Full Product Details
Author: Marcus Evans
Publisher: Karnac Books
Imprint: Phoenix Publishing House
Dimensions:
Width: 15.20cm
, Height: 1.30cm
, Length: 22.90cm
Weight: 0.358kg
ISBN: 9781800133884
ISBN 10: 180013388
Pages: 238
Publication Date: 27 November 2025
Audience:
Professional and scholarly
,
Professional & Vocational
Format: Paperback
Publisher's Status: Active
Availability: Out of stock
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Reviews
‘This is a moving and in-depth book of a psychoanalytical pioneer in the exploration of identity problems which accompany the individual over a lifetime. It is based on the author’s sound clinical experience and empirical knowledge and gives testimony of his courageous and unprejudiced journey with his patients throughout their crisis. At the same time, it goes to the heart of psychoanalytical ethics and the painful task to acknowledge some “basic facts of life” which we all would rather like to distort or omnipotently deny.’ -- Professor Heinz Weiß, Head of the Medical Department, Sigmund-Freud-Institute, Frankfurt am Main; Chair of the Education Section, International Journal of Psychoanalysis ‘Clear, compassionate, and comprehensive, Marcus Evans’ book is a substantial contribution to the literature on working psychodynamically with young people experiencing gender distress. A psychoanalytic approach to gender dysphoria allows the unique and complex stories of individuals to emerge, as can be seen in the extensive case material discussed in this volume.’ -- Lisa Marchiano, LCSW, NCPsyA, Writer, Jungian Analyst, Podcaster ‘Over the last two decades, psychoanalysts have been challenged to respond in a meaningful way to the growing presence of transgender identities in our consulting rooms and social worlds. Radical revisions of theory and new clinical formulations have been proposed, along with increasing scepticism and rejection of existing psychoanalytic theories. In this volume, Marcus Evans convincingly demonstrates the relevance of Kleinian and object relations theories for transgender identities and the power of these theories to illuminate the intrapsychic worlds of young people experiencing gender distress. His work cautions us not to discard established psychoanalytic theorising in our zeal to rid psychoanalysis of limiting, heteronormative formulations.’ -- Dr Roberto D’Angelo, PsyD FRANZCP, MMed (Psychotherapy), MBBS, Member of the American Psychoanalytic Association, Psychiatrist, Psychoanalyst ‘The psychoanalytic community has struggled in recent years to apply the rigors of our thinking to the area of gender dysphoria, leaving services and clinicians without a framework for understanding and working with young people presenting in this way. Marcus Evans has been pioneering in applying established psychoanalytic thinking to this area, helping us to consider why the incidence of this presentation may have risen so dramatically and why we, as health professionals, have struggled to adequately respond. This book takes a compassionate approach in both formulation and treatment of gender dysphoria, and will contribute greatly to these young people receiving respectful, ethical care.’ -- Rachel Acheson, Child and Adolescent Psychotherapist, Editor-in-Chief of the Journal of Child Psychotherapy
‘This is a moving and in-depth book of a psychoanalytical pioneer in the exploration of identity problems which accompany the individual over a lifetime. It is based on the author’s sound clinical experience and empirical knowledge and gives testimony of his courageous and unprejudiced journey with his patients throughout their crisis. At the same time, it goes to the heart of psychoanalytical ethics and the painful task to acknowledge some “basic facts of life” which we all would rather like to distort or omnipotently deny.’ -- Professor Heinz Weiß, Head of the Medical Department, Sigmund-Freud-Institute, Frankfurt am Main; Chair of the Education Section, International Journal of Psychoanalysis ‘Clear, compassionate, and comprehensive, Marcus Evans’ book is a substantial contribution to the literature on working psychodynamically with young people experiencing gender distress. A psychoanalytic approach to gender dysphoria allows the unique and complex stories of individuals to emerge, as can be seen in the extensive case material discussed in this volume.’ -- Lisa Marchiano, LCSW, NCPsyA, Writer, Jungian Analyst, Podcaster ‘Over the last two decades, psychoanalysts have been challenged to respond in a meaningful way to the growing presence of transgender identities in our consulting rooms and social worlds. Radical revisions of theory and new clinical formulations have been proposed, along with increasing scepticism and rejection of existing psychoanalytic theories. In this volume, Marcus Evans convincingly demonstrates the relevance of Kleinian and object relations theories for transgender identities and the power of these theories to illuminate the intrapsychic worlds of young people experiencing gender distress. His work cautions us not to discard established psychoanalytic theorising in our zeal to rid psychoanalysis of limiting, heteronormative formulations.’ -- Dr Roberto D’Angelo, PsyD FRANZCP, MMed (Psychotherapy), MBBS, Member of the American Psychoanalytic Association, Psychiatrist, Psychoanalyst ‘The psychoanalytic community has struggled in recent years to apply the rigours of our thinking to the area of gender dysphoria, leaving services and clinicians without a framework for understanding and working with young people presenting in this way. Marcus Evans has been pioneering in applying established psychoanalytic thinking to this area, helping us to consider why the incidence of this presentation may have risen so dramatically and why we, as health professionals, have struggled to adequately respond. This book takes a compassionate approach in both the formulation and treatment of gender dysphoria, and will contribute greatly to these young people receiving respectful, ethical care.’ -- Rachel Acheson, Child and Adolescent Psychotherapist, Editor-in-Chief of the Journal of Child Psychotherapy
Author Information
Marcus Evans is a psychoanalyst and fellow of the British Psychoanalytical Society. He was a consultant psychotherapist and mental health nurse with forty years of experience in mental health. He was head of the nursing discipline at the Tavistock & Portman NHS Trust between 1998 and 2018. He was also the lead clinician in the adult and adolescent service and one of the founding members of Fitzjohn’s Service for the treatment of patients with severe and enduring mental health conditions and/or personality disorders. He has written and taught extensively on applying psychoanalytic thinking in mental health settings. Karnac published the first, Making Room for Madness in Mental Health: The Psychoanalytic Understanding of Psychotic Communications, in 2016. His second book, Psychoanalytic Thinking in Mental Health Settings, introduces front-line mental health professionals to psychoanalytic thinking and was published by Routledge in 2020. The following year his third book, Gender Dysphoria: A Therapeutic Model for Working with Children, Adolescents, and Young Adults, written with his wife, Susan, was published by Phoenix.
