Clients often seek therapists’ input for dealing with ethical dilemmas in their lives, but there is little guidance for therapists in how to do this. The Ethical Lives of Clients: Transcending Self-Interest in Psychotherapy (APA, 2021) shows therapists how to serve as ethical consultants who help clients balance their personal needs with their sense of responsibility to others.

Dr. Bill Doherty blends decades of clinical experience with personal and philosophical insights to frame the skills and knowledge therapists need to act as ethical guides while respecting client autonomy. He calls for a shift from psychotherapy’s individualistic focus towards a more relational one that includes ethical connections to others.

Doherty presents the LEAP‑C model, a framework for ethical consulting that utilizes the traditional therapeutic skills of listening, exploring, affirming, and offering perspective, while also challenging clients to recognize ethical issues they don't perceive.

Using detailed case examples, Doherty provides a roadmap for addressing common client dilemmas, such as keeping and ending commitments, having affairs, lying, and deceiving, and causing psychological or physical harm to others. He also provides guidelines for citizen therapists to lend their expertise to help solve larger societal concerns, such as political polarization and police–community relations.

messina.com/">Karyne Messina is a licensed psychologist and psychoanalyst at the Washington Baltimore Center for Psychoanalysis and am on the medical staff of Suburban Hospital in Bethesda, Maryland. She is the author of Resurgence of Populism: A Psychoanalytic Study of Projective Identification, Blame Shifting and the Corruption of Democracy (Routledge, 2022).

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If you have ever gotten excited over buying a new object only to feel let down once you acquire it, then today’s discussion will be relevant to you. My guest is Todd McGowan, author of the book Capitalism and Desire: The Psychic Cost of Free Markets (2016, Columbia University Press). We discuss his critique of capitalism as a system that encourages us to forever chase satisfactions that never come. And we explore his suggestion that true satisfaction lies in the wanting, not the acquiring. It’s a fascinating conversation that will radically change the way you approach everyday consumption and how you think about your own satisfaction.

Todd McGowan is professor of film studies at the University of Vermont. He is the author of several other books, including Enjoying What We Don’t Have: The Political Project of Psychoanalysis (2013, University of Nebraska Press), Only a Joke Can Save Us: A Theory of Comedy (2017, Northwestern University Press), and Universality and Identity Politics (2020, Columbia University Press). He is also co-host, along with Ryan Engley, of the podcast Why Theory.

Eugenio Duarte, Ph.D. is a psychoanalyst and clinical psychologist practicing in Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image problems, and relationship issues. He is a graduate and faculty of William Alanson White Institute in Psychiatry, Psychoanalysis, and Psychology in New York City and former chair of their LGBTQ Study Group; and faculty at Florida Psychoanalytic Institute in Miami. He is a contributing author to the books Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge) and Patriarchy and its Discontents: Psychoanalytic Perspectives (2023, Routledge) and has published on issues of gender, sexuality, and sexual abuse.

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Psychoanalytic encounters are filled with the unknowability of two unconscious minds meeting. Here one may forge a link that enables the process of meaning-making, or else it can become the space for destruction, perversion, evacuation, regression, and stasis. The area that lies between the mind of the analyst and that of the analysand is thus the liminal area of psychoanalysis - of growth, change, turbulence, as well as that of impasse, bastion, and failure. This latter could be what Bion meant by minus links. It seems that the primitive part of the mind is always looking for ways to evade psychic pain and emotional truth is always in peril. Analytic links are always fraught with danger. Minus links share with each other the quality of evading truth and therefore inhibiting emotional growth and the capacity to give meaning to experiences. Blind spots may be enabled by analytic allegiance to our particular schools, our inability to forge a technique in the face of the protomental apparatus which can breed arrogance, the complacencies of language, gaps between our theoretical allegiance and our technique, and, finally, all too often, our unwillingness and inability to get in touch with our true experience. Would it help to chronicle our quotidian failures? 

In these liminal moments, the links between analyst and analysand slide away from the emotional truth, rather than towards it. In Plato's Ghost: Liminality and Psychoanalysis (Phoenix Publishing House, 2021), Nilofer Kaul presents these moments and explores the complex reasons behind them in a stunning debut work that questions the heart of analytic practice.

Ashis Roy is a psychoanalyst practicing in Delhi.

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On this episode, J.J. Mull speaks with Richard Billow and Tzachi Slonim about Richard M. Billow’s Selected Papers on Psychoanalysis and Group Process: Changing Our Minds (Routledge, 2021). This volume presents Billow’s unique contributions to the theory and technique of psychoanalytic group therapy, along with introductions and explications by Slonim, the volume’s editor. Weaving together various theoretical traditions and thinkers (Bion, Laplanche, the relational school, etc.), Billow extends and complicates what we ordinarily think of as constituting the “relational” in psychodynamic group work. In addition to these theoretical contributions, what remains most alive in the book is its fidelity to clinical experience. Throughout the book, vivid clinical vignettes give us a window into the dynamic, unfolding process of a clinician at work.

