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Offering an epistemic approach to clinical psychoanalysis this book places value on the clinical interpretations of both the analysand and analyst and engages in a critique on purely linguistic approaches to psychoanalysis, which forsake crucial dimensions of clinical practice.  Drawing on the work of key twentieth century thinkers including Jerome Richfield, Ignacio Matte-Blanco, Gregory Bateson and the pioneering contribution on insight made by James Strachey, topics of discussion include:    the structure and role of clinical interpretation interpretation and creationism  body, meaning and language  logical levels and transference.  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Both in his compendious textbook, \"The Fundamentals of Psychoanalytic Technique\", and as President of the International Psychoanalytic Association, he has endeavoured to bring together the diverse strands of contemporary psychoanalysis including object relations, structural, Kleinian, Lacanian, Bionian and other perspectives. Above all he has stood for an appreciation of the complexity of the analytic situation and especially of the here and now in the transference-countertransference relationship. In this text, figures from international psychoanalysis have contributed chapters that honour Etchegoyen's work and develop further its central themes. 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