Full Description
This 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.
Contents
Acknowledgments
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
