“Psychopathology of the Situation in Gestalt Therapy presents a tour de force of innovative thinking in the field of Gestalt therapy. Editor Margherita Spagnuolo Lobb and Pietro Andrea Cavaleri have assembled a gifted group of clinicians, theoreticians and researchers who tackle a daunting task: the reimagining of Gestalt therapy from a thoroughly relational and field-oriented perspective, wherein human suffering is treated in its situational, relational context. With intellectual rigor and innovation, deep humanism and clinical relevance this book reflects the many years of international teaching, training, writing and mentorship that Spagnuolo Lobb has given to the Gestalt therapy field. I highly recommend this collection to all who wish to expand their understanding of current thinking and methodology in psychotherapy.” Peter Cole, LCSW, Co-Director, The Sierra Institute for Contemporary Gestalt Therapy “This excellent book pinpoints the central psychotherapeutic task today. In a demanding world that changes with bewildering force and speed, the meeting of therapist and client becomes a healing microcosm of situational possibility – an energised sanctuary and rehearsal space for relational, embodied, and experimental development. The writers describe their holistic encounters with suffering and confused others, the aesthetic qualities of their ‘dances’ together, and how these can support, en-courage, and re-energise the clients’ life situations. The book is a powerful reminder to continue exploring way beyond the ‘intra-psychic’ realm.” Malcolm Parlett, PhD, author of Future Sense: Five Explorations of Whole Intelligence for a World That’s Waking Up “As the author/editors of this valuable new collection point out, our Gestalt therapy were visionary in laying out the primacy of field, embodiment, relationship and ground in human nature and process; yet often reverted to reified, dichotomous terms in applying their radical ideas to actual persons in clinical and life situations. This exciting, much-needed new collection revises that primacy in our post pandemic time, offering us a complex vision based in aesthetics and reciprocity, encompassing self and other, relationship and embodiment, identity and diversity, neuroscience and experience and more. Essential and exciting reading.” Gordon Wheeler, President, Esalen Institute, author of Gestalt Reconsidered, Beyond Individualism, Gestalt Therapy and other titles “Psychopathology of the Situation in Gestalt Therapy makes a substantial contribution to the field of therapeutic treatment in the uncertainty of a world in crisis. Drawn from the combined years of these authors’ expertise, skillful and practical applications offer indispensable ways for therapists to attend to the suffering of their patients. This book, essential for both therapist and layperson, will help diverse groups of individuals navigate themselves in this fast-changing world.” Ruella Frank, PhD, author of First Year and the Rest of Your Life: Movement, Development and Psychotherapeutic Change, Moving Self: The Bodily Roots of Experience in Psychotherapy “The world situation for us clinicians and those whom we treat has taken on urgency in the face the global pandemic. This book is a blend of practical wisdom and thoughtful insights as Gestalt psychotherapists address this urgency at the psychological, anthropological, sociological, phenomenological, and neurobiological levels – all within a phenomenological, aesthetic and field perspective, the hallmarks of a contemporary approach.” Dan Bloom, JD, LCSW, Psychotherapist, Fellow, Past-President, New York Institute for Gestalt Therapy Psychopathology of the Situation in Gestalt Therapy Reaching beyond standard textbook logic, this collection explores the impacts of difficult life situations on human development, experience, and functioning, through a phenomenological field-oriented lens. Each author offers a Gestalt-centered perspective on the circumstances of those whose lives are lived in pain – a situational window, which includes the therapist and avails itself of tools configured to modify the entire experiential field. Through clinical case studies and theoretical reflections, the book examines the experience of children, difficult childhood situations (such as separations, abuse, neurodevelopmental disorders, adolescent social closure), the experience of dependency, couples and family therapy, the condition of the elderly and the end of life, interventions for degenerative diseases, and the trauma of loss and mourning, all of which are considered according to two cardinal points: first, the description of the relational ground experiences of those who are in pain, and second, a field perspective which allows the presence of the therapist to be modulated. Psychopathology of the Situation in Gestalt Therapy: A Field-oriented Approach is essential reading for Gestalt therapists as well as other mental health professionals with an interest in Gestalt approaches and the relationship between individuals and society. Margherita Spagnuolo Lobb, PsyD, is a Gestalt psychotherapist, director of Istituto di Gestalt Human Communication Center Italy (www.gestaltitaly.com); Scientific Director of International Training Programs in “Gestalt Therapy Psychopathology and Development”; and “Gestalt