The contemporary relevance of psychoanalysis is being increasingly questioned; Off the Couch challenges this view, demonstrating that psychoanalytic thinking and its applications are both innovative and relevant, in particular to the management and treatment of more disturbed and difficult to engage patient groups. Chapters address:clinical applications in diverse settings across the age rangethe relevance of psychoanalytic thinking to the practice of CBT, psychosomatics and general psychiatrythe contribution of psychoanalytic thinking to mental hea