Treating The Other Third

H. Spencer Bloch, MD, has practiced child, adolescent, and adult psychiatry and psychoanalysis for forty-five years in San Rafael, CA. An honours graduate of Amherst and AOA from Cornell University Medical College, he completed medical internship at Bellevue Hospital in New York, and psychiatric residencies at Harvard's Massachusetts Mental Health Center, Judge Baker Guidance Center, and Children's Hospital Medical Center, serving as chief resident following military service in Vietnam and San Francisco. He trained and taught courses on adolescent and oedipal development at the San Francisco Psychoanalytic Institute, and is certified in child/adolescent, and adult psychoanalysis, and board certified in child/adolescent, and general psychiatry.

• ACKNOWLEDGMENTS ABOUT THE AUTHOR PROLOGUE PART I TREATING THE OTHER THIRD Introduction CHAPTER ONE Treating severe psychopathology CHAPTER TWO Bulimia in adolescents PART II VICISSITUDES IN DEVELOPMENT: UNDERSTANDING SOME OUTLIERS CHAPTER THREE Revisiting homosexuality: one possible developmental pathway (Dilemmas at the interface of psychiatry and politics) CHAPTER FOUR The relationship between suicide and homicide (Dilemmas at the interface of psychiatry and the law)PART III DILEMMAS AT THE INTERFACE OF INDIVIDUAL PSYCHOLOGY AND SOCIOLOGY CHAPTER FIVE The impact on civilization of its malcontents, or normalizing psychopathology and pathologizing normalcy in present-day America: an unfortunate natural outcome of developmental needsEPILOGUE NOTES REFERENCES INDEX

'Treating the Other Third might better be titled, "All you need to know that the literature on psychoanalytic psychotherapy doesn't tell you." This book is solidly about "treatment"rather than the more limited scope suggested by the section headings, "treatment of severe psychopathology" or "unique outcomes of development." Read this book and you will be on the edge of your seat as you experience the meticulously researched, yet always provocative, points of view H. Spencer Bloch chooses to explore, always in great depth. Indeed, Dr. Bloch is a masterful clinician and incisive thinker. He understands patients in a way that only a clinician who has devoted years to practice can. As you read, pay close attention to his unique uses of the terms "developmental," "sponsorship," and "survivor guilt," and you will find yourself among the initiated.'- Steven Frankel, MD, Associate Clinical Professor, University of California, San Francisco; Director, Center for Collaborative Psychiatry, Psychology and Medicine'What a refreshing treat to sit by the feet of a seasoned psychodynamic professional such as H. Spencer Bloch. With manualized therapies and biomedical treatments having their day, it is not easy to find wise clinicians who have been in the trenches treating real patients every day for many years, for more than, say, twelve sessions each. In this book, Dr. Bloch takes us on an impassioned journey to an experience-near understanding of adolescents and their developmental needs and vulnerabilities. Although I disagree with his assertions about homosexuality and social issues, and found them overgeneralized, he is thought-provoking. But when he discusses cases he shines, telling the reader in plain language (while utilizing sophisticated concepts) what to do and how to do it with adolescent patients and their parents. His clinical vignettes are compelling and real, and by the end he has made his points clear, giving the reader a master's recommendations on both a therapeutic stance as well as a framework to navigate the choppy waters of adolescent treatment and development. His commitment to and "ownership" of patients is inspiring, conveying the power of "being with" adolescents and "having their back." All in all, this is a book that will stay with the reader and one to go back to for more over time.'- David L. Kaye, MD, Professor of Psychiatry, Vice Chair for Academic Affairs (Psychiatry), Medical Director, CAP PC, University at Buffalo School of Medicine, NY