Lichtenberg collates and summarizes recent findings about the first two years of life in order to examine their implications for contemporary psychoanalysis. He explores the implications of these data for the unfolding sense of self, and then draws on these data to reconceptualize the analytic situation and to formulate an experiential account of the therapeutic action of analysis.

This book has the hard task to cover an interdisciplinary area in which psychoanalysis has to deal with infant research. The development of infant research methodologies is illustrated in the present book by the contribution written by Beatrice Beebe, whose 'journey' leads us through the 'creating' of a discipline with its creators, her traveling companions, such as Daniel Stern, Frank Lachmann, Joseph Jaffe and many others. Trevarthen's chapter is a discussion of his work with T. Berry Brazelton, passed away on March 2018. Brazelton used his trust and enjoyment of innocent company to greet a newborn infant as a friend, and he showed that the baby is read to share friendship with mother and father, giving them joy. Brazelton's belief in innate human nature transformed pediatric care and early diagnosis of developmental disorders, guiding treatment, not 'of' the baby, but 'with' him/her as an individual with unique expressions of vitality. The last two chapters, instead, deal with clinical implications of infant research. Tronick's contribution focuses on mother-infant dyad as well as on analyst-patient one, conceived as open dynamic systems, capable of meaning making, in which coherence is at best imperfect, and coordination alternates with mismatching. In open dynamic systems messiness itself is inherent to the process of meaning making because of limitations in their capacity, their different time scales, the many polymorphs of meaning that have to be integrated, and because of the many kinds of meaning making processes (including affective, cognitive, memorial, linguistic, bodily and psychodynamic meaning making processes, such as a dynamic unconscious, projective identification and transference). Dyadic states of consciousness Tronick writes in the chapter are joint creations and, as such, bring together the messy, unpredictable and inchoate features of two individuals' state of consciousness, not just the messiness of one. But meaning meaning processes and security making ones, though normally overlapping each other, are not the same, and this heterogeneity between motivational systems (Lichtenberg et al., 2011) can cover the heterogeneity of psychopathological conditions. Lyons-Ruth and colleagues' chapter is focused on the representational world of the mother, particularly on the assessment of mother's representation of role-confusion in her relation with her child. The authors call attention to the dimension of sexualisation in the relationship, a high indicator of role-confusion. This emerging body of work points to the importance of being alert to indicators of role-confusion in the clinical setting. The findings can inform and enrich counselling and psychology practice by familiarizing clinicians with how to listen for indicators of role-confusion while talking with parents about their relationship with the child.

Carrying forward his inquiry into the nature and conditions of normal and abnormal development, Lichtenberg focuses on motivation. His goal is to offer an alternative to psychoanalytic drive theory that accommodates the developmental insights of infancy research while accounting for the entire range of phenomena addressed by the theory of instinctual drives. To this end, he propounds a comprehensive theory of the self, which then gains expression in five discrete yet interactive motivational systems.

Infant Research and Adult Treatment is the first synoptic rendering of Beatrice Beebe’s and Frank Lachmann’s impressive body of work. Therapists unfamiliar with current research findings will find here a comprehensive and up-to-date overview of infant competencies. These competencies give rise to presymbolic representations that are best understood from the standpoint of a systems view of interaction. It is through this conceptual window that the underpinnings of the psychoanalytic situation, especially the ways in which both patient and therapist find and use strategies for preserving and transforming self-organization in a dialogic context, emerge with new clarity. They not only show how their understanding of treatment has evolved, but illustrate this process through detailed descriptions of clinical work with long-term patients. Throughout, they demonstrate how participation in the dyadic interaction reorganizes intrapsychic and relational processes in analyst and patient alike, and in ways both consonant with, and different from, what is observed in adult-infant interactions. Of special note is their creative formulation of the principles of ongoing regulation; disruption and repair; and heightened affective moments. These principles, which describe crucial facets of the basic patterning of self-organization and its transformation in early life, provide clinical leverage for initiating and sustaining a therapeutic process with difficult to reach patients. This book provides a bridge from the phenomenology of self psychological, relational, and intersubjective approaches to a systems theoretical understanding that is consistent with recent developments in psychoanalytic therapy and amenable to further clinical investigation. Both as reference work and teaching tool, as research-grounded theorizing and clinically relevant synthesis, Infant Research and Adult Treatment is destined to be a permanent addition to every thoughtful clinician's bookshelf.

