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Catch Them Before They Fall: The Psychoanalysis of Breakdown (Anglais) Broché – 13 décembre 2012


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Présentation de l'éditeur

In this exploration of a radical approach to the psychoanalytical treatment of people on the verge of mental breakdown, Christopher Bollas offers a new and courageous clinical paradigm.

He suggests that the unconscious purpose of breakdown is to present the self to the other for transformative understanding; to have its core distress met and understood directly. If caught in time, a breakdown can become a breakthrough. It is an event imbued with the most profound personal significance, but it requires deep understanding if its meaning is to be released to its transformative potential.

Bollas believes that hospitalization, intensive medication and CBT/DBT all negate this opportunity, and he proposes that many of these patients should instead be offered extended, intensive psychoanalysis.

This book will be of interest to clinicians who find that, with patients on the verge of breakdown, conventional psychoanalytical work is insufficient to meet the emerging crisis. However, Bollas’s challenging proposal will provoke many questions and in the final section of the book some of these are raised by Sacha Bollas and presented in a question-and-answer form.

Biographie de l'auteur

Christopher Bollas, PhD, is a psychoanalyst practising in London.

Sacha Bollas, PsyD, is a psychologist practising in Los Angeles.



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25 internautes sur 25 ont trouvé ce commentaire utile 
Thinking and Feeling Breakdown 11 mars 2013
Par Stan Zuckerman - Publié sur Amazon.com
Format: Broché Achat vérifié
Bollas has written a short and moving account of breakdown in this new book,with the major point of interest being that of a psychoanalytic technique for the treatment for the patient experiencing this breakdown. The technique (which I will not detail here)should not be read as a, "parameter", but rather as a specific and detailed set of procedures beyond the boundaries of the ongoing sessions. Bollas sees breakdown ( as occurring in any of the character types we visit in our analytic patients)as a special circumstance requiring extra special attention, which he explains in detail. He does clearly make the observation that, for the technique to be effective, the, "ordinary sessions", need to be technically focused on the free associative method- that it is not for the analyst who intensely focuses on the analysis of transference or the analyst who engages the patient in conversational responsive dialogue.
While the technique, which I believe to be be groundbreaking for the outpatient treatment of breakdown, is of great and important interest, I find the book important in many additional ways. First, the description of breakdown and HOW TO RECOGNIZE this circumstance is essential, and I believe often missed by many finely trained analysts. Second, his explanation of psychoanalytic time is profound and is in need of greater understanding among those who are new to the discipline as well to to many seasoned therapists and analysts. Third,and to me most important,he explains the essential difference between affect and emotional experiencing; and in doing so highlights some of the shortcomings of attachment theory which places so much emphasis on the observable.In this sense, as Adam Phillips mentioned in remarks concerning Bollas's earlier book,CRACKING UP he (Bollas) makes the proposal of, "not a return to Freud exactly, but a return to something more paradoxical,something more radical: a return to the work of the unconscious."
In concluding, I would like to state that there is a subtext in this volume that I read as a book on the ethics of the psychoanalyst. In explaining his technique to the reader one cannot miss his emphasis of a carefully constructed, but deep devotion we have to our patients and the care they should expect from the therapist/analyst. There is also an implicit understanding he conveys that an analyst over identified with one school will not be free to hear the meaning in the patients associations. Finally, Bollas makes it explicit, that at its best, psychoanalytic therapy offers not just self understanding,
but a sustainable cure that goes far beyond the symptomatic improvements that are sometimes seen in the insurance driven therapies such as CBT and DBT.
5 internautes sur 6 ont trouvé ce commentaire utile 
an amazing feat 29 septembre 2013
Par Judy Gotthoffer - Publié sur Amazon.com
Format: Format Kindle Achat vérifié
If only I as a psychoanalytic psychotherapist were able financially to clear such time , therefore seeing no other patients/ clients. I believe , as c bolas that patients would benefit greatly. I don't think the American medical insurance system would support this. Neither could I or many therapists/analysts in the US be able to forge such teams.

The potential for this, if I & or my patients could afford it seems life changing
A Master at Work 23 mars 2015
Par Elizabeth C. Singer - Publié sur Amazon.com
Format: Broché
Bollas has written a book about an intensive treatment he devised to meet the need of patients in breakdown.
And he knows it’s controversial, so there’s an awful lot of bobbing and weaving until we get to the case reports. They transfix. Stayed up way too late reading about the three patients Bollas shepherded through breakdown. S***, it’s 1 a.m., s*** it’s 2 a.m.
He’s a true believer in psychoanalysis as the answer to deep mental pain. He believes that long stretches of free talking can heal breakdown without resorting to hospitalization and medication. In fact, he states that breakdown is an opportunity for the self to heal in a new way. If we muff it, we may not get another chance. The self congeals again over the crevasse. The surface heals and the abcess remains. He put together a team: psychiatrist, general practitioner, social worker, family or friends and driver to cocoon the patient during the crisis. It’s a sort of sheltering in place while the storm passes.
I notice there is no substance abuse.
I notice that these folks found Bollas.
I notice that the treatment worked every time. Not to be churlish or anything, but it would be helpful to know when this kind of treatment is NOT indicated.
I notice that his fees are high enough that he can afford to do intensive work over several days with no fee raise.
I notice that he doesn’t poop out.
It’s exhilarating. It’s a tonic to our hmo-encrusted practice here in the states. It scares the living s*** out of me. Where do I sign up?
In anticipation of the mewling and hissing of the analytic community, he has added a question and answer chapter where he addresses many of the things that came to mind as I read. But, but, but….
I asked a person close to me who went through a mental breakdown if this sort of thing would have helped him. His response was an immediate “yes.” He noted that the closest thing to be had in America outside of a mental hospital is round the clock AA meetings. One can, if one needs to, sit there 16 hours straight. There is only 2 minutes of free talking per meeting, but the free talking of others is healing too.
It’s fun when he bashes DBT and CBT.
To follow along while a master works, read this book. Then read it again.
excellect book 9 avril 2014
Par estrid h gamonal - Publié sur Amazon.com
Format: Broché Achat vérifié
I am still reading this book which is excellent. It is a book one must read slowly, and then read it again.
1 internautes sur 2 ont trouvé ce commentaire utile 
Though I finally bought it from Karnak in UK 27 janvier 2014
Par Paul V. KATCHALOV - Publié sur Amazon.com
Format: Relié Achat vérifié
The book is extremely instructive for every psychoanalyst, who have to deal with the first psychotic episode, as it encourages to see the breakdown as a attempt of the psyche (the athor prefers to call it 'self') at its re-restructuring, id est, appealing for an intense psychoanalytical cure, instead of even more pathological structuring, that the ill psyche risks to get within the traditional (and in all senses of the word -- cheap -- psychiatric institution).
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