Schizoid Phenomena Object Relations And The Self

Based on a series of clinical studies of schizoid problems, this book is a sequel to Harry Guntrip's theoretical study of the emergence of the schizoid problem, Personality Structure and Human Interaction (1961). It includes revised versions of earlier papers, and also much original material.

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A testament to the vitality of the Masterson Approach to the study and treatment of the disorders of the self, this incisive volume documents the evolution of Masterson's theoretical and clinical work during the past five years. It is comprised of writings by a second generation of clinicians who both carry on and expand the horizons of the Masterson Approach. Disorders of the Self addresses four new areas of great clinical importance from the perspective of developmental, self, and object relations theory. First, Ralph Klein, Clinical Director of the Masterson Institute), has combined the work of Fairburn and Guntrip with the Masterson Approach to develop and updated, broader, original and clinically useful concept of the Schizoid Disorders of the Self. The force of his approach is illustrated by the focus on the schizoid dilemma and the schizoid compromise, vividly depicted with detailed clinical applications. Candace Orcutt, Senior Faculty Member in the Masterson Institute, along with a colleague, then apply the Masterson Approach to the controversial topic of early abuse - physical and/or sexual - to the developing self. Diagnosis and treatment of narcissistic pathology is the focus of section three. Chapters further refine and expand how the disorders of the self triad - self activation leads to anxiety and depression which lead to defenses - operate in both the patient's life and in the therapeutic relationship. The authors identify and illustrate critical points in treatment, detail the technical approach to the closet narcissistic personality disorder, and address the therapeutic management of devaluation and disappointment reactions along with the countertransference reactions they evoke. The volume concludes by delving into arenas beyond individual psychotherapy for disorders of the self. An innovative approach to group therapy combines the Masterson Approach with that of W. Bion, and authors examine the complexities of drug therapy and comorbidity and their interaction with psychodynamic forces. Disorders of the Self will be a vital addition to the armamentarium of any clinician who works with personality disorders. It demonstrates the continued expansion and evolution of a profound theoretical and clinical paradigm - the Masterson Approach - aimed at penetrating and healing the disorders of the self.

This book presents a classic examination of transference phenomena and focuses on the development of psychoanalytic technique and theory. It addresses a perceived gap between psychoanalytic knowledge and its capacity to effect psychological transformation in a patient.

First published in 1952, W.R.D. Fairbairn's Psychoanalytic Studies of the Personality re-oriented psychoanalysis by centering human development on the infant's innate need for relationships, describing the process of splitting and the internal dynamic relationship between ego and object. His elegant theory is still a vital framework of psychoanalytic theory and practice, infant research, group relations and family therapy. This classic collection of papers, available for the first time in paperback, has a new introduction by David Scharff and Elinor Fairbairn Birtles which sets Fairbairn's highly original work in context, provides an overview of object relations theory, and traces modern developments, launched by Fairbairn's discoveries.

Early in these essays, Bromberg contemplates how one might engage schizoid detachment within an interpersonal perspective. To his surprise, he finds that the road to the patient's disavowed experiences most frequently passes through the analyst's internal conversation, as multiple configurations of self-other interaction, previously dissociated, are set loose first in the analyst and then played out in the interpersonal field. This insight leads to other discoveries. Beneath the dissociative structures seen in schizoid patients, and also in other personality disorders, Bromberg regularly finds traumatic experience -- even in patients not otherwise viewed as traumatized. This discovery allows interpersonal notions of psychic structure to emerge in a new light, as Bromberg arrives at the view that all severe character pathology masks dissociative defenses erected to ward off the internal experience of trauma and to keep the external world at bay to avoid retraumatization. These insights, in turn, open to a new understanding of dissociative processes as intrinsic to the therapeutic process per se. For Bromberg, it is the unanticipated eruption of the patient's relational world, with its push-pull impact on the analyst's effort to maintain a therapeutic stance, that makes possible the deepest and most therapeutically fruitful type of analytic experience. Bromberg's essays are delightfully unpredictable, as they strive to keep the reader continually abreast of how words can and cannot capture the subtle shifts in relatedness that characterize the clinical process. Indeed, at times Bromberg's writing seems vividly to recreate the alternating states of mind of the relational analyst at work. Stirringly evocative in character and radiating clinical wisdom infused with compassion and wit, Standing in the Spaces is a classic destined to be read and reread by analysts and therapists for decades to come.

This work offers an evaluation of competing theoretical perspectives and nosological systems for personality disorders. The editors have brought together recognized authorities in the field to offer a synthesis of competing perspectives that provide readers with an assessment for each disorder. The result is a comprehensive, current, and critical summary of research and practice guidelines related to the personality disorders. Key Features focuses on controversies and alternative conceptualizations; separate chapters are dedicated to each personality disorder and considered from various points of view. It presents authoritative perspectives; leading scholars and researchers in the field provide a critical evaluation of alternative perspectives on each personality disorder. And it frames the current state of personality disorder research and practice issues; cutting edge and streamlined research is presented to be used in courses on diagnosis, assessment, psychopathology and abnormal psychology, especially those that include the DSM IV. It also offers an integrative understanding of elusive personality categorizations; wherever possible, case examples are offered as illustrations of each disorders clinical presentation. The use of technical terms are minimized; each contributor takes the approach of a user friendly summary and integration of major trends, findings, and future directions.

It is important to point out that these essays are about character types; it is not to suggest that all borderlines, narcissists or manic depressives are the same. Everyone is an individual and are who they are for many different reasons. What they have in common is a typical relation between their subjectivity and the world they inhabit. In other words, Christopher Bollas has identified the axioms that these individuals share. Following a discussion of the features of each type, the axioms are delivered in the character's own voice. By placing ourselves within their own logic, we can begin to identify and empathise with them. At the root of all character disorders there is mental pain and each disorder is an intelligent attempt to solve an existential problem. If the clinician can grasp their specific intelligence and help the analysand to understand this, then a natural process of healing can begin. Three Characters is a masterclass based on decades of lectures presented to psychoanalysts, analytical psychologists, and psychotherapists, and is a must-read for all psychoanalytic enthusiasts.