J.J. Mull is a poet, training clinician, and fellow in the Program for Psychotherapy at Cambridge Health Alliance. Originally from the west coast, he currently lives and bikes in Somerville, MA. He can be reached at: jay.c.mull@gmail.com">jay.c.mull@gmail.com.

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Traditionally, trauma has been defined as negatively impacting external events, with resulting damage. This book puts forth an entirely different thesis: trauma is universal, occurring under even the best of circumstances and unavoidably sculpting the very building blocks of character structure.

In Traumatic Experiences of Normal Development: An Intersubjective, Object Relations Listening Perspective on Self, Attachment, Trauma, and Reality (Routledge, 2020), Dr. Carl Shubs depathologizes the experience of trauma by presenting a listening perspective which helps recognize the presence and effects of traumatic experiences of normal development (TEND) by using a reconstruction of object relations theory. This outlook redefines trauma as the breach in intrapsychic organization of Self, Affect, and Other (SAO), the three components of object relations units, which combine to form intricate and changeable constellations that are no less than the total experience of living in any given moment. Bridging the gap between the trauma and analytic communities, as well as integrating intrapsychic and relational frameworks, the SAO/ TEND perspective provides a trauma-based band of attunement for attending to all relational encounters including those occurring in therapy.

Though targeted to mental health professionals, this book will help enable therapists and sophisticated lay readers alike to recognize the impact of relational encounters, providing new tools to understand the traumas we have experienced and to minimize the hold they have on us.

messina.com/">Karyne Messina is a licensed psychologist and psychoanalyst at the Washington Baltimore Center for Psychoanalysis and am on the medical staff of Suburban Hospital in Bethesda, Maryland. She is the author of Resurgence of Populism: A Psychoanalytic Study of Projective Identification, Blame Shifting and the Corruption of Democracy (Routledge, 2022).

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Resurgence of Global Populism: A Psychoanalytic Study of Projective Identification, Blame-Shifting and the Corruption of Democracy (Routledge, 2022) provides a psychoanalytic perspective to the global implications of the populist movement in the U.S. and its relationship to other parts of the world, particularly focusing on the presidency and legacy of Donald Trump.

The book explores Trump's use of psychological form of manipulation known as projective identification and how his use of this defense mechanism has influenced global institutions, political discourse, and quality of life in the long term. Messina explores the correlation between Trump's rhetoric and an increase in reported racism and prejudiced violence worldwide, disintegration of global values, and a radicalized political climate. She analyzes the dynamics between Trump and his supporters, political opponents, and successors, considers the COVID-19 pandemic as a study of Trump's views of the world, and considers the roles of social and television media. The book concludes with an explanation of antidotes to projective identification, including thoughtful debate and meaningful discussions and scripted dialogues for global healing.

This insightful book will be of interest to psychoanalysts and psychotherapists, academics and students of political psychology and political movements, and readers interested in a deeper analysis of populism and political dynamics.

Ashis Roy is a psychoanalyst practicing in Delhi.

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In Exigent Psychoanalysis: The Interventions of Jean Laplanche (Routledge, 2021), Dr. Gila Ashtor “strives to draw out the discipline’s conceptual underpinnings by putting them in conversation with Laplanche’s comprehensive innovations.” Ashtor engages with “the broadest and most fundamental concerns of psychoanalysis.” What is the nature of psychoanalytic theory? What is the unconscious? What causes mental suffering? Why does psychic life develop?

Acknowledging that while contemporary practitioners may work “flexibly across a range of different schools” they leave fundamental theories of mind “intact”. “What are we clinging to?” Ashtor asks. “The grammar of our discourse is filled with constructions we do not believe anymore yet we cannot bring ourselves to use a language other than the one Freud taught us”.

Laplanche believes we lost sight of the “true revolution” which is that “we revolve around others.” “There’s so much appreciation in Laplanche of the actual other person” Ashtor told me. “The core of Laplanche’s boldness is that when Freud abandons the seduction theory what he really abandoned is that we are impacted by other people. The impact is mediated by fantasy but there are other people there. Laplanche wants both fantasy and real otherness.”

Where has sexuality gone? Our default is to believe that our desires are endogenous. They are not. “The fact that the innocent infant encounters the sexual adult is the reason that the infant grows into an adult with an unconscious. It’s very productive this encounter. This is what’s going to give a child an unconscious.” For Ashtor, contemporary theory needs something that appreciates “the centrality of sexuality and drive even if how we think of drives needs to be reformulated.” We also need to appreciate the “concrete reality of attachment. There needs to be some way that we bring these two together.”

