bpf members' book publications

Living on the Border: Psychotic Processes in the Individual, the Couple and the Group

Editors: David Bell & Aleksandra Novakovic (bpf)
Publisher: Karnac Books Published: 2013

This book centres on the problem of psychosis, understood from a psychoanalytic perspective, as it manifests itself in different contexts and different levels of organisation: from the individual psychoanalytic session, through work with couples, groups and institutions and wider levels of social organisation. Beginning with a discussion of the psychoanalytic approach to psychosis centring on the work of Freud, Klein and the Post-Kleinians, it goes on to cover individual, couple and group therapy with psychotic patients. It draws on clinical material and theoretical discussion to explore the links between psychotic processes on different levels.

This work is aimed at different professionals working within the psychodynamic frame of reference: individual psychotherapists, couple and family and group psychotherapists; organisational consultants and trainees in different therapies. As well as this it will be a useful resource to nurses, doctors and social workers who work with very disturbed patients and wish to learn about psychotic processes.

'A comprehensive exploration of some of the most puzzling and intransigent mental states that clinicians encounter ; “Ground breaking” is often an over-used and clichéd term, ...but in the case of this book, it constitutes a fair description, one most unusual in the professional literature hitherto.'

Margot Waddell

author of Inside Lives: Psychoanalysis and the Growth of the Personality

'A wide ranging collection showing the immense value of a psychoanalytic approach to severe psychological disorder - never could a need for a book like this be more urgent than at our current juncture.'

John Steiner

author of Psychic Retreats: Pathological Organisations in Psychotic, Neurotic and Borderline Patients and Seeing and Being Seen

The Topic of Cancer

Editor: Jonathan Burke
Publisher: Karnac Books Published: 2013

Topic of Cancer begins with Freud's cancer, widely known of but rarely understood in its historic and analytic context. Psychotherapeutic reflections are then offered on our understanding of the adult and adolescent with cancer, and the challenges of sustaining a thoughtful presence in the face of the trauma experienced when a child is diagnosed with cancer, and during treatment. The dilemmas and challenges faced by today's psychotherapist with cancer are explored next and, for the first time in cancer literature, an account of the emotional demands on nurses involved in sensitive, intimate care. With an increasing number of people living longer with cancer, “survivorship” and palliative care are the focus of the chapters that follow.

'This is an extremely valuable book. Despite all improvements in outlook and changes in attitude towards it, cancer still faces those who suffer from it, and those who care for and are close to them, with a unique challenge. This book helps to meet that challenge on many levels. Rooted in psychoanalytic understanding, it is at the same time multifaceted. It brings together outstanding contributions from medical, psychological, and spiritual perspectives and shows the creativity that those confronting cancer may discover in themselves. The chapters are impressive individually, and taken together they offer a fresh and rich view of the “topic of cancer”. Truly a book to be grateful for.’

Michael Parsons

British Psychoanalytical Society, author of The Dove That Returns: The Dove That Vanishes: Paradox and Creativity in Psychoanaly

The Place of the Visual in Psychoanalytic Practice. Image in the Countertransference

Author: Faye Carey
Publisher: Routledge Published: 2018

The Place of the Visual in Psychoanalytic Practice: Image in the Countertransference explores the place of the visual image in psychoanalysis and psychotherapy, a still relatively unexplored topic in the psychoanalytic literature. Though ‘talking therapies’ are necessarily structured around the use of the spoken word, it can be difficult and at times misleading to explore the unconscious through speech alone.

This book examines how it may be further understood through recognising the presence of imagery as a form of non-verbal, but valuable, means of communication. Drawing on the work of Freud, Bion, Winnicott and Ogden, alongside other British and American contributions to this infrequently addressed subject, the book examines the connection between reverie, dream and daydream and explores the reservoirs of imagery of both client and therapist, focusing mainly on the therapists' s visual countertransference.

