Search

In this volume, Loray Daws traces the life and work of Dr. James F. Masterson, with a focus on the scientific development and later expansion of the six developmental stages of the Masterson Method.Exploring more than 15 of Masterson's volumes, as well as countless articles, Daws shows how Masterson's approach to Object Relations and the developmental self can serve clinicians in both conceptualizing and treating borderline, narcissistic, and schizoid disorders of self. Considering the pioneering and innovative nature of Masterson's work, Daws looks at how he creatively expanded on Freud's theories on repression, successfully developing therapeutically sound ways to touch and transform developmental trauma and trauma reflected in a deep abandonment depression.James F. Masterson: A Contemporary Introduction will be of interest to students in psychology, psychiatry, and psychiatric nursing, as well as psychoanalytically orientated psychotherapists, psychoanalysts, and those specializing in the ever-growing field of the treatment of the disorders of the self.

This book provides a framework for scholars and clinicians to develop a comprehensive and dynamic understanding of antisocial, narcissistic, and borderline personality disorders, by seeing personality as a dual, as opposed to a singular, construct. Converging the two separate research and clinical diagnostic systems into a wholistic model designed to reach reliable and valid diagnostic conclusions, the text examines adaptive and maladaptive personality development and expression, while addressing the interpersonal system that keeps the pathology from extinguishing. Each chapter will discuss core and surface content, origin and symptom manifestation, system and pathology perpetuation, and online behavior expression, concluding with practical guidance on treatment success and effective approaches.Seasoned and tyro researchers and clinicians will be challenged to explore the utility of the DSM-5 alternative model of personality disorders and apply it to further the understanding of these complex, and often destructive, disorders.

Gary Trosclair explores the power of the driven personality and the positive outcomes those with obsessive compulsive personality disorder can achieve through a mindful program of harnessing the skills that can work, and altering those that serve no one. If you were born with a compulsive personality you may become rigid, controlling, and self-righteous. But you also may become productive, energetic, and conscientious. Same disposition, but very different ways of expressing it. What determines the difference? Some of the most successful and happy people in the world are compelled by powerful inner urges that are almost impossible to resist. They're compulsive. They're driven. But some people with a driven personality feel compelled by shame or insecurity to use their compulsive energy to prove their worth, and they lose control of the wheel of their own life. They become inflexible and critical perfectionists who need to wield control, and they lose the point of everything they do in the process. A healthy compulsive is one whose energy and talents for achievement are used consciously in the service of passion, love and purpose. An unhealthy compulsive is one whose energy and talents for achievement have been hijacked by fear and its henchman, anger. Both are driven: one by meaning, the other by dread. The Healthy Compulsive: Healing Obsessive-Compulsive Personality Disorder and Taking the Wheel of the Driven Personality, will serve as the ultimate user's guide for those with a driven personality, including those who have slid into obsessive-compulsive personality disorder (OCPD). Unlike OCD, which results in specific symptoms such as repetitive hand-washing and intrusive thoughts, OCPD permeates the entire personality and dramatically affects relationships. It also requires a different approach to healing. Both scientifically informed and practical, The Healthy Compulsive describes how compulsives get off track and outlines a four-step program to help them consciously cultivate the talents and passions that are the truly compelling sources of the driven personality. Drawing from his 25 years of clinical experience as a psychotherapist and Jungian psychoanalyst, and his own personal experience as someone with a driven personality, Trosclair offers understanding, inspiring stories of change, and hope to compulsives and their partners about how to move to the healthy end of the compulsive spectrum.

The new edition of Personality Disorders continues to provide an in-depth guide to personality disorders, assessment, and treatment, across varied patient groups and settings.Grounded in scholarly review and illustrated with a diversity of case studies, this book covers familiar ground with comprehensive detail, including the description of personality disorders, diagnosis, epidemiology, aetiology, and treatment strategies. Furthermore, this new edition reflects changes in the new ICD-11 and DSM-5, assessment instruments, and state-of-the-art insights from theory-driven research.Part of the popular ‘Clinical Psychology: A Modular Course'series, Personality Disorders offers excellent coverage on all aspects of personality disorder and will be extremely informative for students and practitioners alike.

