A casebook of psychotherapy practice with challenging patients : a modern Kleinian approach / Robert Waska.

Includes bibliographical references and index.

Cover; Title; Copyright; Contents; Acknowledgments; Introduction; PART I Clinical aspects of loss and disconnection; 1 Low-frequency Modern Kleinian Therapy and one patient's somatic retreat from unbearable loss; 2 Working with psychotic process: noticing the countertransference and transference dynamic in early analytic treatment; 3 Depressive conflict and the counter-transference experience; PART II Counter-transference elements of modern Kleinian psychoanalytic work; 4 Pushed to the limits in the counter-transference.

5 Working to understand our role in the patient's mind: counter-transference and the problems of immersion6 Patients marked by crippling loss: counter-transference issues and early phase treatment; PART III Modern Kleinian Therapy and the treatment of turbulent couples; 7 Modern Kleinian couples therapy: pathological organizations and psychic retreats; 8 Couples treatment from a Kleinian perspective; PART IV Character structure as portrayed in film; 9 Another fear and another tear: psychoanalytic considerations of the film Another Year.

10 Good Neighbors: a film review lost and without -- revenge, capture, and substitution PART V Problems with psychic equilibrium; 11 Does the patient desire psychic growth or restoration of psychic equilibrium? The life-and-death instincts in the counter-transference; 12 Starving for scraps: the technical challenges of pre-depressive patients desperate to maintain psychic equilibrium ; Bibliography; Index.

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 vivid look into the moment-t.