While the psychodynamic understanding of play and play's therapeutic potential was long restricted to the realm of children, Winnicott's work demonstrated the profound significance of the capacity to play for healthy mental functioning during adult life. Scattered writings of Erikson, Glenn, and Shopper notwithstanding, the early spark of understanding remained largely ill developed. In Play and Playfulness, the reader is offered an exciting and highly informative set of essays about the psychic area that lies between reality and unreality and between veracity and imagination. It is the area of paradox and creativity. It sustains the self, allows for ego-replenishing regressions, and adds to the joy of the vital and lived experience. This book provides an easy and readable passage to the valley of the transitional experience in which creative synthesis of reality and unreality leads to a world of vigor, enthusiasm, and liveliness. The cultural variations and the clinical implications of such an experience are thoroughly elucidated. The result is a volume replete with technical virtuosity, clinical relevance, and the basic and nearly self evident humane music of the day-to-day experience of life.

This book provides easy to read, concise, and clinically useful explanations of over 1800 terms and concepts from the field of psychoanalysis. A history of each term is included in its definition and so is the name of its originator. The attempt is made to demonstrate how the meanings of the term under consideration might have changed, with new connotations accruing with the passage of time and with growth of knowledge. Where indicated and possible, the glossary includes diverse perspectives on a given idea and highlights how different analysts have used the same term for different purposes and with different theoretical aims in mind.

This book provides easy-to-read, concise, and clinically useful explanations of over 1000 terms and concepts from the field of psychoanalysis. The history of each term is included as is the name of its originator. An attempt is made to demonstrate how the meanings of the term under consideration might have changed, with new connotations accruing with the passage of time and with growth of knowledge. Where possible, the glossary includes diverse perspectives on a given idea and highlights how different analysts have used the same term for different purposes and with different theoretical aims in mind.Ranging from abreaction and abstinence, metapsychology and malignant narcissism to xenophobia and zoophilia, the terms and ideas covered in the book make for a panoramic view of the psychoanalytic universe. The collection is wide-ranging, eclectic, and fundamentally generous: it includes the old, new, controversial, odd-sounding, familiar, unfamiliar all sorts of terms and phrases from the one hundred years history of psychoanalysis. While generally crisp and pithy, a definition here and there also includes an endearing anecdote, a wry remark regarding the hidden ironies in the concept at hand, and a deliciously surprising linkage with another idea in the book."

Betrayal underlies all psychic trauma, whether sexual abuse or profound neglect, violence or treachery, extramarital affair or embezzlement. When we betray others, we violate their confidence in us. When others betray us, they pierce the veil of our innocent reliance. Betraying and feeling betrayed are ubiquitous to the scenarios of trauma and yet surprisingly neglected as a topic of specific attention by psychoanalysis.This book fills this gap. Its first part deals with developmental aspects and notes that while the experience of betrayal might be ubiquitous in childhood, its lack of recognition by the parents is what leads to fixation upon it. The second part of the book deals with literature and elucidates the myriad ways in which the theme of betrayal appears in Shakespeare s writings and in Oscar Wilde s poem "The Ballad of Reading Gaol." Its final part pertains to clinical matters and has chapters on the compulsion to betray others and the unconscious need to be betrayed, the betrayal of a sacred trust in the form of childhood sexual abuse, extra-marital affairs, and the betrayal of patients by their analysts in the form of boundary violations."

The author's focus in this book is upon the intrapsychic vicissitudes of what it means to be truly alive and how death accompanies us at each step of our life's journey. He attempts to show that, psychologically-speaking, death is always present in life and life in death. He discovers what is emotionally central to being alive and how death and awareness of death--conscious or unconscious--silently color our subjective experience. The fundamental thrust of these socio-clinical meditations is to enhance appreciation of aspects of life that have been inoptimally addressed in psychoanalytic literature and to expand the view of death in ways that might be personally and technically enriching.

In this volume, Akhtar addresses the intricacies of in-depth psychotherapy. He has deliberately limited his exploration five specific areas in order to be able to explore them thoroughly: initial assessment; boundaries; money; disruptions; and suicidal crises.Akhtar s more than three decades of clinical experience has taught him that most problems in the course of dynamic psychotherapy involve these areas; therefore their proper understanding and management is key to productive therapeutic work. Each chapter of this compact book tackles one of these areas in detail, outlining not only the conceptual issues at hand but also the technical strategies that emanate from them. While theoretical grounding does serve as a preamble for the delineation of its technical strategies, the book is replete with clinical vignettes and explicatory comments that illustrate the interventions. This work is designed to introduce the younger generation of therapists to ways of thinking and working that experienced practitioners have found clinically useful."