Originally published in 1997, using 50 pharmacological case studies, this title illustrates how chronic and difficult psychiatric disorders ranging from paranoid to obsessive-compulsive personality disorder can be responsive to treatment. Readers are first taught to translate DSM-IV diagnostic criteria to identifiable and treatable symptom correlates which are then targeted for treatment using rationally chosen medications or combinations of medication along with psychotherapy. Since medications rapidly control dysfunctional symptoms, psychotherapy becomes much more effective, enabling psychotherapists and patients to focus on underlying psychosocial issues and conflicts. Personality Disorders can help you acquire an understanding of general diagnostic and treatment concepts, the ability to identify target symptoms, and the knowledge to select medications to address each symptom identified. As a result, psychotherapy will become less time-consuming and costly and therapeutic results will be felt more quickly--desirable goals in this managed care environment.This guidebook prepares you for effective treatment of personality disorders by exploring: symptom correlates of all personality disorders medication groups with dosage guidelines clinically relevant explanations for choice of symptoms and medications clinical profiles of new antidepressants and antipsychotics intelligent use of modern rational polypharmacy Clinicians seeking to modernize and refine their approaches to treating personality disorders will learn effective drug therapy treatments that produce rapid results. Personality Disorders helps psychiatrists, primary care physicians, psychologists, psychiatric residents, counselors, social workers, and nurses who manage personality disorders to understand that patients'dysfunctional thoughts, perceptions, and behaviors are symptoms mediated by the brain. Medical students and clinical psychology students learn to approach personality disorders in the same clinically precise manner they would use when learning to treat nonpsychiatric illness.Personality Disorders is an important resource for dispelling the myth that personality disorders are permanent and un-responsive to treatment as it walks readers through successful intervention strategies step by step and disorder by disorder.

Originally published in 1989, the primary aim of this text was to provide a guide to the interview assessment of a wide range of common adult psychological problems. Emphasis is placed on the kinds of problems that were frequently encountered in outpatient centres at the time. The authors provide a general introduction to the nature and causes of each of the selected problems, with a focus on the kind of background knowledge that may be useful in the planning of initial interviews and the selection of appropriate interventions. Detailed examples are provided of the questions that may help elicit information on the history, severity, and causes of the problems for individual clients, and there is also a brief discussion of selected formal assessment instruments for each problem area. A major aim of the text is to teach basic principles of problem identification, behavioural analysis and a structured approach to assessment.

This book combines attachment theory and research with clinical experience to provide practitioners with tools for engaging with individuals who are indifferent, avoidant, highly defensive, and who struggle to make and maintain intimate connections with others. Composed of four papers presented at a Wimbledon Guild conference in 2017, this text examines the origins of avoidant attachment patterns in early life, describes research tools that offer a more refined understanding of this insecure attachment pattern, explores the internal object worlds of'dismissing'adults, and considers the impact on couple relationships when one or both partners avoid intimacy or dependency.Each chapter contains case studies with children and families, adolescents, adults and couples that acknowledge the challenges of engaging with these'shut down'individuals, with authors sharing what they have learned from their patients about what is needed for effective psychotherapy. It is an accessible book full of clinical richness and insight and will be invaluable to practitioners who are interested in deepening their understanding and clinical skills from an attachment perspective.

Most of us can recall a time when we pretended to be sick to reap the benefits that go along with illness. By playing sick, we gained sympathy, care, and attention, and were excused from our responsibilities. Though doing so on occasion is considered normal, there are those who carry their deceptions to the extreme. In this book, Dr. Marc Feldman describes people's strange motivations to fabricate or induce illness or injury to satisfy deep emotional needs. Doctors, family members, and friends are lured into a costly, frustrating, and potentially deadly web of deceit. From the mother who shaves her child's head and tells her community he has cancer, to the co-worker who suffers from a string of incomprehensible'tragedies,'to the false epilepsy victim who monopolizes her online support group,'disease forgery'is ever-present in the media and in many people's lives. In Dying to be Ill: True Stories of Medical Deception, Dr. Feldman, with the assistance of Gregory Yates, has chronicled this fascinating world as well as the paths to healing. With insight developed from 25 years of hands-on experience, Dying to be Ill is sure to stand as a classic in the field.

