Table of Contents

Acknowledgments
Contributors
Introduction
Part I: Addictive Economies
Chapter 1: The Psychic Economy of Addiction
Joyce McDougall
Chapter 2: Addictive Economies: Intrapsychic and Interpersonal Discussion of McDougall's Chapter
Catherine Stuart
Part II: Expanding the Analytic Space: Dissociation and the Eating-Disordered Patient
Chapter 3: Thinking, Talking, and Feeling in Psychotherapy with Eating-Disordered Individuals
F. Diane Barth
Chapter 4: The Instigation of Dare: Broadening Therapeutic Horizons
Judith Brisman
Chapter 5: Out of Body, Out of Mind, Out of Danger: Some Reflections on Shame, Dissociation, and Eating Disorders
Philip M. Bromberg
Chapter 6: On Preferring Not To: The Aesthetics of Defiance
Adam Phillips
Part III: On Being Stuck: Enactments, Mutuality, and Self-Regulation with Eating-Disordered Patients
Chapter 7: Close Encounters of the Regulatory Kind: An Interpersonal/Relational Look at Self-Regulation
Jean Petrucelli
Chapter 8: "No Matter How Hard I Try, I Can't Get through to You!": Dissociated Affect in a Stalled Enactment
Frances Sommer Anderson
Chapter 9: The Destabilizing Dyad: Psychoanalytic Affective Engagement and Growth
Emily Kuriloff
Chapter 10: Narrative, Affect, and Therapeutic Impasse: Discussion of Part III
Lewis Aron
Part IV: To Eat or Not to Eat: The Psychic Meanings of the Decision
Chapter 11: The Male Experience of Food as Symbol and Sustenance
Margaret Crastnopol
Chapter 12: The Meaning of the "Body" in the Treatment of Eating-Disordered Patients
Ann Kearney-Cooke
Chapter 13: The Armored Self: The Symbolic Significance of Obesity
Stefanie Solow Glennon
Chapter 14: When the Self Starves: Alliance and Outcome in the Treatment of Eating Disorders
Kathryn J. Zerbe
Part V: Creativity and Addiction
Chapter 15: Melancholia and Addiction?
Joerg Bose
Chapter 16: The Anxiety of Creativity
Olga Cheselka
Chapter 17: Creativity, Genius, and Divine Madness
Edgar A. Levenson
Chapter 18: the Muse in the Bottle
Albert Rothenberg
Part VI: Desires and Addictions
Chapter 19: Attending to Sexual Compulsivity in a Gay Man
Jack Drescher
Chapter 20: In the Grip of Passion: Love or Addiction? On a Specific Kind of Masochistic Enthrallment
Darlene Bregman Ehrenberg
Chapter 21: From Impulsivity to Paralysis: Thoughts on the Continuous Pursuit and Thwarting of Desire
Jill Howard
Chapter 22: A Philosophical Assessment of Happiness, Addiction, and Transference
M. Guy Thompson
Part VII: Winnicott and Masud Khan: A Study of Addiction and Self-Destruction
Chapter 23: Masud Khan's Descent into Alcoholism
Linda B. Hopkins
Chapter 24: Winnicott's Complex Relationship to Hate and Hatefulness
Marcia Rosen
Chapter 25: The Outrageous Prince: The Uncure of Masud Khan
Dodi Goldman
Chapter 26: Further Thoughts on the Winnicott-Khan Analysis
Lawrence Epstein
Index

About the Author

Jean Petrucelli, Ph.D., F.P.P.R., is co-founder and co-director of Eating Disorders and Substance Abuse Service, and is supervisor of psychotherapy, teaching faculty, William Alanson White Institute. Catherine Stuart, Ph.D., is co-founder and co-director of Eating Disorders and Substance Abuse Service, and supervising analyst, teaching faculty, William Alanson White Institute. Dr. Stuart is also on faculty at the Postgraduate Center for Mental Health.

Reviews

Hungers and Compulsions, written primarily by colleagues who espouse an interpersonal/relational perspective, will be of interest to clinicians who follow other approaches as well. The reader is offered vivid accounts of close encounters with very challenging patients. Two leitmotifs of the book are the place of insight vs. affective engagement in the curative process, and the love-hate relationship with Freud and Ferenczi that many psychotherapists share. The final section on the ill-starred Winnicott/Khan relationship is a timely coda.
*Arnold D. Richards M.D., editor, Journal of the American Psychoanalytic Assocation*

Petrucelli and Stuart bring together a diverse set of psychoanalytic and psychodynamic writers who address the issues of eating disorders, compulsions, and addictions from multiple perspectives. The authors focus on clinical material and explore psychoanalytically informed treatment. For a clinician working with any of the identified disorders or issues in this book, these collected writings can help inform their clinical practice and expand their knowledge of treatment.
*Contemporary Psychology: The Apa Review Of Books*

This book offers a wise, often inspired, guide to the treatment of patients who present with eating disorders and other addictive behavior. Any clinician can learn from this inside view of the demands that working with this difficult group of patients places on their therapists. And the book is more, because taken together the chapters constitute a discourse on fundamental questions about human desire and will, and about our need to live authentically and creatively. I recommend it highly to everyone interested in treating eating disordered patients and to everyone who wants to understand the thinking of contemporary relationally oriented psychoanalysts and psychotherapists.
*Jay Greenberg, Ph.D., training and supervising analyst, The William Alanson White Institute*

This is a marvelous collection; its important insights continue to inspire and inform. It challenges overly simplistic understandings of the deep human needs and profound psychic pain embodied in people’s struggles with eating disorders and addictions. It reminds us how this pain is compounded when it goes unaddressed and unrecognized. And it provides clinicians across disciplines with creative ways to think anew about how we can be there for our patients.
*Susie Orbach, Psychoanalyst, writer, author of Fat is a Feminist Issue*