Psychoanalysis from the Inside Out: Developing and Sustaining an Analytic Identity and Practice, 1st Edition (Paperback) book cover

Psychoanalysis from the Inside Out

Developing and Sustaining an Analytic Identity and Practice, 1st Edition

By Lena Ehrlich


192 pages

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pub: 2020-07-15
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In the face of considerable scepticism over the function and effectiveness of psychoanalysis, Lena Ehrlich contends that it is unique in its potential to transform patients at an emotionally cellular level by helping them access and process longstanding conflicts and traumatic experiences.

Using detailed clinical vignettes, the author demonstrates that when analysts practice from the inside out, i.e., - consider that external obstacles to initiating and deepening an analysis inevitably reflect analysts’ fears of our internal world and of intimacy - they become better able to speak to patients’ long-term suffering.

Written free from psychoanalytic jargon, this book stands out in its ability to help readers feel more effective, confident, and optimistic about practicing psychoanalysis by providing insights and recommendations about beginning and deepening analysis and sustaining oneself as an analyst over time. It will appeal to both beginners and experienced analysts, as well as supervisors, educators and anyone who is curious about the workings of their mind and wants to build more intimate relationships.  


"I have always admired Lena Ehrlich’s work and have it in mind when I wonder what might keep me from recommending psychoanalysis even when it is the best treatment. Through her sensitive clinical practice, she shows how the psychoanalytic process begins and deepens in the analyst’s mind and explores our resistances to letting it come to life and grow. Her writing has strengthened my own identity and practice as psychoanalyst. It has also informed our research in the Working Party on Initiating Psychoanalysis of the European Psychoanalytic Federation; in turn, our findings have confirmed those from her fine clinical practice. Even on the difficult topic of teleanalysis she is well-informed, cogent and thought-provoking. It is a real treat to have her work collected in this book, which will be a must for all psychoanalysts."

- Bernard Reith, President of the Swiss Psychoanalytical Society, past chair of the EPF Working Party on Initiating Psychoanalysis and co-chair for Europe of the IPA Working Parties Committee.

"In lucid prose, Lena Ehrlich conveys the multitudinous ways an analyst develops her capacities to face her own conflicts, resistances, and to tolerate her own affect and intense countertransference reactions. Simultaneously, she shows us her belief in her patients’ capacities to grow and change. These two developments within herself combine to create the conditions for the development of a deep, intimate analytic process to evolve. Her openness in facing her own struggle to form an analytic identity provides a model of self-scrutiny that should be inspiring to all clinicians and especially for young analysts."

- Judy L. Kantrowitz, Training and supervising analyst, Boston Psychoanalytic Society and Institute and author of The Role of the Patient-Analyst Match in the process and outcome in psychoanalysis

"This timely book on the development of psychoanalytic identity and practice is written with passion and conviction from deep personal and clinical experience. With uncommon clarity, it demonstrates convincingly that psychoanalysis, despite its troubled history and many current challenges, "has the potential to transform us at an emotionally cellular level, helping us be present and sturdy inside ourselves and better able to connect with and love others."  Designed for candidates in training, recent graduates, and experienced analysts, this informative and inspiring book offers compelling examples of the analyst at work and illustrates how analysts can develop and sustain a lively psychoanalytic engagement and an enduring capacity to help patients begin, deepen and end analysis."

- Howard B. Levine, MD, Editor-in-Chief, The Routledge W. R. Bion Studies Series

Table of Contents

Introduction: Why Practice Psychoanalysis? Part I: Finding Ourselves as Analysts 01. The Analyst’s Reluctance to Begin a New Analysis 02. Analysis Begins in the Analyst’s Mind: Conceptual and Technical Considerations on Recommending Analysis 03. Finding Control Cases and Maintaining Immersion: Turning Challenges into Opportunities Part II: Developing the Capacity to Deepen an Analysis 04. Continuing and Deepening an Analysis 05. Teleanalysis: Slippery slope or Rich Opportunity? Part III: Sustaining the Capacity to Listen and Intervene Analytically 06. Maintaining an Analytic Mind and the Confidence and Desire to Practice Psychoanalysis 07. It Takes Three to Know One: On Receiving and Providing Consultation Epilogue: Looking Inward and Forward

Subject Categories

BISAC Subject Codes/Headings:
PSYCHOLOGY / Clinical Psychology
PSYCHOLOGY / Movements / Psychoanalysis
PSYCHOLOGY / Mental Health