The problem of how to understand and to treat masochism has plagued the vast majority of clinicians. The Clinical Problem of Masochism, edited by Deanna Holtzman, PhD, and Nancy Kulish, PhD, focuses on the common and difficult clinical problems posed by masochistic patients who are spread throughout all diagnostic categories. Foremost psychoanalytic clinicians in the field from various theoretical backgrounds demonstrate their approaches to working clinically with these problems. Each expert provides detailed clinical examples, making their approaches and suggestions come alive. This volume, unique in its varied clinicaland practical focus, offers therapists of all theoretical persuasions ideas on how to think about and help individuals suffering from masochistic difficulties.
Deanna Holtzman, PhD is a Training and Supervising analyst and Past President of the Michigan Psychoanalytic Institute. She is an Adjunct Professor in the Department of Psychiatry, School of Medicine at Wayne State University and an Adjunct Professor of Psychology at the University of Detroit. She is the President of the Sigmund Freud Archives, Inc. and has co-authored two books with Nancy Kulish.
Nancy Kulish, PhD is a Training and Supervising Analyst and Past President of the Michigan Psychoanalytic Institute. She is an Adjunct Professor in the Department of Psychiatry, School of Medicine at Wayne State University and an Adjunct professor of Psychology at the University of Detroit. She has co-authored two books with Deanna Holtzman and published numerous articles on transference/countertransference, gender, and female sexuality.
Dedication
Acknowledgments
Chapter 1. Introduction: The Suffering of Sisyphus
Deanna Holtzman PhD and Nancy Kulish PhD
Chapter 2. Clinical Constellations of Masochistic Psychopathology
Otto F. Kernberg, MD
Chapter 3. Masochism in Childhood and Adolescence as a Self-Regulatory Disorder
Alan Sugarman, Ph. D
Chapter 4. Some Suggestions for Engaging with the Clinical Problem of Masochism
Kerry Kelly Novick and Jack Novick Ph.D
Chapter 5. Clinical Observations on Masochistic Character Structure
Robert Alan Glick MD
Chapter 6.Sadomasochistic Stuckness.
Stanley J. Coen M. D.
Chapter 7.Masochism as a Multiply-Determined Phenomenon
Glen O. Gabbard MD
Chapter 8. Self-abuse and Suicidality; Clinical Manifestations of Chronic Narcissistic Rage
Anna Ornstein
Chapter 9. Varieties of Masochistic Experience—Modes of Analytic Relating
Henry Markman M.D.
Chapter 10. Masochism and Trauma
Harold P. Blum MD
Chapter 11. Failure to Thrive: Shame, Inhibition and Masochistic Submission in Women
Dianne Elise Ph.D.
Chapter 12.Analysts Who Have Sexual Relations with Their Patients – The Central Role of Masochism
Marvin Margolis MD, PhD
Chapter 13. Conclusion
Deanna Holtzman PhD and Nancy Kulish PhD
About the Authors
Masochism is explored by contemporary psychoanalytic thinkers in a nuanced and complex fashion. Clinicians will find many ideas about the meaning and function of masochism relevant to their work with patients. The book is filled with case studies that provide helpful examples of interventions that can free patient-clinician pairs from treatment impasses.
— Judy L. Kantrowitz, PhD, Boston Psychoanalytic Society and Institute, Harvard Medical School
In a wonderful edited array of richly illuminating essays, based on their long term workshop at APsaA, Holtzman and Kulish have updated “masochism”—this common but baroque pursuit of psychic pain. They show clinically modern expansions and variants of the original Freudian formulations, and new re-interpretations. Significant writers and clinicians here apply the current wide range of psychoanalytic theories—ego psychological and developmental, self psychology, relational, object relational, attachment and affect regulation, and Kleinian. The result is a substantial and helpful read. All clinicians and teachers will benefit from the thinking in these searching and often challenging clinical examples
— Rosemary H. Balsam M.D., Western New England Institute for Psychoanalysis; Yale Medical School; author of WOMENS BODIES IN PSYCHOANALYSIS
The term masochism brings to mind some of the most difficult theoretical problems, and some of the most troublesome clinical dilemmas, in psychoanalysis. Some people actively seek pain, suffering, and humiliation. Who are they? How did they come to these strategies? What are their clinical manifestations? How can we understand them? How can we help them? Deanna Holtzman and Nancy Kulish have assembled the foremost thinkers in the field—ego psychology, object relations, Kleinian, self-psychology, developmentalist—to explore these questions, offer illustrations of their clinical work, and provide support for practitioners who experience the pain of working with these suffering patients. This volume belongs on the shelf of any therapist who works with patients who have masochistic themes to their characters, and that means all patients.
— Robert Michels M.D., Cornell University; Columbia University Center for Psychoanalytic Training and Research
