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This volume is about the normal development of adulthood, as weIl
as its vieissitudes and the contributions of such development to
psycho- pathology. The authors are psychoanalysts of great dinieal
skill and perceptiveness, but while their focus is consistently a
psychodynamie one, their conceptualizations about adult
developmental processes are applicable to virtually all kinds of
therapy. It is extraordinary how little attention has been paid to
the effects of adult developmental experience on mental
development. Obviously mental structures are not statie after the
profound experiences of child- hood and adolescence, nor are they
merely a template upon whieh adult experiences are processed. The
authors dearly demonstrate that current adult experience always
adds to, and interacts with, existing mental structure, whieh is
itself the result of all preceding develop- ment. After a first
section in whieh they examine life cyde ideas on de- velopment from
antiquity to the present, they present their own work as it relates
to adult experience and adult development. Their hypoth- eses about
the psychodynamie theory of adult development are partie- ularly
creative and an enormous contribution to the psychiatrie litera-
ture and the dinical understanding of patients. Consistent with
their views that development in adulthood is an ongoing and dynamic
process, they elaborate their ideas that childhood development is
fo- cused primarily on the formation of psychie structure while
adult de- velopment is concerned with the continued evolution of
existing struc- ture and its use.
This is the second book in the pioneering investigation of adult
develop ment by Robert A. Nemiroff and Calvin A. Colarusso. The
first, Adult Development: A New Dimension in Psychodynamic Theory
and Practice, ar rived to critical acclaim in 1981. It presented a
psychodynamic theory of development during the second half of life
and a model of normal adult functioning. This book is the logical
sequel, expanding and elaborating the original formulations and
applying them to the clinical practice of psychotherapy and
psychoanalysis. Nemiroff and Colarusso demonstrate that these are
appropriate techniques for patients in the second half of life,
regardless of age. They lay to rest many stereotypes and myths that
have long interfered with the dynamic treatment of older patients,
and they propose exciting new conceptualizations such as that of
adult develop mental arrests. The genetic approach reaches beyond
childhood and adolescence and takes on important new meaning by
incorporating an adult developmental past that influences both
psychopathology and transference. The relationship between theory
and therapy is richly demonstrated in the clinical presentations,
including ten detailed case histories of pa tients between the ages
of 40 and BO. These and other clinical discussions provide ample
evidence that a psychodynamic approach that is based on a sound
adult developmental psychology can be extraordinarily effective.
They also demonstrate both the similarities and differences in
working with older versus younger patients. This work is a major
contribution in a long-neglected dimension of clinical psychiatry.
SHERWYN M.
Developmental theory is the essence of any psychodynamic psychother
apy, and certainly of psychoanalysis. It is through an
understanding of progressive life events, and the way these events
relate to associated biological and social events, that we come to
understand both psycho pathology and psychological strengths. For a
long time we have needed a clinically oriented book that surveys
normal development in both childhood and adulthood. This book
should be particularly helpful to all mental health professionals
whose daily work requires a constant awareness and appraisal of
devel opmental issues. Dr. Colarusso has integrated and summarized
a tremen dous amount of theoretical, empirical, and clinical
material in a format that makes it come alive through clinical
examples. This book should be of great interest to all students of
human behav ior as well as to seasoned clinicians. SHERWYN M.
WOODS, M. D., PH. D. vii Preface Each year as I gave a lecture
series on child and adult development to the adult and child
psychiatric residents at the University of California at San Diego,
someone inevitably would ask, "Is there a book that I could
understand that has all of this information in it?" I would reply
that I did not know of any single source, but I could refer the
person to many articles and books on development."
This is the second book in the pioneering investigation of adult
develop ment by Robert A. Nemiroff and Calvin A. Colarusso. The
first, Adult Development: A New Dimension in Psychodynamic Theory
and Practice, ar rived to critical acclaim in 1981. It presented a
psychodynamic theory of development during the second half of life
and a model of normal adult functioning. This book is the logical
sequel, expanding and elaborating the original formulations and
applying them to the clinical practice of psychotherapy and
psychoanalysis. Nemiroff and Colarusso demonstrate that these are
appropriate techniques for patients in the second half of life,
regardless of age. They lay to rest many stereotypes and myths that
have long interfered with the dynamic treatment of older patients,
and they propose exciting new conceptualizations such as that of
adult develop mental arrests. The genetic approach reaches beyond
childhood and adolescence and takes on important new meaning by
incorporating an adult developmental past that influences both
psychopathology and transference. The relationship between theory
and therapy is richly demonstrated in the clinical presentations,
including ten detailed case histories of pa tients between the ages
of 40 and BO. These and other clinical discussions provide ample
evidence that a psychodynamic approach that is based on a sound
adult developmental psychology can be extraordinarily effective.
