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.
About the AuthorIntroductionAcknowledgmentsPart I: Personality DisordersChapter 1. What is Personality?Chapter 2. Overview and Critique of the Classification of Personality Disorders Proposed for DSM-5Chapter 3. Neurobiological Correlates of Object Relations TheoryPart II: Spectrum of Psychoanalytic PsychotherapiesChapter 4. The Basic Components of Psychoanalytic Technique and Derived Psychoanalytic PsychotherapiesChapter 5. Interpretation in Borderline Pathology: A Clinical IllustrationChapter 6. The Spectrum of Psychoanalytic TechniquesChapter 7. New Developments in Transference-Focused PsychotherapyChapter 8. A New Formulation of Supportive Psychodynamic PsychotherapyPart III: Narcissistic PathologyChapter 9. An Overview of the Treatment of Severe Narcissistic PathologyChapter 10. Narcissistic Defenses in the Distortion of Free Association and Their Underlying AnxietiesChapter 11. The Differential Diagnosis of Antisocial Behavior: A Clinical ApproachPart IV: Erotism in the TransferenceChapter 12. Erotic Transferences and Countertransferences in Patients With Severe Personality Disorders: Part I: The Evaluation of Sexual PathologyChapter 13. Erotic Transferences and Countertransferences in Patients with Severe Personality Disorders: Part II: Therapeutic DevelopmentsPart V: Hope About Life, Mourning, and the Training of PsychotherapistsChapter 14. The Denial of RealityChapter 15. The Long--Term Effects of the Mourning ProcessChapter 16. A Proposal for Innovation in Psychoanalytic Education