Covering essential theory and a wealth of clinical material, The Place of the Visual in Psychoanalytic Practice: Image in the Countertransference is a rich yet accessible guide to both recognising and using visual imagery within the clinical setting for both psychoanalysts and psychotherapists.

 

'Faye Carey has written a book that is engaging, challenging, even inspiring. Her book is scholarly, as she traces the development of ideas about the use of imagery by both patient and analyst in the psychoanalytic literature, and also passionate, as she regards the devaluation of the visual within psychoanalytic theory and practice in favour of the verbal as having deprived analytic practitioners of a rich and potentially liberating source of material for making better sense of their patients’ internal world.'

Laurence Spurling

Senior Lecturer in Psychosocial Studies, Birkbeck College, University of Londo

'A bird, a spider, a laundrette, a busy junction: this fascinating, lucid book explores the occurrence of ‘oblique’, fugitive visual images in the analyst’s mind. With an impressive depth of theoretical understanding, Faye Carey systematically guides the reader through ideas about internal space, reverie and projective processes, representation and representability, images in relation to words, and the dynamic, collaborative nature of image construction: the unbidden image can be a crucible for unconscious processing. Drawing mainly on British and American sources, and enlivening her text with case material and with her own sketches, Carey has produced a work of satisfying richness.'

Robert Snell

Psychoanalytic Psychotherapist, British Psychotherapy Foundation

Remembering as Reparation. Psychoanalysis and Historical Memory

Author: Karl Figlio
Publisher: Palgrave Macmillan UK: 2017

This book brings together psychoanalysis, clinical and theoretical, with history in a study of remembering as reparation: not compensation, but recognition of the actuality of perpetration and the remorseful urge to rejuvenate whatever represents this damage. Karl Figlio argues that this process, intensively studied by Melanie Klein, is shadowed by manic reparation, which simulates, but is antithetical, to it. Both aim for peace of mind: the former in a guilt-induced attitude of making better a damaged ‘good object’, internal and external; the latter, supported by defences thoroughly studied in psychoanalysis, in claiming liberation from an accusatory object.

This psychoanalytic line of thinking converges with historical scholarship on postwar German memory and memorialization. Remembering is posited as ambivalent - it is reparative, in ‘remembering true’, with respect and self-respect. It is also manic reparative, in ‘remembering false’, shedding bonds to the actuality of history through acts of triumph and liberation. This thoughtful book highlights new features of history and memory work, especially the importance of emotion, and will be of great value to students, academics and practitioners across the fields of psychoanalysis, memory studies, German studies and modern history.


Karl Figlio is Professor Emeritus in the Department for Psychosocial and Psychoanalytic Studies, University of Essex, UK. He is a Senior Member of the Psychoanalytic Psychotherapy Association of the British Psychoanalytic Council and an Associate of the British Psychoanalytical Society. He has published widely in the history of science, psychoanalysis and psychoanalysis and culture.

Transcending the Legacies of Slavery: A Psychoanalytic View

Author: Barbara Fletchman Smith
Publisher: Karnac Books Published: 2011

This book puts psychological trauma at its centre. Using psychoanalysis, it assesses what was lost, how it was lost and how the loss is compulsively repeated over generations. There is a conceptualization of this trauma as circular. Such a situation makes it stubbornly persistent. It is suggested that central to the system of slavery was the separating out of procreation from maternity and paternity. This was achieved through the particular cruelties of separating couples at the first sign of loving interest in each other; and separating infants from their mothers. Cruelty disturbed the natural flow of events in the mind and disturbed the approach to and the resolution of the Oedipus Complex conflict. This is traced through the way a new kind of family developed in the Caribbean and elsewhere where slavery remained for hundreds of years.