Moving from one country to another causes a radical alteration of one's cultural and geophysical surround. Separation from friends and family, loss of valued possessions, and encountering new ways of living result in mental pain and disorienting anxieties. In Immigration and Acculturation, Salman Akhtar examines the traumatic impact of immigration and the acculturation process and the psychological defenses that are mobilized in the immigrant, including nostalgia and fantasies of return. Akhtar explores each aspect of an immigrant's life, shedding light on the complexities of work, friendship, sex, marriage, aging, religion, and politics, as well as showing how unresolved conflicts are passed on to the next generation. Akhtar provides first-hand accounts from immigrants from a variety of backgrounds and countries of origin, and he provides clinical strategies for working with immigrant and ethnically diverse patients and their offspring. Deftly synthesizing observations from psychoanalysis, anthropology, literature, history, and related disciplines in the humanities, Salman Akhtar elegantly elucidates postmigration identity change.

'Joseph Breuer's celebrated patient, Anna O., designated psychoanalysis to be a "talking cure". She was correct insofar as psychoanalysis does place verbal exchange at the center stage. However, the focus upon the patient's and therapist's speaking activities diverted attention from how the two parties listen to each other. Psychoanalysis is a listening and talking cure. Both elements are integral to clinical work. Listening with no talking can only go so far. Talking without listening can mislead and harm. And yet, the listening end of the equation has received short shrift in analytic literature. This book aims to rectify this problem by focusing upon analytic listening. Taking Freud's early description of how an analyst ought to listen as its starting point, the book traverses considerable historical, theoretical, and clinical territory. The ground covered ranges from diverse methods of listening through the informative potential of the countertransference to the outer limits of our customary attitude where psychoanalytic listening no longer helps and might even be contraindicated.'- Salmon Akhtar, from his Introduction

The face of Islam currently visible to the West bears the features of orthodoxy, fundamentalism, the so-called "new anti-Semitism," and political terrorism. Images of inter-ethnic bloodshed in Iraq, bellicose Iranian posturing, Al-Qaeda training camps, and zealot suicide bombers are the basic grammar of such perception. While not entirely untrue, this portrayal of Islam also emanates from the 'villain hunger' of the West, a hunger that has increased since the fall of the USSR. The false equation of 'Muslim' with 'Arab' has also created stereotypes and ambiguities. The fact is that most Muslims of the world are not Arab and many Arabs are not Muslims. Indeed the people, culture, traditions, and even religious practices of Islam are highly varied and complex. Its belief systems range from the austere Wahabbi rigidity to lyrical Sufi mysticism. Its cultural fabric includes the dark spots of suppression of women on the one hand and breathtakingly beautiful fibers of calligraphy, architecture, rug weaving, and romantic poetry on the other hand. Attempting to advance knowledge about Islam and to create the possibility of a dialogue between Islam and psychoanalysis, The Crescent and the Couch brings together a distinguished panel of Muslim and non-Muslim contributors from the fields of history, religion, anthropology, politics, and psychoanalysis. Together these authors highlight the world-changing contributions of prominent Muslim figures, and elucidate the encounter of Islam with Christianity, Judaism, and Hinduism. Moving on to matters of family, individual personality formation, human sexuality, and religious identity, they also address clinical issues that arise in the treatment of Muslim patients as well as the technical work of Muslim psychoanalysts. The book thus becomes a literary ambassador of sorts, bridging the conceptual gap between psychoanalytic theory on the one hand and Islamic conceptualizations of life on the other. It is a work of synthesis at its best and since bringing diverse thin

The Electrified Mind helps therapists understand and empathize with patients who rely heavily upon cell phones and the internet for the purposes of self-expression as well as for defensive avoidance of actual interpersonal contact. The chapters by distinguished mental health professionals delineate therapeutic strategies for dealing with the dilemmas that arise in working with children, adolescents, and adults excessively involved with cyberspace at the cost of meaningful human relationships.

