Reflections on Long-Term Relational Psychotherapy and Psychoanalysis explores how relational analysts think about and pursue long-term therapeutic relationships in their practices. Most therapists will work intensively with several of their clients over many years, but more examination and exploration are needed into what is taking place inside of these mutual long-term relationships. Each contributor offers theoretical material, case examples, and some discussion about their views and experiences with long-term work.
The chapters cover a range of topics that focus on aspects of the therapeutic relationship that are unique to long-term psychoanalytic work. They include work with various issues such as trauma, death and dying, cross-cultural issues, suffering, mourning, neuropsychoanalysis, unique endings, attachment, intimacy, and the many ways in which therapists change along with their clients as they go through life stages together.
Reflections on Long-Term Relational Psychotherapy and Psychoanalysis will be of great interest to psychoanalysts, psychodynamic psychotherapists, psychologists, social workers, workers in other mental health fields, graduate students, and anyone who is interested in change processes.
Susan Lord has done it again- this time pulling together a riveting collection of intimate "stories from inside long-term treatment" written by a wide-ranging group of gifted "relational" clinicians: a group that is diversified with respect to training and orientation but that shares a common bond, namely, a passion for cutting deep and broad; infinite compassion and heart; tremendous courage and determination; strong belief in the transformative power of "mutuality" and "relationship"; keen ability to negotiate therapeutic impasses; indestructibility and capacity to survive relational turbulence; and unwavering faith in the psychotherapeutic process as a means of effecting enduring and characterological change. Lord, who clearly holds "moments of authentic meeting" as central to the work of healing old wounds and facilitating the emergence of new possibilities, is offering readers (whatever their level of expertise or therapeutic approach) the rare opportunity of peeking into the sacrosanct chambers of experienced clinicians who are daring to reveal tender, loving, and vulnerable details about how they enable clients to triumph over their internal demons and realize their potential. In response to the frequently asked question, "How long will this take?" I have often found myself responding, "It depends upon how ambitious we are." The beautifully and compellingly crafted narratives in this generous and tender volume certainly speak to the reality that if client and therapist dare to dream big and aim high, then the sky is truly the limit; the vignettes reinforce the idea that "you should shoot for the moon because, if you miss, you’ll still land among the stars." Bravo to the thirteen therapists who first gave their hearts to their clients and are now giving their hearts to us. Thank you, Dr. Lord."-Martha Stark, MD, Faculty, Harvard Medical School; Co-Founder/Co-Director/ Faculty, Center for Psychoanalytic Studies; award-winning author of 7 Books including Relentless Hope: The Refusal to Grieve
"This edited collection makes an important contribution to the literature on longer-term analytic treatments. Susan Lord has invited an interesting group of authors who grapple with the knotty question of "How long is ‘enough’ treatment? These authors make the solid case that developmental relational traumas leave deep lasting internal injuries that may require longer-term treatments. Threaded through the chapters are case examples demonstrating the hallmarks of effective relational treatment: empathy, recognition, authenticity, attunement and the complexities of attachment ruptures and repair within the context of trauma histories. This book should become required reading for those in mental health training and for practitioners in the field."-Jill Salberg, Ph.D., ABPP, clinical associate professor and clinical consultant/supervisor, New York University Postdoctoral Program in Psychotherapy and Psychoanalysis; faculty and supervisor, The Stephen Mitchell Center for Relational Studies, The Institute for Contemporary Psychotherapy and visiting faculty, Tel Aviv University, School of Continuing Medical Education; editor of Good Enough Endings: Breaks, Interruptions and Terminations from Contemporary Relational Perspectives (2010)
"Concepts of time and the illusion of timelessness are central to understanding both the unconscious and psychoanalysis. Still, few if any books address these notions as they directly impact treatment duration. Susan Lord’s excellent collection is a welcome exception. She and an outstanding roster of contemporary contributors turn a relational lens to questions as old as psychoanalysis itself: How much is enough? Is there such a thing as too long? This book belongs on the shelf of anyone who is interested in the study and practice of psychoanalysis."-Steven Kuchuck, DSW, President, International Association of Relational Psychoanalysis and Psychotherapy; Editor, Clinical Implications of the Psychoanalyst’s Life Experience: When the Personal Becomes Professional
Table of Contents
Part I: The Terrain
An Interview with Joyce Edward JOYCE EDWARD & SUSAN LORD
Long-Term Psychotherapy: Whyever Not? (A Question of Assumptions) PATRICIA DEYOUNG
It Takes as Long as it Takes: Therapists’ Subjective Experiences of Long-Term Therapy JEAN KOTCHER
In Defense of Long-Term Treatment: On the Vanishing Holding Environment WILLIAM MEYER
Long-Term Treatment in the Rearview Mirror WILLIAM MEYER
Part II: Trauma and Issues of Attachment
Mourning the Melancholy Object: Giving Voice to Traumatic Experience CAROL GANZER
The Role of Ethnicity and Culture in the Long-Term Treatment of Childhood Trauma SHOSHANA RINGEL
It Takes a Long Time to Grow Young: Working Relationally with Developmental Trauma NATALIE PEACOCK-CORRAL
Masks, Walls and Metaphors: Reflections on Long-Term Treatment KATHY FARGIONE
Part III: How Could It Be Otherwise?
Being Still: Sitting with Suffering in Long-Term Relational Practice JOAN BERZOFF
Till Death Do Us Part: Relational Work and Terminal Illness SUSAN LORD
Looking Back Through 38 Years of Practicing Relational Psychoanalysis in Search of Answers to the Question of Interminability STEFANIE SOLLOW GLENNON
Neuropsychoanalysis and the Repressed: Rendering What is Possible in Long-Term Psychotherapy JANE ABRAMS
The Longest Goodbyes: Analysis Everlasting ANTHONY BASS
About the Editor
Susan A. Lord, Ph.D. is a Clinical Associate Professor in the Social Work Department at the University of New Hampshire, Durham, NH, USA. She is a Taos Institute Associate, an Associate Editor of the Journal of Family Therapy, and maintains a private practice in York, Maine.