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The Mind in Disorder - Psychoanalytic Models of Pathology (Paperback)
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The Mind in Disorder - Psychoanalytic Models of Pathology (Paperback)
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Anchoring his schema in the belief that nonorganic disorders are
disturbances in adaptation explicable within a depth-psychological
framework, Gedo posits two broad categories of functional disorder:
"apraxias" that represent any failure to learn adaptively essential
skills, and disorders of what her terms "obligatory repetition."
Within both categories of disorder, Gedo avers, the vicissitudes of
mental functioning are understandable in terms of regression to
relatively archaic modes of function and the reversal of regression
and return to expectable modes of adult function. It follwos from
Gedo's understanding of how and why the mind becomes disordered,
that diagnosis utilizing psychoanalytic principles can only be
based on the succession of transference constellations encountered
in treatment, since these constellations invariably pinpoint the
developmental impasses in which maladaptive repetitive patterns and
the failure to learn basic psychological skills are rooted. For
purposes of understanding a variety of apraxic and repetitive
disorders, Gedo equates such basic skills not only with the three
major psychobiological attainments he has invoked in the past, but
with the development of adequate perception, cognition,
affectivity, and communication skills. Beautifullu organized,
lucidly written, and richly illustrated with case vignettes, The
Mind in Disorder is not only the thoughtful yield of an outstanding
clinician's three decades of experience. It is also the first
psychoanalytic book since Otto Fenichel's masterwork of 1945, The
Psychoanalytic Theory of Neurosis, to take the issue of how we
conceptualize psychopathology as its central focus.
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