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Infant Research and Adult Treatment: Co-Constructing Interactions
Beebe, Beatrice and Frank M. Lachmann
Routledge / The Analytic Press / Softcover / 2005-05-01 / 0881634476
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For the collaboration of Beatrice Beebe and Frank Lachmann has consistently provided the psychoanalytic community with a window on the clinical relevance of the evolving scientific understanding of early development. As the understanding of early parent-infant interaction has progressed, Beebe and Lachmann have served as outstanding guides to the dialogic origins of mind, bringing to bear expert knowledge in both clinical and research domains. Together they have made the case that the clinically salient pay-out from a generation of infant research lies less in a clearer grasp of infant mentation than in a thoroughly revised understanding of the very process of human relatedness.

Infant Research and Adult Treatment is the first synoptic rendering of Beebe’s and 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, as the authors’ demonstrate, 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.

Beebe and Lachmann 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.

Written by psychoanalytic practitioners for psychoanalytic practitioners, 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.


A Dyadic Systems View
Interactive Reorganization of Self-Regulation: The Case of Karen
Early Capacities and Presymbolic Representation
Patterns of Early Interactive Regulation
Coconstructing Inner and Relational processes: Self- and Interactive Regulation in Infant Research and Adult Treatment
Representation and Internalization in Infancy: Three Principles of Salience
Three Principles of Salience in the Organization of the Patient-Analytic Interaction
An Interactive Model of the Mind for Adult Treatment

About the Authors:

Beatrice Beebe Ph.D., a psychoanalyst and infant researcher, is Associate Clinical Professor of Psychology in Psychiatry, New York State Psychiatric Institute, Columbia University, where she has been doing infant research for 30 years, first with Daniel Stern, M.D. and then with Joseph Jaffe, M.D. She teaches at the Columbia University Center for Psychoanalytic Training and Research, the Institute for the Psychoanalytic Study of Subjectivity, and the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis. The author or coauthor of over 40 articles and coauthor of Rhythms of Dialogue in Infancy, Dr. Beebe received the Distinguished Scientist Award from the Division of Psychoanalysis of the American Psychological Association in 1999. She currently holds an NIMH research grant with Joseph Jaffe to investigate maternal depression, mother-infant interaction, and infant attachment.

A founding faculty member of the Institute for the Psychoanalytic Study of Subjectivity, Frank M. Lachmann, Ph.D. is Training and Supervising Analyst, Postgraduate Center for Mental Health and Clinical Assistant Professor at the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis. He has contributed over 75 articles to the journal literature, is coauthor, with Joseph Lichtenberg and James Fosshage, of Self and Motivational Systems (TAP, 1992]) and The Clinical Exchange (TAP, 1996]), and is author of Transforming Aggression: Psychotherapy with the Difficult-to-Treat Patient (2001).. A member of the advisory boards of psychoanalytic institutes in Boston, Chicago, Kansas City, Minneapolis, Los Angeles, San Francisco, and Toronto, Dr. Lachmann received the Distinguished Scientist Award from the Division of Psychoanalysis of the American Psychological Association in 1998.

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