Revenge: Narcissistic Injury, Rage, and Retaliation addresses the ubiquitous human wish to take revenge and settle scores. Featuring the contributions of eleven distinguished mental health professionals, it offers a panoramic and yet deep perspective on the real or imagined narcissistic injury that often underlies fantasies of revenge and the behavioral trait of vindictiveness. It describes various types of revenge and introduces the concept of a 'good-enough revenge.' Deftly blending psychoanalysis, ethology, religious studies, literary criticism, and clinical experience, the book goes a long way to enhance empathy with patients struggling with hurt, pain, and desires to get even with their tormentors. This volume is of great clinical value indeed!

In this elegantly written book, eight distinguished psychoanalysts address the ubiquitous phenomenon of guilt. They describe the childhood experiences that form the bedrock of this emotion and delineate various types of guilt, including pre-oedipal guilt, oedipal guilt, survivor guilt, separation guilt, induced guilt, and so on. Noting that guilt, by itself, is neither 'good' nor 'bad,' these master clinicians highlight the adverse (e.g. self-punishment, masochism, irritability) and potentially positive (e.g. reparation, helpfulness towards others) outcomes of guilt. They critically assess previously published findings, review diverse theories, and offer illustrative material from treatment of children and adults. As a result, Guilt: Origins, Manifestations, and Management is replete with clinical pearls and highly useful tips for the management of patients driven by feelings of guilt and remorse.

In this elegantly written book, eight distinguished psychoanalysts address the ubiquitous phenomenon of guilt. They describe the childhood experiences that form the bedrock of this emotion and delineate various types of guilt, including pre-oedipal guilt, oedipal guilt, survivor guilt, separation guilt, induced guilt, and so on. Noting that guilt, by itself, is neither 'good' nor 'bad,' these master clinicians highlight the adverse (e.g. self-punishment, masochism, irritability) and potentially positive (e.g. reparation, helpfulness towards others) outcomes of guilt. They critically assess previously published findings, review diverse theories, and offer illustrative material from treatment of children and adults. As a result, Guilt: Origins, Manifestations, and Management is replete with clinical pearls and highly useful tips for the management of patients driven by feelings of guilt and remorse.

This book is a lexical ambassador with the dual responsibility of bridging the West and East and enhancing psychoanalytic conceptualization in the course of such an encounter. By juxtaposing the familiar with the unfamiliar, it seeks to enrich our understanding of both. Within its pages, distinguished psychoanalysts from East and West weave a fine and colorful tapestry of the ubiquitous and idiosyncratic, the plebian and profound, and the neurotically-inclined and culturally-nuanced. They provide meticulous historical accounts of the development of psychoanalysis in Japan, Korea, and China and familiarize the reader with interesting personages, quaint phrases, cultural nuances, founding of journals, and emergence of groups interested in psychoanalysis. The contributors to the book discuss the depth-psychological concepts of amae, Wa, Ajase complex, and the 'filial piety complex, ' thus underscoring the intricate interplay of drive and ego development with the powerful forces of ancestral legacies and their attendant myths and fantasies. The reverberations of these aesthetic and relational paradigms in epic love stories, martial arts, and cinema are also elucidated. In addition, the book offers insights into the psychosocial trials and tribulations of the Western immigrant populations from these countries and their offspring. Finally, the implications of all this to the conduct of psychotherapy and psychoanalysis are addressed

In this tribute to Selma Kramer, eminent child analyst and colleague and close friend of the late Margaret Mahler, senior analysts explore the continuing relevance of Mahler's separation-individuation theory to developmental and clinical issues. Editors Salman Akhtar and Henri Parens have grouped the original contributions to Beyond the Symbiotic Orbit into sections that reevaluate Mahler's theory. Section I is a timely reassessment of Mahler's working model from the standpoint of contemporary clinical and research findings. It includes comparisons of Mahler with Winnicott and Kohut, and commentaries on the status of separation-individuation theory in relation to psychosexual theory, early ego development, and observational infancy research. Section II addresses the contribution of separation-individuation theory to our understanding of pathogenesis. Neurosis, severe character pathology, psychosomatic phenomena, eating disorders, and sexual perversions are among the topics of specific chapters. The final section explores the role of separation-individuation theory in the treatment of analysands of different ages and with different kinds of psychopathology; it also considers separation-individuation theory with respect to specific aspects of the treatment process, including reconstruction, transference, and termination. A fresh reappraisal of a major perspective on early development, Beyond the Symbiotic Orbit is a fitting testimonial to Selma Kramer, who has played so important a role in elaborating Mahler's theory. Following from Kramer's own example, the contributors show how separation-individuation theory, in its ability to accomodate ongoing clinical and research findings, is subject to continuing growth and refinement. They not only advance our understanding of Mahler's working model, but pursue the implications of this model in new directions, underscoring the many areas of exploration that separation-individuation theory opens to us.

