Playing Hard at Life: A Relational Approach to Treating Multiply Traumatized Adolescents

“This is a book about bravery, the bravery of the young people courageous enough to face histories of multiple trauma and the bravery of the author courageous enough to work with young people who have survived Middle East wars or the wars of inner-city New York. Etty Cohen gives those of us who work with adolescents renewed hope in the power of a psychoanalytically-oriented treatment approach. Adolescent therapists of all persuasions will find something new and exciting in her synthesis of relational and classical psychoanalytic writings on adolescence, and their own techniques will be enhanced by following Cohen’s work through her detailed and moving case histories. Playing Hard at Life will be a major resource and support for all therapists brave enough to undertake the psychodynamic treatment of traumatized adolescents.”

– Jack Novick, Ph.D., Clinical Associate Professor of Psychiatry, University of Michigan

“Etty Cohen has written an invaluable guide to psychotherapeutic work in the trenches with traumatized adolescents. Drawing heavily on Ferenczi, her predecessor in taking on the most difficult clinical situations, Cohen weaves together theory and vivid, real-world clinical examples to create a work that is thoughtful and ultimately hopeful in the midst of overwhelming, unbearably painful human situations.”

– Neil Altman, Ph.D, Co-Editor, Psychoanalytic Dialogues

“With moving detail and remarkable emotional honesty, this book depicts one psychoanalyst’s heroic attempts to construct a potential space for hope amidst the jagged shards of adolescent lives shattered by multiple traumas. Etty Cohen achieves brilliant integration of the developmental adolescent literature and the relational perspectives on trauma, constructivism, and therapeutic change. She takes us to the very edges of what we know as analyts and invites us to abandon our therapeutic omnipotence and journey with her into uncharted regions. Somehow greater than the sum of its parts, this work takes an imaginative leap that is, at times, nothing short of inspirational.”

– Jody Messler Davies, Co-Editor, Psychoanalytic Dialogues

Etty Cohen, Ph.D., received professional training in clinical social work (Haifa University) and psychotherapy (Department of Psychiatry, Rambam Medical Center) in Israel. She received her doctorate from New York University’s Ehrenkranz School of Social Work and completed psychoanalytic training at New York’s Postgraduate Center for Mental Health, where she now serves as a faculty member and supervisor in the Child and Adolescent Psychoanalytic Training Program. She is also a Training and Supervising Analyst at the American Institute for Psychoanalysis of The Karen Horney Psychoanalytic Center and an adjunct professor at the NYU Ehrenkranz School of Social Work. A former major in the Israeli Defense Forces, Dr. Cohen is currently in private practice in New York City.