PART I The approach 5 1 An overview of the psychoanalytic method: The Freudian model 7 2 Melanie Klein and the Kleinian approach 16 3 The Modern Kleinians 23
PART II The patients: Helping people within an analytic perspective 27 4 The difficult patient and the psychoanalytic approach 29 5 Keeping the analytic focus 37 6 Difficult but worth the effort 55 7 A mixed bag: The realities of private practice 67 8 Gone but not forgotten: A new look at difficult cases 76
PARTIII Kleinians in the real world 91 9 Working from the Kleinian perspective 93 10 The ideal patient and the realities of clinical work 108 11 Brief and atypical encounters 125
PARTIV Clinical perspectives on theoretical and training paradigms 139 12 A day in the life of a psychoanalyst 141 13 How we work and why it matters 158 Summary 170 Bibliography 179 lndex 185
Real People, Real Problems, Real Solutions offers a clear introduction to psychoanalytic practice from a Kleinian perspective and shows how the modern Kleinian works with the most taxing and least conforming of their patients.Illustrated by extensive case material this book:*reviews Freuds original theoretical concepts and examines Kleins contributions to the field of psychoanalysis, clarifying and comparing the two approaches in the clinical setting.*identifies and explores who makes up the psychoanalysts most challenging case load and demonstrates how the Kleinian psychoanalytic approach is helpful to these individuals.*discusses the current state of traditional methods of training at psychoanalytic institutes, which are shown to be in need of renewal and critical restructuring.Real People, Real Problems, Real Solutions shows how the average psychoanalyst and psychotherapist face many difficult patients in a typical days work. Together with its questioning of what really constitutes psychoanalytic therapy, this is a refreshing read for all practising and training psychoanalysts and psychotherapists.