This book is a lexical ambassador with the dual responsibility of bridging the West and East and enhancing psychoanalytic conceptualization in the course of such an encounter. By juxtaposing the familiar with the unfamiliar, it seeks to enrich our understanding of both. Within its pages, distinguished psychoanalysts from East and West weave a fine and colorful tapestry of the ubiquitous and idiosyncratic, the plebian and profound, and the neurotically-inclined and culturally-nuanced. They provide meticulous historical accounts of the development of psychoanalysis in Japan, Korea, and China and familiarize the reader with interesting personages, quaint phrases, cultural nuances, founding of journals, and emergence of groups interested in psychoanalysis. The contributors to the book discuss the depth-psychological concepts of amae, Wa, Ajase complex, and the "filial piety complex," thus underscoring the intricate interplay of drive and ego development with the powerful forces of ancestral legacies and their attendant myths and fantasies. The reverberations of these aesthetic and relational paradigms in epic love stories, martial arts, and cinema are also elucidated. In addition, the book offers insights into the psychosocial trials and tribulations of the Western immigrant populations from these countries and their offspring. Finally, the implications of all this to the conduct of psychotherapy and psychoanalysis are addressed.

From childhood onwards, humans use their environment's responses to construct models or schemata to link feelings and impulses with actions and effects. If the environment during those formative years is unreliable, frustrating, or violating, the construction of those internal models can be disrupted and create a disjointed perception of the world, where violence is the only way to feel strong or good about oneself. Before and After Violence explores the complex network of experiences and relationships that contribute to both the origins and consequences of violence, starting in the early stages of life and compounding over time. The contributors to this collection examine the different settings in which violence takes place, look at the variables that propel its occurrence in local and global instances, and depict how each can be traced back to profound feelings of betrayal, helplessness, and anger that manifest in the physical discharges of aggression towards a single person or a whole group. Through a psychoanalytic lens, the contributors analyze and explain violence in its many forms, delve into its myriad of causes, as well as offer a variety of solutions that can be applied to various instances of violence whether it be physical or mental, self-directed or other-directed.

How do individuals cope constructively with significant trauma? How do they recover from it? What factors seem most codetermining of coping with and recovering from trauma? Can these be not only identified but also influenced by our interventions? Addressing these questions-questions about human beings' capacity for resilience-is the prime challenge taken up in this book by an assortment of international psychoanalytic, attachment, and biological mental health theorists and clinicians. While mental health professionals are well trained to identify and treat psychopathology, little is taught about how to look for strengths in patients that assist them in their coping and that, on their own and with our nurturance, can foster their recovery. Some of the contributors to this volume, having themselves been subjected to severe trauma, speak of resilience both from within their own experience, from those around them, and from their work with traumatized patients.

How do individuals cope constructively with significant trauma? How do they recover from it? What factors seem most codetermining of coping with and recovering from trauma? Can these be not only identified but also influenced by our interventions? Addressing these questions-questions about human beings' capacity for resilience-is the prime challenge taken up in this book by an assortment of international psychoanalytic, attachment, and biological mental health theorists and clinicians. While mental health professionals are well trained to identify and treat psychopathology, little is taught about how to look for strengths in patients that assist them in their coping and that, on their own and with our nurturance, can foster their recovery. Some of the contributors to this volume, having themselves been subjected to severe trauma, speak of resilience both from within their own experience, from those around them, and from their work with traumatized patients.

Freud's Beyond the Pleasure Principle constitutes a major landmark and a real turning point in the evolution of psychoanalytic theory. Pushing aside the primacy of the tension-discharge-gratification model of mental dynamics, this work introduced the notion of a "daemonic force" within all human beings that slowly but insistently seeks psychic inactivity, inertia, and death. Politely dismissed by some as a pseudo-biological speculation and rapturously espoused by others as a bold conceptual advance, "death instinct" became a stepping stone to the latter conceptualizations of mind's attacks on itself, negative narcissism, addiction to near-death, and the utter destruction of meaning in some clinical situations. The concept also served as a bridge between the quintessentially Western psychoanalysis and the Eastern perspectives on life and death. These diverse and rich connotations of the proposal are elucidated in On Freud's "Beyond the Pleasure Principle". Other consequences of Freud's 1920 paper - namely, the marginalization of ego instincts and the "upgrading" of aggression in the scheme of things - are also addressed.

