The Self And Its Disorders

Shaun Gallagher puts forward a pluralist account of the self, and a philosophical account of psychiatric disorders as disorders of the self. He argues that what have been seen as different selves - physical, social, private, extended - should rather be seen as variable factors or processes organized in a certain pattern: this pattern is the self.

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.

"In this book, Marshall L. Silverstein applies a self psychological viewpoint, as formulated and broadened by Kohut, to understanding personality disorders. He recasts them as disorders of the self, grouping them into one of three patterns, centering on (a) combating devitalization, (b) forestalling fragmentation, or (c) seeking alternative pathways to a cohesive self. He describes each group, outlines its main theoretical viewpoints, and then offers a self psychological reformulation of how the behavior and symptom patterns represent deficits in self-cohesion."--Résumé de l'éditeur.

This landmark work is indispensable for anyone studying anxiety or seeking to deliver effective psychological and pharmacological treatments. David H. Barlow comprehensively examines the phenomena of anxiety and panic, their origins, and the roles that each plays in normal and pathological functioning. Chapters coauthored by Barlow with other leading experts then outline what is known about the classification, presentation, etiology, assessment, and treatment of each of the DSM-IV anxiety disorders. A definitive resource for researchers and clinicians, this is also an ideal text for graduate-level courses.

It has been almost twenty years since DSM-III created a major shift in psychi atric classification procedures and in diagnostic and treatment practice by introducing the multi-axial system and, for our patients specifically, the Axis II: Personality Disorders. Researchers and clinicians were forced to focus on many issues related to the field of personality and its disorders. This meant an immense impetus for research, both empirical and theoretical. Many recent developments are described in this book, as reviews or as original articles. This book also covers developments in Europe as well as in North America. Important questions still remain unanswered, such as: What is the relationship between the different clusters: A, B, & C? Are we talking about dimensions, categories, or typologies? What can be done for patients who have more than one personality disorder? Is a pro typical approach required? Consequently, is a multiconceptual approach in treatment and research required? The authors contribute to this discus sion and provide guidelines for further thinking in research and treatment planning. For clinicians, it is of major importance to know whether the disorder can be influ enced by treatment, and whether permanent change is really possible. A very impor tant question is whether a person indeed has a personality disorder, and how this diagnosis affects clinical practice.

A unique exploration of how the 'self' influences psychopathology, psychotherapy, emphasizing the need to integrate self-constructs into evidence-based conceptual models.

The Masterson Approach has evolved from 32 years of scientific inquiry, including four formal research projects, nine books, and 75 papers. this volume marks an important stage in a professional journey that has had many turnings. Clinical concern and theoretical introspection evoke a wish to share, which led to writing and teaching. The deepening of this need to build a continuing community of ideas has impelled Masterson to invite those who have learned from him to join me. This book represents their commitment and contribution to the Masterson Approach.

"Disgust and Its Disorders: Theory, Assessment, and Treatment Implications thoughtfully examines the role of disgust in psychopathology by highlighting important theoretical and methodological developments and discussing recent research on behavioral patterns that can be provoked by disgust. Contributors demonstrate that disgust plays an important role in a wide range of psychopathology, including sexual dysfunction, eating disorders, animal phobias, and obsessive - compulsive disorder. Disgust is shown to be a multidimensional construct that centers on the unifying theme of potential contamination of the body, soul, and broad social order. Editors Bunmi O. Olatunji and Dean McKay thoroughly review the available research on disgust and shed light on how its interpretation will, in turn, facilitate the development of better treatment of disgust-related avoidance."--BOOK JACKET.