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"Christopher, você (…) é duro na queda."
Este livro testemunha uma proposta clínica controversa, que problematiza e costura na prática ideias importantes do campo psicanalítico, tais como regressão à dependência, de Winnicott, regressão maligna, de Balint e objeto transformacional, de Bollas. O autor apresenta-se neste livro como um analista parteiro, que confere o tempo necessário ao nascimento e às contrações do colapso, sem exigir pressa, anestesia ou assepsia ao processo de viver. Concebe, desse modo, um modelo de cuidado psicanalítico para crises mentais agudas, alternativo à medicalização e à hospitalização. Este cuidado está pautado em um olhar que confere seriedade ao colapso mental, visto como necessidade psíquica e potencialmente promotor de desenvolvimento, no caso de encontro com um outro à altura de sua interlocução. Na contramão, pergunta-se dos efeitos funestos para a humanidade de uma série de colapsos interrompidos e silenciados em sua possibilidade elaborativa, pela oferta de tratamentos superficiais e desviantes. O que, como humanidade, estamos deixando de processar?
Luciana Pires, psicanalista.
Este livro testemunha uma proposta clínica controversa, que problematiza e costura na prática ideias importantes do campo psicanalítico, tais como regressão à dependência, de Winnicott, regressão maligna, de Balint e objeto transformacional, de Bollas. O autor apresenta-se neste livro como um analista parteiro, que confere o tempo necessário ao nascimento e às contrações do colapso, sem exigir pressa, anestesia ou assepsia ao processo de viver. Concebe, desse modo, um modelo de cuidado psicanalítico para crises mentais agudas, alternativo à medicalização e à hospitalização. Este cuidado está pautado em um olhar que confere seriedade ao colapso mental, visto como necessidade psíquica e potencialmente promotor de desenvolvimento, no caso de encontro com um outro à altura de sua interlocução. Na contramão, pergunta-se dos efeitos funestos para a humanidade de uma série de colapsos interrompidos e silenciados em sua possibilidade elaborativa, pela oferta de tratamentos superficiais e desviantes. O que, como humanidade, estamos deixando de processar?
Luciana Pires, psicanalista.
186 pages, Kindle Edition
First published January 1, 2012
23 people are currently reading
283 people want to read
About the author
Christopher Bollas
44 books91 followersChristopher Bollas, Ph.D. is a Member of the International Psychoanalytical Association and has been practicing for over fifty years. Former Director of Education at the Austen Riggs Center he was Visiting Professor of Psychoanalysis at the Institute of Child Neuropsychiatry of the University of Rome. He is a prolific author and international lecturer.
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Displaying 1 - 9 of 9 reviews
June 3, 2023
فرقی نداره من در مورد کدوم شاخه از روانشناسی و روانکاوی کتاب بخونم همیشه فک میکنم علایم یکسانی با کیس ها دارم😅
و خوب این اصلا جالب نیست و بعضی مواقع حتی اذیت کننده همهست .ولی بعد میفهمم نه خوب مثل اینکه قضیه من خیلی فرق میکنه .
به نظرم کتاب تخصصی بود و بعضی جاهاش از حوصله من خارج بود و بیشتر روخوانی میکردم تموم شه ولی اطلاعات کلی خوبی در مورد روانکاوی بهم داد.
و خوب این اصلا جالب نیست و بعضی مواقع حتی اذیت کننده همهست .ولی بعد میفهمم نه خوب مثل اینکه قضیه من خیلی فرق میکنه .
به نظرم کتاب تخصصی بود و بعضی جاهاش از حوصله من خارج بود و بیشتر روخوانی میکردم تموم شه ولی اطلاعات کلی خوبی در مورد روانکاوی بهم داد.
July 3, 2020
What is a breakdown?
Many of us utilize this term, but what does it actually imply?
Reflexively, we tend to see breakdown as some sort of illness, and imagine that medication and psychiatric hospitalization are the best approach.
What if this isn't true? What is breakdown is a rare and transient opportunity for psychological breakthrough?
Reflecting on one approach, Christopher Bollas elaborates the nature of breakdown and the sense of possibility that briefly presents itself. By medicating or offering symptom-based therapies like CBT and DBT, we deny that opportunity for growth and instead the mind paves over possibility and we are left with rigidity and less possibility of a fully lived life.
I found his approach and case reviews quite similar to breakthrough work that has been done with MDMA assisted psychotherapy - both utilize long and intensive sessions after resources, safety and a therapeutic frame have been well-established.
Perhaps it is time that as a society we better understand the nature of breakdown. By seeing it as an opportunity for healing, we may prevent the transmission of intergenerational trauma and bring more humanity and optimism to our societies.
