1st Edition

Discovering Therapeutic Efficacy Selected Works of Howard Bacal

By Howard Bacal Copyright 2026
208 Pages
by Routledge

Discovering Therapeutic Efficacy brings together selected papers and book chapters by Howard Bacal, spanning 40 years as a psychoanalyst, psychiatrist, and psychotherapist. The book includes several key pieces of writing influenced by psychoanalytic figures Bacal had the rare opportunity to study under including Michael Balint, Wilfred Bion, Heinz Kohut, Marion Milner, J. D.  Sutherland,... Read more

Introduction  1. My Psychoanalytic Advenute- A Quest to Conceptualize Therapeutic Efficacy  2. Notes on Some Therapeutic Challenges in the Analysis of Severely Regressed Patients  3. Optimal Responsiveness and the Therapeutic Process  4. British Object-relations Theorists and Self Psychology: Some Critical Reflections  5. The Selfobject Relationship in Psychoanalytic Treatment  6. The Psychoanalyst's Selfobject Needs and the Effect of Their Frustration on the Treatment: A New View of Countertransference  7. Shame: The Affect of Discrepancy  8. Is Empathic Attunement Always the Optimal Response?  9. The Use of Theory In Psychoanalytic Practice  10. Specificity Theory: The Evolution of a Process Theory of Psychoanalytic Treatment  11. The Budapest School's concept of supervision: Michael Balint's legacy to the development of psychoanalytic specificity theory  12. Discovering Optimal Responsiveness within the Salience of Emergent Process

Biography

Howard Bacal is a psychiatrist based in Los Angeles, USA. He has a private practice in psychoanalysis and psychotherapy and has more than 60 years’ experience in the field.