Every therapist is faced with dilemmas in the consulting room. While psychoanalysis has concentrated on the issues of theory and technique, there has not been much material available on the actual clinical exchanges in the consulting room. The papers in this volume deal with practical matters within the consultation room, as well as emotional responses; reflections on the therapeutic relationship; and issues such as violence and suicide. This volume acts as a guide which can help therapists overcome certain problems and develop their own 'clinical style within a holding framework.'
Introduction -- Some thoughts on the use of the setting in psychoanalytic psychotherapy -- “I treat her like a human being”: the role of naturalness in a boundaried relationship -- What identifies, sustains and preoccupies me as a psychoanalytic psychotherapist -- The patient's narrative: the therapist's response -- I like it when you laugh -- Money—symbol and reality -- Difficulties when a patient presents by proxy -- Psychosomatic incidents in psychotherapy -- Psychosis as jack in the box -- Violence and hostility from a sense of unconscious shame: shame in the transference and countertransference -- The suicidal patient -- Separation anxiety in relation to breaks in therapy -- Termination and the resolution of the transference