This book consists thematically of three broad sections: a lengthy introduction in which Grünbaum critically assesses the hermeneutic construal of psychoanalysis, as represented in the work of Habermas, G. S. Klein, and Ricoeur; a critical examination of Popper's assessment of both psychoanalysis and inductivism; and a logical analysis of core psychoanalytic ideas that constitute the foundation for much of psychoanalytic theory. This last section is, in my view, the heart of the book and therefore, it is that section on which (...) I will focus in this review. (shrink)

Let me begin by summarizing my understanding of some of Hersch’s main points. He proposes 1) that “the use of existential themes and concepts” and “an existential ontology provides a more suitable philosophical grounding for psychotherapeutic theories and practices”; and 2) that “an existential version of the mental status examination… can provide us with a more in-depth understanding of…an individual’s experiential world”. According to Hersch, an existential perspective directs our attention to the existential guilt and anxiety “present inherently in the (...) human situation”. The former, “existential guilt,” “is a kind of.. (shrink)

Morris N. Eagle explores the understanding and role of subjective experience in the disciplines of psychology, psychoanalysis, and philosophy of mind. Elaborating how different understandings of subjective experience give rise to very different theories of the nature of the mind, Eagle then explains how these shape clinical practices. In particular, Eagle addresses the strong tendency in the disciplines concerned with the nature of the mind to overlook the centrality of subjective experience in one's life, to view it with suspicion, and (...) to reduce it to neural processes. Describing examples of research in which subjective experience is a central variable, Eagle provides an outline of a model in which the dichotomy of conscious and unconscious is supplemented by subjective experience as a continuum. This book is essential reading for psychoanalysts, psychoanalytic psychotherapists, psychologists and anyone wishing to gain a deeper understanding of the importance of theories of the mind to therapeutic practice. (shrink)

In _Psychoanalytic Therapy as Health Care_, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care. Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II (...) looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients. Collectively, the contributors to _Psychoanalytic Therapy as Health Care_ convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the "worried well." Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health care delivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care. (shrink)