Psychoanalytic Couple Therapy

'Psychoanalytic Couple Therapy represents a major advance in a crucial and, until recent years,underdeveloped application of psychoanalytic theory and practice. Chronic marital conflict is a major source of human suffering and consultation to psychotherapeutic practitioners. The original application by Henry Dicks of Fairbairnian psychoanalytic theory and Melanie Klein's exploration of primitive defensive operation and object relations in the therapeutic approach to couples in conflict had opened a new field of psychoanalytic psychotherapy. The expansion of this field with new knowledge stemming from psychoanalytic theory of small group dynamics, understanding of attachment pathology, trauma therapy, and open system theory of personality and cultural interactions, however, took a relatively long time. The reader of this book will find both clear definitions of the corresponding clinical instruments and their theoretical basis, and their practical application to a broad spectrum of couples' conflicts. The underlying unconscious fantasies of both partners are highlighted and explored in the context of transference/countertransference activations in the triangular therapeutic encounter. This volume shows how sexual difficulties, cultural constraints and contradictions, gender issues, and clashes of rigid personality patterns are linked to these unconscious fantasies and their roots in infancy and early childhood. The richness of the contributions permits the reader to detect technical commonalities and disagreements, and gives the reader the stimulation and freedom to achieve his or her own synthesis of this creative, sophisticated overview of psychodynamic couple therapy today.'- Otto F. Kernberg, MD, Director, Personality Disorders Institute, New York Presbyterian, The University Hospital of Columbia and Cornell'What remains constant is the longing most of us have for a stable yet satisfying adult couple relationship and the enormous difficulty in achieving it. The couple relationship is often given superficial attention in the public domain. This book is a welcome antidote, drawing attention to the complexity and variety of relationships and the challenge of meeting troubled couples in the consulting room. The book provides a solid grounding for psychoanalytic psychotherapy with couples. The writing captures the richness of contemporary developments in psychoanalytic couple therapy, covering parenting, attachment, sexuality, aggression, intimacy, and dreams. What stands out about this book are the numerous, lively, in-depth clinical examples which bring the couples and the clinical dilemmas to life - through these, the reader is invited right inside the consulting room. It is that which will no doubt entice new people into this field.'- Joanna Rosenthall, couple psychoanalytic psychotherapist; Couples Unit Lead, Adult Department, Tavistock Clinic; psychoanalyst, Member of the British Psychoanalytic Association'Edited by two of the most respected practitioners in the field of couple and family psychoanalysis worldwide, this book reviews the question of technique in these settings. In clear and direct language it discusses the basic issues of this clinical practice in keeping with the assumptions of modern psychoanalysis. The authors take up new challenges in showing the mental functioning of couples and families as fantasmatic organisms, the intertwining of intrapsychic and interpersonal levels, and the new frontiers opened by this approach.'- Anna Maria Nicolo, psychiatrist; Training Psychoanalyst, Italian Psychoanalytic Society/IPA; President, Italian Society for Psychoanalysis of Couple and Family; Editor-in-chief, Interazioni