They also demonstrate both the similarities and differences in
working with older versus younger patients. This work is a major
contribution in a long-neglected dimension of clinical psychiatry.
SHERWYN M."
This volume is about the normal development of adulthood, as weIl
as its vieissitudes and the contributions of such development to
psycho- pathology. The authors are psychoanalysts of great dinieal
skill and perceptiveness, but while their focus is consistently a
psychodynamie one, their conceptualizations about adult
developmental processes are applicable to virtually all kinds of
therapy. It is extraordinary how little attention has been paid to
the effects of adult developmental experience on mental
development. Obviously mental structures are not statie after the
profound experiences of child- hood and adolescence, nor are they
merely a template upon whieh adult experiences are processed. The
authors dearly demonstrate that current adult experience always
adds to, and interacts with, existing mental structure, whieh is
itself the result of all preceding develop- ment. After a first
section in whieh they examine life cyde ideas on de- velopment from
antiquity to the present, they present their own work as it relates
to adult experience and adult development. Their hypoth- eses about
the psychodynamie theory of adult development are partie- ularly
creative and an enormous contribution to the psychiatrie litera-
ture and the dinical understanding of patients. Consistent with
their views that development in adulthood is an ongoing and dynamic
process, they elaborate their ideas that childhood development is
fo- cused primarily on the formation of psychie structure while
adult de- velopment is concerned with the continued evolution of
existing struc- ture and its use.
The Long Shadow of Sexual Abuse: Developmental Effects across the
Life Cycle has one simple purpose-to describe the profound
interferences with normal developmental processes that occur in
every subsequent developmental phase throughout life as the result
of chronic child sexual abuse. Through the presentation of detailed
case histories of individuals ranging in age from five to the early
sixties, Colarusso convincingly demonstrates that the effects are
life long. Sections on normal development for childhood,
adolescence, young, and middle adulthood are followed by case
histories, arranged chronologically according to the age of the
victims at the time they were evaluated. Then the effects of the
sexual abuse are traced through subsequent developmental phases to
the chronological present. Colarusso illuminates how the passage of
time actually increases the pathological effects of chronic child
sexual abuse due to interferences with the developmental tasks of
adolescence and adulthood.
Developmental theory is the essence of any psychodynamic psychother
apy, and certainly of psychoanalysis. It is through an
understanding of progressive life events, and the way these events
relate to associated biological and social events, that we come to
understand both psycho pathology and psychological strengths. For a
long time we have needed a clinically oriented book that surveys
normal development in both childhood and adulthood. This book
should be particularly helpful to all mental health professionals
whose daily work requires a constant awareness and appraisal of
devel opmental issues. Dr. Colarusso has integrated and summarized
a tremen dous amount of theoretical, empirical, and clinical
material in a format that makes it come alive through clinical
examples. This book should be of great interest to all students of
human behav ior as well as to seasoned clinicians. SHERWYN M.
WOODS, M. D., PH. D. vii Preface Each year as I gave a lecture
series on child and adult development to the adult and child
psychiatric residents at the University of California at San Diego,
someone inevitably would ask, "Is there a book that I could
understand that has all of this information in it?" I would reply
that I did not know of any single source, but I could refer the
person to many articles and books on development."
In The Psychiatric Witness In Court: What Mental Health
Professionals Need to Know, Cal Colarusso documents how the
psychiatric profession plays a vital role in the legal process.
Reports of evaluations and psychological test reports are provided,
in addition to examples of direct testimony and cross-examination
taken from actual cases. Colarusso ultimately demystifies the
process by demonstrating that the well-prepared mental health
expert has little to fear from cross-examination.
Death is a much avoided topic. Literature on mourning exists, but
it focuses chiefly upon the death of others. The inevitable psychic
impact of one's own mortality is not optimally covered either in
this literature on mourning or elsewhere in psychiatry and
psychoanalysis. The Wound of Mortality brings together
contributions from distinguished psychoanalysts to fill this gap by
addressing the issue of death in a comprehensive manner. Among
questions the contributors raise and seek to answer are: Do
children understand the idea of death? How is adolescent bravado
related to deeper anxieties about death? Is it normal and even
psychologically healthy to think about one's own death during
middle age? Does culture-at-large play a role in how individuals
conceptualize the role of death in human life? Is death "apart"
from or "a part" of life? Enhanced understanding of such matters
will help mental health clinicians treat patients struggling with
death-related concerns with greater empathy.
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