Kirjahaku

In First Principles, Alessandra Lemma examines the centrality of applied ethics to psychoanalytic practice, The book focuses on the articulation of an accessible framework for developing and exercising an identifiable method - an ethical self-discipline - to support critical reflection on therapists' psychoanalytic work with patients and to help them to approach the resolution of ethical dilemmas. Integrating key concepts from the field of applied ethics, and bioethics specifically, Lemma re-interprets them for use within a psychoanalytic framework, articulating how we can understand psychoanalytically the concepts of beneficence, non-maleficence, autonomy, justice, and veracity and deploy these to guide clinical work. Using clinical examples, the book outlines a working model for how therapists can reflect on their practice, as well as devoting a chapter on how to teach ethics within psychoanalytic psychotherapy trainings and outlining a detailed curriculum for teaching ethics. This book is essential reading for psychoanalytic practitioners as well as clinical psychologists, psychiatrists, psychotherapists, counsellors, and psychoanalysts who work in the psychoanalytic tradition.

This important new book by Alessandra Lemma provides a succinct overview of psychoanalytic understandings, approaches and controversies around transgender identifications.Illustrated with case vignettes, Lemma provides an up-to-date synthesis of current research and a critical overview of psychoanalytic approaches to transgender identities, distilling some of the contemporary controversies about how to approach the topic in the consulting room. Lemma also outlines a psychoanalytically informed ethical framework to support clinicians working with individuals who request medical transitioning and distils the ethical challenges faced by clinicians in light of the current emphasis on gender affirmative care.Part of the Routledge Introductions to Contemporary Psychoanalysis series, this book is of great importance for psychoanalysts in practice, academics and all those with an interest in transgender identities and mental health.

This important new book by Alessandra Lemma provides a succinct overview of psychoanalytic understandings, approaches and controversies around transgender identifications.Illustrated with case vignettes, Lemma provides an up-to-date synthesis of current research and a critical overview of psychoanalytic approaches to transgender identities, distilling some of the contemporary controversies about how to approach the topic in the consulting room. Lemma also outlines a psychoanalytically informed ethical framework to support clinicians working with individuals who request medical transitioning and distils the ethical challenges faced by clinicians in light of the current emphasis on gender affirmative care.Part of the Routledge Introductions to Contemporary Psychoanalysis series, this book is of great importance for psychoanalysts in practice, academics and all those with an interest in transgender identities and mental health.

Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis!Under the Skin considers the motivation behind why people pierce, tattoo, cosmetically enhance, or otherwise modify their body, from a psychoanalytic perspective. It discusses how the therapist can understand and help individuals for whom the manipulation of the body is felt to be psychically necessary, regardless of whether the process of modification causes pain.In this book, psychoanalyst Alessandra Lemma draws on her work in the consulting room, as well as films, fiction, art and clinical research to suggest that the motivation for extensively modifying the surface of the body, and being excessively preoccupied with its appearance, comes from the person’s internal world – under their skin. Topics covered include: body image disturbanceappearance anxietybody dysmorphic disorderthe psychological function of cosmetic surgery, tattooing, piercing, and scarification.Under the Skin provides a detailed study of the challenges posed by our embodied nature through an exploration of the unconscious phantasies that underlie the need for body modification, making it essential reading for all clinicians working with those who are preoccupied with their appearance and modify their bodies including psychotherapists, counsellors, psychiatrists and psychologists.

Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis!Under the Skin considers the motivation behind why people pierce, tattoo, cosmetically enhance, or otherwise modify their body, from a psychoanalytic perspective. It discusses how the therapist can understand and help individuals for whom the manipulation of the body is felt to be psychically necessary, regardless of whether the process of modification causes pain.In this book, psychoanalyst Alessandra Lemma draws on her work in the consulting room, as well as films, fiction, art and clinical research to suggest that the motivation for extensively modifying the surface of the body, and being excessively preoccupied with its appearance, comes from the person’s internal world – under their skin. Topics covered include: body image disturbanceappearance anxietybody dysmorphic disorderthe psychological function of cosmetic surgery, tattooing, piercing, and scarification.Under the Skin provides a detailed study of the challenges posed by our embodied nature through an exploration of the unconscious phantasies that underlie the need for body modification, making it essential reading for all clinicians working with those who are preoccupied with their appearance and modify their bodies including psychotherapists, counsellors, psychiatrists and psychologists.

