This book, intertwining the psychoanalytic approach with the historical, sociological and political analysis that confirms the complexity and many-sidedness of the subject, deals with the devastating phenomenon of suicide terrorism.The behavior of suicide terrorists cannot be understood making use of psychopathological categories. Whereas a suicidal terrorist attack can be described as a crime against humanity, its protagonists cannot be classified only as criminal or insane. This book examines carefully the process of dehumanization that characterizes this collective behavior and provides some biographical accounts in order to understand how such horrendous crimes can be committed by a human being. This destructive cruelty is possible only with a leading role of a political or religious organization operating like a psychotic part, which is integrated in a traumatized community. The author will draw a distinction between local terrorism with nationalistic traits stemming from the traumatic conditions of a community and another form of terrorism that is irreducible as it originates from a grandiose and totalitarian plan imbued with revengeful feelings that arise from an omnipotent narcissistic wound.

"Vulnerablity to Psychosis" provides the clinician with important perspectives on the origins and development of delusions in psychosis and offers a new perspective regarding the radical differences between delusional and normal or neurotic thought, and how these differences come about.Franco De Masi addresses the human vulnerability to psychosis. He invites the reader into a thoughtful, systematic exploration of many aspects of the complex problems associated with psychotic illnesses: its ontogenesis and the emotional crises that lead to the dominance of psychotic thinking, the function of psychosis with regard to reality, its eruption or progression (depending upon the type of psychosis involved) and, crucially, the difficult and painstaking task of treatment.

In this book the author examines the series of connections that give rise to the intimate relationship between environment and individual in the construction of emotional suffering, emphasising both the undisputed pathogenic action of environmental stimuli and the active participation of whoever is obliged to suffer the negative situation. The author shows that the way in which one tries to escape suffering is what often seriously jeopardises growth. Working with Difficult Patients points out the intrinsic link between some forms of mental suffering and the distorted responses that the patient has received from his or her original environment. For this reason the author explores the concept of the emotional trauma in particular, since this trauma, which occurs in the primary relationship, often impels the child into relational withdrawal and towards constructing pathological structures that will accompany him or her for the rest of their life. The chapters are ordered according to a scale of increasing treatment difficulty, which is proportional to the potential pathogenicity of the underlying psychopathological structure.

Between 1978 and 1985 Dr Herbert Rosenfeld was one of a number of British analysts invited by a group of Societa di Psicoanalisi Italiani members to conduct a series of seminars and supervisions for the purpose of deepening and refining that group's clinical skills and theoretical understanding. This book is an illuminating record of that encounter, and a warm tribute to the significant influence of Rosenfeld's contribution. It is divided into two parts - 'Theoretical' and 'Clinical', and based on a selection of verbatim transcripts recorded at the time. These transcripts, with their dialogical form, succeed in capturing much of the specificity of oral exchange, and thus convey a strong impression of Rosenfeld the man as much as clinician or theoretician. Rosenfeld remained to the end a continuously creative analyst and these 'last thoughts' provide the reader with ample evidence of his undimmed gifts. His subtle intuitions, meticulously close attention to both patient's and analyst's interpretations, and fine appreciation of the intricacies of the analytic encounter, are abundantly present.

Why does someone resolve to take his own life in order to murder other people? What is the state of mind which allows him to commit such a monstrous act? This book explores the mental state that compels certain individuals to perform murderous, suicidal acts and emphasizes that, whereas a suicidal terrorist attack can be described as a crime against humanity, its protagonists cannot necessarily be classified as criminal or insane. There is no such a thing as a "typical" suicide terrorist - each attacker differs in age, sex, family status, culture, and even religion. Indeed, the common elements in suicide terrorism should perhaps be sought not so much in the individuals concerned as in the dynamics rooted in their group, family history or country. It may be extreme situations experienced by the group situations that are either objectively extreme or perceived as such that give rise to paradoxical behaviour at individual level. Psychoanalysis is well placed to consider this terrain.

This book examines the terminology used in the analysis of sadomasochism, surveys extensively, and in detail, the theories of other psychoanalysts, and explores the relationship between sadomasochism and depression; its relationship to psychosis, borderline states, and many other conditions.

This book postulates that the trigger of the psychotic condition is located in the basic processes which structure the first emotional relations. It presents some of the reasons why patients succumb to the attraction of a course doomed to result in the permanent derangement of their minds.

In this book the author examines the series of connections that give rise to the intimate relationship between environment and individual in the construction of emotional suffering, emphasising both the undisputed pathogenic action of environmental stimuli and the active participation of whoever is obliged to suffer the negative situation. The author shows that the way in which one tries to escape suffering is what often seriously jeopardises growth. Working with Difficult Patients points out the intrinsic link between some forms of mental suffering and the distorted responses that the patient has received from his or her original environment. For this reason the author explores the concept of the emotional trauma in particular, since this trauma, which occurs in the primary relationship, often impels the child into relational withdrawal and towards constructing pathological structures that will accompany him or her for the rest of their life. The chapters are ordered according to a scale of increasing treatment difficulty, which is proportional to the potential pathogenicity of the underlying psychopathological structure.

