The Modern Kleinian Approach to Psychoanalytic Technique

The Modern Kleinian Approach to Psychoanalytic Technique: Clinical Illustrations describes how today's practitioner typically treats a number of types of very disturbed and hard-to-reach patients who, while prone to intense acting out and early termination, are in great need of in-depth psychological reorganization. Many cases barely get off the ground due to levels of pathological conflict and destructive phantasy that make self/object connection extremely fragile. However, the modern Kleinian approach makes it possible to establish analytic contact within even the most chaotic situations and create a therapeutic experience that can be significant and meaningful. In doing so, there can be a healing process and the birth of new object relational experiences and interpersonal exchanges.
Robert Waska details a more flexible method of practicing psychoanalysis, Analytic Contact, an approach that brings the healing possibilities of psychoanalysis to the more disturbed patients who tend to fill private practice offices. In addition, Analytic Contact enables the clinician to reach populations that are not usually considered easily treatable by the psychoanalytic method, including psychotic patients, couples who are seeking help with marital issues, and chronic borderline and narcissistic individuals.

Robert Waska, MFT, PhD, is a graduate of the Institute for Psychoanalytic Studies and has a private psychoanalytic practice for individuals and couples in San Francisco and Marin County. He is the author of ten published textbooks on psychoanalytic theory and technique, is a contributing author for both The Handbook of Contemporary Psychotherapy and The Handbook of Hate, and has published over eighty articles in professional journals.

Part 1 Part I-Two Modes of Phantasy and Transference
Chapter 2 Chapter 1-Soft and Quiet, Hard and Loud: Two Types of Complex Transference States
Chapter 3 Chapter 2-Finding the Meaning:Moment-to-Moment Transference Workwith the Loud/Sharp States of Mind
Part 4 Part II-A Gift to the Alter: Generosity, Primitive Guilt, and Self-Protection
Chapter 5 Chapter 3-Pathological Aspects of Giving and Receiving: Conflicts within the Paranoid/Depressive Spectrum
Chapter 6 Chapter 4-Varieties of Depressive Anxiety: Fragile Patients in the Frey
Chapter 7 Chapter 5-Trouble in Paradise: The Trauma of Separation and Individuation within the Depressive Realm
Part 8 Part III-Striving for Analytic Contact under Difficult Conditions
Chapter 9 Chapter 6-Doing the Best We Can: Establishing Analytic Contact with Non-Attachment Patients
Chapter 10 Chapter 7-The Object Relational Struggles of Libidinal and Destructive Narcissists
Part 11 Conclusion