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When the Bubble Bursts - Clinical Perspectives on Midlife Issues (Paperback)
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When the Bubble Bursts - Clinical Perspectives on Midlife Issues (Paperback)
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There are common midlife events that account for the special
narcissistic vulnerabilities of this period of life, and Eda
Goldstein ably reviews these events and the theoretical
perspectives commonly brought to bear on them. In When the Bubble
Bursts, however, Goldstein's special concern is those individuals
who come to midlife with heightened narcissistic vulnerabilities
that make the navigation of this stage of life more difficult
still. In understanding the latter such patients and devising a
treatment approach appropriate to their "self" issues, Goldstein
adopts a broadly self-psychological frame of reference. It is a
matter, she finds again and again, of understanding how current
stressors frustrate healthy self needs and trigger narcissistic
vulnerabilities. Self-psychologically informed treatment, which, in
Goldstein's pragmatic purview, embraces modalities that are, to
varying degrees, supportive, psychodynamic, and psychoanalytic,
reworks and strengthens self structures in helping patients find
new ways of affirming their sense of self. Her substantive case
studies, which accompany the reader through all the chapters in her
study, draw on personal and supervisory experiences to illustrate
crucial foci of the treatment process with a range of midlife
patients in psychotherapy. Eda Goldstein presents a study that
comprises an admirable blend of theoretical astuteness, clinical
wisdom, and personal honesty. Her clinical study of midlife
narcissistic pathology is bracketed by her balanced discussion of
theoretical perspectives on adult development and her concluding
consideration of the countertransference issues elicited by midlife
patients in midlife therapists. When the Bubble Bursts is an
edifying contribution to the literatures of psychodynamic
psychotherapy, self psychology, and adult development.
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