Treating Severe Depressive and Persecutory Anxiety States

Waska, Robert

• Preface -- Introduction -- Combined Persecutory and Depressive Trauma -- Psychoanalysis as defined by the clinical situation: Establishing analytic contact with acutely troubled patients -- When suffering never ends: The internal experience of the paranoid and the depressive world colliding -- When patients face the dual threat of depressive and paranoid phantasies -- Unresolved depressive and paranoid phantasies: Certain clinical difficulties -- Longing for the disappointing object and dreading its return -- Analytic Contact in Untraditional Clinical Situations -- Low-frequency Kleinian psychoanalysis: Establishing analytic contact with a new case -- A Kleinian view of psychoanalytic couples therapy -- Clinical issues in couples treatment -- Optimism as a way to save the self and the object -- Why won't the voices leave me alone: Patients who live in a world of persecutory anxiety -- Counter-Transference and the Establishment of Analytic Contact -- Using the counter-transference: Analytic contact, projective identification, and transference phantasy states -- The counter-transference and analytic contact -- Summary