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The author of "Personality Disorders: A Gestalt Therapy
Perspective" proposes a revision of Perls, Hefferline and Goodman's
Theory of the Self in a way that brings it closer to contemporary
issues in in the area of Personality Disorders. Understanding
splitting and projective identification that chronically lead to
experiential impasses is an essential feature of the psychotherapy
of the more severe personality disorders. In order to do so within
the Gestalt framework, the author integrates certain developmental
concepts from object relations theory, especially those put forth
by W.R.D. Fairbairn (1954).This revised developmental perspective
leads to an Object Relational Gestalt Therapy, in which the
here-and-now therapeutic relationship is related to the
there-and-then of the developmental past, as well as to the
there-and-now of the client's current life situation.
Personality pathology is rooted in early development and affects a
wide range of affects, behaviors and cognitive processes. Every
year thousands of articles about the etiology of personality
pathology are published in various professional or scientific
reviews. There is a growing distance between the generalist's
practice and increasingly precise scientific knowledge. Since no
one can read everything, it therefore behooves the professional to
ask the following questions: Is the most recent better than what
came before? Is the measurable and demonstrable necessarily
clinically interesting? Must what interests the clinician be
measured and proved? While theory and clinical research are
becoming increasingly precise, innumerable socio-economic forces
are pressing for a simplification in clinical practice. The
generalist today finds himself torn between two opposing forces. He
seeks to practice from a secure base and to keep his knowledge up
to date, while being aware that this in turn will give rise to an
increasingly varied clinical practice, in which he deals with
serious pathologies as well as working with patients requesting
help in more ordinary situations. Whatever the profile of his
practice, the generalist has to be able to work with personality
disorders and understand how they arise, enabling him to make
informed clinical decisions. "Personality Pathology" is designed to
be of use to the generalist in his daily practice. The integrative
structure on which this work is based is Relational Psychotherapy /
Object Relational Gestalt-therapy. It is written for all
psychotherapists interested in finding out about developmental
issues.
This book focuses on the psychoanalytic theory of object relations
in order to integrate certain pertinent elements of Fairbairn's
theory of object relations, to achieve the proposed revision by
Perls et al. of Gestalt therapy's theory of the Self.
Personality pathology is rooted in early development and affects a
wide range of affects, behaviours and cognitive processes. Every
year thousands of articles about the etiology pf personality
pathology are published in various professional or scientific
reviews. There is a growing distance between the generalist's
practice and our increasingly precise scientific knowledge.
However, no one can read everything and therefore, it behoves us to
ask ourselves the following questions: is the most recent better
than what came before? Is the measurable and demonstrable
necessarily clinically interesting? Must what interests the
clinician be measured and proved? Whilst theory and clinical
research are becoming increasingly precise, innumerable
socio-economic forces are pressing for a simplification in clinical
practice. "Shrinks" are fashionable! They are everywhere: in the
workplace, on television, on the radio.
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