What Freud called the "stone wall" was first breached by this pioneering psychiatrist and psychoanalyst with this seminal work in 1969. This substantially revised and enlarged edition is the comprehensive and definitive handbook for practitioners of the talking cure of the disorders that arise before speech.

"An historical collection of seminal works surrounding the development of Modern Psychoanalysis."

Schizophrenia has been one of psychiatry's most contested diagnostic categories. The Sublime object of Psychiatry studies representations of schizophrenia across a wide range of disciplines and discourses: biological and phenomenological psychiatry, psychoanalysis, critical psychology, antipsychiatry, and postmodern philosophy.

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Kevin Volkan and Vamik Volkan present a comprehensive study of schizophrenia using a psychoanalytic lens on the existing interdisciplinary research. Over the last seventy years, mainstream research on the causes, prevalence, and treatment of schizophrenia has greatly diverged from psychoanalytic thinking. However, the emergence of the field of neuropsychoanalysis brings hope that psychoanalytic metapsychology and clinical theory may once again provide valuable insight into understanding schizophrenia. Psychoanalytic treatment may not be appropriate for many sufferers but psychoanalysis does provide insight to inform and improve treatment. It can also illuminate what aspects of schizophrenia are common across cultures, where they present unique characteristics, and just how cultural variations occur. For any future improvement in understanding and treating schizophrenia, the cultural underpinnings and expressions of schizophrenic illness need to be made clear. For clinicians in the field, the authors' aim is to deepen insight and promote the use of psychotherapy and integrated treatments, while increasing sensitivity to cultural variations in schizophrenic disease. Accordingly, this book is divided into four sections. The first gives a brief overview and outline of the mainstream understanding of schizophrenia. The second drills down to focus on general psychoanalytic ideas about schizophrenia, culminating with a focus on problems with early object relations. The third looks at how psychoanalytic treatment can be successful in some cases. The fourth and final part discusses how views of the disorder and the disorder itself are affected by culture. The authors hope to generate insight and understanding of schizophrenic disorders which could lead to new approaches to treating and possibly preventing schizophrenia. It is a must-read for all clinicians and trainees working in the field and presents interesting ideas to anyone with an interest in the subject.

Above the Ground and Beneath the Clouds examines the history, conceptualisation, and treatment of the psychotic sub-type of schizophrenia, as this is advocated by psychoanalysis of Lacanian orientation, which is contrasted to modern psychiatry. The book's main focus is the status of the schizophrenic body and language. The ways in which these concepts can be of theoretical and clinical use in contemporary clinical settings are examined throughout. The book consists of three parts. The first part comprises the theoretical investigation of schizophrenia in early 20th century psychiatry and in the theory and teaching of Freud, Lacan, and other influential psychoanalysts. The second part presents the fascinating case of the late 19th century Greek writer Georgios Vizyenos, who invented an extraordinary way to anchor the body before his admission to a psychiatric institution in 1896. The third part discusses the implications of those findings for the contemporary psychoanalytic diagnosis and treatment of schizophrenia. Assisted by examples from the author's clinical experience and from literature and art, this book sheds invaluable light on probably the most obscure sub-type of psychosis.

This offers an integrated theory of communication, an alternative to classical, contemporary relational and inter-subjective approaches to treatment.