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    Home Authors Mary Kay O'Neil Anxiety: Clarification, Critique and Update
    Six Degrees of Separation and Connectedness: Searching for Meaning in Living Society and Culture
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    Anxiety: Clarification, Critique and Update

    Editors: Salman Akhtar and Mary Kay O'Neil

    £21.59 – £33.99Price range: £21.59 through £33.99

    A much-needed exploration of anxiety from a variety of outlooks: conceptual, developmental, cultural, and clinical – from both the patient and the analyst’s viewpoint. Ten original papers from ten distinguished clinicians from around the world under the editorship of Salman Akhtar and Mary Kay O’Neil.

    Due to be published in October 2026

    Editors

    Salman Akhtar and Mary Kay O'Neil

    ISBN

    9781800134850

    Format

    Paperback, e-Book, Print & e-Book

    Page Extent

    256

    Publication Date

    October 2026

    Subject Areas

    Psychoanalysis

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    • Description
    • About the editors
    • Contents
    Description

    The book features contributions from a stellar international line up: Salman Akhtar, Maxine Anderson, Cobi Avshalom, Behdad Bozorgnia, Tom DeRose, Joseph Fernando, Alan Michael Karbelnig, Julie Jaffee Nagel, Gila Ofer, Mary Kay O’Neil, Nirav Soni, and Daniel Traub-Werner.

    Anxiety is one of the most central concepts in both the theoretical and clinical foundations of psychoanalysis. Thus, the study of anxiety is, in effect, the study of psychoanalysis itself. Salman Akhtar and Mary Kay O’Neil have gathered together a thoughtful group of scholars to cover this challenging terrain. The book opens with two chapters that lay out the groundwork for things to come: the first offers succinct definitions of the plethora of psychiatric and psychoanalytic terms pertaining to this emotion; the second elucidates Freud’s changing views of anxiety. These chapters are followed by independent discourses on separation anxiety and castration anxiety that attempt to describe, critique, and update these well-established notions. A section on cultural matters follows which includes essays on performance and climate anxieties. Part IV focuses on the clinical process and provides three pithy discourses on the entanglement of anxiety with enactment, aging, and trauma. The fifth and final part explores the analyst’s clinical and professional anxieties.

    The book’s approach arises from a multiplicity of perspectives. It aims to strengthen theory, clinical practice, and the technical skills of all psychoanalytically oriented therapists. It is essential reading for practicing clinicians, trainees, and students to help them gain a better understanding of the complexities of anxiety.

    About the editors

    About the editors

    Salman Akhtar, MD, is Professor of Psychiatry at Jefferson Medical College and a Training and Supervising Analyst at the Psychoanalytic Center of Philadelphia.  He has served on the editorial boards of the International Journal of Psychoanalysis, the Journal of the American Psychoanalytic Association, and the Psychoanalytic Quarterly. His more than 400 publications include 105 books, of which the following 22 are solo-authored: Broken Structures (1992), Quest for Answers (1995), Inner Torment (1999), Immigration and Identity (1999), New Clinical Realms (2003), Objects of Our Desire (2005), Regarding Others (2007), Turning Points in Dynamic Psychotherapy (2009), The Damaged Core (2009), Comprehensive Dictionary of Psychoanalysis (2009), Immigration and Acculturation (2011), Matters of Life and Death (2011), The Book of Emotions (2012), Psychoanalytic Listening (2013), Good Stuff (2013), Sources of Suffering (2014), No Holds Barred (2016), A Web of Sorrow (2017), Mind, Culture, and Global Unrest (2018), Silent Virtues (2019), Tales of Transformation (2021), and In Leaps and Bounds (2022). 

    Mary Kay O’Neil, PhD, is a supervising and training psychoanalyst and registered psychologist in private practice in Toronto, Ontario, Canada. Trained at the Toronto Institute of Psychoanalysis, she received her PhD from the University of Toronto and was an assistant professor in the Department of Psychiatry. Currently, she is president of the North American Psychoanalytic Confederation (NAPsaC), a member of the board of the Toronto Psychoanalytic Society, and on the faculty of the Toronto Institute. Formerly, she served as director of the Canadian Institute of Psychoanalysis (Quebec English), Montreal, and was a North American representative on the board of the International Psychoanalytical Association (IPA). In addition, she was a member of a number of IPA committees, including ethics and publications and also on the editorial board of the International Journal of Psychoanalysis. Author of The Unsung Psychoanalyst: The Quiet Influence of Ruth Easser, she co-edited seven other books and has contributed numerous journal articles as well as chapters and book reviews. Her research includes studies of depression, young adult development, sole-support mothers, the analyst as art collector, post-termination contact, and psychoanalytic ethics. Toronto and Montreal Foundations have funded her research activities.

    Contents

    Contents

    Table of Contents

    Acknowledgments

    About the editors and contributors

    Introduction

    Part I: Conceptual terrain

    1. The formidable lexicon of anxiety
    Salman Akhtar

    2. Freud’s changing views on anxiety
    Tom DeRose

    Part II: Developmental viewpoint

    3. Separation anxiety
    Nirav Soni

    4. Castration anxiety
    Behdad Bozorgnia

    Part III: Cultural realm

    5. Performance anxiety
    Julie Jaffee Nagel

    6. Climate anxiety
    Alan Michael Karbelnig

    Part IV: Clinical praxis

    7. Anxiety, the post-traumatic zero process, and interpretation
    Joseph Fernando

    8. Unexperienced anxiety and unformulated anxiety
    Gila Ofer and Cobi Avshalom

    9. Anxieties encountered in aging and decline
    Maxine Anderson

    Part V: Behind the couch

    10. Analysts’ clinical anxieties
    Daniel Traub-Werner

    11. Analysts’ professional anxieties
    Mary Kay O’Neil

    References

    Index

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