The concept of anxiety has long held a central place in psychoanalytic theories of mind and treatment. Yet, in recent years, data from the neurosciences and from pharmacological studies have posed a compelling challenge to psychoanalytic models of anxiety. One major outcome of these studies is the realization that anxiety both organizes and disorganizes, that it can be both symptom and signal. In Anxiety as Symptom and Signal, editors Steven Roose and Robert Glick have brought together distinguished contributors to address these different dimensions of anxiety. A section of original papers on "Anxiety as Symptom" covers evolutionary, neuroanatomical, genetic, and developmental perspectives. A complementary section on "Anxiety as Signal" focuses on the meanings and functions of anxiety in the clinical process; contributions address anxiety in its ego-psychological, intersubjective, and relational dimensions.
The illuminating, readable collection will broaden clinicians' awareness of the diverse research findings that now inform our understanding of anxiety. No less importantly, it will deepen their appreciation of the richly variegated ways that anxiety can shape, and be shaped by, the clinical process.
Table of Contents
1. Freudian and Post-Freudian Theories of Anxiety - Robert A. Glick
I. Anxiety as Symptom: The Mind and the Brain
2. An Evolutionary Perspective on Anxiety - Myron A. Hofer
3. Neuroanatomy and Neurotransmitter Function in Panic Disorder - Jack M. Gorman, Laszlo A. Papp, & Jeremy D. Coplan
4. Genetic and Temperamental Variations in Individual Predisposition to Anxiety - Abby J. Fyer
5. The Ontogeny and Dynamics of Anxiety in Childhood - Scott Dowling
II. Anxiety as Signal: The Treatment Setting
6. Learning to Be Anxious - Gerald I. Fogel
7. Anxiety and Resistance to Changes in Self-Concept - Gloria J. Stern
8. The Patient's Anxiety, the Therapist's Anxiety, and the Therapeutic Process - Owen Renik
9. A Relational Perspective on Anxiety - Charles Spezzano
10. Does Anxiety Obstruct of Motivate Treatment? When to Talk, When to Prescribe, and When to do Both - Steven R. Roose
11. Epilogue - Morton F.Reis
Steven P. Roose, M.D., is a faculty member of the Columbia University Center for Psychoanalytic Training and Research, and Associate Professor of Clinical Psychiatry at the Columbia University College of Physicians and Surgeons.
Robert A. Glick, M.D., is a Training and Supervising Analyst at the Columbia University Center for Psychoanalytic Training and Research, and Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons.
"While multiauthored books often provide ambiguous or uneven information about a certain subject, Anxiety as Symptom and Signal is a tightly structured and brilliantly achieved synthesis of our knowledge regarding the biological, psychodynamic, and psychosocial aspects of anxiety as a basic response to danger. The evolving concept of anxiety has immediate relevance for the relationship between psychoanalytic and psychopharmacological approaches to treatment, and this book offers exciting information to the practicing clinician as well as to the researcher and theoretician in this vast field."
- Otto Kernberg, M.D., Professor of Psychiatry, Cornell University Medical College
"The editors of Anxiety as Symptom and Signal have done a marvelous job of compiling a series of papers that brings the reader up to date on current thinking about anxiety. The papers range from modern neurobiological studies of anxiety to the most recent psychoanalytic contributions to the subject. Any clinician who is truly interested in the integration of neurobiology and psychoanalysis will find this book invaluable."
Martin S. Willick, M.D., Training and Supervising Analyst, New York Psychoanalytic Institute