Research seems to imply that reducing stigma is inadequate without a deeper understanding of the complex nature of emotional distress. As always, Bollas brings us more deeply into an understanding of the self-reflective and examined life, with all its potential for richness, engagement and the possibilities of work and love.
Many of us utilize this term, but what does it actually imply?
Reflexively, we tend to see breakdown as some sort of illness, and imagine that medication and psychiatric hospitalization are the best approach.
What if this isn't true? What is breakdown is a rare and transient opportunity for psychological breakthrough?
Reflecting on one approach, Christopher Bollas elaborates the nature of breakdown and the sense of possibility that briefly presents itself. By medicating or offering symptom-based therapies like CBT and DBT, we deny that opportunity for growth and instead the mind paves over possibility and we are left with rigidity and less possibility of a fully lived life.
I found his approach and case reviews quite similar to breakthrough work that has been done with MDMA assisted psychotherapy - both utilize long and intensive sessions after resources, safety and a therapeutic frame have been well-established.
Perhaps it is time that as a society we better understand the nature of breakdown. By seeing it as an opportunity for healing, we may prevent the transmission of intergenerational trauma and bring more humanity and optimism to our societies.
Research seems to imply that reducing stigma is inadequate without a deeper understanding of the complex nature of emotional distress. As always, Bollas brings us more deeply into an understanding of the self-reflective and examined life, with all its potential for richness, engagement and the possibilities of work and love.
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April 11, 2025realmente um livro sobre casos de sucesso com o colapso com uma forma controversa, entendo a demora de 30 anos para conseguir falar sobre essas experiências, mas bastante enriquecedor para nós pensarmos a clínica - mesmo não imaginando a aplicabilidade para os casos que já acompanhei/acompanho, sempre muito bom ler as experiências clínicas do Bollas, traz percepções valiosas para o que um processo de análise e a entrevista ao final do livro ajuda bastante a elucidar algumas dúvidas, várias questões que me peguei perguntando. Ele repete várias vezes que o receio em compartilhar vinha também de pensar que a maioria dos colegas não aprovariam, achei de uma coragem imensa. Um grande pensador para a psicanálise na construção da teoria e da práxis
January 18, 2025
O abordare unica la prabusirile psihice. Ideea ca decompensarile psihice au o insemnatate pentru analizand si ca au un potential mare de schimbare este revelatoare si merge impotriva stiintelor "bazate pe dovezi". Superba abordarea umanista a lui Christopher Bollas, acesta ofera sedinte prelungite chiar si de o zi intreaga, in momente de vulnerabilitate maxima pentru analizand, si ii ofera un cadru sigur si empatic pentru a iesii la iveala inconstientul analizandului.
June 12, 2020
An empathetic approach towards helping patients going through psychological breakdown, written in completely accessible language. At points it felt like Bollas was trying very hard to defend his reasoning for intensive therapeutic approach against unknown detractors, which took a bit away from the overall psychological analysis, but still a compelling read.
November 10, 2024
شاید ترجمه یه جاهایی مفهوم نبود و واژههای تخصصی روانکاوی رو درست ترجمه نکرده بود. نشر خوب.
اما خود کتاب دیدگاه و نگاه جدیدی داشت که به نظرم ارزش خوندن برای همه کسایی که توی حوزه روانشناسی فعالیت میکنن رو داره
نگاه عمیقتر به بحران و فروپاشی روانی، یه جورایی همدلی زیاد با بیمار و موندن کنارش تا این روزا بگذره.
اما خود کتاب دیدگاه و نگاه جدیدی داشت که به نظرم ارزش خوندن برای همه کسایی که توی حوزه روانشناسی فعالیت میکنن رو داره
نگاه عمیقتر به بحران و فروپاشی روانی، یه جورایی همدلی زیاد با بیمار و موندن کنارش تا این روزا بگذره.
January 14, 2025
Eu gostei muito de conhecer mais desse recorte específico da clínica do Bollas. Ousado, no mínimo. Mas é um lembrete bonito pra gente confiar no processo psicanalítico e na extraordinariedade contida em cada caso clínico.
September 10, 2019
I found this fascinating and appreciated Bolles risking putting himself out there in a way that is a bit controversial.
October 27, 2016
I read this from cover to cover in 2 days because it was that compelling. As suggested in the summary he made a convincing case for intensive psychoanalytic treatment during a breakdown as a way not to stop it or divert attention away from it, but to help the person work through the material that has had the chance to surface during the breakdown such that a breakthrough can happen. I really appreciated the case examples illustrating what a breakdown may look like and how they might happen, and what he did to help the patients through their breakdowns. I was hoping however for more description of other signs of breakdown but for a brief book, this was a great guide.
Displaying 1 - 9 of 9 reviews