Ellen Ruderman & Carol Tosone 
Contemporary Clinical Practice 
The Holding Environment Under Assault

Contemporary Clinical Practice: The Holding Environment Under Assault is devoted to the examination of contemporary social problems and their impact on the clinical process. State-of-the-art psychodynamic theories will be applied to the understanding of how war, terrorism, politics, government regulations, and other environmental problems influence interactions between clinicians and their patients.

Table of Content

Introduction: The World Outside and its Impact on the Treatment Process.- Shared Trauma and Self-Disclosure in the Therapeutic Process.- The Erosion of the Socio-Political Holding Environment and Potential Space for Creative Repair in Treatment.- Grief and Loss in an Age of Global Trauma: Protest and Despair vs. Attachment and Reorganization.- Integrating the Internal and External Worlds of Clinical Social Work.- What Happens to Confidentiality When the Government Enters the Treatment Room via the Patriot Act, HIPPA, and Managed Care?.- The Influence of Outside Forces on Social Work Education.- Real Experiences Revisited: The Significance of Attachment, Separation, and Loss in Clinical Social Work Treatment.- Psychoanalysis and Social Critique.- Considerations for Psychoanalytic Treatment in a Time of War.