Dramatherapy for Borderline Personality Disorder: Empowering and Nurturing People Through Creativity demonstrates how dramatherapy can empower those individuals struggling to live with borderline personality disorder, and help them embrace and control the emotional inner chaos they experience.Based on current research into the aetiology, symptoms and co-morbid disorders associated with BPD (and emotionally unstable personality disorder), this book demonstrates the effectiveness of dramatherapy for individuals and groups on specialist personality disorder wards and in mixed diagnosis rehabilitation units. It also reveals a creative approach for making dramatherapy work in harmony with approaches such as dialectical behaviour therapy and cognitive behaviour therapy.Aimed at those working with service users, and utilising a range of case studies and clinical vignettes, Dramatherapy for Borderline Personality Disorder provides an insight into the potential of dramatherapy, which will be welcomed by mental health professionals.

Los trastornos de la personalidad y su tratamiento constituyen un desafío profesionalCuestionan los paradigmas teóricos y asistenciales predominantes en salud mental e interrogando a la propia condición del enfermar psíquico y a la sociedad misma. Son trastornos que vienen desbordando, asociados frecuentemente con otras patologías de nuestra época: los trastornos de la conducta alimentaria y las adicciones, los servicios sanitarios, sociales, escolares y judiciales.Este libro ofrece una completa revisión de los conocimientos hoy existentes, pero sobre todo supone una aportación novedosa desde una experta mirada clínica que va más allá de la clínica. Psicopatología, asistencia, sociedad y ética se enlazan en un discurso que desvela los entresijos del los trastornos límite, narcisista y antisocial, las diferentes técnicas y las trampas de una sociedad que psiquiatriza sus fracturas sociales.Una revisión completa de los conocimentos hoy existentes sobre los trastornos de la personalidad.SOBRE LA AUTORACristina Rodríguez Cahill es psicóloga clínica del Centro de Salud Mental de Illescas. Profesora colaboradora del Departamento de Psicología de la Universidad San Pablo CEU de Madrid. Se formó en la Unidad de Trastornos de la Personalidad de la Halliwick Unit del St. Ann's Hospital de Londres, dirigido por Anthony Bateman, en el tratamiento basado en la mentalización. Formada también en el Instituto de Trastornos de la Personalidad del Hospital Presbiteriano de Nueva York, dirigido por Otto Kernberg, en la terapia focalizada en la transferencia. Trabajó como coordinadora de la Unidad de Trastornos de la Personalidad de Santander y en el Programa de Trastornos de la Personalidad del Instituto Psiquiátrico José Germain de Leganés.SOBRE LA COLECCIÓN SALUD MENTAL COLECTIVA'Es aquí, en esta encrucijada en la que nos instala con urgencia el debate sobre el tipo de sanidad del futuro, donde surge la iniciativa de esta colección. Hacer frente al reto que supone mantener, en estos tiempos pragmáticos y sin valores, un modelo comunitario que haga posible una atención integral, equitativa y eficiente significa una opción política y una opción ciudadana, pero también una responsabilidad de los profesionales de la salud mental. Significa la imperiosa necesidad de adecuar nuestras técnicas, nuestros programas, a una realidad vertiginosamente cambiante. La viabilidad de un modelo público, colectivo, sostenible, implica hacerlo creíble a la población para que lo incluya entre sus prioridades reivindicativas; pero para ello tenemos que avanzar en nuestros programas, en la clínica, en el conocimiento. Tenemos que romper la brecha entre acción y conocimiento para, desde la propia práctica, construir una nueva clínica y una nueva psicopatología hecha desde el cuidado y el respeto a la autonomía de las personas con problemas de salud mental. Los textos de esta colección quieren contribuir a esta tarea.'- Manuel Desviat, Director de la colección Salud mental colectiva

This book reviews what we know and what we don't know about PDs, and what this implies for clinical practice. Clients with personality disorders (PDs) present special challenges to clinicians. Nonetheless, successful treatment is possible, and a rapidly growing research base can inform diagnosis and intervention. A Concise Guide to Personality Disorders integrates a large body of research findings into a concise, highly practical approach to managing difficult clients. Rather than advocating a single method of treatment, Joel Paris promotes an integration of all evidence-based psychotherapies, as well as effective case management. The evidence base for pharmacotherapy is reviewed as well. Focusing particularly on borderline, antisocial, and narcissistic PDs, the author also reviews other PD categories. His extensive experience and clinical wisdom illuminate the discussion, demonstrating how to work productively and empathically with these clients.

