The Concept of Analytic Contact : The Kleinian Approach to Reaching the Hard to Reach Patient book cover
1st Edition

The Concept of Analytic Contact
The Kleinian Approach to Reaching the Hard to Reach Patient

ISBN 9780415422925
Published August 22, 2007 by Routledge
264 Pages

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Book Description

The Concept of Analytic Contact presents practitioners with new ways to assist the often severely disturbed patients that come to see them in both private and institutional settings. In this book Robert Waska outlines the use of psychoanalysis as a method of engagement that can be utilised with or without the addition of multiple weekly visits and the analytic couch.

The chapters in this book follow a wide spectrum of cases and clinical situations where hard to reach patients are provided with the best opportunity for health and healing through the establishment of analytic contact. Divided into four parts, this book covers:

  • the concept of analytic contact
  • caution and reluctance concerning psychological engagement
  • drugs, mutilation, and psychic fragmentation
  • clinical reality, psychoanalysis and the utility of analytic contact.

Analytic contact is demonstrated to be a valuable clinical approach to working analytically with a complicated group of patients in a successful manner. It will be of great interest to all practitioners in the field of psychoanalysis and psychotherapy.

Table of Contents

The Concept of Analytic Contact. Defining Psychoanalytic Treatment. Clinical Reality and the Concept of Analytic Contact. The Kleinian Interpretation: Bringing Theory into a Clinical Stance. Projective Identification, Everyday Life, and the Analytic Situation. Caution and Reluctance Concerning Psychological Engagement. Reality, Phantasy, and the Fragile of Analytic Contact. The Analyst as Translator: Speaking the Unspoken. The Patient’s Desire to be Parented Void of Growth or Change. Drugs, Mutilation, and Psychic Fragmentation: Is Analytic Contact Still Possible? Addictions. Psychic Mutilation and the Struggle for Integration. Fragmented Attachments. Clinical Reality, Psychoanalysis, and the Utility of Analytic Contact. Loss. Looking at Films for Perspective on Structural Change. Psychoanalysis or Psychotherapy: Shifting the Debate to a Clinical Focus. Summary. Bibliography.

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Robert Waska MFT, PhD has worked in the field of psychology for the last twenty-five years. He has published over fifty articles and reviews in various psychoanalytic journals, many of which have appeared in his five published books. Dr. Waska was certified as both a psychoanalyst and a psychoanalytic psychotherapist from the Institute of Psychoanalytic Studies and he currently maintains a full-time psychoanalytic practice in San Francisco and Marin County.


"Robert Waska is a new and promising American voice in the literature on Kleinian theory and practice and also on the psychoanalytic treatment of the difficult patient. Utmostly he encourages us to "think analytically" while treating any patient no matter how infrequently we see them or how ill they may be. This work also presents us with a studious review and amplification of Kleinian theory and technique." – James Grotstein, Training and Supervising Analyst Los Angeles Psychoanalytic Society, USA