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"--
Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy -- Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders -- and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: - A coherent model of personality functioning and disorders based in psychodynamic object relations theory- A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment- An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders- An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology- Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.
Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide is a treatment manual designed for mental health professionals who work with individuals presenting with moderate to severe forms of personality disorder. Although the authors' research has been with patients with a DSM-5 diagnosis of borderline personality disorder (BPD), the book focuses on the broader group of patients with borderline personality organization, expanding the reach and utility of this volume. The authors, who are among the foremost experts in BPD, combine principles of intervention with clinical cases that illustrate the principles as applied in a variety of situations. The clinical knowledge that is imparted by this approach is further developed through online videos that accompany the text. Phenomenal advances in treatments for borderline pathology have been made over the past 25 years. Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide marshals these theoretical advances and data from developmental and neurocognitive studies to enrich the reader's understanding of both the pathology itself and the elements of effective clinical intervention and treatment. The book represents an important contribution to the literature on BPD.
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.
Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.
Filling a crucial gap in the clinical literature, this book provides a contemporary view of pathological narcissism and presents an innovative treatment approach. The preeminent authors explore the special challenges of treating patients--with narcissistic traits or narcissistic personality disorder--who retreat from reality into narcissistic grandiosity, thereby compromising their lives and relationships. Assessment procedures and therapeutic strategies have been adapted from transference-focused psychotherapy (TFP), a manualized, evidence-based treatment for borderline personality disorder. Rich case material illustrates how TFP-N enables the clinician to engage patients more deeply in therapy and help them overcome relationship and behavioral problems at different levels of severity. The volume integrates psychodynamic theory and research with findings from social cognition, attachment, and neurobiology.
Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.
Offering a sophisticated introduction to a contemporary psychodynamic model of the mind and treatment, this book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called "dynamic psychotherapy for higher level personality pathology" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Based on psychodynamic object relations theory, DPHP is an outgrowth of transference-focused psychotherapy (TFP) and is part of an integrated approach to psychodynamic treatment of personality pathology across the spectrum of severity -- from higher level personality pathology, described in this volume, to severe personality pathology, described in a companion volume, Psychotherapy for Borderline Personality: Focusing on Object Relations. Together, they provide a comprehensive description of an object relations theory-based approach to treatment of personality disorders, embedded in an integrated model of personality. As a guide to treatment, Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. The authors offer a comprehensive description of psychodynamic consultation that includes sharing the diagnostic impression, establishing treatment goals, discussing treatment options, obtaining informed consent, and establishing treatment frame. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of the treatment. Among the book's benefits: Takes a diagnosis-driven approach, presenting a clear model of both the psychopathology and its treatment; Explains underlying theory and basic elements of DPHP for those first learning dynamic therapy; Offers an integrated, innovative synthesis of contemporary psychodynamic approaches to personality pathology and psychodynamic psychotherapy; Describes goals, strategies, tactics, and techniques of the treatment to demonstrate its flexibility over a relatively long course of treatment; Provides sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment. DPHP offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides experienced clinicians with a hands-on approach to that method, and is also useful as a primary textbook in courses focusing on the technique of dynamic psychotherapy or in courses on psychodynamics.
In this important book, one of the world's foremost psychoanalysts provides the clinician with tools to diagnose and treat severe cases of personality disorder, including borderline and narcissistic structures. Dr. Kernberg not only describes techniques he has found useful in clinical practice but also further develops theories formulated in his previous work and critically reviews other recent contributions. "A splendid book . . . of great value for anyone involved in psychotherapy with patients suffering from one or another variety of personality disorder, as well as for anyone who is teaching or doing research in this field. . . . An outstandingly fine and valuable book.--Harold F. Searles, M.D., Journal of Nervous and Mental Disease "Kernberg is a synthesizing, creative eclectic on the contemporary psychoanalytic and psychodynamic scene, broadly based in theory and in practice, a powerful intelligence, a prolific writer, and a man of ideas....This is a challenging and provocative book."--Alan A. Stone, M.D., American Journal of Psychiatry "A major work that brings together in one volume a host of clinical insights into people with a variety of severe personality disorders.... Anyone who has attempted to work with patients with severe personality disorders will be rewarding by studying this book." --Robert D. Gillman, Psychoanalytic Quarterly
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.