Written by experienced practitioners in the fields of addiction and psychoanalysis, and illustrated by a range of moving vignettes, this groundbreaking book examines the psychological foundations of addiction in the areas of food, sex, gambling, internet usage, shopping, and work. This book not only explores the roots of addictive behavior, explaining why popular treatment options such as the 12-Step Program often fail, it also provides insights for emotional resolution and strategies for behavioral change. Beyond the Primal Addiction seeks to understand rather than pathologize addictive behaviours, now so pervasive in contemporary societies. It will be essential reading for psychoanalysts, psychotherapists, and other mental health professionals, as well as their clients.

Intimacy: Clinical, Cultural, Digital and Developmental Perspectives applies a contemporary, psychoanalytic lens to the many facets of intimacy between people, from romantic and sexual relationships, to friendliness, as well as the ways intimacy is mediated by new digital technologies. Identifying commonalities and differences between a range of approaches, including Classical Freudian, attachment theory, and interpersonal theory, the book includes case studies that highlight how intimacy is framed in a variety of relationships. It examines the line between privacy and intimacy, as well as how intimacy changes at different stages of one's lifespan. From the friends we have to the pets we own, or the faith we follow, a cross-cultural perspective ensures that intimacy is conceived of as a broad, essential element underlying all human relationships. The intimacy between analyst and analysand is also examined. This far-reaching book will interest both practicing and training psychoanalysts and psychotherapists, as well as those in related disciplines.

Jealousy is a human feeling experienced by everyone in varying intensities, at different times and phases of growth. Frequently confused, jealousy and envy are often intertwined. Even within the psychoanalytic literature confusion persists and much less has been written about jealousy than envy. However, unlike envy, jealousy involves three entities and affects all people involved. It can be painful as other difficult-to-bear feelings (e.g. shame, guilt anger, hatred) underlie jealousy. Yet, total absence of jealousy renders a person less human, less relational. In analytic terms jealousy is a defense against emotional anguish. This book begins with an extensive overview of the nature, developmental origins and poignant cultural (especially poetic) allusions to jealousy, emphasizing that it is through artistic expression that a true understanding of this frequently deeply disturbing feeling is achieved. It closes with a thoughtful summary, synthesis and critique of the chapters by 12 distinguished analysts.

One hundred (and one) tales to mark Salman Akhtar's one hundredth book! Divided into eight informative parts - Dr Akhtar's journey to psychoanalysis; the lessons he learned from his teachers, supervisors, and mentors; the teachings from his peers and colleagues; the benefits of clinical work; the impact of cultural difference; insights gained from students, supervisees, and audiences; his experiences of writing, editing, and publishing; and advice for those about to take their first steps - each section is packed full of incredible advice lightly given in a series of engaging anecdotes. Tales of Transformation: A Life in Psychotherapy and Psychoanalysis is the perfect book for trainees, practising clinicians, those considering psychoanalysis as a career path, anyone with an interest in the subject, and all who enjoy reading the recollections of a witty raconteur.

This comprehensive and tightly argued book deals with the process through which a coherent self evolves, the various ways such development fails to occur, and the therapeutic measures to put things back together. Beginning with the child's early relationships and their internalization as the substrate of the self, the text moves on to psychodynamically sophisticated and developmentally anchored descriptions of certain psychopathological syndromes that are widespread and yet inoptimally discussed. Going from the most severe to the least severe conditions in this realm, the book deals with the psychotic core, the schizoid wish to die and be reborn, the fantasies related to unresolved separation-individuation, the sociopathic tendency to lie, and the impact of excessive narcissism on love relations. The book also provides a unique perspective on the treatment of these conditions in so far as it not only elucidates the ways that a therapist listens and talks to his patients but also the subtle but deep impact of his ongoing attitude toward psychotherapeutic work. Even the role the therapist's office silently plays in the conduct of his work is discussed in detail. The book is theoretically sound and contemporary. More importantly, it is clinically generous and provides a number of vignettes to illustrate the ideas proposed. The writing style is a refreshing admixture of scientific scrupulosity, literary elegance, and humane relatedness.