The question of how psychoanalysts are affected by their patients is of perennial interest. Edward Glover posed the question in an informal survey in 1940, but little came of his efforts. Now, more than half a century later, Judy Kantrowitz rigorously explores this issue on the basis of a unique research project that obtained data from 399 fully trained analysts. These survey responses included 194 reported clinical examples and 26 extended case commentaries on analyst change. Kantrowitz begins The Patient's Impact on the Analyst by documenting how the process of analysis fosters an interactional process out of which patient and analyst alike experience therapeutic effects. Then, drawing on the clinical examples provided by her survey respondents, she offers a detailed exploration of the ways in which clinically triggered self-reflection represents a continuation of the analyst's own personal understanding and growth. Finally, she incorporates these research findings into theoretical reflections on how analysts obtain and integrate self-knowledge in the course of their ongoing clinical work. This book is a pioneering effort to understand the therapeutic process from the perspective of its impact on the analyst. It provides an enlarged framework of comprehension for recent discussions of self-analysis, countertransference, interaction, and mutuality in the analytic process. Combining a wealth of experiential insight with thoughtful commentary and synthesis, it will sharpen analysts' awareness of how they work and how they are affected by their work.

The question of how psychoanalysts are affected by their patients is of perennial interest. Edward Glover posed the question in an informal survey in 1940, but little came of his efforts. Now, more than half a century later, Judy Kantrowitz rigorously explores this issue on the basis of a unique research project that obtained data from 399 fully trained analysts. These survey responses included 194 reported clinical examples and 26 extended case commentaries on analyst change. Kantrowitz begins The Patient's Impact on the Analyst by documenting how the process of analysis fosters an interactional process out of which patient and analyst alike experience therapeutic effects. Then, drawing on the clinical examples provided by her survey respondents, she offers a detailed exploration of the ways in which clinically triggered self-reflection represents a continuation of the analyst's own personal understanding and growth. Finally, she incorporates these research findings into theoretical reflections on how analysts obtain and integrate self-knowledge in the course of their ongoing clinical work. This book is a pioneering effort to understand the therapeutic process from the perspective of its impact on the analyst. It provides an enlarged framework of comprehension for recent discussions of self-analysis, countertransference, interaction, and mutuality in the analytic process. Combining a wealth of experiential insight with thoughtful commentary and synthesis, it will sharpen analysts' awareness of how they work and how they are affected by their work.

Forewords by Theodore Jacobs and Donnel Stern The Role of the Patient-Analyst Match in the Process and Outcome of Psychoanalysis is a compilation of Judy Kantrowitz’s previously published papers on the patient-analyst "match" and its effect on the process and outcome of psychoanalysis. The match between patient and analyst places attention on the dynamic effect of interactions of character and conflict of both participants on the process that evolves between them—a spectrum of compatibility and incompatibility that is relevant to the analytic work. Classical psychoanalysis had been viewed as a "one-person" enterprise, with one analyst interchangeable with another. Analysts’ experiences of countertransference reactions were viewed as unresolved conflicts, reasons to return to personal treatment, not inevitable and potentially informative about the current analytic work. This view began to shift in the 1980s, with Judy Kantrowitz’s work contributing to the development of the recognition that psychoanalysis was a "two-person" process. In this collection of her most significant papers, Kantrowitz explores the importance of the match, which refers to observable styles, attitudes and personal characteristics that may be rooted in residual and unanalyzed conflicts, triggered in any patient-analyst pair. Match is neither a predictive nor static concept. Rather it refers to the unfolding transaction that itself that may shift and change during the course of analytic work. Pulling together the history of the shift in theory from the one-person to two-person understanding of the psychoanalytic enterprise, The Role of the Patient-Analyst Match in the Process and Outcome of Psychoanalysis will be of great interest to contemporary psychoanalysts.

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.

What is psychoanalysis? Whereas there was once a time when proponents of "mainstream psychoanalysis" could point to the preeminence of Freud's drive theory and the version of the human condition associated with it–man as seeking pleasure in an erotically tinged universe–contemporary psychoanalysis is a fractured and contentious discipline in which competing theories share little more than the basic concepts of unconscious mental processes, repression, and transference. Taking the complexities, ambiguities, and contradictions engendered by psychoanalysis over the past several decades as an encouraging point of departure rather than as evidence of the dissolution of the "psychoanalytic tradition," Psychoanalytic Versions of the Human Condition makes explicit how, within each major theory, a particular story about the nature of the world and what it means to be human decisively shapes how the clinician conceptualizes individual psychopathology and approaches treatment. A chorus of voices that both challenges and reaffirms the theory and practice of psychoanalysis, Psychoanalytic Versions of the Human Condition asks urgent questions–about the politics of psychoanalytic knowledge, and about how the profession is situated and operates in our contemporary culture. Whether Freudian, Jungian, Kleinian, Kohutian, Lacanian, or hybrid, the clinician will find this book a useful guide to understanding how each theory's "philosophy of life" infuses clinical work.

An important new study of the clinical conundrum surrounding the publication of patient material. The publication, presentation, and discussion of case studies are essential to the dialogue of psychoanalysis. However, presenting patient material to the public by either disguising the patient's identity or asking for the patient's consent presents a clinical dilemma. In a series of interviews, Judy Leopold Kantrowitz asks 141 analysts not only to describe their thoughts about disguising a patient versus asking a patient's consent to appear in a paper, but also their perceptions of the clinical ramifications of a patient reading the material, whether by accident or design. In first-hand accounts, both analysts-as-patients and patients who are not themselves analysts relate the experience of reading about themselves, and reflect on the impact that reading had on their view of their analysts, themselves, and the analytic work. Ethical concerns about confidentiality and decision making are examined both in theory and in the context of their clinical effect. Throughout the book, Kantrowitz examines the conscious and unconscious motives for analysts in writing about a patient, ultimately demonstrating that the conflict between the need to preserve patient privacy and the need for a literature including clinical material is not easily resolved.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/