In this important book, esteemed psychoanalyst Otto F. Kernberg reviews some of the recent developments and controversies in psychoanalytic theory and technique. Gathering together both previously published articles and extensive new material, Dr. Kernberg examines such issues as the new psychoanalytic views of homosexuality, bisexuality, and the influence of gender in the analytic relationship. He explores the application of psychoanalysis to non-clinical fields, including the problem of psychoanalytic research and its clinical implications, the validation of psychoanalytic interventions in the clinical process, and the challenges of psychoanalytic education. He shows how psychoanalysis can be helpful in addressing such cultural problems as socially sanctioned violence. And he asserts the continued relevance of object relations theory and its compatibility with Freud’s dual drive theory.
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.
Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.
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.
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"--
In this important book, esteemed psychoanalyst Otto F. Kernberg reviews some of the recent developments and controversies in psychoanalytic theory and technique. Gathering together both previously published articles and extensive new material, Dr. Kernberg examines such issues as the new psychoanalytic views of homosexuality, bisexuality, and the influence of gender in the analytic relationship. He explores the application of psychoanalysis to non-clinical fields, including the problem of psychoanalytic research and its clinical implications, the validation of psychoanalytic interventions in the clinical process, and the challenges of psychoanalytic education. He shows how psychoanalysis can be helpful in addressing such cultural problems as socially sanctioned violence. And he asserts the continued relevance of object relations theory and its compatibility with Freud’s dual drive theory.
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.
Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy -- Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders -- and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: A coherent model of personality functioning and disorders based in psychodynamic object relations theory A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.
Offering a sophisticated introduction to a contemporary psychodynamic model of the mind and treatment, this book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called "dynamic psychotherapy for higher level personality pathology" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Based on psychodynamic object relations theory, DPHP is an outgrowth of transference-focused psychotherapy (TFP) and is part of an integrated approach to psychodynamic treatment of personality pathology across the spectrum of severity -- from higher level personality pathology, described in this volume, to severe personality pathology, described in a companion volume, Psychotherapy for Borderline Personality: Focusing on Object Relations. Together, they provide a comprehensive description of an object relations theory-based approach to treatment of personality disorders, embedded in an integrated model of personality. As a guide to treatment, Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. The authors offer a comprehensive description of psychodynamic consultation that includes sharing the diagnostic impression, establishing treatment goals, discussing treatment options, obtaining informed consent, and establishing treatment frame. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of the treatment. Among the book's benefits: Takes a diagnosis-driven approach, presenting a clear model of both the psychopathology and its treatment; Explains underlying theory and basic elements of DPHP for those first learning dynamic therapy; Offers an integrated, innovative synthesis of contemporary psychodynamic approaches to personality pathology and psychodynamic psychotherapy; Describes goals, strategies, tactics, and techniques of the treatment to demonstrate its flexibility over a relatively long course of treatment; Provides sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment. DPHP offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides experienced clinicians with a hands-on approach to that method, and is also useful as a primary textbook in courses focusing on the technique of dynamic psychotherapy or in courses on psychodynamics.
In this important book, one of the world's foremost psychoanalysts provides the clinician with tools to diagnose and treat severe cases of personality disorder, including borderline and narcissistic structures. Dr. Kernberg not only describes techniques he has found useful in clinical practice but also further develops theories formulated in his previous work and critically reviews other recent contributions. "A splendid book . . . of great value for anyone involved in psychotherapy with patients suffering from one or another variety of personality disorder, as well as for anyone who is teaching or doing research in this field. . . . An outstandingly fine and valuable book.--Harold F. Searles, M.D., Journal of Nervous and Mental Disease "Kernberg is a synthesizing, creative eclectic on the contemporary psychoanalytic and psychodynamic scene, broadly based in theory and in practice, a powerful intelligence, a prolific writer, and a man of ideas....This is a challenging and provocative book."--Alan A. Stone, M.D., American Journal of Psychiatry "A major work that brings together in one volume a host of clinical insights into people with a variety of severe personality disorders.... Anyone who has attempted to work with patients with severe personality disorders will be rewarding by studying this book." --Robert D. Gillman, Psychoanalytic Quarterly
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