The Impossibility of Sex: Stories of the Intimate Relationship Between Therapist and Patient

Orbach's accounts are indeed fictional, and this is not made clear in the jacket copy. The stories, however are well written and interesting, and probably good approximations of the thoughts, words and feeling inside a therapy session. Many therapists have written fascinating and instructive accounts of their patients' case histories but have simply gotten permission to change the names and perhaps a few telling facts so that they are still a true refleciton of that case. For a good collection of fiction and non-fiction that illustrates the patient-therapist relationship, read Inside Therapy: Illuminating writings about patients, therapists and psychotherapy.

Actually led to a breakthrough in my degree of trust with my own therapist. Caveat emptor: it's FICTION, not accounts of actual cases. Nonetheless, it got me out of my narcissism long enough to realize that my therapist is indeed a human being with her own feelings. Wow!

The Impossibility of Sex was outstanding. Orbach has written a book that is at once instructional for therapists and their clients and interesting to the reader as though it were a novel. It is rich with description and insight that almost makes you wish Orbach's main line of work were as a writer of fiction. I say 'almost' because this book makes it obvious that she has found her true line of work, therapy and clinical research. One can only hope that there are many more therapists out there like her, for although she makes it clear that these exchanges in the book did not actually occur in her office, the reader has to know that this is a therapist who has a seemingly endless wealth of knowledge of her field, empathy for her patients, and a willingness to stay open to all possibilities in the therapeutic setting. Although the seven 'case histories' are fictitious, they come across as real. The psychological profiles are surrounded with life details of that make it nearly impossible to accept that these are not actual people.Orbach's book is laced with clinical explanations and theories for various occurences in thse case histories that are easy to understand for the lay person. For anyone in therapy or considering it, this would be a great book to read; the personal insights you would gain alone make it worthwhile. The psychotherapeutic community is well-served by the publication of this book. It is a fully researched call for therapists to open the dialogue about their changing roles in analysist-analysand relationship. While it is likely that this will be a controversial book in some therapeutic circles, the questions posed by Orbach deserve serious consideration.

Once again the author of the much heralded "Fat is a Feminist Issue" and the insightful "Hunger Strike", has managed to break new ground with her latest book "The Impossibility of Sex." Susie Orbach manages to write in a manner that is easily comprehended by both the professional analyst or therapist and the client, the consumer of therapy. She provides an invaluable glimpse into the mind of the therapist. For anyone who has ever been part of the therapuetic process, this book answers some of the queries that the client may have about what the therapist if really thinking. In traditional or Freudian therapy, the analyst's role was something of a blank screen onto which the patient would project his or her thoughts,dreams, and feelings. Susie Orbach, however, suggests to us that the therapist/client relationship has a powerful impact and is significant in the life of the therapist as well as the client. She also addresses the issues of countertransference, which is an issue that some therapists and clinicians may feel should be confined to professional journals. What Susie Orbach has done in effect, is to make the therapist more human and less mystical, which can only serve to enhance the trust that should be inherent in the therapuetic process. Though there is unspoken power differential in the client/therapist relationship, Susie Orbach succeeds in making it a more egalitarian one,without sacrificing it's innate value to both client and therapist.