Controversial confessions

Stephen Grosz is a psychoanalyst who has worked in the United States and Britain. Over his career he has been ‘sitting with patients for thousands of hours,’ he writes. Occasionally he has used his notes and observations for addresses at clinical seminars or for contributions to psycho-analytical journals. But this is the first time he has consulted his files in order to publish a book for the general reader.

‘This book is about change,’ he tells us. Naturally his troubled patients are seeking change, though they sometimes shield themselves from his professional intrusiveness. There is the risk, too, of change being for the worse — for the consultant as well as for the patient. These sessions are a learning process for both of them. Some of the most sympathetic passages in the book chronicle moments of the author’s disquiet when he is left with a sense of ‘failing both my patients and myself’ or when he is confronted by someone who is irrevocably damaged.