The Climate Crisis and Beyond in the Consulting Room
Book Details
- Publisher : Karnac Books
- Published : November 2026
- Cover : Paperback
- Pages : 270
- Category :
Forthcoming - Category 2 :
Environmental Studies - Catalogue No : 98684
- ISBN 13 : 9781800134829
- ISBN 10 : 1800134827
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A volume on how clinicians address their patients’ and their own anxieties about the precarious state of our environment. Psychoanalysis has traditionally prioritized the patient’s internal reality over external reality. As patients begin to bring their eco-distress into the consulting room, such a split is becoming increasingly untenable.
With contributions from Elizabeth Allured, Teresa Cochran, Martina Gast, Wendy Greenspun, Daniel Jacobs, Delia Kostner, Ines Schelhas, Daniel Sherrell, Penelope Starr-Karlin, Rita Teusch, and John Turtz.
Psychoanalysis has traditionally prioritized the patient’s internal reality over external reality. As patients increasingly bring their eco-distress into the consulting room, such a split is becoming increasingly untenable. The book begins with a survey that assessed clinicians’ climate awareness and their comfort addressing climate-related emotions clinically. Several chapters share insights on how clinicians might broaden their thinking about the importance of the environment and effectively address climate distress with patients.
The content of this book is decidedly personal, with psychoanalysts and psychoanalytically oriented psychotherapists, as well as one young climate activist, reflecting on their experiences of becoming climate-aware, and what they have learned working with patients at this critical juncture in human history. The authors highlight how patients express eco-distress, how childhood traumas and present-day climate traumas may be interrelated, and how therapists need to be mindful of their countertransference reactions. The aims of this volume are to increase awareness of how environmental degradation impacts our psychological functioning, and to demonstrate how an openness to a reality-based discussion of the climate crisis will enable us to better hear and attune to our patients’ legitimate concerns about the state of our planet.
Climate and Beyond in the Consulting Room provides climate information, inspiration, and clinical resources to enable clinicians to face climate reality and increase comfort with introjecting patients’ complex climate feelings.
Reviews and Endorsements
This volume of essays focuses on climate change from diverse authorial perspectives and presentations. The collection intends to inspire clinicians to field and respond to the range of emotional reactions evoked in coming to know our current state of environmental disruption, and to the defensive protections raised against such a recognition of interdependence, otherness, and vulnerability. Unusual in a psychoanalytic volume is the emphasis (in both clinicians and patients) on the connection between a more integrated understanding of self in continuous relation to the environment with the liveliness of a movement to climate action and increased engagement with the natural world.
Lindsay L. Clarkson, MD, Training and Supervising Analyst Emerita, Washington Baltimore Center for Psychoanalysis
This book is a must-read for anyone – and especially for psychoanalysts and therapists – struggling with how to act on the climate crisis: facing it themselves, grappling with the complexities of addressing it with their patients, encouraging their institutions to take climate more seriously, and supporting groups, including local community groups, who are up against widespread cultural pressure to disavow climate reality. These authors give climate a home in their practice. A gem of a book that I highly recommend.
Sally Weintrobe, Fellow, British Psychoanalytical Society, writer on climate matters
This urgently needed volume insists on a truth clinicians can no longer avoid: the climate crisis is not a psychic fantasy to be interpreted away but a reality demanding our full attention. Rita Teusch, Delia Kostner, and their contributors show, with clinical precision and courage, that the real defense lies in denial itself – ours as much as our patients’ – inseparable from the sociopolitical forces that sustain it. Practitioner-focused and clinically grounded, this book gives therapists the language to finally let what happens in the consulting room meet the world outside it. A vital, beautiful contribution.
Susan Bodnar, PhD, Practicing Psychologist, Adjunct Associate Professor at Teachers College, Columbia University, PI DEWLab
Finally! Psychoanalytic thinking has fully taken on the challenge of adapting, or not adapting, to today’s changing environment. This beautifully written and expertly edited volume will deeply influence the reader. From research data identifying those groups most likely to be traumatized plus supporting clinical material from therapy sessions to scientific facts, the role of activism, and the broader implications for humanity, this volume addresses the crucial interrelationship between our mental life with the reality of climate change. Contemporary psychoanalysis has much to offer us in these uncertain times. This book should be read by all clinicians and lay people who need a deeper understanding of the crisis through which we are all living.
Ira Brenner, MD, Clinical Professor of Psychiatry, Sidney Kimmel Medical College of Thomas Jefferson University; Training and Supervising Analyst, Psychonanalytic Center of Philadelphia
How do we experience the climate emergency in our personal and professional lives? How can we find ways to speak about this experience that allow us to share and deepen it? This compelling book moves between stark experience and process, between struggling realization and the hard work of coming to terms. Through riveting encounters in the consulting room, vivid conversations among colleagues and students, and parents struggling to hold fear and hope for their children, we are brought close to the climate emergency as it is actually lived—and to the possibilities for transformation that can emerge when we face it together.
