email page print pageAll Topic Reviews
Maximizing Effectiveness in Dynamic Psychotherapy Self-Compassion in Psychotherapy101 Healing StoriesA Clinician's Guide to Legal Issues in PsychotherapyA Map of the MindA Primer for Beginning PsychotherapyACT With LoveActive Treatment of DepressionAffect Regulation, Mentalization, and the Development of SelfAlready FreeBad TherapyBecoming an Effective PsychotherapistBecoming MyselfBefore ForgivingBeing a Brain-Wise TherapistBetrayed as BoysBeyond Evidence-Based PsychotherapyBeyond MadnessBeyond PostmodernismBinge No MoreBiofeedback for the BrainBipolar DisorderBody PsychotherapyBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBrain Science and Psychological DisordersBrain-Based Therapy with AdultsBrain-Based Therapy with Children and AdolescentsBrief Adolescent Therapy Homework PlannerBrief Child Therapy Homework PlannerBrief Therapy Homework PlannerBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheCase Studies in DepressionCaught in the NetChild and Adolescent Treatment for Social Work PracticeChoosing an Online TherapistChronic DepressionClinical Dilemmas in PsychotherapyClinical Handbook of Psychological DisordersClinical Intuition in PsychotherapyClinical Pearls of WisdomCo-Creating ChangeCognitive Therapy for Challenging ProblemsCompassionConfessions of a Former ChildConfidential RelationshipsConfidentiality and Mental HealthConfidingContemplative Psychotherapy EssentialsControlConversations About Psychology and Sexual OrientationCoping with BPDCouch FictionCounseling in GenderlandCounseling with Choice TheoryCouple SkillsCrazy for YouCreating a Life of Meaning and CompassionCreating HysteriaCritical Issues in PsychotherapyCrucial Choices, Crucial ChangesDeafness In MindDecoding the Ethics CodeDeconstructing PsychotherapyDeep Brain StimulationDemystifying TherapyDepression 101Depression in ContextDialogues on DifferenceDissociative ChildrenDo-It-Yourself Eye Movement Techniques for Emotional HealingDoing CBTE-TherapyEarly WarningEncountering the Sacred in PsychotherapyEnergy Psychology InteractiveErrant SelvesEssays on Philosophical CounselingEssentials of Wais-III AssessmentEthically Challenged ProfessionsEthics and Values in PsychotherapyEthics in Plain EnglishEthics in Psychotherapy and CounselingExistential PsychotherapyExpectationExploring the Self through PhotographyExpressing EmotionFacing Human SufferingFairbairn's Object Relations Theory in the Clinical SettingFamily TherapyFavorite Counseling and Therapy Homework AssignmentsFear of IntimacyFlourishingFolie a DeuxForms of Intersubjectivity in Infant Reasearch and Adult TreatmentFoundations of Ethical Practice, Research, and Teaching in PsychologyFreud and the Question of PseudoscienceFrom Morality to Mental HealthFundamentals of Psychoanalytic TechniqueGenes on the CouchGod & TherapyHalf Empty, Half FullHandbook of Clinical Psychopharmacology for TherapistsHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHandbook of Evidence-Based Therapies for Children and AdolescentsHealing the Heart and Mind with MindfulnessHeinz KohutHelping Children Cope With Disasters and TerrorismHigh RiskHistory of PsychotherapyHow and Why Are Some Therapists Better Than Others?How Clients Make Therapy WorkHow People ChangeHow Psychotherapists DevelopHow to Fail As a TherapistHow to Go to TherapyHypnosis for Inner Conflict ResolutionHypnosis for Smoking CessationI Never Promised You a Rose GardenIf Only I Had KnownIn Others' EyesIn SessionIn Therapy We TrustIn Treatment: Season 1Incorporating Spirituality in Counseling and PsychotherapyInside the SessionInside TherapyIs Long-Term Therapy Unethical?Issues in Philosophical CounselingIt's Not as Bad as It SeemsItís Your HourLearning ACTLearning from Our MistakesLearning Supportive PsychotherapyLetters to a Young TherapistLife CoachingLogotherapy and Existential AnalysisLove's ExecutionerMadness and DemocracyMaking the Big LeapMan's Search for MeaningMetaphoria: Metaphor and Guided Metaphor for Psychotherapy and HealingMind GamesMindfulnessMindfulness and AcceptanceMindfulness-Based Cognitive Therapy for DepressionMindworks: An Introduction to NLPMockingbird YearsMoments of EngagementMomma and the Meaning of LifeMotivational Interviewing: Preparing People For ChangeMulticulturalism and the Therapeutic ProcessMultifamily Groups in the Treatment of Severe Psychiatric DisordersNarrative PracticeOn the CouchOne Nation Under TherapyOur Inner WorldOur Last Great IllusionOutsider ArtOutsider Art and Art TherapyOvercoming Destructive Beliefs, Feelings, and BehaviorsOverexposedPathways to SpiritualityPersonality and PsychotherapyPhilosophical CounselingPhilosophical Counselling and the UnconsciousPhilosophical