What is it about "having a life"-which is to say, about having a sense of separate existence as a subject or self - that is usually taken for granted but is so fragilely maintained in certain patients and, indeed, in most of us at especially difficult times? In Having A Life: Self Pathology After Lacan, Lewis Kirshner takes this Lacanian question as the point of departure for a thoughtful meditation on the conceptual problems and clinical manifestations of pathologies of the self.
Beginning with the case of Margaret Little, analyzed by D. W. Winnicott, and proceeding to extended case presentations from his own practice, Kirshner weaves together an avowedly American reading of Lacan with the approaches to self pathology of an influential coterie of theorists- D. W. Winnicott, Heinz Kohut, Arnold Modell, and André Green. By drawing out common threads in their respective discourses on the self, Kirshner achieves an original integration of Lacanian theory with other contemporary approaches to self pathology. Of special note is his ability to sustain a dialogue between Lacan and Kohut, whose shared clinical object, discernible through divergent vocabularies and conceptions, is the struggle of the subject to avoid fragmentation that would obliterate a sense of aliveness and preclude active engagement with the world.
Kirshner's opening chapter on the gifted, troubled Margaret Little and his concluding chapter on the eminent political philosopher Louis Althusser, whose self pathology culminated in his strangling of his wife, Hélène Rytman, in 1980, frame a study that is brilliantly successful in bringing "self" issues down to the messy actualities of lived experience. Analytic therapists no less than students of the human sciences will be edified by this cogent, readable attempt to infuse Lacanian concepts with the conceptual rigor and clinical pragmatism of American psychoanalysis and to apply the resulting model of therapeutic action to a fascinating range of case material.
"Lewis Kirshner's sensitive and knowledgeable use of Lacan makes the latter interesting and relevant to American psychoanalysts and other depth-psychological explorers of the human condition. By the time one has read Kirshner's introduction, the 'strangeness' of Lacanian thought has melted away, and the reader's grasp of what Lacan can give us-conceptually and clinically-progressively increases chapter by chapter. Kirshner has achieved the unexpected: Having A Life draws the reader into a new explanatory realm, makes that realm familiar, and sends the reader back enormously enriched - both as a person and as a clinician."- Paul H. Ornstein, M. D., Professor of Psychiatry and Psychoanalysis [Emeritus], University of Cincinnati
"Having a Life is a brilliant rethinking of Lacan, Winnicott, and Kohut . By means of clinical illustration, Kirshner enables Lacan's challenging ideas to become accessible to the reader. Having a Life, through its focus on affects, symbolization and the self, illuminates the true subject of psychoanalysis."- Arnold H. Modell, M.D., Clinical Professor of Psychiatry, Harvard Medical School
"In Having a Life Lewis Kirshner details his personal integration of the writings of Lacan with those of Modell, Kohut, Winnicott, and Green and, remedying the absence of clinical material in French psychoanalytic writing, he illustrates the way he puts his understanding to clinical use. In the process, he excitingly expands our thinking about, and clinical approach to, nonneurotic disorders and considerably raises the level of writing about psychoanalysis in the United States."- Gail S. Reed, Ph.D., Training and Supervising Analyst, New York Freudian Society
About the Author:
Lewis A. Kirshner, M.D. is Associate Clinical Professor of Psychiatry at Harvard Medical School and has taught as Affiliate Professor at the Centre de Recherche en Psychologie Clinique at the Université de Lyon II. A Training and Supervising Analyst at the Boston Psychoanalytic Institute and a faculty member of the Massachusetts Institute of Psychoanalysis, Dr. Kirshner has twice received the Outstanding Teacher Award from the Harvard South Shore Psychiatry Training Program.