Who's Behind the Couch?

Book excerpt: What is it like to be a working psychoanalyst? And what is it like to be held in the mind of one? These were the questions that led Winer and Malawista to interview seventeen notable analysts from around the world. Who's Behind the Couch?: The Heart and the Mind of the Psychoanalyst explores the analyst's mind at work, not so much from a theoretical perspective, but rather from the complexities and richness inherent in every moment-to-moment clinical encounter. As analysts we are all continually challenged to find what might work best with a particular patient. Yet we don't often hear senior analysts share their personal struggles, feelings, and sensibilities. To understand the internal experience of analysts the authors posed questions such as: What is it like for analysts to manage rough spots, to lose ground and try to recapture it? To feel appreciated and then to feel devalued? To feel betrayed? To feel responsibility for someone's life while working to maintain their own balance?