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Analysts share an appetite for the details of exemplary clinical work and lively discussion and conflict about the technicalities of working out knotty problems. Conundrums and Predicaments in Psychotherapy and Psychoanalysis: The Clinical Moments Project, edited by Richard Tuch
and Lynn Kuttnauer, presents us with a dozen knots, places where a psychodynamic clinician has reached a dilemma in the treatment. With twenty-five separate commentaries here, plus the presenting therapists’ solutions, we are offered a bounteous buffet of insight and clinical skill. Twelve analysts generously present work that reached a point of problem. Each case is introduced thoughtfully by the editors, outlining the nature of the work and the dilemma. Well-known, eminent analysts provide commentary specific to the clinical situation at hand. In each of the twelve different treatments, the problem arises when the therapist/analyst reaches an impasse, has a question, and doesn't know what to do, feel, or think. This format (presentation and commentary, followed by the analyst's solution) invites the reader to consider his or her own potential experience in that situation: What would I feel, think, say, or “do”—how would I ultimately act in this specific situation?
In my experience, students of psychoanalysis and psychotherapy nearly always appreciate examples of work by more experienced clinicians. Clinicians’ generosity with their own process and insights has led to significant contributions to the field, stimulating fruitful discussion and new perspectives. As a standard-issue psychoanalyst, I value, and find useful, insights from a variety of sources. I suspect most readers will approach the book as I did, seeking help with their own clinical work. Yet while the cases—all readable and well-rendered—are interesting and the dilemmas relatable, I found the book most helpful as a guide to supervision.
As noted in the very useful introduction, “This book is an outgrowth of the Clinical Mome