Issues in Counseling and PsychotherapyPhilosophical PracticePhilosophy and PsychotherapyPhilosophy for Counselling and PsychotherapyPhilosophy PracticePhilosophy's Role in Counseling and PsychotherapyPillar of SaltPlan BPlato, Not Prozac!Polarities of ExperiencesPower GamesPractical Psychoanalysis for Therapists and PatientsPrinciples and Practice of Sex TherapyPsychologists Defying the CrowdPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychosis in the FamilyPsychotherapyPsychotherapyPsychotherapy and ConfidentialityPsychotherapy As PraxisPsychotherapy East and WestPsychotherapy for Children and AdolescentsPsychotherapy for Personality DisordersPsychotherapy Is Worth ItPsychotherapy Isn't What You ThinkPsychotherapy with Adolescent Girls and Young WomenPsychotherapy with Children and AdolescentsPsychotherapy without the SelfPsychotherapy, American Culture, and Social PolicyRapid Cognitive TherapyRational Emotive Behavior TherapyRational Emotive Behavior TherapyRationality and the Pursuit of HappinessRebuilding Shattered LivesReclaiming Our ChildrenRecovery OptionsRelationalityRent Two Films and Let's Talk in the MorningSaving the Modern SoulScience and Pseudoscience in Clinical PsychologySecond-order Change in PsychotherapySelf-Compassion in PsychotherapySelf-Determination Theory in the ClinicSelf-Disclosure in Psychotherapy and RecoverySerious ShoppingSex, Therapy, and KidsSexual Orientation and Psychodynamic PsychotherapySigns of SafetySoul Murder RevisitedStaring at the SunStraight to JesusStrangers to OurselvesSubjective Experience and the Logic of the OtherTaking America Off DrugsTales of PsychotherapyTales of UnknowingTalk is Not EnoughTalking Cures and Placebo EffectsTelling SecretsThe Behavioral Medicine Treatment PlannerThe Body in PsychotherapyThe Brief Couples Therapy Homework Planner with DiskThe Case Formulation Approach to Cognitive-Behavior TherapyThe Challenge for Psychoanalysis and PsychotherapyThe Child and Adolescent Psychotherapy Treatment PlannerThe Clinical Child Documentation SourcebookThe Clinical Documentation SourcebookThe Complete Adult Psychotherapy Treatment PlannerThe Couch and the TreeThe Couples Psychotherapy Treatment PlannerThe Crucible of ExperienceThe Cure of SoulsThe Death of PsychotherapyThe Education of Mrs. BemisThe Ethical Treatment of DepressionThe Ethics of PsychoanalysisThe Gay and Lesbian Psychotherapy Treatment PlannerThe Gift of TherapyThe Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work The Healing JourneyThe Heart & Soul of ChangeThe Heroic ClientThe Husbands and Wives ClubThe Love CureThe Making of a TherapistThe Mindful TherapistThe Mirror Crack'dThe Mummy at the Dining Room TableThe Neuroscience of PsychotherapyThe Neuroscience of Psychotherapy: Healing the Social BrainThe New Rational TherapyThe Older Adult Psychotherapy Treatment PlannerThe Other Side of DesireThe Pastoral Counseling Treatment PlannerThe Philosopher's Autobiography The Pornographer's GriefThe Portable CoachThe Portable Ethicist for Mental Health Professionals The Present Moment in Psychotherapy and Everyday LifeThe Problem of EvilThe Problem with Cognitive Behavioural TherapyThe Psychodynamics of Gender and Gender RoleThe Psychotherapy Documentation PrimerThe Psychotherapy Documentation PrimerThe Psychotherapy of HopeThe Real World Guide to Psychotherapy PracticeThe Schopenhauer CureThe Sex Lives of TeenagersThe Talking CureThe Therapeutic "Aha!"The Therapist's Guide to PsychopharmacologyThe Therapist's Guide to Psychopharmacology, Revised EditionThe Therapist's Ultimate Solution BookThe Trauma of Everyday LifeThe Trouble with IllnessThe UnsayableThe Way of the JournalTheory and Practice of Brief TherapyTherapy with ChildrenTherapy's DelusionsTheraScribe 3.0 for WindowsTheraScribe 4.0Thinking about ThinkingThinking for CliniciansThinking for CliniciansThoughts Without a ThinkerThriveToward a Psychology of AwakeningTracking Mental Health OutcomesTrauma, Truth and ReconciliationTreating Attachment DisordersTreatment for Chronic DepressionTreatment Plans and Interventions for Depression and Anxiety DisordersUnderstanding Child MolestersUnspeakable Truths and Happy EndingsWhat the Buddha FeltWhat Works for Whom?What Works for Whom? Second EditionWhen the Body SpeaksWhispers from the EastWise TherapyWittgenstein and PsychotherapyWorking MindsWoulda, Coulda, ShouldaWriting About PatientsYoga Skills for Therapists:Yoga Therapy
Casement is prominent British psychoanalyst and psychotherapist. Before this
recent book, he had published two more books: On Learning from the patient
and Further learning from the patient.
thesis is that the potential of psychoanalysis is paradoxical. It can either
free mind or bind it.
