Böcker utgivna av Karnac Books

This book attempts to do justice to the depth and complexity of depression - as to its causes and its treatment in psychotherapy. It challenges the reductive medical view of depression as a serotonin deficiency resulting in a collection of undesirable symptoms to be dispatched with antidepressants or CBT exercises. Rather, it locates the origins of depression in childhood adversity, primarily caused by unattuned, cold, critical, hostile or abusive caregiving. Insecure attachment interacts with other elements of a stressful life history as well as with genetic makeup to pave the way for depression. Such a childhood has long-term impacts on the setting of the stress and threat responses of the nervous system. Depression fundamentally indicates a weak and non-resilient sense of self, coupled with limited capacities for trust and either autonomy or intimacy in relationships. These are the issues that must be tackled in psychotherapy. Since depression carries a message for the sufferer, it must be investigated for its meaning. Why has the individual withdrawn from life and what are they being asked to change in how they live and relate? Before this reparative and creative phase of therapy can begin, however, we must remember that depression is not just 'low' mood but also 'stuck' mood. Rigid beliefs and processes that block therapeutic engagement can be gently questioned by helping the client see that they are held by only one part of the self, whereas other 'for growth' parts carry hope and a willingness to play and explore. Overall, it is crucial in working with depression to see and to relate to the client as a whole person; not simply a bundle of cognitive shortcomings to be corrected, but as an emotional, organismic, relational, existential and spiritual being. Depression: An Introduction presents a biopsychosocial model, combining developmental and attachment perspectives with genetics and neurobiology. Its therapeutic orientation is humanistic and integrative but has much to offer anyone wanting to know more about this widely known but little understood condition.

In recent years, there has been an explosion in the number of children and young people who diagnose themselves as gender dysphoric, or trans. In the UK, and worldwide, there is a growing tendency to refer them on to 'specialist' gender services almost as soon as they express any confusion or distress about their biological sex or gender identity. Due to the rapidly rising numbers and various pressures on the system, patients are increasingly likely to be offered life-altering medication and/or surgical treatments, often with little exploration of their emotional world. As so little is yet known or understood regarding this increase in gender incongruent patients, it seems precipitous to proceed onto physical treatments before any assessment work is undertaken. Many who present as gender dysphoric have complex needs with comorbid problems such as autism, histories of abuse or trauma, social phobias, depression, eating disorders, and other mental health symptoms. Therefore, all aspects of the individual's life deserve thorough assessment and therapeutic work. This book is aimed primarily at clinicians working in the field to provide a model for understanding, assessing, and treating gender dysphoria. The model uses a psychoanalytic framework to help explain disturbed states of mind and how psychic defences can be enlisted unconsciously to avoid overwhelming psychic pain. This offers professionals a way of trying to think with, and offer understanding to, their trans-identifying clients. Clinical examples are given to illustrate these processes and promote the understanding of transgender children, adolescents, and young people and their internal worlds, their thinking, and their interpersonal relationships. As well as clinical exploration and understanding, the book includes an overview of the current political, social, and clinical environments which have all impacted on the clinical care of trans-identifying individuals. As well as professional and trainee clinicians, this book might also prove useful to parents, other professionals, and possibly the gender dysphoric person too.

This book is an introduction to the ideas of the Swiss psychologist and psychoanalyst, C. G. Jung. The first chapter describes his early home life whilst subsequent chapters are devoted to his work in various sectors. This started in psychiatry at Burgholzli Hospital in Zurich, where Eugen Bleuler was the Director, a significant figure in Jung's life for many years. The book goes on to describe at some length the professional relationship between Freud and Jung, and the disastrous impact of their subsequent acrimonious split in 1913 on themselves but, more importantly, on the profession of psychoanalysis itself, both at that time and subsequently. Several chapters elaborate Jung's main concepts, including an extensive investigation of his all-important work on psychological alchemy, which includes 10 black and white illustrations from the alchemical text The Rosarium Philosophorum and 10 black and white ox-herding pictures of Kuo-an from the twelfth-century Buddhist tradition. The rest of the book depicts some of the significant women and men who contributed to analytical psychology, which is the term Jung chose to designate his psychoanalytic discipline. This is used interchangeably with the term psychoanalysis as many Jungians designate themselves psychoanalysts, including the author, as a New York State licensed psychoanalyst. This is also an account of some of the scientific, philosophical, and psychological influences on Jung's thinking. The book concludes with an entry on China, where the author has spent the last few years analysing, lecturing, supervising, and teaching analytical psychology to Chinese psychotherapists, counsellors, and students in Beijing and Shanghai. This comprehensive work is essential reading for all those with an interest in C. G. Jung and his work.

