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Psychoanalytic Psychotherapy 12(2), 111, 1998
This review of the Review has become something of an historical paper. It addresses the context and climate in which the Review's recommendations were originally formulated. The government has changed since the review was published in September 1996. With it, there have been some alterations in the political context which have rendered the points made a little, but only a little, less immediately with us. However, the potential of the human psyche to generate and to respond to the type of superego mental-functioning I try to describe remains, even if there are a few signs of lessening severity. For this reason, the points made retain some long-term relevance. Last but not least, the momentum established by the Psychotherapy Review offered a real opportunity for progress and development.
Psychoanalytic Psychotherapy 12(2), 103, 1998
The ambivalence towards psychotherapy services, underlying oedipal anxieties and the sense of exclusion from the therapeutic dyad, is explored. Their significance and the role of unconscious factors and their interplay with organizational dynamics are discussed, drawing on personal experience. Their importance in the purchasing of psychotherapy services is considered and the development of helpful strategies is described.
International Journal of Psycho-Analysis 79, 27, 1998
The author argues that often the hidden power of disavowal of reality gradually makes itself felt in a treatment. The psychoanalytic process then seems to have been brought to a halt by something that defies meaning and continually eludes any genuine subjectivization by the patient. In the famous case of the Wolf Man Freud speaks of a rejection of reality, which he clearly distinguishes from