These two simple sentences, written by Casement himself, could be the best introduction
to his recent book. Being psychoanalyst, or even being psychotherapist, is far
from being self-understanding. The theoretical knowledge is not enough. Even
pure technique is not enough. Being psychoanalyst (or being psychotherapist)
necessary implies a special kind of (critical) self-consciousness. You simply
cannot deal with somebody other's (split or repressed) unconscious parts of
personality if you are not able somehow to apprehend uncertainties in your own
an analyst, you cannot escape from being human. It is impossible to think about
the transference without serious considering of the countertransference. If
not, therapeutic process itself could be (more or less) potentially harmful for
both sides, for the patient and (even) for the therapist himself. I have
heard it said by some senior analysts that 'the analyst should never admit to a
mistake' Why not?
are Casement's words: ...there is one thing that psychoanalysis appears to
do almost best of all: it can turn ordinary people into something
extra-ordinary. It can turn them into psychoanalysts. And there is problem.
For, it does not always follow that psychoanalysis (at last within a training
context) necessary releases people to develop their own minds and thinking.
There is a great danger for psychoanalysis in becoming entrapped in some kind
of ideology. Ideological discourse is one of the worst enemies of the modern
psychoanalysis. The question of training and of education of the further
analysts is something that is rather delicate.
Psychoanalysis today is highly institutionalized and
symbolically determined. It has its own rituals of initiation, traditions and
routines. Being a psychoanalyst implies being trained as a psychoanalyst. Any
reasonable psychoanalytic training presupposes some order of values, some (we
could say) ideals. The question of transmission of these ideals is (in the same
time) the question of the future of psychoanalysis. Because of that we must be
really careful. This could be one of the basic messages of Casement's book.
There are some serious deviations in our actual training practices. There is
too much ideology in psychoanalytic institutes. There is too much (false) certainty
in their curriculums. There is too much false-selfs in psychoanalytic
candidates and their teachers. Why? There is a serious problem in the core of
the idea of psychoanalytic institution.
Casement is rather brave and open critic of this (always
potentially harmful) sterility of institutionalized psychoanalysis.† When
students in psychoanalytic training are caught in a system of too much
sureness, it can become extremely difficult for them to remain authentic. Psychoanalytic
trainers frequently function as the priesthood of the institute to which they
belong. And the priestly function, traditionally, had been to uphold status quo
and to keep it pure from whatever may threaten to dilute or undermine it. So,
it is not unusual for trainers to teach from a position that can become
dogmatic: sometimes with a degree of sureness that can begin to sound like certainty. Although psychoanalysis does have the potential for
providing an opportunity for creative change, and fresh aliveness, it has also
continued to develop the non-creative (even non-analytic) practice of using
pressure: in particular the pressures of authority. One possible result of these pressures could be
that some training analyses can only bring about false-self change in the
student. And nothing else...
practitioners sometimes slip into a position of arrogance, that of thinking
they know best. Thus, when something goes wrong in an analysis, it is often the
patient who is held accountable for this, the analyst assuming it to be an
expression of the patient's pathology rather then perhaps (or least partly) due
to some fault of the analyst's. It is unfortunate that analysts can always
defend themselves by claiming special knowledge of the ways of the unconsciousness.
But analysts can become blind to their own mistakes. And even more importantly,
they can fail to recognize when it is sometimes the style of their clinical
work itself that may have become a problem for the patient.
are serious words. The analyst could be arrogant. The arrogance ot the analyst
could be harmful for his patient. Being analyst doesn't mean being perfect. We
all make mistakes. Casement's message is clear: possibility for making mistakes
as always present in the transference situation. Analytic insight is usually a
complicated mixture... We therefore often interpret in terms of part-truths, to
be explored between patient and analyst, rather than make statements about the
patient that can sound as if we see them as timelessly true. There is always
some contingency in the analytic situation.† The most important thing here
is not that we should make no mistakes (an impossibility) but that we remain
sufficiently thoughtful about the issues in question, both before and after the
event. Speaking in the terms of Casement's book: there are two kinds of countertransference.
One is called diagnostic and other personal. Diagnostic countertransference
could give us useful clues about the patient and our responses to patient.
Personal countertransference has to do with our own internal world and
This book will be of great interest for beginners and
for mature and highly experienced analyst. Its value is (or it could be)
practical and theoretical. The main importance of this book, I believe, lays in
its author's courage to see things from rather different perspectives. It is
not necessary to agree with him in all of his ideas and to accept all of his
theses. On the contrary, priority is on questions not on answers. And the
questions that are posed here represents the best richness of this book.
© 2004 Petar Jevremovic
Petar Jevremovic: Clinical
psychologist and practicing psychotherapist, author of two books (Psychoanalysis
and Ontology, Lacan and Psychoanalysis), translator of Aristotle and
Maximus the Confessor, editor of the Serbian editions of selected works of Heintz
Kohut, Jacques Lacan and Melanie Klein, author of various texts that are
concerned with psychoanalysis, philosophy, literature and theology. He lives in