Hungers and compulsions : the psychodynamic treatment of eating disorders and addictions

This book will help therapists understand and treat patients suffering from mild to dangerous forms of eating disorders, other compulsions and addictions, such as alcoholism, and even erotic attachments. The chapters help therapists think creatively about these types of patients who are coming to therapy more frequently than ever, and to see the effects of treatment. The problems that arise in therapy are explored in essays about dissociation, self-regulation, self-destructive behavior, enactment, and other clinical issues. The first half of the book addresses specific problems associated with patients who have eating disorders. The editors explore the patient's conflicts, affect regulation, transference, behavior, as well as the countertransference issues that inevitably arise in therapy. The second half broadens the scope and addresses a spectrum of addictions and associated issues such as creativity, sexuality and the transference.

Joyce McDougallCatherine StuartF. Diane BarthJudith BrismanPhilip M. BrombergAdam PhillipsJean PetrucelliFrances Sommer AndersonEmily KuriloffLewis AronMargaret CrastnopolAnn Kearney-CookeStefanie Solow GlennonKathryn J. ZerbeJoerg BoseOlga CheselkaEdgar A. LevensonAlbert RothenbergJack DrescherDarlene Bregman EhrenbergJill HowardM. Guy ThompsonLinda B. HopkinsMarcia RosenDodi GoldmanLawrence Epstein

Acknowledgments	p. xi
Contributors	p. xiii
Introduction	p. xvii
I Addictive Economies
1 The Psychic Economy of Addiction	p. 3
2 Addictive Economies: Intrapsychic and Interpersonal Discussion of McDougall's Chapter	p. 27
II Expanding the Analytic Space: Dissociation and the Eating-Disordered Patient
3 Thinking, Talking, and Feeling in Psychotherapy with Eating-Disordered Individuals	p. 41
4 The Instigation of Dare: Broadening Therapeutic Horizons	p. 53
5 Out of Body, Out of Mind, Out of Danger: Some Reflections on Shame, Dissociation, and Eating Disorders	p. 65
6 On Preferring Not To: The Aesthetics of Defiance	p. 81
III On Being Stuck: Enactments, Mutuality, and Self-Regulation with Eating-Disordered Patients
7 Close Encounters of the Regulatory Kind: An Interpersonal/Relational Look at Self-Regulation	p. 97
8 "No Matter How Hard I Try, I Can't Get through to You!": Dissociated Affect in a Stalled Enactment	p. 113
9 The Destablizing Dyad: Psychoanalytic Affective Engagement and Growth	p. 125
10 Narrative, Affect, and Therapeutic Impasse: Discussion of Part III	p. 135
IV To Eat or Not to Eat: The Psychic Meanings of the Decision
11 The Male Experience of Food as Symbol and Sustenance	p. 147
12 The Meaning of the "Body" in the Treatment of Eating-Disordered Patients	p. 161
13 The Armored Self: The Symbolic Significance of Obesity	p. 171
14 When the Self Starves: Alliance and Outcome in the Treatment of Eating Disorders	p. 183
V Creativity and Addiction
15 Melancholia and Addiction?	p. 209
16 The Anxiety of Creativity	p. 221
17 Creativity, Genius, and Divine Madness	p. 233
18 The Muse in the Bottle	p. 245
VI Desires and Addictions
19 Attending to Sexual Compulsivity in a Gay Man	p. 265
20 In the Grip of Passion: Love or Addiction? On a Specific Kind of Masochistic Enthrallment	p. 281
21 From Impulsivity to Paralysis: Thoughts on the Continuous Pursuit and Thwarting of Desire	p. 293
22 A Philosophical Assessment of Happiness, Addiction, and Transference	p. 305
VII Winnicott and Masud Khan: A Study of Addiction and Self-Destruction
23 Masud Khan's Descent into Alcoholism	p. 319
24 Winnicott's Complex Relationship to Hate and Hatefulness	p. 347
25 The Outrageous Prince: The Uncure of Masud Khan	p. 359
26 Further Thoughts on the Winnicott-Khan Analysis	p. 375
Index	p. 385

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