'Slavery! The word strikes home - and so does this book. Fletchman Smith continues what she started in 'Mental Slavery - to show in heart-aching, unavoidable clinical detail how what could remain impersonal sociology or history lives on traumatically in her patients. She explains, but neither blames nor facilely exonerates. What she has to say about men and masculinity won't please everyone, but needs to be heard. And as I read, I realized I was reading the psychological history of the West itself, founded on the labour of the slaves. In the author's hands, theories of trauma become more than psychology - they illumine the political as well. Truly, a must-read for psychotherapists and counsellors of all heritages and traditions.'

Professor Andrew Samuels

Centre for Psychoanalytic Studies, University of Essex

'Barbara Fletchman Smith's Transcending the Legacies of Slavery is a true gift to African Caribbean people. It confronts people from this background with some painful truths about slavery and its continued psychological and emotional impact on their lives. It is in essence about the purposeful destruction of the black family during slavery and how this unacknowledged trauma has continued to affect relations between African Caribbean men and women, fathers and mothers, and parents and children. This book should be read now, not tomorrow, by all who are of African Caribbean descent, especially those who are involved in raising the next generation of African Caribbean and mixed race children.'

Frank Lowe

Consultant Social Worker and Psychotherapist, Tavistock Clinic NHS

The Impossibility of Knowing: Dilemmas of a Psychotherapist

Author: Jackie Gerrard
Publisher: Karnac Books Published: 2013

This is a book that assembles and integrates Jackie Gerrard's clinical work and thinking over the many years of her working life. Part I focuses on patients with specific types of psychopathology and explores particular difficulties in technique and thinking. Part II addresses the issues of love, hate, and the erotic. In Part III, specific challenges to the psychotherapeutic frame are demonstrated in chapters on enactments and on work with an absent patient. Richly illustrated throughout with clinical vignettes, above all, Gerrard stresses the importance of the enquiring mind and the struggle not to "know" but to be ever ready to "not know" and to explore.

The book should be of interest to qualified practitioners, to those who are training in psychodynamic or psychoanalytic work, and to anyone who has an interest in psychoanalysis and the "impossibility of knowing".

'For those who regret the apparent demise of sexuality in analytic therapy, this collection of papers is a refreshing reminder of the problems therapists face when entering the heat of the Freudian kitchen. The reader will be assisted in charting a course between the twin perils of evasion on the one hand and unthought enactment on the other. Highly recommended.'

David Riley

Fellow, British Psychoanalytical Society

'A highly original and brave exploration of many issues, including the delicate relation between seduction and love.'

Anne Alvarez

Consultant Child and Adolescent Psychotherapist

Skills in Psychodynamic Counselling & Psychotherapy

Author: Susan Howard
Publisher: Sage Publications Ltd Published: 2017

This is a step-by-step guide to the key skills and techniques of the psychodynamic approach used at each stage of the therapeutic process. Updated in a second edition, the book includes a new chapter on neuropsychology and its implications for theory and practice, new content on working in the NHS and other settings, additional case material and updates to all chapters reflecting recent literature, research and understanding.

Susan Howard is Consultant Clinical Psychologist and Psychoanalytic Psychotherapist. She works on the Clinical Psychology training course at the University of Surrey, and in private practice as a psychoanalytic psychotherapist and supervisor.

Psychodynamic Counselling in a Nutshell

Author: Susan Howard
Publisher: SAGE Publications Ltd Published: 2011

Psychodynamic Counselling in a Nutshell explains in clear, jargon-free style, the concepts at the heart of the psychodynamic approach, and, drawing on case material, describes the therapeutic practice which rests on those ideas. Assuming no previous knowledge of the subject, the book introduces:

  • The history of the approach,
  • The key main concepts, and
  • Practical techniques used by practitioners

In the first chapter, the author introduces a client, John, whose case is revisited throughout the book, connecting together theory and practice for the reader.

This new and revised edition also now includes new material on supervision, ethics, and Jung, and on outcome research and the most recent developments in the field.

Psychodynamic Counselling in a Nutshell is the ideal place to start for anyone reading about the psychodynamic approach for the first time.