In this interview Dr. Ashtor and I discuss the following questions: What are the needs of the present moment and why is Laplanche suited to meet them? How does Laplanche put psychoanalysis to work to create new foundations for psychoanalysis? How does enlarged sexuality demand a totalizing reversal in how we understand the basic navigation of mental life? What are the differences between Laplanche’s Enlarged Sexuality with seduction and translation and Ferenczi’s Confusion of Tongues with passion and tenderness? What is Laplanche’s notion of how sexuality develops in relation to self-preservation? What is the central claim of affect? Are we implicating mothers again? What is meant by interpretation is on the side of repression, rather than that of the repressed? How does traditional metapsychology falter precisely at the place where a true recognition of others is required?

Ashtor finishes the interview with this observation, “Psychoanalysis is missing a coherent theory of affect. This is one of the biggest problems in psychoanalysis” and leaves us with a question “What would it mean to accept a comprehensive affect theory as a viable replacement of Freud’s dual instinct theory as the primary factor in psychological organization?”

Christopher Russell, LP is a psychoanalyst in Chelsea, Manhattan. He is a member of the faculty and supervising analyst at The Center for Modern Psychoanalytic Studies and The New York Graduate School of Psychoanalysis. Christopher is a board member with Restaurant After Hours a 501C3 charitable organization committed to mental health advocacy, resources, and support for the hospitality industry.

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Vincenzo Bonaminio, the Italian psychoanalyst and ambassador to the Winnicottian tradition offers us a clinical feast in his new publication, Playing at Work: Clinical Essays in a Contemporary Winnicottian Perspective on Technique (Routledge, 2022).

At a moment when, as he argues, much writing in the field is driven by theory and theorizing, this book offers a veritable cornucopia of clinical description. Bonaminio shares his errors and his “almost but not quite” moments with patients. As such, he depicts the psychoanalytic quotidian—the bread and butter, the unexceptional, and the boring that make up most of the clinician’s day—and does so with humor and intelligence.

He also shares with us the impact Winnicott has on his thinking in the consulting room and that impact is nothing less than total, from hill to vale. It is interesting to witness what immersion in a way of clinical thinking looks like clinically, and it is hard to discern where DWW begins and Bonaminio ends. It seems he has integrated the entirety of the oeuvre—and not just his more popular ideas like the transitional object, the good enough mother, or hate in the countertransference—yet his own idiom shines through. And in this interview—conducted a bit in Italian and mostly in English—he shows us his way of being with patients as he tells us stories about the people who frequent his office.

He challenges us to rethink the notion of confidentiality as well. When you read his cases you can sense that he is not altering identifying details about his patients and so there is a believability at the heart of what he is sharing. Bonaminio takes responsibility for doing as such and shoulders the risk for his rendering of a case, seeing it as reflecting something about himself as an analytic worker. His concern about the paucity of clinical material being presented in the field made me wonder about the impact that functioning in a litigious society, which embraces privacy like a patient embraces his symptom, is having on our thinking, our work, and what we feel free to share with each other?

Tracy Morgan is the founding editor of New Books in Psychoanalysis and a psychoanalyst in private practice in NYC and Rome where she sees individuals, couples and groups. She is also a member of the faculty at the Center for Modern Psychoanalytic Studies in NYC.

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At thirteen, Ed Cohen was diagnosed with Crohn’s disease—a chronic, incurable condition that nearly killed him in his early twenties. At his diagnosis, his doctors told him that the best he could hope for would be periods of remission. Unfortunately, doctors never mentioned healing as a possibility. 

In On Learning to Heal or, What Medicine Doesn't Know (Duke UP, 2022), Cohen draws on fifty years of living with Crohn’s to consider how Western medicine’s turn from an “art of healing” toward a “science of medicine” deeply affects both medical practitioners and their patients. He demonstrates that although medicine can now offer many seemingly miraculous therapies, medicine is not and has never been the only way to enhance healing. Exploring his own path to healing, he argues that learning to heal requires us to desire and value healing as a vital possibility. With this book, Cohen advocates reviving healing’s role for all those whose lives are touched by illness.

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Annie Reiner’s introduction to Wilfred Bion’s theories of mind presents Bion’s intricate ideas in an accessible, original way without compromising their complexity.

Reiner uses comparisons to painting, literature and philosophy, and detailed clinical examples, to provide an experience of Bion’s work that can be felt as well as thought. The book explores many of Bion’s theoretical and clinical innovations, and examines the controversy surrounding his concept of O. Reiner provides evidence of a continuity between Bion’s early ideas and his later, more esoteric work.

W. R. Bion’s Theories of Mind: A Contemporary Introduction (Routledge, 2022) will be essential reading for psychoanalysts and psychoanalytic candidates, as well as students of psychoanalytic and psychological history, and anyone looking for a readable introduction to Bion’s work.

Philip Lance, Ph.D. is a psychoanalyst in private practice in Los Angeles. He can be reached at PhilipJLance@gmail.com.

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