The classic that has transformed the psychiatric definition of sanity and continues to provide insight on American society and psychological introspection.Although highly controversial, Hervey Cleckley's Mask of Sanity provides one of the most influential clinical descriptions of psychopathy in the twentieth century. At the crux of his argument, Cleckley claims that many psychopathic personalities go undiagnosed because they maintain a social mask that conceals their mental disorder and enables them to blend in with society. Furthermore, many of these affected individuals appear to function normally in accordance with standard psychiatric criteria.Intent on detecting and diagnosing the elusive psychopath, Cleckley has compiled an assortment of case studies and offers suggestions for palliative care. This ambitious work aims to define and examine every aspect of this abstract state of being. Ultimately, Cleckley refines the term “psychopath” and strips it of stigmatization.“I know of no more stirring presentation of the clinical picture, the social consequences, and the therapeutic difficulties incident to the problem of the psychopath.” —The Quarterly Review of Biology

First published in 1980. In this volume a leading clinician brings diagnostic order, a comprehensible theory, and a clinical approach out of the confusion and controversy surrounding the concept borderline. Through an interweaving of theoretical concepts and rich clinical experience, Dr. Masterson develops not only a clear definition of the border Iine syndrome. but also the etiology and treatment of this complex disorder.

This book provides, using Bion's insightful legacy, a practical and useful instrument to safely navigate the psyche. It offers an original conception of trauma and of the working mind between'traumatised'and'non-traumatised'states based on essentials taken from Bion's contributions.

A New York Times BestsellerA groundbreaking new view of human psychology that shows how eight key traits of human behavior—long perceived as liabilities—can be important hidden strengths.What if the inattentiveness that makes school or work a challenge holds the secret to your future as an entrepreneur? What if the shyness in groups that you hate is the source of deep compassion for others? What if the anxiety and nervousness you often feel can actually help energize you? What if the mood swings you sometimes experience canbe the source of tremendous creativity? Renowned psychiatrist and popular on-air personality Dr. Dale Archer believes that labels for behavior like “ADHD,” “bipolar,” and “OCD” are normal human qualities—and contends that we all experience these and other psychological traits to some extent, yet fail to leverage the significant advantages they can offer. Worse, we stigmatize one another for these prevalent, widely shared aspects of our personalities.In Better Than Normal, Dr. Archer offers an empowering framework for redefining what constitutes mental health. Drawing on his twenty years of clinical experience, he describes eight traits of human behavior—heretofore knownonly as psychiatric diagnoses. Each of these occurs along a continuum rather than as a simple on-off switch (where “off ” means we're fine, and “on” means we've got a problem). These are the aspects of our personality that we worry about the most, but these are also the very things that make us distinctive and different.According to Dr. Archer, each of us has a unique personality that emerges from our hardwired genetics and individual life experiences. With Better Than Normal, you can map your individual characteristics by taking the eight traitself-assessment quiz and see how what makes you different can indeed make you exceptional. Filled with engaging anecdotes and practical tools to help you capitalize on your unique characteristics, Better Than Normal offers a new and liberating way to look at ourselves and others.

Personality pathology is rooted in early development and affects a wide range of affects, behaviours and cognitive processes. Every year thousands of articles about the etiology pf personality pathology are published in various professional or scientific reviews. There is a growing distance between the generalist's practice and our increasingly precise scientific knowledge. However, no one can read everything and therefore, it behoves us to ask ourselves the following questions: is the most recent better than what came before? Is the measurable and demonstrable necessarily clinically interesting? Must what interests the clinician be measured and proved? Whilst theory and clinical research are becoming increasingly precise, innumerable socio-economic forces are pressing for a simplification in clinical practice.'Shrinks'are fashionable! They are everywhere: in the workplace, on television, on the radio.

