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Still Practicing

The Heartaches and Joys of a Clinical Career

Sandra Buechler author

Format:Hardback

Publisher:Taylor & Francis Ltd

Published:26th Apr '12

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Still Practicing cover

This book explores the emotional complexities of a clinical career, providing insights on maintaining balance and resilience in the face of challenges. Still Practicing is a vital resource for clinicians.

In Still Practicing, the phrase 'still practicing' carries multiple meanings. It suggests that despite the heartaches and joys encountered, one must persist in the pursuit of clinical practice. Additionally, it implies that for clinicians, 'practice' is an ongoing journey where perfection remains elusive. This continuous refinement of clinical skills is a hallmark of a dedicated professional's life.

Sandra Buechler, drawing from her previous insights on emotional balance, delves into the profound effects that the ups and downs of a clinical career can have on a clinician's emotional well-being. She explores how resilience is nurtured amidst the personal challenges that arise throughout a lifetime in clinical practice. Buechler raises critical questions at various stages of a clinician's career, from training through to late career, focusing on what sustains a genuine interest in the work and how to avoid burnout.

Targeting both newcomers and seasoned professionals, Still Practicing examines the complex emotions of sadness, shame, and satisfaction that accompany therapeutic work. It encourages practitioners to make thoughtful career choices, considering their long-term emotional impacts. The book poses an essential question for clinicians: how can one find equilibrium between the inevitable pain of the profession and the joy it can bring?


‘I am profoundly appreciative of the life lessons I take with me on closing the back cover of this book’Cleonie White, Psychotherapy, Vol. 51, N.2, 324-325

"Overwhelmed? Burned out? Wondering if you have missed your chance to deliver your optimum psychoanalytic impact upon the world of psychoanalysis and/or your patients' lives? Sandra Buechler is back again—now in her most seasoned moments—with this timely prescription for and description of the quiet endemic nihilism which plagues so many of our field. She elicits our field's veil of shame, silence, and reluctance to address the struggles she tackles so elegantly. From the refreshing perspective of a lived lifetime, Sandra has just what it takes to speak to all phases of the psychoanalyst's life cycle and, as our unconscious whisperer, to deliver a sustainable blueprint for our hope and change."- Chap Attwell, M.D., NYU School of Medicine

"In this compelling meditation on psychoanalytic training and practice, Sandra Buechler bears passionate witness to elements of being and becoming an analyst that few others have described. Never losing compassion for the novice she once was, she offers younger colleagues the most valuable support there is: relentless honesty about the demoralizing, lonely, moving, fascinating, and deeply satisfying world of practice that they are entering. Essential as it will be to psychoanalytic candidates, this book is equally nourishing to the experienced analyst."- Nancy McWilliams, Ph.D., Rutgers Graduate School of Applied and Professional Psychology

"If the concept of 'experience-near' didn't exist in our professional vocabulary, we would have been forced to invent it to describe Sandra Buechler's writing. Unlike much of our professional literature, Buechler is always down-to-earth, avoids idealizations, and pinpoints many experiences in the work of psychoanalysts and psychotherapists which are more often the topic of informal oral discussions among colleagues rather than of written papers and books. She discusses—among many topics—the painful formative experiences of beginners, vulnerable to demoralizing shaming during their training, to toxic work environments, and to the painful impact of very difficult patients (whom senior professionals may prefer not to treat). She discusses the pain of constantly separating from beloved patients through termination, and the even sharper pain when a patient dies. She talks of the anxiety around a diminishing practice, of the dangers of burnout, and of the slow process of developing resilience. I believe each one of us can find herself or himself in some of her vivid and insightful examples."- Emanuel Berman, Ph.D., Training Analyst, Israel Psychoanalytic Society

"This is a useful book for all practitioners, and particularly those involved in training. The author’s wisdom is summed up for me in the following sentence (pxvii): ‘I hope that my clinical encounters with shame and sorrow will strengthen me to bear the personal and professional losses my future holds’."Els van Ooijen - Therapy Today, October 2012

