In Leaps and Bounds: Psychic Development and its Facilitation in Treatment
Book Details
- Publisher : Karnac Books
- Published : May 2022
- Cover : Paperback
- Pages : 222
- Category :
Psychoanalysis - Catalogue No : 96247
- ISBN 13 : 9781912691913
- ISBN 10 : 9781912691
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A tour de force from the inimitable Salman Akhtar. Dr Akhtar brings his encyclopaedic knowledge of psychoanalysis to present a deceptively simple guide to personality development across the full human life span. Two enjoyable and comprehensive essays cover infancy to adolescence and then young adulthood to old age. These are followed by an explication of the various ways such a deepened understanding can inform a clinician’s approach.
Salman Akhtar presents three rich essays brimming with psychoanalytic theory on personality development and how such knowledge enhances treatment.
Essay 1 starts at the earliest infancy and takes the reader all along the path past adolescence. It addresses key developmental landmarks, including:
-Establishing a satisfactory parental bond
-Moving towards autonomy and independence
-Acquiring a moral sense
-Consolidating identity.
Essay 2 picks up after adolescence. It addresses the psychosocial challenges characteristic of young adulthood, midlife, and old age, such as:
-Assuming the role of a wage-earner and “house-holder”
-Enjoying sex, love, and marriage
-Downsizing and retiring from one’s job
-Dealing with the deaths of friends and family and facing one’s own mortality.
Essay 3 builds upon the theory that has gone before and examines how a deepened understanding of psychic development can inform the clinician’s approach. With an emphasis on development as a lifelong process, this essay provides clear guidelines for facilitating such growth, including:
-Creating psychic space for thinking
-Helping the patient find words for inner experiences
-Validating the patient’s reality
- Enhancing the sense of personal agency in the patient.
The complex tapestry woven by these three essays is extended by a prologue and an epilogue. The prologue opens with the “pre-self” – events before birth that impact on who we become. The epilogue discusses the “post-self” – how we “live on” as memories held by those who knew us.
In Leaps and Bounds deepens the understanding of the nuances of human development. It is key reading for practising and trainee psychoanalysts and psychoanalytic psychotherapists to enhance their clinical practice. It is highly recommended for all enquiring minds looking to expand their knowledge of what makes us who we are.
Reviews and Endorsements
Salman Akhtar draws on four decades of experience as a doctor, poet, academic, immigrant, and psychoanalyst in a work of “sculpted creativity” that deepens our understanding of lifelong development and of development-facilitating interventions. This results in a culturally and linguistically sensitive book, which includes powerful poetry, for psychoanalytic, medical, and psychology students as well as for seasoned clinicians. Akhtar has unpacked the metapsychology of developmental help in the clearest exposition I have ever read.
Jennifer Davids, Supervising Child and Adolescent Psychoanalyst, British Psychoanalytical Society (BPaS); Adult, Child, and Adolescent Psychoanalyst, BPaS, IPA
Salman Akhtar provides us with a rich psychoanalytic exploration of development: from the prenatal period to old age. With an exquisite writing style, he integrates analytic concepts, developmental principles, and sociocultural forces. To highlight this work, he illustrates the theoretical principles with almost twenty clinical vignettes. This makes his book highly readable and useful for clinicians at all levels of experience.
Leon Hoffman, Co-Director, Pacella Research Center, New York Psychoanalytic Society and Institute; Chief Psychiatrist, West End Day School
With a writing style that blends medical scholarship, psychoanalysis, poetry, and storytelling, In Leaps and Bounds takes us on an inspiring journey through life’s developmental seasons. It offers us a coherent and eminently useful set of “development-facilitating interventions” that enhance patients’ autonomy, validate subjectivity, create space for thinking, and provide words for the unmentalized sectors of inner experience. This is a striking addition to our therapeutic armamentarium!
Olga Santa María, Training and Supervising Analyst, APM, IPA President, Mexican Psychoanalytic Society
Despite Akhtar’s psychoanalytic grounding, the interventions are highly relevant to therapists of different modalities owing to their largely relational nature. I found his suggestions to be very thought-provoking in terms of attending to the relationship, and well illustrated by detailed and culturally diverse vignettes.
Emily Harrison, BACP Therapy Today
Table of Contents
Acknowledgments
About the author
Introduction
Prologue
Chapter One: The pre-self
Part I: Conceptual basis
Chapter Two: From infancy through childhood to the end of adolescence
Chapter Three: From young adulthood through midlife to old age
Part II: Clinical praxis
Chapter Four: Development facilitating interventions
Epilogue
Chapter Five: The post-self
References
Index
About the Author(s)
Salman Akhtar, MD, is professor of psychiatry at Jefferson Medical College and a training and supervising analyst at the Psychoanalytic Center of Philadelphia. He has served on the editorial boards of the International Journal of Psychoanalysis and the Journal of the American Psychoanalytic Association. His more than 450 publications include twenty-three solo authored books – Broken Structures (1992), Quest for Answers (1995), Inner Torment (1999), Immigration and Identity (1999), New Clinical Realms (2003), Objects of Our Desire (2005), Regarding Others (2007), Turning Points in Dynamic Psychotherapy (2009), The Damaged Core (2009), Comprehensive Dictionary of Psychoanalysis (2009), Immigration and Acculturation (2011), Matters of Life and Death (2011), Psychoanalytic Listening (2013), Good Stuff (2013), Sources of Suffering (2014), No Holds Barred (2016), A Web of Sorrow (2017), Mind, Culture, and Global Unrest (2018), Silent Virtues (2019), Tales of Transformation (2022), In Leaps and Bounds (2022), and In Short (2024) – as well as sixty-nine edited or coedited volumes in psychiatry and psychoanalysis. Dr. Akhtar has delivered many prestigious addresses and lectures including, most significantly, the inaugural address at the first IPA-Asia Congress in Beijing, China (2010). Dr. Akhtar is the recipient of the Journal of the American Psychoanalytic Association’s Best Paper of the Year Award (1995), the Margaret Mahler Literature Prize (1996), the American Society of Psychoanalytic Physicians’ Sigmund Freud Award (2000), the American College of Psychoanalysts’ Laughlin Award (2003), the American Psychoanalytic Association’s Edith Sabshin Award (2000), Columbia University’s Robert Liebert Award for Distinguished Contributions to Applied Psychoanalysis (2004), the American Psychiatric Association’s Kun Po Soo Award (2004), the Irma Bland Award for being the Outstanding Teacher of Psychiatric Residents in the country (2005), and the Nancy Roeske Award (2012). He received the Sigourney Award (2013), which is the most prestigious honor in the field of psychoanalysis. Dr. Akhtar is an internationally sought speaker and teacher, and his books have been translated in many languages, including German, Turkish, and Romanian. His interests are wide and he has served as the film review editor for the International Journal of Psychoanalysis, and is currently serving as the book review editor for the International Journal of Applied Psychoanalytic Studies. He has published eighteen collections of poetry and serves as a scholar-in-residence at the Inter-Act Theatre Company in Philadelphia. His Selected Papers (Vols I–X) were recently published and released at a festive event held at the Freud House & Museum in London.
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