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Hatred, Emptiness, and Hope

Hatred, Emptiness, and Hope
Author: Otto F. Kernberg, M.D.
Publisher: American Psychiatric Pub
Total Pages: 278
Release: 2022-08-09
Genre: Medical
ISBN: 1615374612

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"Hatred, Emptiness, and Hope offers an updated vision of psychoanalytic object relations theory, revealing its application to transference focused psychotherapy (TFP), a treatment approach derived from and related to psychoanalysis. With empirical studies carried out by the Personality Disorders Institute at Weill Cornell as a basis, this volume expands the applications of TFP, illustrating it at work in scenarios that include severe personality disorders, disturbances in sexuality and love relations of narcissistic personalities, inpatient hospital treatment, and group settings. It also looks at the implications of new developments in neurobiology on psychoanalytic object relations theory. Readers will benefit from a discussion of the practice of TFP itself, with chapters that tackle the supervision of psychoanalysis, challenges for the future of psychoanalysis, and innovations that can serve to strengthen its role as a profession, a treatment approach, and a social organization within mental health sciences. It focuses on the analysis of particular clinical features of personality pathologies and describes the consideration of contemporary psychoanalytic object relations theory as a general theoretical frame of treatment that permits to conceptualize both normal personality functioning and the very nature of personality disorders. This volume also includes my recent efforts to contribute to the understanding of the relationship between neurobiological dispositions and their interaction with psychodynamic developments, again, both in normality and psychopathology. Finally, this volume explores the application of object relations theory to group processes, love relations, and therapists' training"--


Aggression in Personality Disorders and Perversions

Aggression in Personality Disorders and Perversions
Author: Otto F. Kernberg
Publisher: Yale University Press
Total Pages: 332
Release: 1992-01-01
Genre: Psychology
ISBN: 9780300065084

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In this important new book, Dr. Otto F. Kernberg, one of the world's foremost psychoanalysts, explores the role of aggression in severe personality disorders and in normal and perverse sexuality, integrating new developments in psychoanalytic theory with findings from clinical work with severely regressed patients. The book also integrates Dr. Kernberg's recent studies of the descriptive, structural, and psychodynamic features of problems stemming from pathological aggression with the vicissitudes of their psychoanalytic treatment. Finally, Dr. Kernberg demonstrates the importance of differential diagnosis for effective psychoanalytically inspired treatment of these disorders, providing a rich variety of clinical illustrations. The book begins by relating the dual-drive theory of libido and aggression to contemporary developments in affect theory. Dr. Kernberg then applies this general theory of affects to aggression, which in its pathological form centers on the affect of hatred. He analyzes sado-masochistic, hysterical-hysteroid, and narcissistic-antisocial spectrums of personality disorders, emphasizing how aggression is structured in each group. Dr. Kernberg next describes and updates the theoretical frame underlying his approach to the treatment of these disorders, outlines their clinical manifestations, and illustrates their diagnosis and treatment, ranging from standard psychoanalysis with infantile personalities, to psychoanalytic psychotherapy with borderline personalities, to the psychotherapeutic approach to the treatment of psychosis and hospital milieu treatment in the management of highly regressed patients. In the final section, Dr. Kernberg links the findings from psychoanalytic approaches to personality disorders with those from the psychoanalytic study of sexual perversions.


Treatment of Severe Personality Disorders

Treatment of Severe Personality Disorders
Author: Otto F. Kernberg, M.D.
Publisher: American Psychiatric Pub
Total Pages: 322
Release: 2018-04-05
Genre: Medical
ISBN: 1615371435

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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.


The Inseparable Nature of Love and Aggression

The Inseparable Nature of Love and Aggression
Author: Otto F. Kernberg
Publisher: American Psychiatric Pub
Total Pages: 422
Release: 2012-09-24
Genre: Medical
ISBN: 1585629766

