THE CONCEPT OF ANALYTIC CONTACT - THE KLEINIAN APPROACH TO REACHING THE HARD TO REACH PATIENT

Acknowledgments VII
Introduction IX

PART I
The concept of analytic contact 1
1 Defining psychoanalytic treatment 3
2 Clinical reality and the concept of analytic contact 25
3 The Kleinian interpretation: bringing theory into a clinical stance 42
4 Projective identification, everyday life, and the analytic situation 60

PART II
Caution and reluctance concerning psychological engagement 85
5 Reality, phantasy, and the fragile nature of analytic contact 87
6 The analyst as translator: speaking the unspoken 96
7 The patients push to be parented void of growth and change 109

PART III
Drugs, mutilation, and psychic fragmentation: is analytic contact still possible? 125
8 Addictions 127
9 Psychic mutilation and the struggle for integration 144
10 Fragmented attachments 164

PART IV
Clinical reality, psychoanalysis, and the utility of analytic contact 177
11 Loss 179
12 Looking at films for perspectives on structural change 193
13 Psychoanalysis or psychotherapy? Shifting the debate to a clinical focus 203

Summary 218
References 231
Further reading 237
lndex 239