The DOI matches its Crossref record; 5 of the 6 references it cites were found in a registry or an index.
Climate change: Clinical considerations
Abstract
Abstract Psychological reactions to climate change run the gamut from a sense of the need for urgent action to utter denial. This paper looks at some categories of defenses that block acknowledgement of this pressing threat. It cites the work of Renee Lertzman, an analytically oriented social scientist, whose research suggested that disavowal, negation, or denial could be deconstructed and viewed as defenses against intolerable anxieties, feelings of helplessness and disappointment, loss and guilt, and warded‐off wishes for agency and reparation. Clinical examples and personal self‐reflection are employed to posit that when anxiety over climate change, a serious disquiet in its own right, gets confused with childhood traumatic anxiety, with its attendant feelings of helplessness, smallness, hopelessness, shame, isolation, and useless rage, then dysfunctional defenses and affects are more likely to come to the fore. In contrast to this, realistic anxiety over our changing climate and need to shift from a carbon‐based culture can be made more tolerable and can allow one to face the uncertain future, to feel one's feelings, to work them through, to share them without shame, and to feel a certain amount of agency in confronting the climate future and working to cope with it, both individually and societally. Finally, the paper suggests that we clinicians need to listen with new awareness to patients' references to and defenses against climate change, as not simply displacements but also as allusions to a looming reality that is a thing in itself. It is suggested that although we cannot impose our agendas on our patients, as climate change disavowal breaks down, we do have in our tool kit ways of helping our patients with it, depending of course very much on the state of our own disavowal.
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“Indeed, while some have argued that 'not knowing' about an unbearable crisis which the individual may do very little about, such as nuclear war, may be an adaptive response [24], climate denial is often characterised as a maladaptive response which does not allow an individual to make healthy behavioural responses or form effective coping strategies [6,10,25].”
From Climate Distress: A Review of Current Psychological Research and Practice (2023) · cites this paper as [25]
Citations
Cites
Grief Counseling and Grief Therapy
Worden, J. W. (2008) · Springer Publishing Company eBooks · doi:10.1891/9780826101211 · Cited by 894
Denialism: what is it and how should scientists respond?
Diethelm, P. A., & McKee, M. (2008) · European Journal of Public Health · doi:10.1093/eurpub/ckn139 · Cited by 485
Lertzman, R. (2015) · Routledge eBooks · doi:10.4324/9781315851853 · Cited by 292
(2012) · Routledge eBooks · doi:10.4324/9780203094402 · Cited by 188
The Development of the Capacity for Concern
Winnicott, D. W. (2016) · Oxford University Press eBooks · doi:10.1093/med:psych/9780190271381.003.0057 · Cited by 155
Research works printed but not linked: 2
- Erikson E., 1982, The Life Cycle Completed
- Waugh M., 1981, The Psychological Fallout of Surface Nuclear Testing, American Imago, Fall, 38, 305
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“Gillespie’s [54] study evaluated a dreamwork-oriented group process and Büchs et al.’s [50] study assessed the effects of participating in Carbon Conversations groups.”
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Wullenkord, M. C., & Reese, G. (2021) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2021.101683 · Cited by 139
Feather, G., & Williams, M. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.12.007 · Cited by 48
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Zangerl, K. E., Hoernke, K., Andreas, M., Dalglish, S. L., Kelman, I., Nilsson, M., Rocklöv, J., Bärnighausen, T., & McMahon, S. A. (2024) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(24)00084-1 · Cited by 48
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Gago, T., & Sá, I. (2021) · Current Research in Environmental Sustainability · doi:10.1016/j.crsust.2021.100064 · Cited by 21
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Baudon, P. (2021) · In Analysis · doi:10.1016/j.inan.2021.02.005 · Cited by 12
Collective Shame in Climate Denial: An Ecopsychological Undertaking
Yeager, B. A. (2023) · Ecopsychology · doi:10.1089/eco.2023.0002 · Cited by 9
How Do Religions and Religiosity Matter for Climate Anxiety?
Toros, E. (2025) · Religions · doi:10.3390/rel16030275 · Cited by 7
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Areias, S., Disterheft, A., & Gouveia, J. P. (2023) · Sustainability · doi:10.3390/su15021199 · Cited by 8
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Pihkala, P. (2024) · Routledge eBooks · doi:10.4324/9781003436096-24 · Cited by 6
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Heiman, N. (2024) · Nature Climate Change · doi:10.1038/s41558-024-01979-3 · Cited by 3
Henry, J., & Giannouli, V. (2025) · Psychiatria Danubina · doi:10.24869/psyd.2025.76 · Cited by 1
Climate anxieties and their countertransference challenges in psychoanalysis
Salomonsson, B. (2025) · The International Journal of Psychoanalysis · doi:10.1080/00207578.2024.2385418 · Cited by 1
Conceptual Foundations of Climate Distress in Young People
Haase, E., & Hudson, K. (2024) · Cambridge University Press eBooks · doi:10.1017/9781009252904.001 · Cited by 1
Psychoanalytic and Relational Perspectives on Youth Climate Distress
Caballero, A. V., & Lewis, J. L. (2024) · Cambridge University Press eBooks · doi:10.1017/9781009252904.007 · Cited by 1
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Schnurr, A., & Bauriedl-Schmidt, C. (2022) · Psychotherapie-Wissenschaft · doi:10.30820/1664-9583-2022-2-45
Henderson, T. S., Min, O., & Michel, J. O. (2024) · ASEE Annual Conference & Exposition · doi:10.18260/1-2--44298
Psychoanalysis and ecology: the unconscious and the environment
O’Gorman, J. (2024) · Psychodynamic Practice · doi:10.1080/14753634.2024.2321618
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Tourangeau, W., Kisby, B., & Formby, A. (2025) · Crime Media Culture An International Journal · doi:10.1177/17416590251317112
Training clinicians for climate-informed mental healthcare
Williamson, R. E., Ruzek, J. I., Jiaqing, O., Wray, B., Safer, D. L., Punski‐Hoogervorst, J. L., Robohm, J. S., & Hyun, J. (2025) · Nature Mental Health · doi:10.1038/s44220-025-00530-3 · Cited by 1
Nature‐Based and Community‐Level Responses to Climate Distress in Young People: A Systematic Review
Bhupati, M., Alexander, N., Perry, Y., & Farrugia, J. (2026) · Journal of Adolescence · doi:10.1002/jad.70171
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Metadata
- Authors
- Haseley, D.
- Affiliations
- New York University (US)
- Corresponding author
- Haseley, Dennis
- ORCID
- Haseley, Dennis
- Venue
- International Journal of Applied Psychoanalytic Studies
- Publisher
- Wiley
- Published
- 2019-06
- Volume
- 16
- Issue
- 2
- Pages
- 109-115
- ISSN
- 1521-1401 (ISSN-L)
- 1742-3341
- 1556-9187
- OpenAlex
- W2953962610
- Cited by
- 31
- References
- 6
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 8 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 1
- FWCI
- 6.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Applied Psychoanalytic Studies (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Climate Change Communication and Perception
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- climate change, defense mechanisms, denial, disavowal, anxiety, helplessness, guilt, agency, psychoanalytic practice, clinician self-reflection, climate change denial
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