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Schafer, R. (2000). On Bearing Unbearable States of Mind: Ruth Riesenberg-Malcolm. Edited by Priscilla Roth. London: Routledge (New Library of Psychoanalysis). 1999. Pp. 208.. Int. J. Psycho-Anal., 81:832-833.

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(2000). International Journal of Psycho-Analysis, 81:832-833

On Bearing Unbearable States of Mind: Ruth Riesenberg-Malcolm. Edited by Priscilla Roth. London: Routledge (New Library of Psychoanalysis). 1999. Pp. 208.

Roy Schafer Author Information

Dread of psychic pain and fragmentation drives certain patients to adopt extremely rigid and complexdefensive strategies designed to help them maintain their precarious integrations. It is their hope that in this way they can forestall any personal change, change seeming to threaten only greater instability and pain. Consequently, the analysts of these patients find it especially difficult to develop and convey interpretations that are therapeutically useful and to manage the sometimes intense countertransferences that are evoked in the process.

In this collection of papers, published for the most part in professional journals during the past thirty years, Ruth Riesenberg-Malcolm manifests her dedication to understanding these patients theoretically and mastering the clinical problems they present. The author's orientation is that of other contemporary Kleinians in London. She steadily emphasises the unconscious fantasies that underlie the patient's experience of the total analytic s

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