Kevin Volkan and Vamik Volkan present a comprehensive study of schizophrenia using a psychoanalytic lens on the existing interdisciplinary research. Over the last seventy years, mainstream research on the causes, prevalence, and treatment of schizophrenia has greatly diverged from psychoanalytic thinking. However, the emergence of the field of neuropsychoanalysis brings hope that psychoanalytic metapsychology and clinical theory may once again provide valuable insight into understanding schizophrenia. Psychoanalytic treatment may not be appropriate for many sufferers but psychoanalysis does provide insight to inform and improve treatment. It can also illuminate what aspects of schizophrenia are common across cultures, where they present unique characteristics, and just how cultural variations occur. For any future improvement in understanding and treating schizophrenia, the cultural underpinnings and expressions of schizophrenic illness need to be made clear. For clinicians in the field, the authors' aim is to deepen insight and promote the use of psychotherapy and integrated treatments, while increasing sensitivity to cultural variations in schizophrenic disease. Accordingly, this book is divided into four sections. The first gives a brief overview and outline of the mainstream understanding of schizophrenia. The second drills down to focus on general psychoanalytic ideas about schizophrenia, culminating with a focus on problems with early object relations. The third looks at how psychoanalytic treatment can be successful in some cases. The fourth and final part discusses how views of the disorder and the disorder itself are affected by culture. The authors hope to generate insight and understanding of schizophrenic disorders which could lead to new approaches to treating and possibly preventing schizophrenia. It is a must-read for all clinicians and trainees working in the field and presents interesting ideas to anyone with an interest in the subject.

There is a great deal of confusion about psychoanalysis and psychoanalytic psychotherapy, even among practitioners of these methods. One reason is the sheer volume of psychoanalytic psychotherapies currently practised around the world; some very similar, others widely divergent. To help allay this confusion, Kevin Volkan and Vamık Volkan present what lies at the heart of psychoanalysis and demonstrate the different ways this core can manifest in practice. The authors’ aim is to improve psychoanalytic psychotherapists’ professional identities as well as their approaches to patients. The wide-ranging subjects discussed include therapeutic principles; key psychoanalytic concepts; psychotherapeutic identity; the clinician’s office; making formulations and interpretations; psychosocial development; individual and large-group identity; trauma and transgenerational transmission; dreams and unconscious fantasies; therapeutic play; personality organisations; cultural considerations; and psychoanalysis in organisations and groups. Volkan and Volkan draw upon their decades of experience of psychoanalysis, biculturalism, and supervision of colleagues in various countries and cultures to create an exceptional textbook to explain psychoanalytic theory clearly. They present compelling case examples to illustrate technical issues that never lose sight of psychoanalysis and psychoanalytic psychotherapy as living professions that continue to develop. This is a must-read for all who want to learn more about psychoanalytic practice and theory.