Description
Book SynopsisThis book will help therapists understand and treat patients suffering from mild to dangerous forms of eating disorders, other compulsions and addictions, such as alcoholism, and even erotic attachments. The chapters help therapists think creatively about these types of patients who are coming to therapy more frequently than ever, and to see the effects of treatment. The problems that arise in therapy are explored in essays about dissociation, self-regulation, self-destructive behavior, enactment, and other clinical issues. The first half of the book addresses specific problems associated with patients who have eating disorders. The editors explore the patient's conflicts, affect regulation, transference, behavior, as well as the countertransference issues that inevitably arise in therapy. The second half broadens the scope and addresses a spectrum of addictions and associated issues such as creativity, sexuality and the transference.
Trade ReviewHungers and Compulsions, written primarily by colleagues who espouse an interpersonal/relational perspective, will be of interest to clinicians who follow other approaches as well. The reader is offered vivid accounts of close encounters with very challenging patients. Two leitmotifs of the book are the place of insight vs. affective engagement in the curative process, and the love-hate relationship with Freud and Ferenczi that many psychotherapists share. The final section on the ill-starred Winnicott/Khan relationship is a timely coda. -- Arnold D. Richards M.D., editor, Journal of the American Psychoanalytic Assocation
Petrucelli and Stuart bring together a diverse set of psychoanalytic and psychodynamic writers who address the issues of eating disorders, compulsions, and addictions from multiple perspectives. The authors focus on clinical material and explore psychoanalytically informed treatment. For a clinician working with any of the identified disorders or issues in this book, these collected writings can help inform their clinical practice and expand their knowledge of treatment. * Contemporary Psychology: The Apa Review Of Books *
This book offers a wise, often inspired, guide to the treatment of patients who present with eating disorders and other addictive behavior. Any clinician can learn from this inside view of the demands that working with this difficult group of patients places on their therapists. And the book is more, because taken together the chapters constitute a discourse on fundamental questions about human desire and will, and about our need to live authentically and creatively. I recommend it highly to everyone interested in treating eating disordered patients and to everyone who wants to understand the thinking of contemporary relationally oriented psychoanalysts and psychotherapists. -- Jay Greenberg, Ph.D., training and supervising analyst, The William Alanson White Institute
This is a marvelous collection; its important insights continue to inspire and inform. It challenges overly simplistic understandings of the deep human needs and profound psychic pain embodied in people’s struggles with eating disorders and addictions. It reminds us how this pain is compounded when it goes unaddressed and unrecognized. And it provides clinicians across disciplines with creative ways to think anew about how we can be there for our patients. -- Susie Orbach, Psychoanalyst, writer, author of Fat is a Feminist Issue
Table of ContentsAcknowledgments Contributors Introduction Part I: Addictive Economies Chapter 1: The Psychic Economy of Addiction Joyce McDougall Chapter 2: Addictive Economies: Intrapsychic and Interpersonal Discussion of McDougall's Chapter Catherine Stuart Part II: Expanding the Analytic Space: Dissociation and the Eating-Disordered Patient Chapter 3: Thinking, Talking, and Feeling in Psychotherapy with Eating-Disordered Individuals F. Diane Barth Chapter 4: The Instigation of Dare: Broadening Therapeutic Horizons Judith Brisman Chapter 5: Out of Body, Out of Mind, Out of Danger: Some Reflections on Shame, Dissociation, and Eating Disorders Philip M. Bromberg Chapter 6: On Preferring Not To: The Aesthetics of Defiance Adam Phillips Part III: On Being Stuck: Enactments, Mutuality, and Self-Regulation with Eating-Disordered Patients Chapter 7: Close Encounters of the Regulatory Kind: An Interpersonal/Relational Look at Self-Regulation Jean Petrucelli Chapter 8: "No Matter How Hard I Try, I Can't Get through to You!": Dissociated Affect in a Stalled Enactment Frances Sommer Anderson Chapter 9: The Destabilizing Dyad: Psychoanalytic Affective Engagement and Growth Emily Kuriloff Chapter 10: Narrative, Affect, and Therapeutic Impasse: Discussion of Part III Lewis Aron Part IV: To Eat or Not to Eat: The Psychic Meanings of the Decision Chapter 11: The Male Experience of Food as Symbol and Sustenance Margaret Crastnopol Chapter 12: The Meaning of the "Body" in the Treatment of Eating-Disordered Patients Ann Kearney-Cooke Chapter 13: The Armored Self: The Symbolic Significance of Obesity Stefanie Solow Glennon Chapter 14: When the Self Starves: Alliance and Outcome in the Treatment of Eating Disorders Kathryn J. Zerbe Part V: Creativity and Addiction Chapter 15: Melancholia and Addiction? Joerg Bose Chapter 16: The Anxiety of Creativity Olga Cheselka Chapter 17: Creativity, Genius, and Divine Madness Edgar A. Levenson Chapter 18: the Muse in the Bottle Albert Rothenberg Part VI: Desires and Addictions Chapter 19: Attending to Sexual Compulsivity in a Gay Man Jack Drescher Chapter 20: In the Grip of Passion: Love or Addiction? On a Specific Kind of Masochistic Enthrallment Darlene Bregman Ehrenberg Chapter 21: From Impulsivity to Paralysis: Thoughts on the Continuous Pursuit and Thwarting of Desire Jill Howard Chapter 22: A Philosophical Assessment of Happiness, Addiction, and Transference M. Guy Thompson Part VII: Winnicott and Masud Khan: A Study of Addiction and Self-Destruction Chapter 23: Masud Khan's Descent into Alcoholism Linda B. Hopkins Chapter 24: Winnicott's Complex Relationship to Hate and Hatefulness Marcia Rosen Chapter 25: The Outrageous Prince: The Uncure of Masud Khan Dodi Goldman Chapter 26: Further Thoughts on the Winnicott-Khan Analysis Lawrence Epstein Index