With new discussions by Theodore Jacobs and Regina Pally Adult psychoanalysis has approached the study of intersubjectivity by concentrating primarily on the verbal dialogue, an explicit mode of communication. Infant research, on the other hand, focuses on nonverbal communication and implicit modes of action sequences, operating largely out of awareness, such as interactions of gaze, facial expression, and body rhythms. This book proposes that an integration of these two approaches is essential to a deeper understanding of the therapeutic action. The authors use a dyadic systems model of self- and interactive regulation as a lens for comparing diverse theories of intersubjectivity, both in adults and infants. Building on the definition of intersubjectivity in infancy as correspondence and matching of expressions, the authors offer an expanded view of the presymbolic origins of intersubjectivity. They address the place of interactive regulation, problems with the concept of matching, the roles of self-regulation and of difference, and the balance of self- and interactive regulation. An adult treatment of early trauma is described through detailed clinical case material illustrating both the verbal narrative and the implicit "action dialogue" operating largely outside of awareness. This book includes new discussions by Theodore Jacobs, arguing that nonverbal communication is vitally important to psychoanalysis, and by Regina Pally, arguing that aspects of this book have parallels in neuroscience.

The Practice of Psychoanalytic Parent-Infant Psychotherapy is a comprehensive handbook, addressing the provision of therapeutic help for babies and their parents when their attachment relationship is troubled and a risk is posed to the baby's development. Drawing on clinical and research data from neuroscience, attachment and psychoanalysis, the book presents a clinical treatment approach that is up-to-date, flexible and sophisticated, whilst also being clear and easy to understand. The first section: The theory of psychoanalytic parent infant psychotherapy – offers the reader a theoretical framework for understanding the emotional-interactional environment within which infant development takes place. The second section, The therapeutic process, invites the reader into the consulting room to participate in a detailed examination of the relational process in the clinical encounter. The third section, Clinical papers, provides case material to illustrate the unfolding of the therapeutic process. This new edition draws on evidence from contemporary research, with new material on: Embodied communication between parent and infant and clinician-patient/s Fathers and fathering Engagement of at-risk populations Written by a team of experienced clinicians, writers, teachers and researchers in the field of infant development and psychopathology, The Practice of Psychoanalytic Parent-Infant Psychotherapy will be an essential resource for all professionals working with children and their families, including child psychiatrists, psychoanalysts, psychotherapists, and clinical and developmental psychologists.

Winner of the 2004 Gradiva Award from the National Association for the Advancement of Psychoanalysis. The issue of shame has become a central topic for many writers and therapists in recent years, but it is debatable how much real understanding of this powerful and pervasive emotion we have achieved. Mother-Infant Attachment and Psychoanalysis argues that shame can develop during the first six months of life through an unreflected look in the mother's eyes, and that this shame is then internalised by the infant and reverberates through its later life. The author further expands on this concept of the look through a powerful and extensive study of the concept of the Evil Eye, an enduring universal belief that eyes have the power to inflict injury. Finally, she presents ways of healing shame within a clinical setting, and provides a fascinating analysis of the role of eye-contact in the therapeutic encounter. This book brings together a unique blend of theoretical interpretations of shame with clinical studies, and integrates major concepts from psychoanalysis, Jungian analysis, developmental psychology and anthropology. The result is a broad understanding of shame and a real understanding of why it may underlie a wide range of clinical disorders.