The Analysis of Failure: An Investigation of Failed Cases in Psychoanalysis and Psychotherapy

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Psychotherapy and psychoanalysis don't always work. Inevitably, a therapy or analysis may fail to alleviate the suffering of the patient. The reasons why this occurs are as manifold as the patients and analysts themselves, and oftentimes are a source of frustration and vexation to clinicians, who aren't always eager to discuss them. Taking the challenge head-on, Arnold Goldberg proposes to demystify failure in an effort to determine its essential meaning before determining its causes. Utilizing multiple vignettes of failed cases, he offers a deconstruction and a subsequent taxonomy of failure, delineating cases that go bad after six months from cases that never get off the ground, mismatches from impasses, failures of empathy from failures of inattention. Commonalities in the experience of failure � conceived as less a misapplication of technique than consequences of a co-constructed yet fraught therapeutic relationship � begin to emerge for scrutiny.

The Analysis of Failure: An Investigation of Failed Cases in Psychoanalysis and Psychotherapy Review

Goldberg is a troublemaker. No boat is left steady when he lifts his pen. Here again he shares his gift for shaking-off complacency--that new shibboleth, indispensable in our post-Freudian pluralism. Even to consider failure as an object of study, as a thing in itself beyond the lack of cure, beyond an uncomfortable shadow that falls on the ego of every therapist, is (embarrassingly) original. It would be enough that he sees what we usually glimpse only reflected. But he is also prince at explaining colour to the blind, at leading discourse to wake us from long and inherited slumbers. As in an ideal analysis, just a few words open new worlds. Never has a book been so easy and yet so uncomfortable to read. It is disarming for a reviewer to try to add to the extant endorsements: Gabbard, Richards, Poland. But two words might discharge me: Read it.

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