'Well written and thoughtfully structured, this highly accessible, lively text offers the reader a contemporary and comprehensive introduction to psychodynamic practice. Howard provides lucid explanations of core psychodynamic ideas and skills rooted in engaging clinical illustrations. It will be an invaluable companion both during and beyond training.'

Professor Alessandra Lemma

Trust-wide Head of Psychology and Visiting Professor Essex University

'The book will be of especial use to trainees as well as to practising counsellors and others working in the welfare field. I recommend it highly.'

Larry O'Carroll

Goldsmiths, University of London

Metapsychology Volume I

Author: Vassilis Maoutsos
Publisher: Epekeina Publicatios, 2016

Starting from Freud’s ‘Project’ and throughout his twenty three volumes of the Standard Edition there are scattered references to ‘Metapsychology’. Indeed, looking closely at his whole work one could conclude that all of it is imbued with a profound metapsychological thinking that is not always coherent and consistent with clinical facts. It was though very unfortunate that transference and counter-transference  issues hindered the emergence of Freud’s detailed account of conceptualizing mental phenomena. We can easily see those difficulties in all his clinical cases even as early as with ‘Dora’ where the economic, topographic and dynamic aspects that are raised had they been treated according to those transferential parameters would have had much better therapeutic results. Actually, it is possible that the emergence of so many psychoanalytical approaches during the decades following Freud might well be nothing else but an attempt to clarify all those unfinished concepts that Freud left hanging and those unspoken meanings that were still vague and probably would not have been understood at his time. The present volume written in Greek deals with all the above issues and it is the first out of four (the second will appear in October 2018) in which every single Freudian work – with the exemption of his correspondence – is studied from a purely metapsychological perspective and in a systematic way. It includes the works of Volumes I – VI. In addition, throughout the book  there is an attempt to show why principles like those of ‘homeostasis’ or the tendency towards ‘point zero’ acquire besides their theoretical value an important clinical one.

Vassilis Maoutsos M.D was trained at Fulbourn and Addenbrookes psychiatric hospitals in Cambridge (England). He was involved in Cambridge and London Universities and worked at the Ingrebourne Centre (Essex), mainly with psychotic patients. He served for some years as a member of the BAP Council. His first book was the ‘Invisible Human Brain’ (1984). Since his return to Greece in 1990 he has worked psychoanalytically in private practice as well as a supervisor, organizer and lecturer of Psychotherapy Courses in Ioannina and Alexandroupolis Training Psychiatric Units (Greece). He is the founding member of the Institute of Classical Psychoanalysis where he teaches at its training courses. He is also a member of the British Psychotherapy Foundation, British Psychoanalytic Association, British Psychoanalytic Council and International Psychoanalytic Association.

The Metapsychology of Christopher Bollas: An Introduction

Author: Sarah Nettleton
Publisher: Routledge: 2016

Christopher Bollas has made an extraordinarily wide contribution to contemporary psychoanalysis. The book aims to introduce and explain the fundamentals of Bollas’s theory of the mind in a systematic way, addressing many of the questions that commonly arise when people approach his work.

Through chapters on topics such as the receptive subject, the creative unconscious and the implications of Bollas’s metapsychology for the technique of free association, the book enables the reader to acquire an understanding of his unique psychoanalytic language, to grasp the conceptual building blocks of his thinking and how these interrelate, and to appreciate the theoretical and clinical coherence of his thinking.

This work will be of use to psychoanalysts, psychotherapists and counsellors, as well as psychiatrists, psychologists and social workers wishing to explore the applications of psychoanalytic thinking to their practice. It will be of great value to trainees in these disciplines, as well as to postgraduate students and academics interested in contemporary psychoanalysis.

Sarah Nettleton is a psychoanalyst in London. She is a member of the British Psychotherapy Foundation, the British Psychoanalytic Association and the International Psychoanalytical Association. She has given lectures and post-graduate seminars on the work of Bollas extensively in the UK, and in Norway, Israel, France, America, Turkey, Mexico and India. 

