Heinz Kohut's theories have had a tremendous influence on our thinking about the development of the self. This book highlights the clinical application of those theories. The seminars, focusing on treatment of late adolescents and young adults in a university setting, provide the reader with an unparalleled opportunity to study the spontaneous workings of Kohut's mind as he moved from clinical experience to theory and then back to clinical experiences. After the initial chapters on the theory of self psychology, each chapter opens with a case presentation by one of the seminar participants; these cases provide the basis for Kohut's discussion of clinical issues. Reading Kohut's immediate and yet consistently thoughtful reactions to the case presentations, one can trace the emergence of basic concepts of self psychology. In particular, Kohut uses numerous clinical examples to illustrate the unique function of self-objects for youth in transition to adult life. Elson's notes are especially helpful in pointing out key connections between Kohut's responses here and later theoretical formulations. Those interested in self psychology, as well as all those who work with young people, whether as psychotherapists, teachers or community workers, will be enriched by Kohut's exceptional gift for describing the process by which he arrived at clinical and theoretical formulations.

Here Miriam Elson elaborates upon this fit, largely through case studies which reflect her own empathy and respect for patients, her clear and sophisticated grasp of self psychology, and her clinical acumen.

The first section on theory discusses Heinz Kohut's ideas about human development, gender formation, and disorders of the self. In the second and third sections Elson presents a series of cases illustrating the treatment of self disorders in childhood, adolescence, adulthood, and old age. The patients are typical of the individuals who come to social agencies, out-patient clinics, and social workers in private practice. The final section includes a fascinating study of the James family and a discussion of applications in group and family therapy and to community services.

All clinical social workers and psychotherapists whether just entering the profession, getting their first taste of Kohut's theory, or expanding a well-established base in self-psychology will welcome this compassionate and clear exposition of the theory in practice."