Minding the Body: The Body in Psychoanalysis and Beyond outlines the value of a psychoanalytic approach to understanding the body and its vicissitudes and for addressing these in the context of psychoanalytic psychotherapy and psychoanalysis. The chapters cover a broad but esoteric range of subjects that are not often discussed within psychoanalysis such as the function of breast augmentation surgery, the psychic origins of hair, the use made of the analyst’s toilet, transsexuality and the connection between dermatological conditions and necrophilic fantasies. The book also reaches ‘beyond the couch’ to consider the nature of reality television makeover show.The book is based on the Alessandra Lemma’s extensive clinical experience as a psychoanalyst and psychologist working in a range of public and private health care settings with patients for whom the body is the primary presenting problem or who have made unconscious use of the body to communicate their psychic pain. Minding the Body draws on detailed clinical examples that vividly illustrate how the author approaches these clinical presentations in the consulting room and, as such, provides insights to the practicing clinician that will support their attempts at formulating patients’ difficulties psychoanalytically and for how to helps such patients. It will be essential reading for psychoanalysts, psychologists, psychiatrists, mental health workers, academics and literary readers interested in the body, sexuality and gender.

Minding the Body: The Body in Psychoanalysis and Beyond outlines the value of a psychoanalytic approach to understanding the body and its vicissitudes and for addressing these in the context of psychoanalytic psychotherapy and psychoanalysis. The chapters cover a broad but esoteric range of subjects that are not often discussed within psychoanalysis such as the function of breast augmentation surgery, the psychic origins of hair, the use made of the analyst’s toilet, transsexuality and the connection between dermatological conditions and necrophilic fantasies. The book also reaches ‘beyond the couch’ to consider the nature of reality television makeover show.The book is based on the Alessandra Lemma’s extensive clinical experience as a psychoanalyst and psychologist working in a range of public and private health care settings with patients for whom the body is the primary presenting problem or who have made unconscious use of the body to communicate their psychic pain. Minding the Body draws on detailed clinical examples that vividly illustrate how the author approaches these clinical presentations in the consulting room and, as such, provides insights to the practicing clinician that will support their attempts at formulating patients’ difficulties psychoanalytically and for how to helps such patients. It will be essential reading for psychoanalysts, psychologists, psychiatrists, mental health workers, academics and literary readers interested in the body, sexuality and gender.

The Digital Age is on the couch. Working today, it is essential that clinicians understand the world we live in. The transition from an industrial economy to an information economy impacts not just the external structure of society and commerce, but also the internal psychic economies of our brains and, inevitably, how clinicians conceptualise the analytic setting in which they practice as therapists and analysts.The Digital Age on the Couch seeks to understand more about how new technologies interact with the prerogatives of an individual’s internal world, how they may alter psychic structure itself in fundamental ways and the implications this may have for the individual’s functioning and for the operation of society. This book attempts, from the perspective of a working clinician, to make some sense of this. The impact of mediation via technology and the consequent disintermediation of the body represent central themes throughout, as they impact on the experience of embodiment, on the ‘work of desire’ and on the way new media influences psychoanalytic practice.New media offer opportunities for increasing accessibility to mental health care, including psychoanalytic interventions. However, this requires a sophisticated understanding of how to best create and safeguard the analytic setting. Alessandra Lemma here guides the clinician through an exploration of the limitations and risks of mediated psychotherapy, illustrated with clinical examples throughout. The Digital Age on the Couch offers an accessibly written guide to combining existing psychoanalytic theory and practice with the challenges presented by digital media. It will appeal to psychoanalysts, psychoanalytic psychotherapists and counsellors.

The Digital Age is on the couch. Working today, it is essential that clinicians understand the world we live in. The transition from an industrial economy to an information economy impacts not just the external structure of society and commerce, but also the internal psychic economies of our brains and, inevitably, how clinicians conceptualise the analytic setting in which they practice as therapists and analysts.The Digital Age on the Couch seeks to understand more about how new technologies interact with the prerogatives of an individual’s internal world, how they may alter psychic structure itself in fundamental ways and the implications this may have for the individual’s functioning and for the operation of society. This book attempts, from the perspective of a working clinician, to make some sense of this. The impact of mediation via technology and the consequent disintermediation of the body represent central themes throughout, as they impact on the experience of embodiment, on the ‘work of desire’ and on the way new media influences psychoanalytic practice.New media offer opportunities for increasing accessibility to mental health care, including psychoanalytic interventions. However, this requires a sophisticated understanding of how to best create and safeguard the analytic setting. Alessandra Lemma here guides the clinician through an exploration of the limitations and risks of mediated psychotherapy, illustrated with clinical examples throughout. The Digital Age on the Couch offers an accessibly written guide to combining existing psychoanalytic theory and practice with the challenges presented by digital media. It will appeal to psychoanalysts, psychoanalytic psychotherapists and counsellors.

