This collection of essays is an excellent addition to the Tavistock Clinic Series, and will be appreciated by those who wish to learn more about contemporary clinical thinking on sexuality and gender. The contributions, gathered from Britain and America, are mainly but not exclusively from an adult psychoanalytic perspective. The editors set out to draw attention to the assumptions that have influenced the development of psychoanalytic theory and clinical practice. Their aim is to deconstruct and extend much-valued but conventional psychoanalytic concepts. The introductory chapter is a good example of this, as it sets out to trace some of the developments of the Oedipal complex in different traditions. The collection of papers is divided into three sections. The first section, entitled ‘Sex and the consulting room’, includes chapters that draw attention to the impact of the clinician’s unexplored psychosexuality, which can potentially lead to a judgemental approach to nonnormative sexual desire. Consideration is given, in particular, to how shame can influence the development of gay male identity. A further chapter in this section looks at the supervisory relationship and the helpful role that the clinician and supervisor’s sexuality may play in thinking together, when available and not silenced. The second section is made up of three papers devoted to the exploration of ‘desire’. The first paper explores the link between the loss of sexual desire in a couple relationship, considering this in parallel to the loss of the unconscious Oedipal mother. This is followed by a close look at the female Oedipal complex and an examination of the role of eroticism in the early mother-daughter relationship, and how this impacts on later female desire. The last chapter in this section is focussed on the lack of symbolic representations for gay male desire, and the effect this can have on establishing a sense of wholeness within the individual. In the final section, gender takes centre-stage and the papers seek to educate, develop ideas and invite us to notice our assumptions. There is a chapter by an analyst describing the long analytic journey of a patient who transitions from male to female, and another by a trans male patient who movingly describes his struggle to work on issues with the help of his therapist. Whilst there is much to learn throughout the pages of this book, perhaps its greatest strength is to be found in its approach:

中文翻译：

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现在的性和性别：超越异性恋

这本论文集是塔维斯托克诊所系列的极好补充，将受到那些希望更多地了解有关性和性别的当代临床思维的人的赞赏。来自英国和美国的贡献主要但不完全来自成人精神分析的角度。编辑们着手提请注意影响精神分析理论和临床实践发展的假设。他们的目标是解构和扩展非常有价值但传统的精神分析概念。介绍性章节就是一个很好的例子，因为它开始追踪俄狄浦斯情结在不同传统中的一些发展。论文集分为三个部分。第一部分，题为“性与咨询室”，包括提请注意临床医生未经探索的性心理影响的章节，这可能会导致对非规范性欲的判断方法。特别考虑了羞耻感如何影响男同性恋身份的发展。本节的另一章着眼于监督关系以及临床医生和监督者的性取向在共同思考中可能发挥的作用，如果可用且未被压制。第二部分由三篇致力于探索“欲望”的论文组成。第一篇论文探讨了夫妻关系中性欲丧失之间的联系，同时考虑到失去无意识的俄狄浦斯母亲。接下来是对女性俄狄浦斯情结的仔细观察，并检查色情在早期母女关系中的作用，以及这如何影响后来的女性欲望。本节的最后一章重点关注男同性恋欲望缺乏象征性表征，以及这对建立个人整体感的影响。在最后一部分，性别占据中心位置，论文试图教育、发展想法并邀请我们注意我们的假设。一位分析师的一章描述了一个从男性转变为女性的患者的漫长分析之旅，另一章则是一位跨性别男性患者，他动人地描述了他在治疗师的帮助下努力解决问题的过程。虽然本书有很多内容需要学习，