Clinical Psychoanalytic Case Studies with Complex Patients

Clinical Psychoanalytic Case Studies with Complex Patients is a collection of key case studies that provides a rich resource of information and inspiration for clinicians working psychoanalytically with complex and disturbed patients in a range of contexts. The book is presented in six parts, each introduced with commentary that puts the material into context. It covers a range of topics including autism, violence and perversion, psychosomatics, hysteria, dementia, psychosis and assessment of gender dysphoria. Each chapter presents either a single case study or a selection of case vignettes, examines necessary context and presents additional detail about subsequent treatment. The depth and range of the cases presented provide key insight into and detailed consideration of risk assessment, safe settings and other important preliminary issues. Clinical Psychoanalytic Case Studies with Complex Patients will be of great interest to psychoanalysts in practice and in training, psychoanalytic psychotherapists and other clinicians seeking an introduction to psychoanalytic work.

Anne Zachary is a psychoanalyst and retired consultant psychiatrist in psychotherapy based in the UK. She trained in medicine and psychiatry at the Royal Free Hospital and Friern Hospital and specialised in psychotherapy at the Cassel Hospital. She was locum consultant at the Maudsley Hospital before becoming a consultant at the Portman Clinic and consulted to medium secure units and Broadmoor Hospital. She has a specialist interest in acting out behaviours and risk and a sustained interest in female sexuality. She has a private psychoanalytic practice in SW London.

Disclaimer The essence of nurture Foreword by Bob Hinshelwood List of contributors Clinical psychoanalytic case studies with complex patients: watching experience at work Anne Zachary PART ONE Support Chapter One 'I'm beyond caring': a response to the Francis Report: the failure of social systems in healthcare to adequately support nurses and nursing in the clinical care of their patients Marcus Evans PART TWO Autism Chapter 2a Affections, words and plays in autistic children: discussion of Maria Rhode's clinical case Laurent Danon-Boileau Chapter 2b 'Finding one's feet': body, affect and identifications in a pre-autistic toddler learning to walk Maria Rhode Chapter 3 Analysing Miss Daisy: a psychoanalytically informed treatment of an emerging adult autistic woman Alan Sugarman PART THREE Psychosomatics and hysteria Chapter 4 Maternal lineage and transgenerational trauma: time and space in the psychoanalytic encounter Louise Gyler Chapter 5a Hysteria and mourning: a psychosomatic case Jonathan Sklar Chapter 5b Hysteria and mourning - a psychosomatic case: discussion of of Jonathan' Sklar's chapter Susan Loden PART FOUR Psychosis Chapter 6 Psychoanalysis, psychosis and the family Brian Martindale PART FIVE Identity Chapter 7 Finding space to think: technical problems of working with a cohort of trans identified young women Marcus Evans Chapter 8a Dementia: prelude to Rachael Davenhill's clinical material from elderly patients Martin Rossor Chapter 8b Dynamics of dementia Rachael Davenhill PART SIX Perversion and violence Chapter 9 A state of inbetweenness: the challenges of working with disavowal Stephen Blumenthal Chapter 10 Aspects of the process of child analysis Angela Joyce Chapter 11 Peter rabbit was a thief: a case with a background of violence and criminality Anne Zachary