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Broken Structures

Broken Structures Author Salman Akhtar
ISBN-10 9781461627685
Release 2000-01-01
Pages 440
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This book integrates psychiatry and psychoanalysis to present deeper and sounder clinical profiles of the personality disorders than have been hitherto available.



Handbook of Personality Disorders

Handbook of Personality Disorders Author W. John Livesley
ISBN-10 1572306297
Release 2001-05-07
Pages 626
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This authoritative work comprehensively reviews what is known about personality disorders, including vital information to guide clinical decision making. Leading experts synthesize contemporary thinking about the classification, etiologies, and development of these complex disorders. Diagnostic issues are explored, and available assessment instruments are discussed. The Handbook provides in-depth coverage of all commonly used psychotherapeutic and pharmacological treatments, with particular attention to the empirical evidence for each approach. Also addressed are special treatment modalities, such as day programs and group therapy, and forensic issues.



Psychoanalytic Listening

Psychoanalytic Listening Author Salman Akhtar
ISBN-10 9780429917967
Release 2018-05-01
Pages 208
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'Joseph Breuer's celebrated patient, Anna O., designated psychoanalysis to be a "talking cure". She was correct insofar as psychoanalysis does place verbal exchange at the center stage. However, the focus upon the patient's and therapist's speaking activities diverted attention from how the two parties listen to each other. Psychoanalysis is a listening and talking cure. Both elements are integral to clinical work. Listening with no talking can only go so far. Talking without listening can mislead and harm. And yet, the listening end of the equation has received short shrift in analytic literature.This book aims to rectify this problem by focusing upon analytic listening. Taking Freud's early description of how an analyst ought to listen as its starting point, the book traverses considerable historical, theoretical, and clinical territory. The ground covered ranges from diverse methods of listening through the informative potential of the countertransference to the outer limits of our customary attitude where psychoanalytic listening no longer helps and might even be contraindicated.'- Salmon Akhtar, from his Introduction



Immigration and Identity

Immigration and Identity Author Salman Akhtar
ISBN-10 0765702320
Release 1999
Pages 220
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Why do people migrate from one country to another? What is the difference between an immigrant and an exile? What determines the psychological outcome of immigration? Can one ever mourn the loss of one's country? What are the defensive functions of nostalgia? Are there specific guidelines for psychotherapy and psychoanalysis for immigrant patients? How can the therapist disentangle the patient's cultural rationalizations from underlying intrapsychic conflicts? In this unique book, psychoanalyst and poet Salman Akhtar provides answers to such questions. He notes that migration from one country to another has lasting effects on an individual's identity. Such identity change involves the dimensions of drives and affects, psychic space, temporality, and social affiliation. Dr. Akhtar addresses the immigrant's idealization and devaluation, closeness and distance, hope and nostalgia, transitional area of the mind, superego change, and linguistic transformation. With poignant clinical vignettes, he illustrates the implications of these ideas for the therapeutic process where the therapist, the patient, or both, are immigrants. Immigration and Identity, replete with poetry and personal letters from immigrant colleagues from many nations, conveys its message with irony, wit, laughter, pain, sadness, empathy, and, above all, clinical and human wisdom.



Inner Torment

Inner Torment Author Salman Akhtar
ISBN-10 0765701596
Release 1999
Pages 318
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Can hope be pathological? What is love? How are envy and arrogance related to hatred? What is the optimal distance between the self and others? Why are some individuals excessively vulnerable to nostalgia? What are the distinctions between a need and a wish? Such questions frequently arise as one encounters individuals whose difficulties originate from an area between psychotic and neurotic organizations and yet who are not overtly borderline. How does one meet their ego needs without gratifying their regressive wishes? Do affirmative interventions work better than interpretive ones when the patient is in deep emotional turmoil? Integrating diverse psychoanalytic traditions with his own theoretical and clinical insights, Salman Akhtar provides answers to these and other important questions in this realm. He weaves the existing conceptual schisms and technical diversity into an integrated theory and technique. In a truly original contribution, he delineates certain ubiquitous human fantasies (e.g., "someday" and "if only" fantasies of optimism and nostalgia, and fantasies of powerful psychic tethers that bind us to others) and shows how their pathological variants underlie the suffering of these patients.