Therapy Supervisors”. Editor of the Journal Gestalt Therapy Journal, and of the Gestalt Therapy Book Series (Routledge). Author of The Now for Next in Psychotherapy: Gestalt Therapy Recounted in Post Modern Society. She has received the Lifelong Achievement Award from AAGT (2018). Pietro Andrea Cavaleri, PhD, PsyD, is a Gestalt Psychotherapist and Trainer at Istituto di Gestalt HCC, Italy. He has taught at the University of Palermo, at LUMSA University and at the Pontifical Faculty of Educational Sciences “Auxilium”. He has been psychologist in chief at the Public Health Service and counselor for social policies of Caltanissetta. Author of Living with the Other: Contribution for a Culture of Relationship; The Depth of Surface: Introduction to Gestalt Psychotherapy. The Gestalt Therapy Book Series Scientific Board Vincent Béja, Dan Bloom, Bernd Bocian, Phil Brownell, Pietro Andrea Cavaleri, Scott D. Churchill, Michael Clemmens, Peter Cole, Susan L. Fischer, Madeleine Fogarty, Ruella Frank, Pablo Herrera Salinas, Lynne Jacobs, Natasha Kedrova, Timothy Leung, Alan Meara, Joseph Melnick, Myriam Muñoz Polit, Antonio Narzisi, Leanne O’Shea, Malcolm Parlett, Peter Philippson, Erving Polster, Jean-Marie Robine, Jan Roubal, Adriana Schnake, Peter Schulthess, Christine Stevens, Daan van Baalen, Carmen Vázquez Bandín, Gordon Wheeler, Gary Yontef. Editorial Board Billy Desmond, Annette Hillers-Chen, Ann Kunish, Fabiola Maggio, Max Mishchenko, Georg Pernter, Rafael Salgado, Silvia Tosi, Jay Tropianskaia, Andy Williams, Jelena Zeleskov Djoric. Coordinator Stefania Benini Editorial Assistant Serena Iacono Isidoro General Editor Margherita Spagnuolo Lobb The Istituto di Gestalt series of Gestalt therapy books emerges from the ground of a growing interest in theory, research and clinical practice in the Gestalt community. The members of the Scientific and Editorial Boards have been committed for many years to the process of supporting research and publications in our field: through this series we want to offer our colleagues internationally the richness of the current trends in Gestalt therapy theory and practice, underpinned by research. The goal of this series is to develop the original principles in hermeneutic terms: to articulate a relational perspective, namely a phenomenological, aesthetic, field-oriented approach to psychotherapy. It is also intended to help professions and to support a solid development and dialogue of Gestalt therapy with other psychotherapeutic methods. The series includes original books specifically created for it, as well as translations of volumes originally published in other languages. We hope that our editorial effort will support the growth of the Gestalt therapy community; a dialogue with other modalities and disciplines; and new developments in research, clinics and other fields where Gestalt therapy theory can be applied (e.g., organisations, education, political and social critique and movements). We would like to dedicate this Gestalt Therapy Book Series to all our mentors and colleagues who have sown fruitful seeds in our minds and hearts. For a full list of titles in this series, please visit www.routledge.com/Gestalt- Therapy/book-series/GESTHE and www.gestaltitaly.com Psychopathology of the Situation in Gestalt Therapy A Field-oriented Approach Edited by Margherita Spagnuolo Lobb and Pietro Andrea Cavaleri Designed cover image: Rafael Megall, The Shelves of Kaspar Utz, (detail) 2020 Triptych Oil, acrylic on canvas, 260 x 510 cm (260 x 170 cm each one). Courtesy of the Artist and MoMA, Moskow. Copyright Rafael Megall, Yerevan First published 2023 by Routledge 4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 605 Third Avenue, New York, NY 10158 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2023 selection and editorial matter, Margherita Spagnuolo Lobb and Pietro Andrea Cavaleri; individual chapters, the contributors Translated by Joyce Myerson The right of Margherita Spagnuolo Lobb and Pietro Andrea Cavaleri to be identified as the authors of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data Names: Spagnuolo Lobb, Margherita, editor. | Cavaleri, Pietro Andrea, editor. Title: Psychopathology of the situation in Gestalt therapy: a field-oriented approach/edited by Margherita Spagnuolo Lobb and Pietro Andrea Cavaleri. Other titles: Psicopatologia della situazione. English Description: First English edition. | New York, NY: Routledge, 2023. | Series: Gestalt Therapy Book Series | “First Italian edition published by FrancoAngeli 2021” – title page verso. | Includes bibliographical references and index. Identifiers: LCCN 2022047728 (print) | LCCN 2022047729 (ebook) | ISBN 9781032322032 (hardback) | ISBN 9781032322025 (paperback) | ISBN 9781003313335 (ebook) Subjects: LCSH: Gestalt therapy. Classification: LCC RC489.G4 P7913 2023 (print) | LCC RC489.G4 (ebook) | DDC 616.89/143 – dc23/eng/20221007 LC record available at https://lccn.loc.gov/2022047728 LC ebook record available at https://lccn.loc.gov/2022047729 ISBN: 978-1-032-32203-2 (hbk) ISBN: 978-1-032-32202-5 (pbk) ISBN: 978-1-003-31333-5 (ebk) DOI: 10.4324/9781003313335 Typeset in Times New Roman by Apex CoVantage, LLC To our friend Georges Wollants, to whom credit is due for having recognised and described the unique relationality of Gestalt Therapy