This landmark volume synthesizes the vast descriptive and dynamic
literature on the phenomenology and treatment of severe personality
disorders. Among the psychoanalytic authors whose views are
included are: . the "pioneers" such as Freud, Abraham, Ferenczi,
Jones, Fenichel, and Reich; the "second generation" analysts such
as Klein, Anna Freud, Fairbairn, Balint, Winnicott, Guntrip,
Erikson, Waelder, Greenacre, Jacobson, Menninger, and Eissler; and
the contemporary theorists such as Mahler, Kohut, Kernberg, Khan,
Blos, Blum, Modell, Volkan, Adler, Kramer, Bach, Meissner, Burland,
Singer, and Chasseguet-Smirgel. Among the descriptive psychiatrists
included are: . the founding fathers of descriptive psychiatry such
as Kraepelin, Magnan, Kretschmer, Bleuler, Schneider, and Jaspers;
later investigators such as Maudsley, Cleckley, Langfeldt,
Leonhard, Sheldon, Hoch, and Polatin; and contemporary observers
such as Fish, Winokur, Spitzer, Gunderson, Frances, Kendler, Stone,
Reid, Livesley, Akiskal, Perry, and Klerman. Combining the
observations of these prominent analysts and empirical researchers
leads to the sound clinical profiles of eight severe personality
disorders - narcissistic, borderline, schizoid, paranoid,
hypomanic, antisocial, histrionic, and schizotypal - contained in
this book. Akhtar provides a rich harvest of evaluative procedures
and therapeutic techniques. In the initial evaluation he combines
traditional history taking with a penetrating examination of the
patient's sense of identity, ego defenses, object relations, and
psychological-mindedness. This enables the clinician to choose the
most effective therapeutic strategies. Psychoanalytic psychotherapy
is discussed indetail, including the synthesis of diverse
approaches as well as the addition of environmental and supportive
measures. This is an important exploration of the mutual
interdependence of psychiatry and psychoanalysis and makes a major
contribution to the understanding and psychotherapy of the
personality disorders.
General
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