The Petrified Ego: A New Theory of Conscience

Author: Elizabeth Reddish
Publisher: Karnac Books Published: 2013

Due to the inherent contradiction in Freud’s concept of the Superego, there is a gap in our psychoanalytic understanding of how conscience evolves. This distinction is essential for the successful treatment of patients dominated by a harsh Superego and provides valuable insight into how contemporary society evaluates moral decisions.

The Petrified Ego argues for a revision of psychoanalytic theory to include instinct as the primary form of morality. It makes the case that our earliest, infantile notion of ‘good’ and ‘bad’ is rather founded on experiences which have been ‘safe or ‘threatening’. More often than not, this is the basis of our moral judgement of others.

'The Petrified Ego is not only a scholarly, imaginative book on the relationship of the ego to the superego, but it is also very timely. I found the book very impressive.’

Ronald Britton

'Elizabeth Reddish joins scholarship with clinical acumen and her book will engage readers with sociological, philosophical, and clinical interests.’

Karl Figlio

Uncertainties, Mysteries, Doubts: Romanticism and the Analytic Attitude

Author: Robert Snell
Publisher: Karnac Books Published: 2013

What is it to listen? How do we hear? How do we allow meanings to emerge between each other?

This book is about what Freud called freely or evenly suspended attention, a form of listening, a kind of receptive incomprehension, which is fundamental and mandatory for the practice of psychoanalysis and psychotherapy. The author steps outside the usual parameters of psychoanalytic writing and explores how works of art and literature which elicit and require such listening began to appear in Europe, in abundance, from the late eighteenth-century onwards.

Uncertainties, Mysteries, Doubts is a timely reminder, in the present era of audit and manualisation, of some of psychoanalysis's deep and living cultural roots. It hopes- by immersing the reader in the emotional, critical and contextual worlds of some artists and poets of Romanticism - to help psychotherapists, psychoanalysts, and counsellors in the endless challenge of staying open to their clients and patients, faced as we all are, therapists and clients alike, by multiple pressures to knowledgeable closure.

The Psychoanalytic Craft: How to Develop as a Psychoanalytic Practitioner

Author: Laurence Spurling
Publisher: Palgrave Macmillan Published: 2015

Why is developing as a psychoanalytic practitioner so often laden with anxiety? A simple answer is that psychoanalytic work is intrinsically complex and difficult. But Laurence Spurling argues traditional accounts of practice make these difficulties even worse for students and practitioners: he shows that case descriptions and examples in psychoanalytic textbooks often give a misleading picture of practice, because they explore what practitioners ought to do rather than what they actually do.

'The Psychoanalytic Craft' uniquely identifies and explores what is missing in these accounts of therapy, namely the 'craft' aspects of skilled psychoanalytic work: how theories and models are actually used in practice, what kind of reasoning is employed in conducting a session, how interventions are composed and evaluated. The book draws on recent research, as well as the wider craft literature to show how these features of clinical thinking, which normally operate below the level of awareness, can be identified and explored in clinical practice, in supervision and in teaching.

This book has been written specifically for those students and practitioners moving beyond beginner level towards skilled and resourceful practice.

Laurence Spurling is a practising Psychoanalytic Psychotherapist in London and a Senior Member of the British Psychotherapy Foundation. He is Senior Lecturer in Psychosocial Studies at Birkbeck College, University of London, where he co-ordinates and teaches on the counselling and psychotherapy training programmes, and is a Consultant Adult Psychotherapist for the East London NHS Mental Health Trust. He has published widely on clinical issues.

