills a gap in psychoanalytic thinking as to the essence of conflict and therapeutic action, at a time when many theorists are re-conceptualizing conflict in relation to aspects of mental life as an essential component across theories. Psychoanalytic Perspectives on Conflict will be of interest to psychologists, psychoanalysts, social workers, and other students and professionals involved in the study and practice of psychoanalysis, psychotherapy, cognitive science and neuroscience.

This outstanding memorial volume records and reassesses the contributions of Merton M. Gill (1914-1994), a principal architect of psychoanalytic theory and a principled exemplar of the modern psychoanalytic sensibility throughout the second half of the 20th century. Critical evaluations of Gill's place in psychoanalysis and a series of personal and professional reminiscences are joined to substantive reengagement of central controversies in which Gill played a key part. These controversies revolve around the "natural science" versus "hermeneutic" orientation in psychoanalysis (Holt, Eagle, Friedman); the status of psychoanalysis as a one-person and/or two-person psychology (Jacobs, Silverman); pyschoanalysis versus psychotherapy (Wallerstein, Migone, Gedo); and the meaning and use of transference (Kernberg, Wolitzky, Cooper).

Since its inception, and throughout its history, psychoanalysis has been defined as a psychology of conflict. Freud's tripartite structure of id, ego and superego, and then modern conflict theory, placed conflict at the center of mental life and its understanding at the heart of therapeutic action. As psychoanalysis has developed into the various schools of thought, the understanding of the importance of mental conflict has broadened and changed. In Psychoanalytic Perspectives on Conflict, a highly distinguished group of authors outline the main contemporary theoretical understandings of the role of conflict in psychoanalysis, and what this can teach us for everyday psychoanalytic practice. The book fills a gap in psychoanalytic thinking as to the essence of conflict and therapeutic action, at a time when many theorists are re-conceptualizing conflict in relation to aspects of mental life as an essential component across theories. Psychoanalytic Perspectives on Conflict will be of interest to psychologists, psychoanalysts, social workers, and other students and professionals involved in the study and practice of psychoanalysis, psychotherapy, cognitive science and neuroscience.

In Psychoanalytic Therapy as Health Care, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care.
Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients.
Collectively, the contributors to Psychoanalytic Therapy as Health Care convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the "worried well." Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health care delivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care.