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Otto Kernberg is a towering figure in the field of psychoanalysis and has accomplished seminal work in object relations and the treatment of borderline and narcissistic patients. This volume collects his recent work in several areas: severe personality disorders, couples in conflict, and religious experience. In each area, he explores the relationship between the psychoanalytic, clinical psychiatric, and neurobiological approaches, yielding insights and analysis that are compelling, thought-provoking, and at times startling in their penetrating brilliance. In addition, the book addresses the challenges that psychoanalysis faces in the current medical environment, and the need to strengthen its ties with academic institutions. Beautifully written, the book is designed to both provoke questions and provide enlightenment on a variety of critical issues within psychotherapy. Specifically, the volume: Explores new approaches to diagnosis and new psychotherapeutic techniques to treat the most severe personality disorders, particularly severe narcissistic psychopathology, based on new research findings; Relates psychoanalytic theory to neurobiological findings by illuminating the influences of neurobiological structures and intrapsychic conflicts on the development of the personality; Examines the psychoanalytic and neurobiological underpinnings of sexual love, from the organization of brain structures and neurotransmitters to the overall systems of erotic activation, attachment and bonding. This systematic approach provides insight into the nature of passionate love and the psychodynamic features of the love relationship; Addresses psychodynamic factors in the religious experience and the search for universal ethical values, and explores the crucial function of religious experience in dealing with the ideological challenges of social life; and Identifies the serious problems facing psychoanalytic education, institutions, and the profession of psychoanalysis, and proposes solutions to energize the field and increase its contributions to scientific research and progress. In The Inseparable Nature of Love and Aggression: Clinical and Theoretical Perspectives, Kernberg demonstrates his belief that the collaboration of psychoanalysis and neurobiology has the potential to significantly advance our understanding of the human mind. The full spectrum of mental health clinicians, as well as educated general readers, will find this to be a work of creativity and substance.


Transference-Focused Psychotherapy for Borderline Personality Disorder

Transference-Focused Psychotherapy for Borderline Personality Disorder
Author: Frank E. Yeomans
Publisher: American Psychiatric Pub
Total Pages: 430
Release: 2015-04-01
Genre: Medical
ISBN: 1585625434

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Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide presents a model of borderline personality disorder (BPD) and its treatment that is based on contemporary psychoanalytic object relations theory as developed by the leading thinker in the field, Otto Kernberg, M.D., who is also one of the authors of this insightful manual. The model is supported and enhanced by material on current phenomenological and neurobiological research and is grounded in real-world cases that deftly illustrate principles of intervention in ways that mental health professionals can use with their patients. The book first provides clinicians with a model of borderline pathology that is essential for expert assessment and treatment planning and then addresses the empirical underpinnings and specific therapeutic strategies of transference-focused psychotherapy (TFP). From the chapter on clinical assessment, the clinician learns how to select the type of treatment on the basis of the level of personality organization, the symptoms the patient experiences, and the areas of compromised functioning. In order to decide on the type of treatment, the clinician must examine the patient's subjective experience (such as symptoms of anxiety or depression), observable behaviors (such as investments in relationships and deficits in functioning), and psychological structures (such as identity, defenses, and reality testing). Next, the clinician learns to establish the conditions of treatment through negotiating a verbal treatment contract or understanding with the patient. The contract defines the responsibilities of each of the participants and defines what the reality of the therapeutic relationship is. Techniques of treatment interventions and tactics to address particularly difficult clinical challenges are addressed next, equipping the therapist to employ the four primary techniques of TFP (interpretation, transference analysis, technical neutrality, and use of countertransference) and setting the stage for and guiding the proper use of those techniques within the individual session. What to expect in the course of long-term treatment to ameliorate symptoms and to effect personality change is covered, with sections on the early, middle, and late phases of treatment. This material prepares the clinician to deal with predictable phases, such as tests of the frame, impulse containment, movement toward integration, episodes of regression, and termination. Finally, the text is accompanied by supremely instructive online videos that demonstrate a variety of clinical situations, helping the clinician with assessment and modeling critical therapeutic strategies. The book recognizes that each BPD patient presents a unique treatment challenge. Grounded in the latest research and rich with clinical insight, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide will prove indispensable to mental health professionals seeking to provide thoughtful, effective care to these patients.


Psychodynamic Psychotherapy for Personality Disorders

Psychodynamic Psychotherapy for Personality Disorders
Author: John F. Clarkin
Publisher: American Psychiatric Pub
Total Pages: 508
Release: 2010
Genre: Medical
ISBN: 1585623555

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This book includes the work of 22 contributing writers in addition to the three primary authors, John F. Clarkin, Ph.D., Peter Fonagy, Ph.D., and Glen O. Gabbard, M.D. Each contributor has extensive clinical experience, and some also have research experience, with the assessment and treatment of specific personality disorders.


