Hungers and Compulsions

Jean Petrucelli, Ph.D., F.P.P.R., is co-founder and co-director of Eating Disorders and Substance Abuse Service, and is supervisor of psychotherapy, teaching faculty, William Alanson White Institute. Catherine Stuart, Ph.D., is co-founder and co-director of Eating Disorders and Substance Abuse Service, and supervising analyst, teaching faculty, William Alanson White Institute. Dr. Stuart is also on faculty at the Postgraduate Center for Mental Health.

Hungers and Compulsions, written primarily by colleagues who espouse an interpersonal/relational perspective, will be of interest to clinicians who follow other approaches as well. The reader is offered vivid accounts of close encounters with very challenging patients. Two leitmotifs of the book are the place of insight vs. affective engagement in the curative process, and the love-hate relationship with Freud and Ferenczi that many psychotherapists share. The final section on the ill-starred Winnicott/Khan relationship is a timely coda.

• AcknowledgmentsContributorsIntroductionPart I: Addictive EconomiesChapter 1: The Psychic Economy of AddictionJoyce McDougallChapter 2: Addictive Economies: Intrapsychic and Interpersonal Discussion of McDougall's ChapterCatherine StuartPart II: Expanding the Analytic Space: Dissociation and the Eating-Disordered PatientChapter 3: Thinking, Talking, and Feeling in Psychotherapy with Eating-Disordered IndividualsF. Diane BarthChapter 4: The Instigation of Dare: Broadening Therapeutic HorizonsJudith BrismanChapter 5: Out of Body, Out of Mind, Out of Danger: Some Reflections on Shame, Dissociation, and Eating DisordersPhilip M. BrombergChapter 6: On Preferring Not To: The Aesthetics of DefianceAdam PhillipsPart III: On Being Stuck: Enactments, Mutuality, and Self-Regulation with Eating-Disordered PatientsChapter 7: Close Encounters of the Regulatory Kind: An Interpersonal/Relational Look at Self-RegulationJean PetrucelliChapter 8: "No Matter How Hard I Try, I Can't Get through to You!": Dissociated Affect in a Stalled EnactmentFrances Sommer AndersonChapter 9: The Destabilizing Dyad: Psychoanalytic Affective Engagement and GrowthEmily KuriloffChapter 10: Narrative, Affect, and Therapeutic Impasse: Discussion of Part IIILewis AronPart IV: To Eat or Not to Eat: The Psychic Meanings of the DecisionChapter 11: The Male Experience of Food as Symbol and SustenanceMargaret CrastnopolChapter 12: The Meaning of the "Body" in the Treatment of Eating-Disordered PatientsAnn Kearney-CookeChapter 13: The Armored Self: The Symbolic Significance of ObesityStefanie Solow GlennonChapter 14: When the Self Starves: Alliance and Outcome in the Treatment of Eating DisordersKathryn J. ZerbePart V: Creativity and AddictionChapter 15: Melancholia and Addiction?Joerg BoseChapter 16: The Anxiety of CreativityOlga CheselkaChapter 17: Creativity, Genius, and Divine MadnessEdgar A. LevensonChapter 18: the Muse in the BottleAlbert RothenbergPart VI: Desires and AddictionsChapter 19: Attending to Sexual Compulsivity in a Gay ManJack DrescherChapter 20: In the Grip of Passion: Love or Addiction? On a Specific Kind of Masochistic EnthrallmentDarlene Bregman EhrenbergChapter 21: From Impulsivity to Paralysis: Thoughts on the Continuous Pursuit and Thwarting of DesireJill HowardChapter 22: A Philosophical Assessment of Happiness, Addiction, and TransferenceM. Guy ThompsonPart VII: Winnicott and Masud Khan: A Study of Addiction and Self-DestructionChapter 23: Masud Khan's Descent into AlcoholismLinda B. HopkinsChapter 24: Winnicott's Complex Relationship to Hate and HatefulnessMarcia RosenChapter 25: The Outrageous Prince: The Uncure of Masud KhanDodi GoldmanChapter 26: Further Thoughts on the Winnicott-Khan AnalysisLawrence EpsteinIndex