Analysis of the Incest Trauma

Susan A. Klett, LCSW-R, BCD, NCPsyA, is Co-Director of the Washington Square Institute (WSI); a Training and Supervising Analyst, and Founder and Director of the Dialectical Behaviour Therapy (DBT) Training and Group Program. She is also a Contributing Editor of WSI's Journal 'Issues in Psychoanalytic Psychology'; a Past President of the Postgraduate Psychoanalytic Society, and Former Chair of the Education Committee of the New York State Society for Clinical Social Work. She has published articles and reviews on trauma, eating and personality disorders and the psychoanalytic process, and has presented both nationally and internationally. She maintains a private practice in Manhattan. Arnold W. Rachman, PhD, FAGPA, is a Training and Supervising Analyst at the Institute of the Postgraduate Psychoanalytic Society, New York; a Clinical Professor of Psychology at Derner Institute, Adelphi University; Associate Professor of Psychiatry, New York University Medical School; on the Faculty of the Trauma and Disaster Studies Program, New York University Postdoctoral Program in Psychoanalysis; on the Board of Directors, Sandor Ferenczi Study Center, New School for Social Research; and author of: 'Sandor Ferenczi: The Psychotherapist of Tenderness and Passion' and 'Psychotherapy of Difficult Cases: Flexibility & Responsiveness in Clinical Practice'.

• Foreword , The intellectual and emotional journey toward understanding the incest trauma , Psychoanalysis’s neglect of the incest trauma , Confusion of tongues drama: the suppression of the first theory and method for the treatment of the incest trauma , Confusion of tongues theory of childhood sexual trauma , A pioneering analysis of the incest trauma: Sándor Ferenczi’s analysis of Elizabeth Severn , Listening to the voices of the abused , Incest trauma, psychoanalysis, and the brain , Analysis of an incest trauma in a difficult case , Analysis of the incest trauma through the drawings of an outsider artist , View from the couch: an analysand’s experience of trauma , Triumph of the human spirit: the emotional courage of a young woman who confronted her incest trauma , Countertransference encounters: the analyst’s experience of trauma analysis , Understanding an erotic transference as an enactment of a childhood incest trauma , Education, training, and supervision for analyzing the incest trauma

'Analysis of the Incest Trauma is an elegant, forceful narrative of an awakening. First is the realization within psychoanalytic theory and practice of the actuality - the all-too-frequent actuality - of sexual transgressions within families. Second is the documentation, in compelling jargon-free descriptions, of successive case studies. Arnold W. Rachman and Susan A. Klett poignantly illustrate the enormous courage their patients demonstrate in exposing the triad of victim, abuser, and bystander commonly present in incest trauma families. The reader will emerge with an enhanced sensitivity to the skill and empathic understanding required for helping patients to feel safe in the face of retraumatization - a model beginning with Ferenczi that illuminates an analytic approach today.'- Joseph D. Lichtenberg, MD, Editor-in-Chief of Psychoanalytic Inquiry and the Psychoanalytic Inquiry book series'Arnold Rachman's work over the past three decades has greatly helped our field recognize the importance of childhood sexual trauma and Ferenczi's contributions. I highly recommend Rachman and Klett's new book. Using the original exchanges of letters, the authors have given us a detailed historical account of the struggle between Ferenczi and Freud over the role of childhood sexual trauma and its place in the history of psychoanalysis. Detailed case histories of adults vividly illustrate the consequences of this trauma.'- Beatrice Beebe, Clinical Professor of Psychology in Psychiatry, New York State Psychiatric Institute, Columbia University'The authors have quite deftly managed to do something rare: write a book about complex and painful issues that is tonally perfect. Their approach uniquely pairs the clinical experience of analysis with the deep, non-intrusive empathy required when working with incest victims. With remarkable frankness, compassion, simplicity and intelligence, they allow us to accompany them on the very demanding journeys they undertook with their patients, leading us through not only the gratifying, at times almost miraculous episodes, but also through the rough, distressing, even almost hopeless hours. The humility and courage with which they share their experience commands respect. Truly, a wonderful book.'- Michael Lariviere, Psychoanalyst, Former Associate Professor of Psychiatry, Faculty of Medicine, University of Strasbourg