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Dr Frosch has attempted a two-volume integration of psychoanalytic clinical knowledge and theory with contemporary general psychiatry. This book will be of interest to all analysts, and it is an excellent source for anyone learning psychiatry or psychoanalysis who wishes to integrate the two. Non-medical students of psychoanalysis, psychology or social work will find an excellent survey of psychiatric syndromes by an experienced analyst. An integration of general psychiatry is sorely needed by residents and their teachers. The overworked, fatigued and confused beginning resident tends to seek immediate practical answers to emergent but very complex clinical problems. Residents tend to identify prematurely with particular theoretical positions and oppose the burden of learning the multiple techniques, theories, and findings that compose contemporary psychiatry.
The broad integrative approach of this book stresses the importance of biological, social and interactional, and intrapsychic factors in the life cycle of normal and pathological development. However, the book is not eclectic: it examines contributions to psychiatry from other sources and uses psychoanalytic clinical theory to pull them together. Analytic concepts are presented in clear and cogent relation to supporting material drawn from other disciplines and are interspersed with frequent clinical examples; they therefore indicate the central role that psychoanalytic thought can play in clinical psychiatry. There is an integration of general psychiatric psychology with the natural-science basis of psychoanalysis, and the findings of analytically stimulated child and family research, then these three areas are related to psychopathology and the influence of psychopathology on treatment choices and techniques.
The two volumes are divided into four principal sections: 'Principle of Psychodynamic Psychiatry', with a chapter on nosology and two on factors affecting psychological development; 'Clinical En