ABSTRACT

Confusing clinical standoffs, loyalty to self-destruction and abrupt terminations are challenging and under-examined problems for the modern psychoanalytic practitioner. The Danger of Change is a timely book that addresses the so-called resistant patient so many clinicians are familiar with.

Robert Waska blends theory based on Melanie Klein’s classical stance with the more contemporary Freudian/Kleinian school, to demonstrate how to understand patients that are resistant to progress. Divided into four sections, this book covers:

  • reluctant patients and the fight against change: caught between the paranoid and depressive world
  • greed and the dangers of change
  • interruptions to the process of change: loss, envy, and the death instinct
  • working toward change in the face of overwhelming odds

Extensive and detailed clinical material is used to bring clarity to subjects including symbolism, conflict resolution, projective identification, the depressive and paranoid positions, change and trust.

The Danger of Change brings hope and clarity to cases involving patients who experience progress as a threat to their emotional wellbeing. It will be of great interest to all practising psychoanalysts, as well as those studying psychoanalytic theory and practice.

part I|63 pages

Reluctant patients and the fight against change: caught between the paranoid and depressive world

chapter Chapter 2|16 pages

Mistrust of the good object

chapter Chapter 3|17 pages

Fighting off the good object

chapter Chapter 4|15 pages

Problems in receiving

part II|70 pages

Greed and the dangers of change

chapter Chapter 5|12 pages

Melanie Klein's theory of greed

chapter Chapter 8|14 pages

Greed, idealization, and insatiability *

chapter Chapter 9|15 pages

Setting the bar too high *

part III|57 pages

Interruptions to the process of change: loss, envy, and the death instinct

chapter Chapter 11|14 pages

Acting out and the death instinct *

chapter Chapter 12|16 pages

Borderline and psychotic patients *

chapter Chapter 13|10 pages

Oral deprivation, envy, and sadism *

part IV|50 pages

Working toward change in the face of overwhelming odds

chapter Chapter 14|12 pages

A case study of borderline anxiety *

chapter Chapter 15|17 pages

Bargains, treaties, and delusions *

chapter Chapter 16|14 pages

Symbolization and the good object *

chapter |5 pages

Summary