Books by R. D. Hinshelwood

INTRODUCING guide to the pioneering child psychoanalyst. Born in Vienna in 1882, Melanie Klein became a pioneer in child psychoanalysis and developed several ground-breaking concepts about the nature and crucial importance of the early stages of infantile development. Although she was a devoted Freudian, many of her ideas were seen within the psychoanalytic movement as highly controversial, and this led to heated conflicts, particularly with Freud's daughter, Anna. Introducing Melanie Klein brilliantly explains Klein's ideas, and shows the importance of her startling discoveries which raised such opposition at the time and are only now being recognized for their explanatory power. Her concepts of the depressive position and the paranoid-schizoid position are now in common usage and her work has to be taken seriously by psychoanalysts the world over. She is also now important in many academic fields within the human sciences.

In this book, the case histories of Melanie Klein and her followers are scrutinised, to examine both what the clinicians were noticing in their patients, and how they conceptualized those processes.

When madness is intolerable for sufferers, how do professional carers remain sane? Psychiatric institutions have always been places of fear and awe. Madness impacts on family, friends and relatives, but also those who provide a caring environment, whether in large institutions of the past, or community care in the present. This book explores the effects of the psychotic patient's suffering on carers and the culture of psychiatric services. Suffering Insanity is arranged as three essays. The first concerns staff stress in psychiatric services, exploring how the impact of madness demands a personal resilience as well as careful professional support, which may not be forthcoming. The second essay attempts a systematic review of the nature of psychosis and the intolerable psychotic experience, which the patient attempts to evade, and which the carer must confront in the course of daily work. The third essay returns to the impact of psychosis on the psychiatric services, which frequently configure in ways which can have serious and harmful effects on the provision of care. In particular, service may succumb to an unfortunate schismatic process resulting in sterile conflict, and to an assertively scientific culture, which leads to an unwitting depersonalisation of patients. Suffering Insanity makes a powerful argument for considering care in the psychiatric services as a whole system that includes staff as well as patients; all need attention and understanding in order to deliver care in as humane a way as possible. All those working in the psychiatric services, both in large and small agencies and institutions, will appreciate that closer examination of the actual psychology and interrelations of staff, as well as patients, is essential and urgent.

This book contains 13 main entries on the basic Kleinian concepts - splitting, paranoid-schizoid and depressive positions, projective identification, envy, internal objects - along with numerous entries on subsidiary concepts and the main post-Kleinian writers - Bion, Segal, Rosenfeld, Joseph and Meltzer.