Introduction to Countertransference in Therapeutic Practice. A Myriad of Mirrors

Editor: Paola Valerio
Publisher: Routledge Published: 2018

While transference has been fully described in the literature, countertransference has been viewed as its ugly sibling, and hence there are still not as many reflective accounts or guidance for trainees about how to handle difficult emotions, such as shame and envy and conflict in the consulting room. As a counterpoint, this book provides an integrative guide for therapists on the concept of countertransference, and takes a critical stance on the phenomenon, and theorising, about the "so-called" countertransference, viewing it as a framework to explore the transformative potential in managing strong emotions and difficult transactions. 

With an explicit focus on teaching, this book informs therapeutic practice by mixing theories and case studies from the authors' own clinical and teaching experiences, which involves the reader in case studies, reflection and action points. Countertransference is explored in a wide range of clinical settings, including in reflective practice and in research in the field of therapy, as well as in art therapy and in the school setting. It also considers countertransference in dream interpretation, in the supervision and teaching environment and in work with groups and organisations.

'Introduction to Countertransference in Therapeutic Practice' offers psychotherapists and counsellors, both practicing and in training, a comprehensive overview of this important concept, from its roots in Freud’s work to its place today in a global, transcultural society.

Paola Valerio is a BPC/UKCP reg. psychotherapist and senior lecturer at Roehampton University, where she convenes the psychodynamic theory and practice module on the Psych. D. She has been a visiting lecturer and supervisor in psychotherapy at Regents’ College, Surrey and Kent Universities and at the Tavistock and East London University.

Psychoanalysis, the NHS, and Mental Health Work Today

Editor: Alison Vaspe
Publisher: Karnac Books Published: 2017

This book illustrates the distinctive psychoanalytic contribution to mental health services for children, young people, and adults, with detailed case vignettes illustrating therapeutic treatment and the ways in which staff are supported to do work that is frequently difficult and disturbing.

Psychoanalytic thinking contributes to effective mental health work on many levels, from Balint’s “Flash” technique in the brief GP/patient encounter to the psychiatric medical and nursing care in secure units, where the most challenging patients need to be held. Starting with the historical contribution of psychoanalysis to the NHS in the 1940s, this book goes on to explore two key psychoanalytic concepts that remain highly relevant to the work of mental health: containment and countertransference.

The authors include psychoanalysts, psychotherapists, organisational consultants, consultant psychiatrists, and a leading practitioner in the field of primary care. Between them, they address a wide range of contemporary issues, including the complexity of work with traumatised individuals, including refugees; the wide-ranging psychoanalytic contribution to child and adolescent services; the impact on commissioning of a market culture skewed towards targets and quick wins; and the working conditions that can cause staff to neglect and abuse their patients, and/or become ill themselves. Detailed case vignettes and discussion illustrate the psychoanalytic understanding required, if the NHS is to continue to tackle the complex mental health problems that face our society today.

With contributions by Julia Britton, Tim Dartington, Clare Gerada, Richard Ingram, Amanda Keenan, Marilyn Miller, Turlough Mills, Carine Minne, Siobhan O’Connor, Christopher Scanlon, Judy Shuttleworth, Wilhelm Skogstad, Michael Smith, Joanne Stubley, Kyriakos Thomaidis-Zades, and Alison Vaspe.

‘This book is for all of us, whether we work in mental health services or are its patients. We are reminded that, essentially, we are all vulnerable. The vibrancy and applicability of psychoanalytic thinking and practice to help make sense of our different experiences of these services are at the crux of this book. In a market-driven, cost-conscious NHS, this book argues that we ignore the strain of this emotional work at our peril.’

Lesley Day

psychotherapist, reflective practice and organisational consultant, and former Head of Service at Cassel Hospital

‘This original book is essential reading for all those concerned with mental health in the NHS. It has thought-provoking chapters on the value of psychoanalytic thinking both in outpatient and inpatient settings. The authors explore the key analytical contribution to understanding institutions. An important aspect of this is supporting staff in stressful clinical situations.’

Nick Temple

President of the British Psychoanalytical Society (2012–2016) and Chief Executive of Tavistock and Portman NHS Trust (2003–2008)