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One of therapy's greatest challenges is the moment of transference, when a patient unconsciously transfers emotion or desire to a new and present object--in some cases the therapist. During the course of treatment, a patient's projections and the analyst's struggle to divert them can stress, distort, or contaminate the therapeutic relationship. It may lead to various forms of enactment, in which the therapist unconsciously colludes with the client in interpretation and treatment, or it can lead to projective identification, in which the client imposes negative feelings and behaviors onto the...

Waska presents practitioners with new ways to assist the often severely disturbed patients that come to see them in both private and institutional settings. He outlines the use of psychoanalysis as a method of engagement that can be utilised with or without the addition of multiple weekly visits and the analytic couch.

This work represents a watershed in Kleinian theory. The Author beautifully integrates traditional Kleinian concepts, particularly those of the paranoid-schizoid and depressive positions, with the occurrence of infantile and childhood trauma and / or deprivations. His clinical examples are extraordinarily convincing. All mental health workers will greatly benefit from reading this book
James Grotstein
Confusing clinical standoffs, loyalty to self-destruction and abrupt terminations are challenging and under-examined problems for the modern psychoanalytic practitioner. The Danger of...

This book serves two purposes. First, it provides the psychoanalyst or psychotherapist with a more flexible method of practicing psychoanalysis. This is the clinical approach of "analytic contact", a technical stance in which more patients can be reached in a deeper and more helpful manner. Analytic contact is an operationally robust Kleinian appro

Most contemporary psychoanalysts and psychotherapists see each patient once or twice a week at most. As many patients have reached a marked state of distress before seeking treatment, this gives the analyst a difficult task to accomplish in what is a limited amount of time. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach sets out a model for working with quite significantly disturbed, distressed, or resistant patients in a very limited time, which Robert Waska has termed "Modern Kleinian Therapy."

Each chapter provides a...

This book explores the theoretical and technical aspects of Modern Kleinian Therapy with borderline, narcissistic, and psychotic patients who are in great psychological conflict and who struggle to find stable footing in the relational world. These are the patients who are most taxing and troubling for all therapists as they suffer greatly in life but tend to leave a great deal of suffering in their wake. Throughout the book, the reader is provided a close up clinical view of what really takes place in psychoanalytic treatment with psychologically disorganized, predatory, or internally...

This book provides the psychoanalyst or psychotherapist with a more flexible method of practicing psychoanalysis. This is the clinical approach of Analytic Contact, a technical stance in which more patients can be reached in a deeper and more helpful manner. Analytic Contact is an operationally robust Kleinian approach for the real world of private practice and targets the combination of internal and external factors that are consistently at play with all patients. The second aim of this book is to examine specific groups of patients that present unique challenges to the psychoanalyst. These...

How do Kleinians work with projective identification?
The concept of projective identification, first introduced by Melanie Klein in 1946, has been widely studied by psychoanalysts of different persuasions. However, these explorations have neglected to show what Kleinians actually do with the projective identification phenomenon in their daily casework.
Projective Identification in the Clinical Setting presents a detailed study of Kleinian literature, setting a background of understanding for the day-to-day analytic atmosphere in which projective identification takes place....

Modern Kleinian Therapy is a model of effective psychoanalytic work that offers relief to deep internal conflicts by establishing and maintaining analytic contact, and beginning to unravel, modify, and heal turbulent and torn minds. This book defines Modern Kleinian Therapy as a modality for treating severely affected patients in a fairly traditional psychoanalytic manner, even when the environment or frequency of sessions are compromised. Chapter by chapter the book provides detailed clinical material to illustrate the complex dynamics that unfold when working with more closed off patients,...

One of therapy's greatest challenges is the moment of transference, when a patient unconsciously transfers emotion or desire to a new and present object--in some cases the therapist. During the course of treatment, a patient's projections and the analyst's struggle to divert them can stress, distort, or contaminate the therapeutic relationship. It may lead to various forms of enactment, in which the therapist unconsciously colludes with the client in interpretation and treatment, or it can lead to projective identification, in which the client imposes negative feelings and behaviors onto the...

The Concept of Analytic Contact presents practitioners with new ways to assist the often severely disturbed patients that come to see them in both private and institutional settings. In this book Robert Waska outlines the use of psychoanalysis as a method of engagement that can be utilised with or without the addition of multiple weekly visits and the analytic couch.

The chapters in this book follow a wide spectrum of cases and clinical situations where hard to reach patients are provided with the best opportunity for health and healing through the establishment of analytic...

Confusing clinical standoffs, loyalty to self-destruction and abrupt terminations are challenging and under-examined problems for the modern psychoanalytic practitioner. The Danger of Change is a timely book that addresses the so-called resistant patient so many clinicians are familiar with.

Robert Waska blends theory based on Melanie Klein s classical stance with the more contemporary Freudian/Kleinian school, to demonstrate how to understand patients that are resistant to progress. Divided into four sections, this book covers:

• reluctant patients and the...

Taking as his starting point Melanie Klein's concept of the paranoid-schizoid position, and succinctly reviewing subsequent developments within the Kleinian perspective, the author formulates a distinctive and subtle argument concentrated on the topic of primitive loss. It is the author's conviction that the experience of loss has a primacy within the paranoid-schizoid position but that this has received insufficient and inadequate recognition, with significant implications for analytic technique. With this standpoint as his orienting focus, the author provides a finely-textured and...

Real People, Real Problems, Real Solutions offers a clear introduction to psychoanalytic practice from a Kleinian perspective and shows how the modern Kleinian works with the most taxing and least conforming of their patients.
Illustrated by extensive case material this book:

*reviews Freud's original theoretical concepts and examines Klein's contributions to the field of psychoanalysis, clarifying and comparing the two approaches in the clinical setting.

*identifies and explores who makes up the psychoanalyst's most challenging case load and demonstrates how the Kleinian...

The book takes the reader "into the trenches" with the author as he describes his psychoanalytic work with a variety of patients with difficult and complex conditions. The reader becomes familiar with the clinical and theoretical difficulties psychoanalysts encounter in their day to day practice with such patients, especially the counter-transference reactions so common with patients who rely on rigid defense systems. While presented from a Kleinian viewpoint, the book is written in a very inclusive and flexible manner that brings together a variety of analytic thought and provides easy...

Robert Waska introduces a groundbreaking view of modern Kleinian psychoanalytic work applied to a wide spectrum of patients. The contemporary Kleinian approach of Analytic Contact redefines psychoanalytic psychotherapy as the treatment of choice for neurotic, borderline, and narcissistic patients with hope, change, and growth as a realistic goal.

Real People, Real Problems, Real Solutions offers a clear introduction to psychoanalytic practice from a Kleinian perspective and shows how the modern Kleinian works with the most taxing and least conforming of their patients.
Illustrated by extensive case material this book:

*reviews Freud's original theoretical concepts and examines Klein's contributions to the field of psychoanalysis, clarifying and comparing the two approaches in the clinical setting.

*identifies and explores who makes up the psychoanalyst's most challenging case load and demonstrates how the Kleinian...