Between 1978 and 1985 Dr Herbert Rosenfeld was one of a number of British analysts invited by a group of Societa di Psicoanalisi Italiani members to conduct a series of seminars and supervisions for the purpose of deepening and refining that group's clinical skills and theoretical understanding. This book is an illuminating record of that encounter, and a warm tribute to the significant influence of Rosenfeld's contribution. It is divided into two parts - 'Theoretical' and 'Clinical', and based on a selection of verbatim transcripts recorded at the time. These transcripts, with their dialogical form, succeed in capturing much of the specificity of oral exchange, and thus convey a strong impression of Rosenfeld the man as much as clinician or theoretician. Rosenfeld remained to the end a continuously creative analyst and these 'last thoughts' provide the reader with ample evidence of his undimmed gifts. His subtle intuitions, meticulously close attention to both patient's and analyst's interpretations, and fine appreciation of the intricacies of the analytic encounter, are abundantly present.

A Psychoanalytic Approach to Treating Psychosis shows how, by understanding the antecedents and dynamics of psychosis, a psychoanalytic approach can offer a long-term alternative to the only psychotropic therapy and an explanation of the infantile origin of the illness. This ground-breaking examination begins by clearly explaining complex terms and theories from the most significant thinkers in psychoanalysis. Split into three parts, it then explores the problems faced when following one specific technique for understanding the psychotic process. Practical as well as theoretical, Part 2 illustrates how to prepare an appropriate setting for the patient, including the importance of listening and the analyst's approach, as well as highlighting key features of the condition, such as delusions, hallucinations, infantile withdrawal and psychotic dreams. Acknowledging that psychosis is a psychic transformation which the mind works as a sensorial organ, the author asserts that the seeds are sown in childhood through emotional trauma, leading to withdrawal into a fantasy world. Brimming with real-life vignettes throughout, Part 3 is dedicated to a unique and lengthy case study to illustrate the challenges of working with such patients. It also looks positively towards future research on psychosis informed by insights from neuroscience. Innovative and accessible, this book will be essential reading for anyone working in psychosis, including psychoanalysts, psychiatrists, psychologists and physicians.

In this book Franco de Masi examines the terminology used in the analysis of sadomasochism and surveys in detail the theories of other psychoanalysts. He explores the relationship between sadomasochism and other conditions, such as depression, psychosis and borderline states, and discusses the nature of evil in the broadest way possible.

Inspired by many successful years of teaching to analysts in training, Franco De Masi has selected the most significant lessons and added a few new ones to provide an enriching discussion of psychopathology and psychoanalytic clinical work. Lessons in Psychoanalysis begins with a general discussion of the scientific status of psychoanalysis, its main theories and models, and the way in which the unconscious registers emotional reality. These are followed by detailed chapters on key topics which relate more closely to clinical work. De Masi begins with the problem of diagnosis in psychoanalysis and the importance of a patient's clinical history. He then turns his attention to transference and the analytic relationship, which he views as central to clinical work, followed by chapters on the analytic impasse and the use of countertransference. He then deals with other vital themes: regression, anxiety, phobia and panic, trauma, depersonalisation in the various syndromes, melancholic and non-melancholic depression, narcissism, and psychic withdrawal. He concludes with some final considerations of analytic therapy. De Masi makes clear that analytic concepts are not linear but formed over time from numerous contributions. To demonstrate this, he provides a description of how ideas evolved to form a concept. Following the trajectory enables a fuller understanding and demonstrates the flexibility of analytic concepts to incorporate new contributions without losing meaning. De Masi also includes data from neuroscientific research on certain phenomena to broaden the discussion and demonstrate what is happening in other related fields. His work shows that psychoanalysis has the capacity to be a unitary body which allows various models and theories to coexist even where disagreement may arise. This book is essential reading for trainee psychoanalysts and students, and highly recommended for qualified professionals who continue to question analytic practice and theory.

A Psychoanalytic Approach to Treating Psychosis shows how, by understanding the antecedents and dynamics of psychosis, a psychoanalytic approach can offer a long-term alternative to the only psychotropic therapy and an explanation of the infantile origin of the illness. This ground-breaking examination begins by clearly explaining complex terms and theories from the most significant thinkers in psychoanalysis. Split into three parts, it then explores the problems faced when following one specific technique for understanding the psychotic process. Practical as well as theoretical, Part 2 illustrates how to prepare an appropriate setting for the patient, including the importance of listening and the analyst's approach, as well as highlighting key features of the condition, such as delusions, hallucinations, infantile withdrawal and psychotic dreams. Acknowledging that psychosis is a psychic transformation which the mind works as a sensorial organ, the author asserts that the seeds are sown in childhood through emotional trauma, leading to withdrawal into a fantasy world. Brimming with real-life vignettes throughout, Part 3 is dedicated to a unique and lengthy case study to illustrate the challenges of working with such patients. It also looks positively towards future research on psychosis informed by insights from neuroscience. Innovative and accessible, this book will be essential reading for anyone working in psychosis, including psychoanalysts, psychiatrists, psychologists and physicians.

This book describes the life of Karl Abraham, his work in Zurich and Berlin, and his scientific relationship with Freud. Abraham wrote important papers which form the base of clinical psychoanalysis and analytic technique: transference, countertransference, narcissism, envy and childhood trauma. In particular, the book takes into account the contribution Abraham made to understanding the problem of mourning and melancholia, not only through his works dedicated to this topic but also with his contribution within the continuous and scientific communication with Freud, as documented in the Freud-Abraham correspondence (Karnac, 2002). In the final chapter, 'What Abraham could not understand', the book describes how, when Abraham read the manuscript of Mourning and Melancholia, he did not fully understand some passages of Freud's text. He thought for a long time until he could envisage a solution to an unsolved problem - that of the way in which the patient succeeds in overcoming the mourning. This happens when the loved and lost object is reinstalled in his inner world, a very important concept in the Kleinian development.