Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism
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Author: Otto F.
Publisher: Amer Psychiatric Pub Inc
Paperback:
ISBN 10: 1615371435
ISBN 13: 978-1615371433
In Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism, the influential psychoanalyst and psychiatrist Otto Kernberg presents an integrated update of the current knowledge of personality disorders, their neurobiological and psychodynamic determinants, and a specific psychodynamic psychotherapy geared to resolve the psychopathology of these conditions -- namely, the syndrome of identity diffusion and its influence on the capacity for emotional wellbeing and gratifying relationships with significant others. The author updates the findings of the Personality Disorders Institute of the Weill Cornell Medical College Department of Psychiatry, which are derived from the empirical research and clinical investigation of severe personality disorders, and addresses the effectiveness of transference-focused psychotherapy, a specific psychodynamic treatment for these disorders developed at the Institute. The volume focuses particularly on an essential group of techniques common to all psychoanalytically derived treatments and clarifies the corresponding differential features of various psychodynamic treatment approaches.
In prose both precise and evocative, the author:
? Examines the classification of personality disorders, the way competing viewpoints have influenced the evolution of DSM-III and DSM-IV, and the impact of new knowledge on the classification of DSM-5, with emphasis on how conflicts between scientific and political considerations have hindered the classification of personality disorders in the past.? Illustrates in detail how present knowledge of neurobiological structures and neurotransmitters intertwines with the psychodynamic determinants of how psychic experience is organized.? Explores psychodynamic psychotherapies and contemporary developments and controversies in the field. For example, the role of interpretation in borderline pathology is examined using a clinical case, and a new formulation of supportive psychodynamic psychotherapy is described.? Addresses severe narcissistic pathology -- its diagnosis, prognosis, and treatment. Specifically, the book presents an overview of treatment options for severe narcissistic personality disorder, explores the distortions in verbal communication that may arise during psychotherapy with these patients, and focuses on the differential diagnosis of antisocial behavior.? Examines the diagnosis and treatment of sexual pathology, and explores the vicissitudes of the love lives of patients with severe personality disorders.? Concludes with a chapter on the essential preconditions in the education of psychodynamic psychotherapists to carry out the challenging and complex psychotherapeutic work in this field.
In describing both the limits and the advances in therapeutic effectiveness, the Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism performs a great service, and it will surely become a classic of the psychoanalytic literature.
Review
Otto Kernberg is one of the most illustrious and most frequently cited psychoanalysts alive. This, his most recent volume, discusses the topics that have been identified with him for the last several decades serious personality disorders, their etiology, diagnosis and treatment, research on those treatments, the psychoanalytic theories that link what we know about these disorders with their treatment, and special problems that emerge with these patients in relation to eroticism, aggression, and reality. Kernbergs thinking provides an essential context for any contemporary clinician working with these patients. --Robert Michels, M.D., Walsh McDermott University Professor of Medicine and Psychiatry, Cornell University
More than anyone else, Otto F. Kernberg shaped our idea of borderline personality and narcissism as well as their psychoanalytical treatment. In his thrilling latest book, he deepens our insight into aggressive and sexual aspects of the relationships of patients with personality disorders. In his clarity and depth, he discloses new dimensions of the transference relationship and the treatment technique related to it. --Univ.-Prof. Dr. Stephan Doering, head of the clinic for psychoanalysis, and psychotherapy, Medical University of Vienna
A brilliant contribution by a psychoanalytic pioneer and pathfinder. An up to date review of eroticism and aggression in personality disorders. The discussion of transference is especially needed and useful. All psychotherapists must read and assimilate this book. It restores the erotic to the modern psychotherapeutic domain. Recommended without reservation. --Richard C. Friedman, M.D., Clinical Professor Psychiatry, Cornell University Medical College
From the Inside Flap
Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism presents an overview by the preeminent psychoanalyst of recent developments in his research, clinical studies, and theoretical contributions in the field of personality pathology, psychodynamic technique, and specialized studies of eroticism and narcissism. In rich clinical and theoretical detail, the book explores the concepts of personality in the context of its neurobiological and intrapsychic determinants, proposes a new classification and new methods of psychotherapeutic interventions, expands the analysis of severe narcissistic pathology, and details the many complications in the sexual life of patients with personality disorders. Clinicians working with patients afflicted with severe personality disorders will find the author's laser focus on the nature of narcissistic pathology and its treatment instructive and the clinical examples illuminating. The impoverishment of the love lives of patients with severe personality disorders, particularly those with significant narcissistic pathology, has traditionally been a neglected area of inquiry, though it is of crucial importance to the treatment of these patients and to their quality of life.
Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism is a beautifully written and much-needed report from the field, and will earn its place beside the author's seminal works.
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