Couple psychotherapy extends the work of the psychotherapist to the patient's most significant committed adult relationship, yet the therapy is difficult both conceptually and technically. One major reason for this difficulty is that in every couple's treatment there is a confusing array of psychological defenses as well as regressive and nonregressive couple object relations-as distinct from the object relations that each individual member brings to the couple. Further, many of these processes are occurring outside consciousness and at the very same time. This book is an attempt to clarify all the confusing issues by presenting a three-factor model of couple psychotherapy within a psychodynamic framework. This model has been found to be very effective with many different kinds of couples. The book suggests that there are three powerful couple dynamics that shape every couple's treatment: (A) the quality and quantity of the couple's projective identifications; (B) the level of their "couple object relations"; and (C) the presence or absence of the defense of omnipotent control. These three variables are the most important factors in the therapy; they determine the success or failure of every therapy with every couple. These dynamics also determine quite a bit about how to conduct a couple therapy with regard to the therapist's level of activity, tone, the way of sorting the material in his or her head, and even the kinds of interventions he/she chooses (whether or not, for example, the therapist will use certain resistance techniques). Understanding these three variables and how they interact is key to the success of the therapy.

This book addresses the major problems of leadership in groups, organizations, and societies in the twenty-first century, when rapid change, complex dilemmas, and earth-shattering consequences affect the daily lives of people in the diverse contexts of social institutions, the corporate world, domestic politics, and international terrorism and conflict. The volume convenes a group of distinguished scholars, consultants, and leaders who address significant contemporary dilemmas that test the skills and knowledge of all concerned individuals. Benjamin Disraeli said, "I am their leader; therefore I must follow them." This book speaks directly to that intimate connection between leaders and followers. The organizing principle of the book is a 'group systems' understanding of leadership further elaborated through the relational and intersubjective concepts emerging in the fields of counseling, dynamic psychiatry, and psychotherapy. This interdisciplinary approach both complements and contrasts with the traditional understanding of leadership based on the dynamics of individual and collective self-interest.

This book addresses the major problems of leadership in groups, organizations, and societies in the twenty-first century, when rapid change, complex dilemmas, and earth-shattering consequences affect the daily lives of people in the diverse contexts of social institutions, the corporate world, domestic politics, and international terrorism and conflict. The volume convenes a group of distinguished scholars, consultants, and leaders who address significant contemporary dilemmas that test the skills and knowledge of all concerned individuals. Benjamin Disraeli said, "I am their leader; therefore I must follow them." This book speaks directly to that intimate connection between leaders and followers. The organizing principle of the book is a "group systems" understanding of leadership further elaborated through the relational and intersubjective concepts emerging in the fields of counseling, dynamic psychiatry, and psychotherapy. This interdisciplinary approach both complements and contrasts with the traditional understanding of leadership based on the dynamics of individual and collective self-interest.

Integrating cutting-edge relational theory with technique, this volume reveals the deeply personal nature of the intersubjective process of group therapy as it affects the group therapist and other group members. By locating the group therapist's experience in the centre of the action, Richard M. Billow moves away from traditional approaches in group psychotherapy. Instead, he places emphasis on the effect of the therapist's own evolving psychology on what occurs and what does not occur in group psychotherapy. Building on Bion's early theory of group and his later formulations regarding the structure of thought and the role of affect, this work expands on the present understanding of relational theory and technique. Through the use of clinical anecdotes the author is able to ground theory in the realities of clinical experience making this essential reading for group psychoanalysts and psychotherapists, psychiatrists and other mental health professionals, academics and students of psychoanalytic theory.

Earl Hopper, in his important, profound and well reasoned book introduces a fourth Basic Assumption (Incohesion) to the three Basic assumptions (of Flight/ Fight, Pairing and Dependency) introduced by Bion. Hopper's theory of Incohesion provides us with a new way of thinking about annihilation anxiety, which he discusses in terms of the unconscious fears of annihilation connected to the fears of separation.' - System Centered News 'What we may learn most from reading Hopper's profound thinking presented in this surprisingly readable book is how he makes the bridge from his theory to the treatment of difficult patients. He identifies aggregation and Massification as a characteristic of regressed groups. In groups of the traumatized, however, where survivor guilt, and perhaps more important, survivor shame underlies the suffering, Aggregation and Massification are likely to be chronic.' - Yvonne Agazarian Working within the traditions of Bion, Turquet, Foulkes and Pines, and drawing on concepts and data from psychoanalysis, group analysis and sociology, this volume develops Earl Hopper's theory of the fourth basic assumption in the unconscious life of groups and group-like social systems within a social, cultural and political transgenerational context. He argues that Incohesion: Aggregation/Massification or (ba) I:A/M (an acronym for 'I AM' - an assertion of personal identity when identity is under threat) is based on the fear of annihilation stemming from traumatic experience. With full respect for the constraints of the social unconscious, the personification of aggregation and massification by patients with crustacean, contact-shunning and amoeboid, merger-hungry characteristics, respectively, is illustrated with detailed clinical vignettes involving drug addicts, victims of incest and sexual abuse, and child survivors of the Shoah. Concluding with critical commentaries by senior British and American group analysts and psychoanalysts, this volume is essential reading for both analysts and their students.

Integrating cutting-edge relational theory with technique, this volume reveals the deeply personal nature of the intersubjective process of group therapy as it affects the group therapist and other group members. By locating the group therapist's experience in the centre of the action, Richard M. Billow moves away from traditional approaches in group psychotherapy. Instead, he places emphasis on the effect of the therapist's own evolving psychology on what occurs and what does not occur in group psychotherapy. Building on Bion's early theory of group and his later formulations regarding the structure of thought and the role of affect, this work expands on the present understanding of relational theory and technique. Through the use of clinical anecdotes the author is able to ground theory in the realities of clinical experience making this essential reading for group psychoanalysts and psychotherapists, psychiatrists and other mental health professionals, academics and students of psychoanalytic theory.