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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.
"In this though provoking 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. In the first deficit pattern, devitalization (in schizoid, schizotypal, and avoidant personality disorders), the patients central problem is maintaining vitality when the need for affirmation or admiration has been ignored or insufficiently acknowledged. In the second pattern (in paranoid, obsessive-compulsive, and borderline personality disorders), patients harbor fears that their fragile self-cohesion may come undone. In the third pattern (in dependent, histrionic, and antisocial personality disorders), patients attempt but often fail to develop compensatory structures to repair their chronically injured self-cohesion"--Jacket. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
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.
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.
Revisioning Psychiatry brings together new perspectives on the causes and treatment of mental health problems. The contributors emphasize the importance of understanding experience and explore how the brain, the person, and the social world interact to give rise to mental health problems as well as resilience and recovery.
This book uses case history methodology to illustrate the relationship between theory and practice of the study of Dissociation Identity Disorder (DID). Challenging conventional wisdom on all sides, the book traces the clinical and social history of dissociation in a provocative examination of this widely debated phenomenon. It reviews the current state of DID-related controversy so that readers may draw their own conclusions and examines the evolution of hypnosis and the ways it has been used and misused in the treatment of cases with DID. The book is rigorously illustrated with two centuries’ worth of famous cases.
Contributors from the Masterson Institute introduce the fundamental concepts, theories, and treatment approaches of James F. Masterson, synthesizing the material of his 14 books and many articles. The second part is a workbook in the form of a questionnaire to enable practitioners to apply the skill
For over three decades, Allan N. Schore has authored numerous volumes, chapters, and articles on regulation theory, a biopsychosocial model of the development, psychopathogenesis, and treatment of the implicit subjective self. The theory is grounded in the integration of psychology, psychiatry, and neuroscience, and it is now being used by both clinicians to update psychotherapeutic models and by researchers to generate research. First published in 1994, this pioneering volume represented the inaugural expression of his interdisciplinary model, and has since been hailed by a number of scientific and clinical disciplines as a groundbreaking and paradigm-shifting work. This volume appeared at a time when the problem of emotion, ignored for most of the last century, was finally beginning to be addressed by science, including the emergent field of affective neuroscience. After a century of the dominance of the verbal left brain, it presented a detailed characterization of the early developing right brain and it unique social, emotional, and survival functions, not only in infancy but across all later stages of the human life span. It also offered a scientifically testable and clinical relevant model of the development of the human unconscious mind. Affect Regulation and the Origin of the Self acts as a keystone and foundation for all of Schore’s later writings, as every subsequent book, article, and chapter that followed represented expansions of this seminal work.
The Divided Self, R.D. Laing's groundbreaking exploration of the nature of madness, illuminated the nature of mental illness and made the mysteries of the mind comprehensible to a wide audience. First published in 1960, this watershed work aimed to make madness comprehensible, and in doing so revolutionized the way we perceive mental illness. Using case studies of patients he had worked with, psychiatrist R. D. Laing argued that psychosis is not a medical condition, but an outcome of the 'divided self', or the tension between the two personas within us: one our authentic, private identity, and the other the false, 'sane' self that we present to the world. Laing's radical approach to insanity offered a rich existential analysis of personal alienation and made him a cult figure in the 1960s, yet his work was most significant for its humane attitude, which put the patient back at the centre of treatment. Includes an introduction by Professor Anthony S. David. 'One of the twentieth century's most influential psychotherapists' Guardian 'Laing challenged the psychiatric orthodoxy of his time ... an icon of the 1960s counter-culture' The Times
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.