Danse Macabre and Other Stories: A Psychoanalytic Perspective on Global Dynamics examines the world using a systemic and psychoanalytic lens, including concepts of splitting, separation, projection, displacement, and the return of the repressed. They consider what impact the disappearance of some iconic and psychic containers has on individuals' functioning and why we choose populist leaders to shore up our own social defences. They question why the world feels so threatening to the twenty-first-century linked-in citizens when the objective facts suggest that overall much is improving for the global citizen. Building on their previous work, Halina Brunning and Olya Khaleelee have created a coherent framework in order to conceptualise global dynamics within a matrix form. The matrix contains dialectic dynamic forces for both good and evil, love and hate, creation and destruction. They take a closer look at the plethora of phenomena which they see arising therein. Whilst the matrix holds steady, inside it is a world in constant flux, reconfiguring and rearranging itself, as if in a kaleidoscope, with inevitable and unavoidable turbulence, but - Brunning and Khaleelee hypothesise - with an underlying pattern that is available to be discerned and studied. Aware of this turbulence, Brunning and Khaleelee wish to share their view of the world in the hope of offering a containing reflection, capable of calming the nerves of the readers as well as their own.

A Place for Beauty in the Therapeutic Encounter is written for all psychotherapists, counsellors, and psychologists who practise under the broad banner of psychoanalytic thinking. It is also for anyone who loves beauty and wants to think more about its place in the mind.

The challenges and crises that kept resurfacing in Michael and Batya Shoshani's work with extremely difficult patients hunted by anxieties of being, and in particular with perverse psychic organization, motivated them to write this book. It is an attempt to propose a clinical conceptualisation to enhance their understanding of these lost and confused patients, whose narcissistic struggle against human fate defies reality and truth, challenging the analyst and the analytic situation. Analysts, caught between their own perception of reality and truth and the wish to be empathetic to their patients' experiences and views of reality, often feel torn and as if standing on quicksand. Here, the authors are joining a contemporary movement in the psychoanalytic tradition whilst turning to other disciplines in order to better understand and explain the suffering of their patients. The use of literature, in particular the fictional works of Jorge Luis Borges; film, with an in-depth look at Roman Polanski's Bitter Moon (1992) and Denis Villeneuve's Incendies (2010); and philosophy, the ideas of Heidegger and how they link to those of Freud, coupled together with a solid grasp of psychoanalytic theory, such as reflections on Neville Symington's seminal theory of narcissism, interspersed with real-life case studies bring the chapters alive. Such interplay between the detailed clinical material and conceptual formulations to an interdisciplinary dialogue enables a different outlook that will enrich the ongoing professional discourse on these perplexing and illusive psychic phenomena.

One hundred (and one) tales to mark Salman Akhtar's one hundredth book! Divided into eight informative parts - Dr Akhtar's journey to psychoanalysis; the lessons he learned from his teachers, supervisors, and mentors; the teachings from his peers and colleagues; the benefits of clinical work; the impact of cultural difference; insights gained from students, supervisees, and audiences; his experiences of writing, editing, and publishing; and advice for those about to take their first steps - each section is packed full of incredible advice lightly given in a series of engaging anecdotes. Tales of Transformation: A Life in Psychotherapy and Psychoanalysis is the perfect book for trainees, practising clinicians, those considering psychoanalysis as a career path, anyone with an interest in the subject, and all who enjoy reading the recollections of a witty raconteur.

It is important to point out that these essays are about character types; it is not to suggest that all borderlines, narcissists or manic depressives are the same. Everyone is an individual and are who they are for many different reasons. What they have in common is a typical relation between their subjectivity and the world they inhabit. In other words, Christopher Bollas has identified the axioms that these individuals share. Following a discussion of the features of each type, the axioms are delivered in the character's own voice. By placing ourselves within their own logic, we can begin to identify and empathise with them. At the root of all character disorders there is mental pain and each disorder is an intelligent attempt to solve an existential problem. If the clinician can grasp their specific intelligence and help the analysand to understand this, then a natural process of healing can begin. Three Characters is a masterclass based on decades of lectures presented to psychoanalysts, analytical psychologists, and psychotherapists, and is a must-read for all psychoanalytic enthusiasts.