The Damaged Core

The Damaged Core Author Salman Akhtar
ISBN-10 9780765706720
Release 2009-04-13
Pages 250
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This comprehensive and tightly argued book deals with the process through which a coherent self evolves, the various ways such development fails to occur, and the therapeutic measures to put things back together. Beginning with the child's early relationships and their internalization as the substrate of the self, the text moves on to psychodynamically sophisticated and developmentally anchored descriptions of certain psychopathological syndromes that are widespread and yet inoptimally discussed. Going from the most severe to the least severe conditions in this realm, the book deals with the psychotic core, the schizoid wish to die and be reborn, the fantasies related to unresolved separation-individuation, the sociopathic tendency to lie, and the impact of excessive narcissism on love relations. The book also provides a unique perspective on the treatment of these conditions in so far as it not only elucidates the ways that a therapist listens and talks to his patients but also the subtle but deep impact of his ongoing attitude toward psychotherapeutic work. Even the role the therapist's office silently plays in the conduct of his work is discussed in detail. The book is theoretically sound and contemporary. More importantly, it is clinically generous and provides a number of vignettes to illustrate the ideas proposed. The writing style is a refreshing admixture of scientific scrupulosity, literary elegance, and humane relatedness.



Quest for Answers

Quest for Answers Author Salman Akhtar
ISBN-10 9781461630319
Release 1994-12-01
Pages 223
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Q & A format/discusses the 'as-if' personality/malignant narcissism/projective identification/cumulative trauma/etc.



Treatment of Severe Personality Disorders

Treatment of Severe Personality Disorders Author Otto F. Kernberg, M.D.
ISBN-10 9781615371433
Release 2018-04-05
Pages 319
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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.



Psychodynamic Psychotherapy for Personality Disorders

Psychodynamic Psychotherapy for Personality Disorders Author John F. Clarkin
ISBN-10 9781585623556
Release 2010
Pages 485
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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.



Integrated Treatment for Personality Disorder

Integrated Treatment for Personality Disorder Author W. John Livesley
ISBN-10 9781462522880
Release 2015-09-24
Pages 478
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Rather than arguing for one best approach for treating personality disorder, this pragmatic book emphasizes the benefits of weaving together multiple well-established intervention strategies to meet each patient's needs. A framework is provided for constructing a comprehensive case formulation, planning treatment, and developing a strong therapeutic alliance. The clinician is guided to utilize techniques from all major therapeutic orientations to address transdiagnostic personality symptoms and problems involving emotion regulation, interpersonal functioning, and self and identity. Showing how to pick and choose from "what works" in a thoughtful, coordinated fashion, the book features rich clinical illustrations, including a chapter-length case example. See also Handbook of Personality Disorders, Second Edition, edited by W. John Livesley and Roseann Larstone, the leading reference that surveys theory, research, and evidence-based treatments.



Treating Personality Disorders in Children and Adolescents

Treating Personality Disorders in Children and Adolescents Author Efrain Bleiberg
ISBN-10 1593850182
Release 2002-01-01
Pages
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This [book] offers a framework to make sense of childhood personality disorders, distinguish them from more frequently diagnosed childhood conditions, and respond appropriately to neurobiological, psychodynamic, and developmental perspectives. [The author] presents an effective treatment model grounded in research and ... clinical experience ... The author first explores the nature and clinical presentation of childhood personality disorders ... The book then takes the clinician step-by-step through offering multimodal interventions that incorporate individual psychotherapy, family treatment, and pharmacotherapy ... Emphasizing the importance of the therapeutic alliance, the book gives particular attention to ways that therapists can understand and work with their own emotional reactions in highly charged clinical situations.-Dust jacket.



Mentalization Based Treatment for Personality Disorders

Mentalization Based Treatment for Personality Disorders Author Anthony Bateman
ISBN-10 9780199680375
Release 2016-01-28
Pages 480
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This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizing practice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so thattheir personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged, and systematically describes the process of treatment in both group andindividual therapy to support more stable mentalizing.