Jack Foehl, Past President and Training and Supervising Analyst, Boston Psychoanalytic Society and Institute; Associate Professor, New York University Postdoctoral Program in Psychotherapy and Psychoanalysis
This book is an outstanding example of what psychoanalysis can be on our planet in extremis. Rita Teusch and Delia Kostner have assembled a powerful group of climate-aware therapists, thought leaders, and activists who are also very gifted writers. Together, they guide, challenge, hold, struggle, act, and endure. And they listen—for the unconscious in their patients, their institutes, their communities, and in themselves. Accept their invitation to join them on these clinical, theoretical, and civic journeys.
Susan Kassouf, PhD, LP, Member, National Psychological Association for Psychoanalysis, American Psychoanalytic Association, and International Psychoanalytical Association
This is the kind of book I hand to colleagues who ask why I keep insisting on psychoanalytic thinking in climate work. Rita Teusch and Delia Kostner have edited a collection that treats the unconscious as central to the ecological crisis, not incidental to it: the defenses that let us look away, the disavowal that keeps us functioning, and the losses too large to metabolize through the usual channels. What sets this book apart from most climate psychology is its clinical grounding. These contributors have spent years learning to work with what people cannot yet say to themselves, and they bring that training to a crisis that has, so far, mostly been addressed through behavior change models and communication campaigns. The chapters here ask a harder question: What does it actually mean to come to terms with how we got here, and how do we move forward without inflicting more disruption than the crisis already has? The answers offered are rooted in care, in repair, and in the relational intelligence that clinical work teaches and climate discourse badly needs. This is a strong addition to an already valuable series and lineage of thinkers—and it belongs on the shelf of anyone doing this work.
Dr. Renée Lertzman, Founder, Project InsideOut
The climate crisis is so vast that every discipline—economics, political science, physics, theology—comes into play, and psychiatry is of course no exception; indeed, it’s central to making progress. This fascinating volume helps distill current understanding and point in new directions for research and inquiry.
Bill McKibben, author of ‘Here Comes the Sun’
The Climate Crisis and Beyond in the Consulting Room offers us an invaluable resource that arrives not a moment too soon. This collected volume of papers represents a crucial intervention and resource for thinking about the climate crisis—and how climate anxieties, denial, and fear surface in the room with patients. This book gives clinicians both a language and a framework for thinking with our patients about the most fundamental issue of our time.
Lynne Zeavin, Training and Supervising Analyst, coeditor of ‘With Climate in Mind’
Table of Contents
Acknowledgments
About the editors and contributors
Foreword by Elizabeth Allured
Introduction by Rita Teusch
1. What students think, what students want: Results and discussion of a climate survey of students at the Boston Psychoanalytic Society and Institute
Rita Teusch
2. Engaging with climate distress: We’re in it together
Wendy Greenspun
3. Firestorm, flood, and shattered futures: On climate trauma and temporality
Penelope Starr-Karlin
4. Climate on the couch: Voices from a burning world
Delia Kostner
5. Representing the climate crisis in the consulting room: Challenges and opportunities
Rita Teusch
6. Living with the crisis: My work in the climate movement
Daniel Sherrell
7. BPSI speaks: Contemplating the climate crisis in clinical work
A Zoom meeting in 2023 transcribed and edited by Delia Kostner and introduced by Daniel Jacobs
8. Saving wonderland: Notes from the field
Teresa Cochran
9. Our kinship with the natural world: Environmental ethics, complexity theory, and psychoanalysis
John Turtz
10. “I owe it to my daughter”: How parents deal with the climate crisis. Psychodynamic interviews with parents committed to climate protection
Ines Schelhas and Martina Gast
11. Reflections on hope and despair in the Anthropocene
Delia Kostner
Appendix: Resources: Organizations
Index
About the Editor(s)
Rita Teusch, PhD, is a training and supervising psychoanalyst at the Boston Psychoanalytic Society and Institute, where she regularly teaches courses on Freud and Melanie Klein. She is a lecturer in psychiatry (psychology) part-time at Harvard Medical School, Cambridge Health Alliance. She is interested in the history and socio-cultural surround of psychoanalysis and has written on substance abuse, eating disorders, trauma, and gender in psychoanalytic journals and book chapters. She has a private practice in Harvard Square, Cambridge, MA.
Delia Kostner, PhD, is a psychologist and psychoanalyst in private practice in Mont Vernon and Amherst, New Hampshire, where she works with patients across the developmental spectrum. She is a faculty member of the Boston Psychoanalytic Society and Institute (BPSI). She has written and taught widely on many topics relevant to the practice of psychoanalytic psychotherapy, including on the interface of psychoanalysis and Buddhist theory and practice. She has also studied the ways in which the more-than-human world shapes the human psyche. She is co-leader, together with Rita Teusch, of Climate Conversations, a monthly discussion group at BPSI. Dr Kostner has completed the three year, low residency writing program, New Directions: Writing with a Psychoanalytic Edge where she also occasionally teaches. She is an amateur naturalist and avid outdoors person who spends her free time hiking and exploring the hills and mountains near her home and abroad. Delia is a University of New Hampshire Natural Resources Steward (NRS) and a volunteer with the NH Coverts Program: Volunteers Working for Wildlife.
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