This comprehensive evidence-based book provides a broad and in-depth coverage of personality disorders across a variety of patient groups and treatment settings. Emmelkamp and Kamphuis bring together research examining psychological and biological variables that may play a role in the development of personality disorders. This book explores: Descriptions of personality disorders Diagnosis and assessment Epidemiology and course Aetiology Treatment strategies. Illustrated throughout with clinical vignettes, as well as scholarly reviews, Personality Disorders offers excellent coverage on all aspects of personality disorder, and will be extremely informative for students and practitioners alike.

This book explores the underlying mechanisms of the psyche. It traces the development of the individual and, in particular, the development of the sense of self, which is understood to be intimately related to the individual's object relations and to play a crucial role in core clinical phenomena. The book outlines a new perspective on identity and affect which sheds light into the heartland of analytic theory, providing fresh insights into narcissism, and narcissistic, borderline, hysteric, and schizoid psychopathologies.

For decades, The Rorschach Inkblot Method (RIM)--the most popular of the projective tests--has been routinely employed for personality assessment and treatment planning. But in recent years, it has not been free from controversy. Criticisms of its validity and empirical support are catalyzing new efforts to strengthen its foundations and document its broad utility. Among the most common--yet also most confusing and challenging--categories of clinical disorders is the personality disorders. However, minimal data have been available on the RIM evaluation of most of those found in DSM-IV. This welcomed book constitutes the first research-grounded, comprehensive guide to the use of the RIM in assessing personality disorders.The first section offers a theoretical overview of personality disorders and constructs a framework and compelling rationale for the legitimate role of the RIM in their assessment. The second, third, and fourth sections present Cluster A disorders--paranoid, schizoid, and schizotypal; Cluster B disorders--antisocial and psychopathic, borderline, histrionic, and narcissistic; and Cluster C disorders--avoidant, dependent, and obsessive-compulsive. The fifth section presents passive aggressive and depressive personality disorders, currently being proposed for DSM inclusion. Each chapter in these four sections includes an extensive description of the disorder, a review of empirical studies of the use of the RIM to assess it, an analysis of the Rorschach variables that may characterize patients diagnosed with it, and a depiction of a real case and discussion of the ways in which the RIM contributed to its formulation. The sixth and final section explores the relationship between psychoanalytic theory and the RIM.Rorschach Assessment of the Personality Disorders brings practical help for clinicians and clinicians-in-training, and suggests new paths for researchers seeking to advance our understanding of the complexities of these disorders.

Personality Disorders and Eating Disorders explores and defines the multifaceted relationship between these two fields in a cogent synthesis of prevalence, etiology, and treatment. The book brings together leading specialists in both fields, with a clinical focus on such topical issues as genetics, drug abuse, and childhood trauma—as they relate to each field and as they affect the relationship between the two disorders. Therapists who treat eating disorders will find the material on treatment approaches especially helpful in formulating interventions with particularly difficult patients. Therapists who work with patients with personality disorders will find that the interface between personality and eating disorders is relevant to various aspects of self-destructive behavior observed in these individuals.This unique book enhances the assessment and treatment of individuals suffering from personality disorders and eating disorders, and it augments the understanding of both populations, while establishing a foundation for discussing each as they interface with one another.

Character traits may be used as defenses, or,'coping mechanisms'that may be developed by individuals in an exaggerated fashion in order to conceal psychological conflicts. When these mechanisms break down, previously repressed trauma erupts into consciousness. One such trait is selflessness. Les Barbanell examines the transformation of selflessness into the Caretaker Personality Disorder and how it is not always better to give than receive, that being good can go bad, and that the'disease to please'can even be fatal.

As with a number of specific areas in the medical professions, the field of personality disorders has experienced a period of rapid growth and development over the past decade. This volume is designed to offer the student, practitioner and researcher with a single source for the most up-to-date research and treatment writing on a variety of specific areas within the field.

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.

