LEADER 04795nam 22006135 450 001 9910457409503321 005 20210111125516.0 010 $a1-281-96102-7 010 $a9786613793218 010 $a0-231-52523-0 024 7 $a10.7312/wask15152 035 $a(CKB)2550000000064402 035 $a(OCoLC)761369127 035 $a(CaPaEBR)ebrary10510177 035 $a(StDuBDS)EDZ0000455001 035 $a(DE-B1597)459430 035 $a(OCoLC)979626412 035 $a(DE-B1597)9780231525237 035 $a(MiAaPQ)EBC908963 035 $a(EXLCZ)992550000000064402 100 $a20191221d2011 fg 101 0 $aeng 135 $aur||u|||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aMoments of Uncertainty in Therapeutic Practice $eInterpreting Within the Matrix of Projective Identification, Countertransference, and Enactment /$fRobert Waska 210 1$aNew York, NY : $cColumbia University Press, $d[2011] 210 4$d©2011 215 $a1 online resource (266 p.) 311 $a0-231-15153-5 320 $aIncludes bibliographical references (pages 233-238) and index. 327 $tFrontmatter -- $tContents -- $tPreface -- $tAcknowledgments -- $tIntroduction -- $tSECTION 1. INTERPRETIVE ACTING OUT -- $t1. Containing, Translating, and Interpretive Acting Out. The Quest for Therapeutic Balance -- $t2. Slippery When Wet. The Imperfect Art of Interpretation -- $t3. Interpretive Acting Out. Unavoidable and Sometimes Useful -- $t4. Enactments, Interactions, and Interpretations -- $tSECTION 2. DIFFICULT AND JAGGED. IMPERFECT CLINICAL SITUATIONS -- $t5. Kleinian Couple's Treatment. A Complicated Case -- $t6. Failures, Successes, and Question Marks -- $tSECTION 3. THE EMOTIONAL FOXHOLE -- $t7. Different Ways of Controlling the Object -- $t8. Taming, Restoring, and Rebuilding, or Sealing Off, Burying, and Eliminating the Object. Two Ways of Controlling the Other -- $t9. Two Varieties of Psychic Retreat. The Struggle with Combined Paranoid and Depressive Conflicts -- $t10. Trapped in an Emotional Foxhole. Coping with Paranoid and Depressive Conflicts -- $tDiscussion -- $tReferences -- $tIndex 330 $aOne 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 therapist, further interfering with analysis and intervention.Drawing on decades of clinical case experience, Robert Waska leads practitioners through the steps of phantasy and transference mechanisms and their ability to increase, oppose, embrace, or neutralize analytic contact. Operating from a psychoanalytic perspective, he explains how to cope professionally with moments of transference and maintain an objective interpretive stance within the ongoing matrix of projective identification, countertransference, and enactment. Each chapter discusses a wide spectrum of cases and clinical situations, describing in detail the processes that invite a playing out of the patient's phantasies and the work required to reestablish balance. Refreshingly candid, Waska recognizes the imperfections of analysis yet reaffirms its potential for greater psychological integration and stability for the patient. He acknowledges the limits and frequent roadblocks of working with difficult patients, such as those who suffer from psychic retreat, paranoid phantasies, and depressive anxieties, yet he indicates an effective path for resetting the clinical moment and redirecting the course for treatment. 606 $aCountertransference (Psychology) 606 $aActing out (Psychology) 606 $aProjection (Psychology) 606 $aPsychoanalysis 606 $aPSYCHOLOGY$2bisac 606 $aMovements / Psychoanalysis$2bisac 615 0$aCountertransference (Psychology). 615 0$aActing out (Psychology). 615 0$aProjection (Psychology). 615 0$aPsychoanalysis. 615 7$aPSYCHOLOGY 615 7$aMovements / Psychoanalysis 676 $a616.89/14 700 $aWaska$b Robert, $4aut$4http://id.loc.gov/vocabulary/relators/aut.$0847196 801 0$bDE-B1597 801 1$bDE-B1597 906 $aBOOK 912 $a9910457409503321 996 $aMoments of Uncertainty in Therapeutic Practice$92451249 997 $aUNINA