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Klein, J. (1987). Transference Neurosis and Transference Psychosis Toward Basic Unity by Margaret Little. Published by Free Association Books & Maresfield Library: London 1986; 323 pages; £9.95 paperback.. Brit. J. Psychother., 4(2):195-197.

(1987). British Journal of Psychotherapy, 4(2):195-197

Transference Neurosis and Transference Psychosis Toward Basic Unity by Margaret Little. Published by Free Association Books & Maresfield Library: London 1986; 323 pages; £9.95 paperback.

Review by:
Josephine Klein

We all now work with patients who show more disturbances than the psychoneuroses on whom early psychodynamic theory was based. We see more people now whose state of mind could be called ‘borderline’, ‘narcissistic’, ‘psychotic’. Partly, the population has changed since the earlier days; certainly the culture has changed. By a natural process some therapeutic techniques which used to be unthinkable, or daring innovations, are now taken for granted. Margaret Little has contributed to this evolution, and it is this which makes her collection of essays, written over many years, so fascinating. For various reasons our resistance against manifesting and perceiving deep disturbances is now less strong. This has implications for us psychotherapists as it affects both our experience of our patients and our experience of ourselves. What about deep disturbances, ours and other people's? It is Margaret Little's view that these can never be entirely analysed away or worked through. Therefore we, both ourselves and our patients, have to find ways of containing them, even making creative use of them (see for instance the essay on Self-Analysis - chapter 19).

Margaret

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