"As a psychoanalyst with 37 years of experience, I take pleasure in recommending without reservation Still Practicing: The Heartaches and Joys of a Clinical Career to teachers of psychoanalysis, the seasoned practitioner, students just beginning their analytic training, and prospective patients considering going into psychoanalysis."- Alma H. Bond, PsycCRITIQUES, October 31, 2012, Vol. 57


‘I am profoundly appreciative of the life lessons I take with me on closing the back cover of this book’Cleonie White, Psychotherapy, Vol. 51, N.2, 324-325

"Overwhelmed? Burned out? Wondering if you have missed your chance to deliver your optimum psychoanalytic impact upon the world of psychoanalysis and/or your patients' lives? Sandra Buechler is back again—now in her most seasoned moments—with this timely prescription for and description of the quiet endemic nihilism which plagues so many of our field. She elicits our field's veil of shame, silence, and reluctance to address the struggles she tackles so elegantly. From the refreshing perspective of a lived lifetime, Sandra has just what it takes to speak to all phases of the psychoanalyst's life cycle and, as our unconscious whisperer, to deliver a sustainable blueprint for our hope and change."- Chap Attwell, M.D., NYU School of Medicine

"In this compelling meditation on psychoanalytic training and practice, Sandra Buechler bears passionate witness to elements of being and becoming an analyst that few others have described. Never losing compassion for the novice she once was, she offers younger colleagues the most valuable support there is: relentless honesty about the demoralizing, lonely, moving, fascinating, and deeply satisfying world of practice that they are entering. Essential as it will be to psychoanalytic candidates, this book is equally nourishing to the experienced analyst."- Nancy McWilliams, Ph.D., Rutgers Graduate School of Applied and Professional Psychology

"If the concept of 'experience-near' didn't exist in our professional vocabulary, we would have been forced to invent it to describe Sandra Buechler's writing. Unlike much of our professional literature, Buechler is always down-to-earth, avoids idealizations, and pinpoints many experiences in the work of psychoanalysts and psychotherapists which are more often the topic of informal oral discussions among colleagues rather than of written papers and books. She discusses—among many topics—the painful formative experiences of beginners, vulnerable to demoralizing shaming during their training, to toxic work environments, and to the painful impact of very difficult patients (whom senior professionals may prefer not to treat). She discusses the pain of constantly separating from beloved patients through termination, and the even sharper pain when a patient dies. She talks of the anxiety around a diminishing practice, of the dangers of burnout, and of the slow process of developing resilience. I believe each one of us can find herself or himself in some of her vivid and insightful examples."- Emanuel Berman, Ph.D., Training Analyst, Israel Psychoanalytic Society

"This is a useful book for all practitioners, and particularly those involved in training. The author’s wisdom is summed up for me in the following sentence (pxvii): ‘I hope that my clinical encounters with shame and sorrow will strengthen me to bear the personal and professional losses my future holds’."Els van Ooijen - Therapy Today, October 2012

"As a psychoanalyst with 37 years of experience, I take pleasure in recommending without reservation Still Practicing: The Heartaches and Joys of a Clinical Career to teachers of psychoanalysis, the seasoned practitioner, students just beginning their analytic training, and prospective patients considering going into psychoanalysis."- Alma H. Bond, PsycCRITIQUES, October 31, 2012, Vol. 57

"I am profoundly appreciative of the life lessons I take with me on closing the back cover of this book, not least of which is the startling reminder that, in the face of the most devastating experience of loss, “mourning with strength” (p. 64) is a possibility available to us because “[l]ife is constantly renewing itself, in the miracle of resiliency” (p. 201). I, for one, am very thankful that Dr. Sandra Buechler is “Still Practicing!” - Cleonie White, the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology, Psychotherapy

"With compassion and curiosity, Buechler, with a long and objectively successful career, reflects back on the challenges to maintaing a sense of hope, joy and curiosity when faced with the losses, endings and self-doubts that haunt us daily, taking their toll on clinicans and their patients, peers and candidates through the potential repercussions in the coutnless boundary violations and other acting out this can provoke... Buechler's book is both a plea and a renewal of vows toward the profession she loves." -Victoria Malkin Ph.D., L.P., American Journal of Psychoanalysis, 2014

ISBN: 9780415879125

Dimensions: unknown

Weight: 476g

248 pages