I was most impressed by the author's thoroughness in writing this book. She seems to leave no stone uncovered... [this is] a work which should become a necessity for all counsellors, counselling psychologists, psychiatric nurses and psychotherapists... This is a book to which I will make reference time and time again, and one which will occupy a prominent place in my library' - Counselling, The Journal of the British Association for Counselling `An invaluable handbook for students of psychotherapy and a good reference for established therapists... I recommend that all therapists have a copy of this book on their shelf' - Psychology, Health & Medicine Assessment and referral skills are essential for counsellors and psychotherapists. Practitioners need to have an understanding of the clinical manifestations of severe emotional distress. They must, for example, be able to recognize when clients are a suicide risk or when they are suffering from a psychotic episode. This lively textbook provides a clear overview of the issues involved in our understanding of psychopathology and offers guidelines on appropriate interventions. Alessandra Lemma explores a range of key topics, covering how psychiatric diagnoses and classifications are arrived at, and the issues that can arise when working in conjunction with other mental health practitioners, such as psychiatrists. She addresses the needs of practitioners in relation to some of the more common forms of mental distress - depression, anxiety and eating problems - as well as some of the more controversial diagnoses, such as schizophrenia and `borderline personality disorder'. The book concludes with a discussion of alternatives to mainstream approaches, including those which seek to deconstruct the concept of psychopathology. Introduction to Psychopathology offers a framework for assessing clients which incorporates a broad range of models and approaches, and which takes into account psychological, social and biological factors. It will be an invaluable resource for students of counselling, counselling psychology, psychotherapy and clinical psychology.

Psychotechnical Becomings draws on contemporary philosophy and media theory to offer a groundbreaking reimagining of psychoanalysis for the digital age, showing how technology shapes human subjectivity across all ages. Introducing innovative concepts such as technoplasticity, psychotechnical becoming, algorithmically mediated projective identification, digital armouring, and the digital superego, the book investigates how algorithmic architectures infiltrate unconscious processes. Through vivid clinical cases and interdisciplinary theory, the book demonstrates how psychoanalytic techniques can restore depth to a flattened psychic field, tracing how identity is shaped by algorithms, desire circulates within feedback loops, and mourning unfolds in a world where absence can be endlessly deferred. The book also addresses the ethical complexities of online therapy, asking how presence and truth can be sustained in digitally configured encounters. Readers will gain a deeper understanding of how technology amplifies both defensive mechanisms and creative adaptations, requiring clinicians to engage with patients whose psychic lives are deeply entwined with digital environments. Drawing on Lemma's extensive clinical experience, this book is key reading for psychoanalysts, psychotherapists and anyone wating to understand how technology has shaped our psychic life and identity.

Psychotechnical Becomings draws on contemporary philosophy and media theory to offer a groundbreaking reimagining of psychoanalysis for the digital age, showing how technology shapes human subjectivity across all ages. Introducing innovative concepts such as technoplasticity, psychotechnical becoming, algorithmically mediated projective identification, digital armouring, and the digital superego, the book investigates how algorithmic architectures infiltrate unconscious processes. Through vivid clinical cases and interdisciplinary theory, the book demonstrates how psychoanalytic techniques can restore depth to a flattened psychic field, tracing how identity is shaped by algorithms, desire circulates within feedback loops, and mourning unfolds in a world where absence can be endlessly deferred. The book also addresses the ethical complexities of online therapy, asking how presence and truth can be sustained in digitally configured encounters. Readers will gain a deeper understanding of how technology amplifies both defensive mechanisms and creative adaptations, requiring clinicians to engage with patients whose psychic lives are deeply entwined with digital environments. Drawing on Lemma's extensive clinical experience, this book is key reading for psychoanalysts, psychotherapists and anyone wating to understand how technology has shaped our psychic life and identity.

The 2nd Edition of Introduction to the Practice of Psychoanalytic Psychotherapy, the highly successful practice-oriented handbook designed to demystify psychoanalytic psychotherapy, is updated and revised to reflect the latest developments in the field. Updated edition of an extremely successful textbook in its field, featuring numerous updates to reflect the latest research and evidence baseDemystifies the processes underpinning psychoanalytic psychotherapy, particularly the development of the analytic attitude guided by principles of clinical techniqueProvides step-by-step guidance in key areas such as how to conduct assessments, how to formulate cases in psychodynamic terms and how to approach endingsThe author is a leader in the field – she is General Editor of the New Library of Psychoanalysis book series and a former editor of Psychoanalytic Psychotherapy

The aim of this book is primarily to highlight humour?s communicative, relational and innovative value in everyday life and in the privileged space, carved out of everyday life, that is psychotherapy. Chapter one describes philosophical, social and psychological perspectives on humour. In Chapters two and three humour is presented as a form of playing which originates in the earliest exchanges between mother and baby and which confers significant advantages on our adaption. In Chapter four the relationship between physical and mental health and humour is examined in the light of the research literature from psychology and medicine. Chapter five restricts itself to a discussion of psychoanalytic views on humour in psychotherapy. Finally, chapter six reviews evolutionary perspectives of humour.