This book reports on clinical work in, and at the boundaries of, the intermediate space between patient and therapist, perhaps the space between reaching toward dreams and taking the transference. Though the clinical work to be described here was influenced quite deeply by the writing of Winnicott primarily and then of Lacan, it is meant to stand for itself as the record of - and a set of stories about - one therapist's experiences and learning. The chapters that follow take up a range of clinical conditions (hopelessness, self-destructiveness, psychosis), clinical phenomena (regression, impasse, trauma), technical issues (interpretation, transference, free association) and related topics (dreams, creativity, the analytic setting). Most of this work took place at the Austen Riggs Center, a small psychiatric hospital in Stockbridge, Massachusetts, in which quite troubled patients are offered intensive psychoanalytic psychotherapy in a completely open and voluntary therapeutic community setting.

"Bullets don't just travel through skin and bone. They travel through time." These words were tattooed onto the shoulder of a young woman whose father was shot during "The Troubles" in Northern Ireland. This wrenching, volatile but also binding truth is the subject of this book. It's a truth about traumatic experiences that happen to a family, but also to a society, and to the organizations that link these intimate units with the larger context of history and culture. It's also a truth about the way trauma plays out over time, including between generations. Grounded in Erik Erikson's "way of looking at things", the book is a journal of encounters between clinical psychoanalysis and other disciplines, and an inquiry into what might be learned there for both. Sometimes that learning has to do with trauma: the way in which what can't be emotionally contained, thought about or spoken in one part of a system is passed along, with disorganizing, sometimes heartbreaking consequences, to another. After a reflection on dignity, the book examines intergenerational trauma in families, including Erikson's. It then illustrates how trauma to organizations slips below the threshold of awareness and yet continues to wear down its members. The final section examines aspects of the larger society, including radicalization, war trauma, the pandemic and cultural healing. What emerges is the sober yet hopeful truth that what people discover by taking their own emotional experiences seriously, though that might markedly differ from what is accepted in the everyday world, is a primary path toward recovery from trauma.

This book explores an ethical value central to all mental health professions. Although "dignity" appears near the beginning of many codes of ethics, it has been largely unexamined in the professional literature. Potter Stewart famously declared about pornography that we can't define it but we know it when we see it. Likewise with dignity. This book addresses that gap. The book considers the role of dignity as an ethical dimension of practice: in individual psychotherapeutic and psychoanalytic work; in the therapeutic community; and in groups, organizations and nations. It outlines dignity in individual development and families, the role of dignity violations in the understanding and treatment of trauma, and how dignity and its violations can be a powerful force in conflict resolution. The book will also address dignity in relations to specific populations, with chapters on the African-American and the LGBT experiences. Listening, with the question of dignity in mind, offers a fresh non-pathologizing framework for the practitioner.

A psychoanalytic process from its beginning to its termination is described to illustrate crucial technical issues in the treatment of individuals with narcissistic personality organization and the countertransference manifestations such patients stimulate in the analyst. The subject of this book exhibited cruelty to confirm and stabilize his grandiosity. His internal world was a "reservoir" of the deposited image of his father figure, an individual most severely traumatized during World War II. The patient was given the task to be a mass-"killer" of animals instead of being a hunted one.This book most clearly illustrates how the transgenerational transmission of trauma takes place and how the impact of war continues in future generations. The book also provides an understanding of a special kind of psychological motivation that directs a person to use weapons for mass killing. In this era of pluralism in psychoanalysis, providing the story of a psychoanalytic case in its duration opens ways for comparison and discussion of technique and can be used as a teaching tool.

This volume brings together some of the papers presented by leading scholars, artists and psychoanalysts at an annual Creativity Seminar organised by the Erikson Institute of the Austen Riggs Center. Looking at creativity through a psychoanalytic lens - and very importantly, vice versa - the authors examine great works, such as Nathaniel Hawthorne's The Scarlet Letter, Mahler's Eighth Symphony, and William Gibson's The Miracle Worker; as well as great artists, such as Van Gogh and Lennon and McCartney, for what we might learn about the creative process itself. Deepening this conversation are a number of clinical studies and other reflections on the creative process - in sickness and in health, so to speak. A central theme is that of "deep play", the level at which the artist may be unconsciously playing out, on behalf of all of us, the deepest dynamics of human emotion in order that we may leave the encounter not only emotionally spent, but profoundly informed as well.

History Flows through Us introduces a new dialogue between leading historians and psychoanalysts and provides essential insights into the nature of historical trauma. The contributors – German historians, historians of the Holocaust and psychoanalysts of different disciplinary backgrounds – address the synergy between history and psychoanalysis in an engaging and accessible manner. Together they develop a response to German history and the Holocaust that is future-oriented and timely in the presence of today’s ethnic hatreds. In the process, they help us to appreciate the emotional and political legacy of history’s collective crimes. This book illustrates how history and the psyche shape one another and the degree to which history flows through all of us as human beings. Its innovative cross-disciplinary approach draws on the work of the historian and psychoanalyst Thomas Kohut. The volume includes an extended dialogue with Kohut in which he reflects on the study of German history and the Holocaust at the intersection of history and psychoanalysis. This book demonstrates that the fields of history and psychoanalysis are each concerned with the role of empathy and with the study of memory and narrative. History Flows through Us will appeal to general readers, students and professionals in cultural history, Holocaust and trauma studies, sociology, psychoanalysis, psychotherapy and psychology.