Is there a way of promoting or instituting better integrated services?

This March will see the publication of a timely and significant book illustrating the distinctive contribution psychoanalytic thinking brings to our mental health services. Psychoanalysis, the NHS, and Mental Health Work Today (Karnac, March 2017, part of their Psychoanalytic Ideas Series, edited by James Rose, former Chair of the BPC) features contributions from psychoanalysts, psychotherapists, organisational consultants, consultant psychiatrists, and a leading practitioner in the field of primary care.

Between them, they address a wide range of contemporary issues, including the complexity of work with traumatised individuals, including refugees; the wide-ranging psychoanalytic contribution to child and adolescent services; the impact on commissioning of a market culture skewed towards targets and quick wins; and the working conditions that can cause staff to neglect and abuse their patients, and/or become ill themselves.

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Carl Jung: BBC Television Interview

Posted on Mar 27, 2017

Interview with Carl Jung


Filmed in Switzerland at his lakeside home near Zurich, Professor Carl Gustav Jung was viewed as the greatest living psychologist. Interviewer John Freeman found Jung, although an old man, as sharp and clear thinking as ever. It proved to be a timely encounter; Jung died 18 months later (1959).

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Interview with Professor Brett Kahr, conducted at Karnac Books, London on 10th March 2017


KN [Karnacology]: Congratulations on the recent publication of Coffee with Freud.  It seems like only a short while ago that we spoke together about your earlier book Tea with Winnicott.

BK [Brett Kahr]: Thank you.  Yes, Karnac Books very kindly published Tea with Winnicott last year, in 2016, and now, I thank you all, once again, for Coffee with Freud.

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Revising our theoretical and clinical concepts in the light of evolving sexualities

This book is a many-voiced volume describing different approaches in Latin America towards a fuller understanding of female sexuality. As the  former overall chair of the Committee on Women and Psychoanalysis of the International Psychoanalytical Association (IPA), I’ve always been struck by the buzz and energy at Latin American conferences around topics of sexuality, sexual identity, and gender constructs compared with many other countries of the world, which was hindered from being known more widely because of the language barrier. 

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Suicide Examined, by Antonia Murphy

Posted on Mar 07, 2017

Out of this World


A friend asked me recently, apropos of my book,  “How long has this been in the making ?” I answered, “30 years fermenting and 18 months thereabouts actually writing it!” In truth this work has been a long time in coming to fruition, drawn as it is from life experience, years of clinical work, and training other clinicians working with suicidality. Now felt like the right time to write.

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Carved by Experience


Strange though it may sound, I clearly remember coming across the notion of projective identification for the first time. I was in my early twenties, coping as best  I could with the stream of life, thinking and feeling a lot, understanding little, mainly blind; and the notion that my mental reality wasn’t mine alone, that it didn’t simply consist of just me, that materials passed through which were not “I” – was both eye-opening and therapeutic.  For a thin-skinned person like me, so exposed to her surroundings, it was a good thing to start finding out how these exchanges between inside and outside worked – when they caused suffering and when they brought growth. 

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How Projective Identification is an integral aspect of the Sociopathic Narcissist


With all of the discussions going on about Donald Trump’s ‘narcissism’, I thought I might offer a broader clinical perspective regarding sociopathic narcissism. Clearly there is great ongoing discussion about Donald Trump’s ‘narcissism’, however, I believe what has been errant in the discussion is that Trump is by definition not just ‘narcissistic.’  Trump’s narcissistic manifestations also appear to be well entrenched in sociopathy.

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