We are pleased to present the second volume of our study on Psychoana lytic Practice, which we entitle Clinical Studies. Together, the two volumes fulfill the functions usually expected of a textbook on theory and tech nique. In fact, some reviewers have asked why such a title was not cho sen. One of the reasons for our narrower choice was that our primary concern is focused on those aspects of psychoanalytic theory that are relevant to treatment. The first volume, entitled Principles, has evoked much interest within and outside the professional community, creating high expectations to ward its clinical counterpart. After all, psychoanalytic principles must demonstrate their value and efficacy in treatment, i. e., in achieving changes in symptoms and their underlying structures. This is apparent in the clinical studies contained in this book, and in the process of compil ing them the senior author has had the opportunity to take stock of his long professional career.

Autorentext
Horst Kächele, Prof. Dr. med., ist Ärztlicher Direktor der Universitätsklinik Psychosomatische Medizin und Psychotherapie Ulm sowie Psychoanalytiker. Arbeitsfelder: Psychoanalytische Verlaufs- und Ergebnisforschung

Klappentext

Through the discussion of numerous case studies, this second volume Psychoanalytic Practice illustrates the application of the principles presented in volume 1. The parallel arrangement of topics in both volumes facilitates cross-reference between the more clinical and the more theoretical discussions of the psychoanalytic situation and specific technical problems. The many faces of psychoanalysis are described here with reference to typical examples. These descriptions of succinct transference, countertransference, and resistance processes stem from the analyses of 37 patients who suffered from a wide variety of psychic and psychosomatic illnesses. The authors present case histories and treatment reports from a period spanning three decades, enabling them in many cases to examine the long-term effectiveness of psychoanalytic therapy. The case studies are based on traditional protocols and summaries of treatment and on transcripts of dialogues. This willingness of the analysts to report openly on their own therapeutic action is unusual. Patients' comments also constitute an important aspect of the discussion on the outcome of therapy. The clinical discussion together with the extensive indexes and reference list make this volume a work in its own right and the two-volume set an honest account of psychoanalytic work.

Inhalt
1 Case Histories and Treatment Reports.- 1.1 Back to Freud and the Path to the Future.- 1.2 Case Histories.- 1.3 Treatment Reports.- 1.4 Approximating the Dialogue: Tape Recordings and Transcriptions.- 2 Transference and Relationship.- 2.1 Therapeutic Alliance and Transference Neurosis.- 2.2 Positive and Negative Transference.- 2.3 Significance of the Life History.- 2.4 Transference and Identification.- 3 Countertransference.- 3.1 Concordant Countertransference.- 3.2 Complementary Countertransference.- 3.3 Retrospective Attribution and Fantasizing.- 3.4 Making the Patient Aware of Countertransference.- 3.5 Irony.- 3.6 Narcissistic Mirroring and Selfobject.- 3.7 Projective Identification.- 4 Resistance.- 4.1 Disavowal of Affects.- 4.2 Pseudoautonomy.- 4.3 Unpleasure As Id Resistance.- 4.4 Stagnation and the Decision to Change Analysts.- 4.5 Closeness and Homosexuality.- 4.6 Resistance and the Security Principle.- 5 Interpretation of Dreams.- 5.1 Self-Representation in Dreams.- 5.2 A Dream Sequence.- 5.3 Dream About the Symptom.- 5.4 Thoughts About Psychogenesis.- 6 From the Initial Interview to Therapy.- 6.1 An Initial Interview.- 6.2 Specific Problems.- 6.3 The Patient's Family.- 6.4 Third-Party Payment.- 6.5 Reviewing and Transference.- 7 Rules.- 7.1 Dialogue.- 7.2 Free Association.- 7.3 Evenly Suspended Attention.- 7.4 Questions and Answers.- 7.5 Metaphors.- 7.6 Value Freedom and Neutrality.- 7.7 Anonymity and Naturalness.- 7.8 Audio Tape Recordings.- 8 Means, Ways, and Goals.- 8.1 Time and Place.- 8.2 Life, Illness, and Time: Reconstructing Three Histories.- 8.3 Interpretations.- 8.4 Acting Out.- 8.5 Working Through.- 8.6 Interruptions.- 9 The Psychoanalytic Process: Treatment and Results.- 9.1 Anxiety and Neurosis.- 9.2 Anxiety Hysteria.- 9.3 Anxiety Neurosis.-9.4 Depression.- 9.5 Anorexia Nervosa.- 9.6 Neurodermatitis.- 9.7 Nonspecificity.- 9.8 Regression.- 9.9 Alexithymia.- 9.10 The Body and the Psychoanalytic Method.- 9.11 Results.- 10 Special Topics.- 10.1 Consultation.- 10.2 Theoretical Remarks About a Good Hour.- 10.3 Religiosity.- References.- Name Index.