The demands of the high-performance athlete are huge, with many celebrated for their achievements, and put on a pedestal for admired personality traits such as discipline, sacrifice, commitment, and focus. This book seeks to explore the celebrated traits of the high-performance athlete and, by doing so, to increase awareness of the vulnerability that such traits also present. Through discussion with professional sports people and presentation of their own personal stories the book explores obsessionality, masochism, and focus, and how these characteristics can enhance performance on the field yet hinder life off it and may even develop into clinically diagnosable mental health difficulties. In psychology, assessments are based on statistical phenomena; the title Skewed to the Right is based on the 'bell curve' that is shown through a graph whereby the majority sit in the middle with a few clusters at either on of the extremes. The suggestion is that elite athletes are 'skewed to the right' on a number of key traits that put them between the 'general' population and those with a clinical diagnosis. The book opens with an exploration of weight-restricted sport and how making weight is achieved through practices that become culturally acceptable in the sporting world yet would be seen to be classified as clinically diagnosable eating disorders in the medical world. It then moves on to personality traits that help and hinder - those skewed to the right: masochism, obsessionality, and focus. Part 3 looks at one trait skewed to the left - acceptance - that many sportspeople struggle with. The book closes with a section exploring points of vulnerability for all athletes and ends with a look at where we can go from here. The aim of the book is to increase social awareness of the reality of life for the successful high-performance athlete and the challenging dynamics that exist in sporting culture today. It will be of interest to psychologists, psychotherapists, trainees, and anyone with an interest in sporting culture.

An investigation into the importance of language in terms of identity, culture and the meaning of "home". For those interested in understanding the role multilingualism plays in people's lives, it traverses the personal experiences of therapists from Europe, Asia, and Africa, as well as their work with patients from diverse parts of the world.

Manuel Perez-Sanchez has presented a very vivid description of a baby's first year of life. Direct observational material is lent understanding through the combination of his and Esther Bick's thoughts regarding the weekly infant observations. We read how the baby progresses from a state of unintegration in which the anxious baby requires the containing presence of the parents and uses primitive bodily methods of providing protection against anxiety in their absence. We then move to a more comfortable stage in which the baby has introjected the parents as providing a sense of internal security. We see how each step in the baby's development involves a reciprocal change in the parents' relationship to the baby.

Stelios Kiosses invites us into the therapy room to experience the unfolding of some incredible stories of peopleâEUR(TM)s not-so-everyday lives. A revealing and sensitive portrayal of what happens in psychotherapy sessions accompanied by absorbing explorations of the theories underpinning the therapy.

This book defines postmodern relational concepts, and offers a clear, thoughtfully curated examination of relationality and its impact on psychoanalytic technique for both experienced clinicians and those newer to the field.

In this gripping book, Professor Brett Kahr examines the nature of criminality throughout history, exploring the ways in which we have progressed from the ancient methods of torture and the execution of offenders to a more humane and psychologically sophisticated approach.

The New Sexual Landscape and Contemporary Psychoanalysis surveys modern sex culture and suggests ways psychoanalysis can update its theories and practice to meet the novel needs of today's generations.

Body Psychotherapy for the 21st Century looks at the wider psychotherapy field, bringing awareness of embodiment into what has been a verbally oriented profession. Engaging with neuroscience, phenomenology and cognitive studies, as well as the relational turn in psychotherapy.

This volume explores contemporary notions of normality and how the therapy profession is engaging with that question today. Can 'being normal' ever be observed and tested? Who defines the norm of the mental health? Is it constrained by a social concept of normal? And how do we ever reach an understanding of 'not normal'.

This book is for anyone in the caring professions who seeks to practice therapy with the earth in mind, and for those struggling with eco-anxiety or eco-grief who wish to deepen their relationship with the Earth and find hope in turbulent times.

This book takes us through the key concepts of trauma and dissociation, showing how to work successfully with people who have experienced all degrees of trauma, from working with complex, childhood attachment ruptures to traumatic incidents in later life.

Pathologies of the Self draws on almost 40 years of clinical practice to explore the nature and structure of human identity. In this fascinating book Phil Mollon explores narcissistic phenomena in both the clinic and everyday life, demonstrating the illusory nature of the self, and showing how, beneath our defences, we are all 'borderline'.

Describing the neuroscientific basis for effective psychotherapy, Professor Holmes draws on the Free Energy Principle, which holds that, through 'active inference' - agency and model revision - the brain minimises discrepancies between incoming experience and its pre-existing picture of the world.

What stands between us and authoritarianism seems increasingly fragile. Democratic practices are under attack by foreign intrusion into elections; voter suppression restricts citizen participation. Nations are turning to autocratic leaders in the face of rapid social change. Democratic values and open society can only be preserved if citizens can discover and claim their voices. We access society through our organisations, yet the collective voices and irrationalities of these organisations do not currently offer clear pathways for individuals to locate themselves. How can we move through the mounting chaos of our social systems, through our multiple roles in groups and institutions, to find a voice that matters? What kind of perspective will allow institutional leaders to facilitate the discovery of active citizenship and support engagement?This book draws on psychodynamic systems thinking to offer a new understanding of the journey from being an individual to joining society as a citizen. With detailed stories, the steps – and the conscious and unconscious linkages – from being a family member, to entering outside groups, to taking up and making sense of institutional roles, illuminate the process of claiming the citizen role. With the help of leaders who recognise and utilise the dynamics of social systems, there may be hope for us as citizens to use our institutional experiences to discover a place to stand.