The question of how psychoanalysts are affected by their patients is of perennial interest. Edward Glover posed the question in an informal survey in 1940, but little came of his efforts. Now, more than half a century later, Judy Kantrowitz rigorously explores this issue on the basis of a unique research project that obtained data from 399 fully trained analysts. These survey responses included 194 reported clinical examples and 26 extended case commentaries on analyst change. Kantrowitz begins The Patient's Impact on the Analyst by documenting how the process of analysis fosters an interactional process out of which patient and analyst alike experience therapeutic effects. Then, drawing on the clinical examples provided by her survey respondents, she offers a detailed exploration of the ways in which clinically triggered self-reflection represents a continuation of the analyst's own personal understanding and growth. Finally, she incorporates these research findings into theoretical reflections on how analysts obtain and integrate self-knowledge in the course of their ongoing clinical work. This book is a pioneering effort to understand the therapeutic process from the perspective of its impact on the analyst. It provides an enlarged framework of comprehension for recent discussions of self-analysis, countertransference, interaction, and mutuality in the analytic process. Combining a wealth of experiential insight with thoughtful commentary and synthesis, it will sharpen analysts' awareness of how they work and how they are affected by their work.

Forewords by Theodore Jacobs and Donnel Stern The Role of the Patient-Analyst Match in the Process and Outcome of Psychoanalysis is a compilation of Judy Kantrowitz’s previously published papers on the patient-analyst "match" and its effect on the process and outcome of psychoanalysis. The match between patient and analyst places attention on the dynamic effect of interactions of character and conflict of both participants on the process that evolves between them—a spectrum of compatibility and incompatibility that is relevant to the analytic work. Classical psychoanalysis had been viewed as a "one-person" enterprise, with one analyst interchangeable with another. Analysts’ experiences of countertransference reactions were viewed as unresolved conflicts, reasons to return to personal treatment, not inevitable and potentially informative about the current analytic work. This view began to shift in the 1980s, with Judy Kantrowitz’s work contributing to the development of the recognition that psychoanalysis was a "two-person" process. In this collection of her most significant papers, Kantrowitz explores the importance of the match, which refers to observable styles, attitudes and personal characteristics that may be rooted in residual and unanalyzed conflicts, triggered in any patient-analyst pair. Match is neither a predictive nor static concept. Rather it refers to the unfolding transaction that itself that may shift and change during the course of analytic work. Pulling together the history of the shift in theory from the one-person to two-person understanding of the psychoanalytic enterprise, The Role of the Patient-Analyst Match in the Process and Outcome of Psychoanalysis will be of great interest to contemporary psychoanalysts.

Volume 17 of Progress in Self Psychology, The Narcissistic Patient Revisited, begins with the next installment of Strozier's "From the Kohut Archives": first publication of a fragment by Kohut on social class and self-formation and of four letters from his final decade. Taken together, Hazel Ipp's richly textured "Case of Gayle" and the commentaries that it elicits amount to a searching reexamination of narcissistic pathology and the therapeutic process. This illuminating reprise on the clinical phenomenology Kohut associated with "narcissistic personality disorder" accounts for the volume title. The ability of modern self psychology to integrate central concepts from other theories gains expression in Teicholz's proposal for a two-tiered theory of intersubjectivity, in Brownlow's examination of the fear of intimacy, and in Garfield's model for the treatment of psychosis. The social relevance of self psychology comes to the fore in an examination of the experience of adopted children and an inquiry into the roots of mystical experience, both of which concern the ubiquity of the human longing for an idealized parent imago. Among contributions that bring self-psychological ideas to bear on the arts, Frank Lachmann's provocative "Words and Music," which links the history of music to the history of psychoanalytic thought in the quest for universal substrata of psychological experience, deserves special mention. Annette Lachmann's consideration of empathic failure among the characters in Shakespeare's Othello and Silverstein's reflections on Schubert's self-states and selfobject needs in relation to the specific poems set to music in his Lieder round out a collection as richly broad based as the field of self psychology itself.

Coen (training and supervising analyst, Columbia U. Center for Psychoanalytic Training and Research) offers advice to psychoanalysts working with extremely difficult patients. His central premise is that both patients and therapists have difficulty tolerating intense affects (such as loving and hating) and that the clinician needs to "feel with and for his patient, over a prolonged time, what she finds so terrifying" (emphasis in original). Also stressed is the need for clinicians to confront their own fears and doubts about treatment. Annotation copyrighted by Book News, Inc., Portland, OR

An important new study of the clinical conundrum surrounding the publication of patient material. The publication, presentation, and discussion of case studies are essential to the dialogue of psychoanalysis. However, presenting patient material to the public by either disguising the patient's identity or asking for the patient's consent presents a clinical dilemma. In a series of interviews, Judy Leopold Kantrowitz asks 141 analysts not only to describe their thoughts about disguising a patient versus asking a patient's consent to appear in a paper, but also their perceptions of the clinical ramifications of a patient reading the material, whether by accident or design. In first-hand accounts, both analysts-as-patients and patients who are not themselves analysts relate the experience of reading about themselves, and reflect on the impact that reading had on their view of their analysts, themselves, and the analytic work. Ethical concerns about confidentiality and decision making are examined both in theory and in the context of their clinical effect. Throughout the book, Kantrowitz examines the conscious and unconscious motives for analysts in writing about a patient, ultimately demonstrating that the conflict between the need to preserve patient privacy and the need for a literature including clinical material is not easily resolved.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

What Happens When the Analyst Dies explores the stories of patients who have experienced the death of their analyst. The book prioritizes the voices of patients, letting them articulate for themselves the challenges and heartache that occur when grappling with such a devastating loss. It also addresses the challenges faced by analysts who work with grieving patients and/or experience serious illness while treating patients. Claudia Heilbrunn brings together contributors who discuss their personal experiences with bereavement and/or serious illness within the psychoanalytic encounter. Chapters include memoirs written by patients who describe not only the aftermath of an analyst's death, but also how the analyst's ability or inability to deal with his or her own illness and impending death within the treatment setting impacted the patient's own capacity to cope with their loss. Other chapters broach the challenges that arise (1) in 'second analyses', (2) for the ill analyst, and (3) for those who face the death of an analyst or mentor while in training. Aiming to give prominence to the often neglected and unmediated voices of patients, as well as analysts who have dealt with grieving patients and serious illness, What Happens When the Analyst Dies strives to highlight and encourage discussion about the impact of an analyst's death on patients and the ways in which institutes and therapists could do more to protect those in their care. It will be of interest to psychoanalysts, psychotherapists, counselors, gerontologists, trainees, and patients who are currently in treatment or whose therapist has passed away.