This book introduces the clinical concept of analytic contact. This is a term that describes the therapeutic method of investigation that makes up psychoanalytic treatment. The field has been in debate for decades regarding what constitutes psychoanalysis. This usually centers on theoretical ideals regarding analyzability, goals, or procedure and external criteria such as frequency or use of couch. Instead, the concept of analytic contact looks at what takes place with a patient in the clinical situation. Each chapter in this book follows a wide spectrum of cases and clinical situations where hard to reach patients are provided the best opportunity for health and healing through the establishment of analytic contact. This case material closely tracks each patient's phantasies, and transference mechanisms which work to either increase, oppose, embrace, or neutralize, analytic contact. In addition, the fundamental internal conflicts all patients struggle with between love, hate, and knowledge are represented by extensive case reports.
Introduction -- Analytic Contact -- The self-imposed crisis in psychoanalysis: Analytic contact and the goal of psychological healing -- A return to healing -- The technical value of analytic contact -- Redefining psychoanalysis -- Knowledge, Repetition and Resolution -- Conflicts with knowledge -- Analytic contact and the creation of knowledge -- Fear of knowing and the desire for knowledge -- Transference ↔ Counter-Transference Struggles -- Projective identification and reactions to analytic contact -- Separation, idealization and enactments -- The evolution of projective identification -- Summary -- Conclusion