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Further Learning from the Patient: The Analytic Space and Process

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This sequel to On Learning from the Patient looks into the techniques of analysis and psychotherapy and focuses on what happens in the analytic space between analyst and patient.

208 pages, Paperback

First published September 1, 1990

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Patrick Casement

7 books13 followers

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5 stars
21 (67%)
4 stars
4 (12%)
3 stars
4 (12%)
2 stars
1 (3%)
1 star
1 (3%)
Displaying 1 - 4 of 4 reviews
Profile Image for Dovilė Stonė.
194 reviews88 followers
April 14, 2024
"Because of the diversity of the unconscious, in which contradictions can co-exist, we have to tolerate the discovery that logically opposite formulations can each, at different times, be true. Much discord between different theoretical positions may have grown out of an inability to face this clinical fact. Human truth cannot be unified. At times it requires paradox to contain it."
Profile Image for Ladyfilosopher.
111 reviews34 followers
November 24, 2024
I wish I could give this book a negative star (a black-hole?) This book is so outdated and so not what is on the cover: He is not listening to the patient, he is observing and then boxing assessments into a strict old-school, out dated, harmful Freudian template. I started questioning what was going on from page 4 onwards of chapter 1.
Given: I have a degree in philosophy formed in books and Uni experience in various languages and cultures, ages and styles. I continued my studies initially accessing Analytic Developmental Psychology. I changed gears a couple of years later and moved into a more eclectic somatic welcoming practice founded in the positive intention of the body.
Now, 10 years I have been practicing trauma-informed psychotherapy with a rape crisis centre both in person, as well as on Zoom.
Chapter one: Beyond Dogma. He stumbles at the end of the 3rd paragraph, he feels he can decide to "approach that task [of otherness] without preconception." He knows nothing of colonisation of the mind by a culture, he believes in the ability of humans, in his case white male, to adopt a "clean slate" perspective, ignoring any studies that even in the 1990s were forming an awareness of 'unconscious bias'. Our practice, today, is to keep the notes in the service user's words and images, to temper the distortions (of judgement) at bay.
He still uses, even in these new editions, "Man" as the standard of humans, "Man's mind recoils from paradox,.." This could be understood to have been reinforced while he had been previously studying theology to be a priest.
I decided to read ahead and see what he does with female clients. (p33 ->) He is asked to work with a young girl, joy. He decides to interpret young joy's reading difficulties as symptom of her difficulties as a girl among boy siblings. He feels he engaged with her "sexual curiosity" by helping her "discover the hidden positives of her female body,... " He knows he was on the right track because that is how he interpreted her "showing how much she had been learning from my attempts to teach her to read." . Apparently the father of Joy, believes that his daughter is acting in a sexual manner, seductively, because "she loved to run up and down the beach playing with him".(p34) Casement goes on with his Freudian template into territory that today is akin to denatured relationships. His later interpretations of some of her drawings (pp 38 -40) were so far fetched and antiquated. For all his good wishes he has not exercised that self-awareness he touts so often in the book. I am not returning this book, I want fewer and fewer copies out and about. This is the first book which will find itself used in an undignified manner. A therapist need not contaminate their minds with his misplaced ambitions. YES!! Listening to your client, putting notes and images that are THEIR words is soooo important. Fallible, yes, but currently we also have the FIT Session rating scale (SRS) to get 1 on 1 client feedback about how the session worked, or not, for them. There are so many Relational model therapy books to touch base with. So many women writing humanely about attachment theory and its limitations, cultural conditioning and so on. (Dr Jessica Taylor for example) ACEs show that trauma monopolises our energy and stunts gr0wth. Let's listen to our clients and help change the world instead of changing the clients we work for and with.
Profile Image for Daniele.
473 reviews45 followers
August 10, 2021
Testo di psicoanalisi molto interessante per quanto datato, è il libro successivo a "apprendere dal paziente". Lo si può leggere comunque in maniera indipendente. Autore bravo nell'esprimere certi concetti complessi; molto utile la parte degli esercizi.
Profile Image for Paul Johnston.
Author 7 books41 followers
February 24, 2013
Possibly even better than the first volume in this series - in any event really interesting and worth reading. probably worth coming back to on a regular basis.
Displaying 1 - 4 of 4 reviews