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The editors of this book, and Leo Rangell, who writes an introduction and overview, set forth the objectives for this clinical study at the outset. They state ambitious and praiseworthy goals:
This book was planned to satisfy the crying need for clinical data detailing the course of analysis from beginning to end. Only with such data can the serious scholar or the careful clinician get an accurate sense of what comprises an analysis. The data will enable to reader to evaluate the intermeshing
Page 189work of patient and analyst and the mode of therapeutic action of a successful psychoanalysis. (p. 1)
The outstanding contributors and the particular format of this study set the stage for a rich and thoughtful clinical contribution.
Four cases are presented by well-known and highly respected psychoanalysis: Rudolph M. Loewenstein, Leo Rangell, Irwin C. Rosen, and Calvin Colarusso. One case describes the analytic work with a latency-age child, and the other three focus on the analyses of adults. Each of the case reports is followed by discussions by two experienced analysts: Austin Silber and Edward M. Weinshel; Vann Spruiell and Samuel Abrams; Alan J. Eisnitz and Edward D. Joseph; and Jules Glenn and Isidor Bernstein.
The cases themselves are quite varied. Loewenstein outlines the analysis of a woman with a severe obsessional neurosis whose illness was significantly influenced by the unsatisfactory contact with three previous therapists. Rangell describes in considerable detail the labyrinthine complexities of a man with a longstanding doll phobia; perversions are a prominent feature in this case. Rosen focuses on the analysis of a highly religious man with a character disorder and the symptoms of procrastination and problematic peer relationships. Deeply ingrained obsessive features, overintellectualization, and passive-aggressive behavior are in the foreground. And, finally, Colarusso presents a latency-age child brought by his parents because of the child's symptoms of unhapp