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Using theory from philosophy and from race studies, the author explores the countertransference confusions and enactments that can arise in working with trans and gender nonbinary patients. Case material is presented to explore in vivo the potential for enactments and toxic anxiety in the analyst in work with patients exploring or inhabiting new forms of desire and identity. Primitive states of anxiety and dysphoria may inhibit the analyst's capacities to allow freedom and reflection in cases of complex gender construction. [ABSTRACT FROM AUTHOR]

A review of a clinical report by Harold Searles, attending to Searles' ways of working with psychotic patients, his influences and those he influenced, as well as contemporary thinkers (Laplanche), who speak as Searles did, of the power of the other in the construction of psychic life. [ABSTRACT FROM AUTHOR]

Discussion of the work of Alison Howard whose diagnosis of coronavirus, made public, became a complex part of the transference and countertransference. Clinical work under these difficult conditions was discussed in terms of contemporary clinical theory stressing the potency and necessity of change in the analyst, the work of Ogden and Levenson, in particular. [ABSTRACT FROM AUTHOR]