Anthony W. Bateman

What is psychoanalysis? Is it relevant to today’s mental health crisis? How can psychoanalysis help people suffering from psychological distress and illness? This vital new book examines how psychoanalysis has changed since its inception, and how it has adapted to the needs and concerns of 21st-century mental health professionals and patients.The first part of this book provides a concise and unbiased account of the origins of psychoanalysis, and the theories which characterise the main post-Freudian schools – neo-Freudian, Kleinian, interpersonal, self-psychological, Lacanian – and the ways in which they agree and diverge. The second part uses clinical illustrations to examine the practicalities of psychoanalytic technique in the consulting room – assessment, free association, dream analysis, transference, and counter-transference. Whatever their allegiance or role, mental health professionals – psychologists, psychiatrists, social workers, child mental health professionals, mental health nurses – need to be conversant with the strengths, relevance, and limitations of the psychoanalytic approach.This book provides an indispensable, up-to-date, and accessible account of psychoanalysis today. Shaped throughout by considering the viewpoint of an interested 21st-century reader, it is of great interest to psychoanalysts and related mental health professionals, as well as students and all those interested in the treatment of mental health.

What is psychoanalysis? Is it relevant to today’s mental health crisis? How can psychoanalysis help people suffering from psychological distress and illness? This vital new book examines how psychoanalysis has changed since its inception, and how it has adapted to the needs and concerns of 21st-century mental health professionals and patients.The first part of this book provides a concise and unbiased account of the origins of psychoanalysis, and the theories which characterise the main post-Freudian schools – neo-Freudian, Kleinian, interpersonal, self-psychological, Lacanian – and the ways in which they agree and diverge. The second part uses clinical illustrations to examine the practicalities of psychoanalytic technique in the consulting room – assessment, free association, dream analysis, transference, and counter-transference. Whatever their allegiance or role, mental health professionals – psychologists, psychiatrists, social workers, child mental health professionals, mental health nurses – need to be conversant with the strengths, relevance, and limitations of the psychoanalytic approach.This book provides an indispensable, up-to-date, and accessible account of psychoanalysis today. Shaped throughout by considering the viewpoint of an interested 21st-century reader, it is of great interest to psychoanalysts and related mental health professionals, as well as students and all those interested in the treatment of mental health.

Over the past two decades considerable progress has been made in developing specialist psychosocial treatments for borderline personality disorder (BPD), yet the majority of people with BPD receive treatment within generalist mental health services, rather than specialist treatment centres. This is a book for general mental health professionals who treat people with borderline personality disorder (BPD). It offers practical guidance on how to help people with BPD with advice based on research evidence. After a discussion of the symptoms of BPD, the authors review all the generalist treatment interventions that have resulted in good outcomes in randomised controlled trials, when compared with specialist treatments, and summarise the effective components of these interventions. The treatment strategies are organised into a structured approach called Structured Clinical Management (SCM), which can be delivered by general mental health professionals without extensive additional training. The heart of the book outlines the principles underpinning SCM and offers a step-by-step guide to the clinical intervention. Practitioners can learn the interventions easily and develop more confidence in treating people with BPD. In addition, a chapter is devoted to how to help families - an issue commonly neglected when treating patients with BPD. Finally the authors discuss the top 10 strategies for delivering treatment and outline how the general mental health clinician can deliver these strategies competently.

Mentalizing, the fundamental human capacity to understand behavior in relation to mental states such as thoughts and feelings, is the basis of healthy relationships and self-awareness. A growing evidence base supports the effectiveness of mentalizing-focused interventions in the treatment of borderline personality disorder. This volume explores wider applications, construing mentalizing as a core common factor in the effectiveness of psychotherapeutic interventions that cuts across treatment modalities and theoretical approaches ranging from psychodynamic to interpersonal and cognitive therapies.This book distills the burgeoning literature on mentalizing for clinicians of diverse professional backgrounds. The book is divided into two parts: Understanding Mentalizing fully explicates the concept of mentalizing and its foundations in developmental research and social-cognitive neuroscience; Practicing Mentalizing presents the general principles of psychotherapeutic interventions that promote mentalizing as well as a range of current clinical applications. Mentalizing is multifaceted - for example, pertaining to self and others as well as explicit and implicit processes - and links to myriad overlapping concepts including empathy, metacognition, theory of mind, mindfulness, and psychological mindedness. Two sides of research on the development of mentalizing in attachment relationships have significant clinical implications: interactions in secure attachment relationships enhance mentalizing and illuminate the conditions of optimal psychotherapeutic relationships; conversely, trauma in attachment relationships undermines the development of mentalizing and eventuates in developmental psychopathology that poses special challenges for psychotherapy. Neuroimaging is illuminating diverse brain regions that contribute to mentalizing capacity, including a ""mentalizing region"" in the medial prefrontal cortex that is consistently activated in mentalizing tasks; concomitantly, research on autism and psychopathy attests to the neurobiological basis of psychopathologies in which stable impairments of mentalizing are most conspicuous. In development and in psychotherapy, mentalizing begets mentalizing, as exemplified by a mentalizing stance that fosters inquisitiveness and curiosity about mental states in oneself and others; basic principles and clinical examples, including the use of transference, demonstrate the spirit and technique of mentalizing, capped off by a patient's first-hand account of mentalization-based treatment for borderline personality disorder. Attachment trauma is the wellspring of disrupted mentalizing capacity, and a focus on mentalizing provides an integrative framework for psychodynamic and cognitive-behavioral treatment of trauma as well as for parenting, family, and social-systems interventions directed toward interrupting the perpetuation of trauma in relationships. Psychoeducational interventions, including patient education and structured exercises, are employed to cultivate a therapeutic alliance around mentalizing; the book includes a straightforward explanation clinicians can use with patients, ""What is Mentalizing and Why Do It?"" In the chapter on mentalizing interventions, the authors propose to clinicians, ""You are already doing it."" If the effectiveness of treatment depends on therapists mentalizing and helping their patients do so more consistently and skillfully, clinicians of all persuasions can benefit from the extensive knowledge now available to hone further their attention to this vital therapeutic process.