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Eckardt, M.H. (1991). Multiple Realities in Clinical Practice: John S. Kafka, M.D., Yale University Press, New Haven, 1989, 194 pp., $25.00, hardcover.. J. Amer. Acad. Psychoanal., 19(4):681-683.
    

(1991). Journal of American Academy of Psychoanalysis, 19(4):681-683

Multiple Realities in Clinical Practice: John S. Kafka, M.D., Yale University Press, New Haven, 1989, 194 pp., $25.00, hardcover.

Review by:
Marianne Horney Eckardt, M.D.

As psychotherapists we learn over and over again that we cannot take for granted that we will understand the full meaning of our patients' communications. We have to feel ourselves into what we hear, guided by our perception of affective coloring and by the patient's choice of wording. The word empathy does not convey this searching listening. Our minds, in a sense, scan levels of possible meaning based on past experience and knowledge.

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