Core Psychiatry E Book

Core Psychiatry E Book Author Padraig Wright
ISBN-10 9780702048586
Release 2012-01-08
Pages 672
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A new edition of a highly successful, award winning textbook for trainee psychiatrists, covering in one volume all the subjects required for the new MRCPsych and similar exams. Written in a highly engaging manner, it will also prove invaluable to qualified psychiatrists who need to keep up-to-date with the latest developments, as well as clinical psychologists, general practitioners, psychiatric nurses and senior medical students Concise yet comprehensive, Core Psychiatry relfects the latest developments in the curriculum plus all that is new and essential in clinical practice and the sciences that underpin it. It includes new information on the new Mental Capacity Act and Mental Health Act as well as enhanced sections on psychopharmacology, old age psychiatry, child and adolescent psychiatry, forensic psychiatry and rehabilitation. The book also makes refernce to the latest NICE guidelines and includes new sections on sleep medicine and trauma psychiatry. New edition of a popular MRCPsych curriculum based text Previous edition ‘Highly Commended’ (Mental Health category) in the BMA Awards 2005 Contains useful summary boxes, lists and key points to make last minute learning easy Comprehensive and authoritative resource written by contributors to ensure complete accuracy and currency of specialist information Chapters prepared by specialists working in conjunction with trainees – content totally up-to-date and jointly written by authors who have recently been in the exam situation Contains the latest findings in sleep medicine and trauma psychiatry Expanded section on psychology – including social psychology – to reflect the latest MRCPych examination format Text updated in full to reflect the new Mental Capacity Act and Mental Health Act Relevant chapters now contain a ‘skills and competency’ section to reflect changes in MRCPsych curriculum Updating and amendments to improve coverage of old age psychiatry, child and adolescent psychiatry, forensic psychiatry and rehabilitation Contains reference to the latest NICE guidelines in boxes and tables Enhanced discussion of the use of the best current management options, both pharmacological and psychotherapeutic, the latter including CBT, DBT, EMDR and psychodynamic group, couple and family therapy.



Severe Personality Disorders

Severe Personality Disorders Author Bert van Luyn
ISBN-10 9781139465922
Release 2007-09-06
Pages
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Originally published in 2007, this book is about understanding and managing patients with severe personality disorders. It covers biological, psychoanalytic and cognitive behavioral approaches and provides a pragmatic guide to best practice. As well as discussing issues of severity, treatability and the range of appropriate management options, the content explores the common elements of effective interventions and covers early prediction, countertransference, disruptions of the therapeutic alliance, suicidal crises and what to do when dealing with dangerous, refractory and stalking patients. The chapters are authored by an international cast of distinguished investigators and innovators from the field. This is a holistic, practical guide to the treatment of patients with a range of these disorders and it should be read by members of the mental health team dealing with this challenging clinical group.



The Colors of Childhood

The Colors of Childhood Author Salman Akhtar
ISBN-10 9781461631101
Release 1998-04-01
Pages 236
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How does culture affect child-rearing practices? How do factors such as poverty, ethnic difference, racial minority status, and having immigrant parents alter the experience of a growing child? Are there culturally distinct sub-groups within the African-American population? How ubiquitous are psychoanalytically derived schedules of personality development? In what form and to what extent are transference and countertransference affected by such racial, ethnic, and economic issues? In this volume, eight distinguished psychoanalysts (including some belonging to ethnic and racial minorities) attempt to answer these questions. They provide illuminating details of child-rearing practices in African-American, Indian, and Japanese families. They interweave mythological legacies, historical background, ethnographic data, and clinical observations into a rich tapestry of knowledge, empathy, and understanding. They try to tease out the variables of socioeconomic class from the issue of race and the ambiguities consequent upon raising children in a new and unfamiliar land from the ordinary and inevitable conflicts between generations.



Understanding and Treating Dissociative Identity Disorder or Multiple Personality Disorder

Understanding and Treating Dissociative Identity Disorder  or Multiple Personality Disorder Author Jo L. Ringrose
ISBN-10 9781780490335
Release 2012
Pages 130
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This book is aimed at psychotherapy providers (although it is likely to also be of interest to sufferers and their families) who want to gain a comprehensive understanding of the essential principles of assessing and working with clients with DID. Using vignettes, the author describes the structure of the personality of someone with DID and guides the reader through the various assessment tools. Issues and considerations for each of the three stages of therapy are outlined and discussed. In the beginning stage, therapy focuses on stabilization, containment and strengthening the host. In the middle stage, the key elements include mapping the identities and working through trauma events. The Bask model is described as a method for this process. In the final stages of therapy, the author evaluates the concept of integration versus multiple living and describes some of the processes clients undergo towards the end of therapy.



Enemies on the Couch

Enemies on the Couch Author Vamik D. Volkan
ISBN-10 9781939578112
Release 2014-07-01
Pages 504
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For more than 30 years, renowned psychoanalyst Vamik D. Volkan has applied the theories of his profession to societies in conflict, venturing into cauldrons of unrest as observer, mediator, and practitioner. In this volume, he shares his experiences facilitating dialogue between opposing enemy groups, in numerous contexts and conflict zones, and presents the pioneering theoretical and practical frameworks he developed. In the process, he provides a unique window onto watershed moments of the recent past—from major historical events, such as the collapse of the Soviet Union and the fall of the Berlin Wall, to the tragedy of September 11, 2001, and continued violence in the Middle East. The findings and observations presented in this volume provide not only a new way of looking at recent historical events, but also offer a novel set of tools for understanding and shaping the present and future.