Transference-Focused Psychotherapy for Adolescents With Severe Personality Disorders

Transference-Focused Psychotherapy for Adolescents With Severe Personality Disorders
Author: Lina Normandin, Ph.D.
Publisher: American Psychiatric Pub
Total Pages: 278
Release: 2021-04-15
Genre: Medical
ISBN: 1615373144

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Transference-Focused Psychotherapy for Adolescents With Severe Personality Disorders is a manual for clinicians who wish to learn an effective psychodynamic treatment for young people with personality disorders (PDs). Despite converging evidence that PDs emerge in childhood and are clearly evident in adolescence, research on effective treatments has been limited. The editors have therefore created a book that details treatment models with strong theoretical foundations and examines systematic interventions designed to explore and resolve the conflicts and behaviors, common to PDs, that impede normal adolescent development. The book begins with an overview of psychopathology and normal adolescent development from a psychodynamic perspective. The next section offers therapeutic approaches, including a discussion of the major goals and strategies of TFP-A, the clinical evaluation and assessment process, establishment of the treatment framework and collaboration with parents, and finally, the techniques and tactics of TFP-A. The last section of the book reviews the phases of treatment and discusses the strengths and competencies a therapist must have to successfully conduct transference-based therapy. Authored by experts in the field (including Dr. Kernberg, a pioneer in object relations), Transference-Focused Psychotherapy for Adolescents (TFP-A) with Severe Personality Disorders teaches clinicians how to conduct TFP-A, with the ultimate goal of resolving the intrapsychic restrictions that interfere with normal adolescent development.


Borderline Conditions and Pathological Narcissism

Borderline Conditions and Pathological Narcissism
Author: Otto F. Kernberg
Publisher: Jason Aronson, Incorporated
Total Pages: 376
Release: 1995-04-01
Genre: Psychology
ISBN: 1461627656

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The basic text for the understanding of patients with pathological narcissism.


Projective and Introjective Identification and the Use of the Therapist's Self

Projective and Introjective Identification and the Use of the Therapist's Self
Author: Jill Savege Scharff
Publisher: Jason Aronson, Incorporated
Total Pages: 359
Release: 1992-01-01
Genre: Psychology
ISBN: 1461630088

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In this landmark work on object relations, Dr. Jill Savage Scharff addresses the psychological processes of projective and introjective identification and countertransference. She carefully traces the debates about projective identification_the neurotic versus psychotic arguments and the intrapsychic versus interpersonal views. She holds that disagreements stem from unrecognized shifts in meaning of the term identification and unacknowledged differences of opinion as to where the identification takes place. For her, projective identification is an umbrella term for phenomena that can affect the self, the object inside the self, and the external object. Dr. Scharff brings fresh insight to the neglected concept of introjective identification and a new understanding of the therapeutic action of projective and introjective identification. The book's unique distinction is in the author's integration of object relations theory and practice, particularly with regard to the handling of countertransference. The clinical material is written in the vivid and personally candid style that is a hallmark of her work. Dr. Scharff demonstrates how to understand and utilize projective and introjective identification, making this work indispensable for every dynamically oriented therapist.


Aggressivity, Narcissism, and Self-Destructiveness in the Psychotherapeutic Rela

Aggressivity, Narcissism, and Self-Destructiveness in the Psychotherapeutic Rela
Author: Otto Kernberg
Publisher: Yale University Press
Total Pages: 285
Release: 2008-10-01
Genre: Psychology
ISBN: 030012838X

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In this book a leading psychoanalytic clinician and theoretician presents his thoughts on the latest psychodynamic developments and insights related to treatment of severe personality disorders. Dividing his discussions into two sections, one on psychopathology and the other on psychotherapy, Dr. Otto F. Kernberg examines borderline personality disorder, narcissism, sexual inhibition, transference and countertransference, suicidal behavior, and eating disorders. In each chapter he integrates the ideas of European and Latin American psychoanalytic thinkers, bringing them to the attention of English-speaking readers. This book includes a selection of recently published journal articles. Their collection into one volume makes readily available Dr. Kernberg’s present thinking on an important subject.