From the unfaithful husband to the binge eater, from the secret cross-dresser to the pilferer of worthless items, there are those who seem to live two lives, to be divided selves, to be literally of two minds. This division or'vertical split'appears in a person at odds with himself, a person who puzzles over, and even heartily dislikes, that parallel person who behaves in so repugnant a manner. In Being of Two Minds, Arnold Goldberg provides trenchant insight into such divided minds - their origins, their appearances, and their treatment. Goldberg's inquiry into divided minds leads to a return to the psychoanalytic concept of disavowal, which forms the basis of the vertical split. Goldberg explores the developmental circumstances that tend to a reliance on disavowal, provides numerous examples of the emergence of disavowal in the treatment situation, and considers the therapeutic approaches through which disavowal may be addressed. He is especially perceptive in discussing the manner in which the therapist's own tendency to disavow may collusively interact with that of the patient. Goldberg considers the full range of splits to which disavowal gives rise, from circumscribed instances of dissociation to the much-debated multiple personality disorders. He gives special attention to the role of the vertical split in patients with behavior disorders; here his thoughtful insights point to a treatment approach that significantly differs both from the simple ascription of a'self disorder'and from the usual pedagogical emphasis on issues of self-control and/or punishment. As Goldberg shows, the repugnance felt by many therapists for offensive behaviors emanating from the patient's parallel self are frequently shared by the patient, who commonly despises misbehavior that he is unable to understand. Being of Two Minds begins to formulate just such understanding, to the great benefit of patient and therapist alike.

This volume focuses on treatment issues pertaining to patients with borderline psychopathology. A section on psychoanalysis and psychoanalytic psychotherapy (with contributors by V. Volkan, H. Searles, O. Kernberg, L. B. Boyer, and J. Oremland, among others) is followed by a section exploring a variety of alternative approaches. The latter include psychopharmacology, family therapy, milieu treatment, and hospitalization. The editors'concluding essay discusses the controversies and convergences among the different treatment approaches.

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.

This volume presents a fully integrated developmental approach that not only differentiates between varying etiologies of the narcissistic and borderline disorders but also provides a detailed guide to effective treatment.

First Published in 1985. This informative volume examines the clinical research linking nor­mal separation-individuation with object relations theory and devel­opmental psychopathology. It focuses on the core problem-the lack of a concept of the self-integrated with object relations theory. By adding a theory of the self to object relations theory, the book both enlarges and more acutely focuses the therapeutic perspective, thereby enhancing work with patients. It also further enables therapists to clarify their own real selves. Dr. Masterson's thesis is that, for the real self to finally emerge from the symbiotic union and assume its full capacities, identification, acknowledgment, and support are required from the mother and father in early development and from the therapist in psychotherapy. Dr. Masterson describes and illustrates the therapeutic technique of communicative matching and provides the necessary acknowledg­ment while maintaining therapeutic neutrality. Part I reviews psychoanalytic theory of the ego and the emerging real self; its structure, function, development, and its psychopathol­ogy and treatment. Part II explores the relationship between maternal libidinal ac­knowledgment and the development of the real self by a cross­cultural comparison of child raising in Japan, Israel, and the United States. It then describes the influence of social and cultural factors on the functioning of the real self in the United States. Part III on Creativity and the Real Self draws upon fairy tales, Jean Paul Sartre, Edvard Munch, and the life and work of the novelist Thomas Wolfe to show how for some artists creativity becomes a crucial vehicle in their search to establish a real self. This section illuminates the nature of personal and artistic creativity and describes how a professional interest in the functioning of the real self leads inevitably to an interest in the ultimate of self-expression-creativity. Of special interest are the numerous case illustrations drawn from Masterson's extensive clinical work showing how acknowledgment and support enable the real self to fully emerge from the symbiotic union and to assume its full capacities.)

The Psychotic: Aspects of the Personality presents the results of the author's many years of experience as an analyst working with deeply disturbed or psychotic patients, and demonstrates how the deeply resulting clinical and theoretical formulations may additionally be applied to less disturbed patients. Dealing with the theory and clinical treatment of the psychotic aspects of the personality, includes a review of the literature and a rich array of clinical material to illustrate the author's technical approach. A chapter devoted to the survivors of concentration camps shows how the concept of encapsulated autistic nuclei leads to new diagnostic and technical procedures, while a further paper discusses the psychotic difficulties attending heart-transplant surgery. Further essays illuminate the importance of the accurate detection and the use of the countertransference and the significance of the supervisor's supportive role in severe cases.