Borderline conditions are a growing presence in the treatment room, yet they are uncommonly resistant to treatment. Dr. Kernberg and his colleagues have already articulated the modality they call Transference-Focused Psychotherapy. Now, in an unusually textured elaboration, they confront the complications that limit treatability--co-existing psychopathologies, early trauma/dissociation, problems endemic to the therapeutic situation (attachment disturbances, erotic transferences)--and bring new rounds of clinical ammunition to meet those challenges.

Now facing its second century, the field of psychoanalysis is in a period of rapid development. In this book some of the most important figures in psychoanalysis today discuss how changes-especially in such areas as infant research, ethology, cognitive psychology, narrative studies, and neurobiology-have affected or might affect the directions in which their discipline will go in the next hundred years.

In this important book, esteemed psychoanalyst Otto F. Kernberg reviews some of the recent developments and controversies in psychoanalytic theory and technique.
Gathering together both previously published articles and extensive new material, Dr. Kernberg examines such issues as the new psychoanalytic views of homosexuality, bisexuality, and the influence of gender in the analytic relationship. He explores the application of psychoanalysis to non-clinical fields, including the problem of psychoanalytic research and its clinical implications, the validation of psychoanalytic interventions in the clinical process, and the challenges of psychoanalytic education. He shows how psychoanalysis can be helpful in addressing such cultural problems as socially sanctioned violence. And he asserts the continued relevance of object relations theory and its compatibility with Freud's dual drive theory.

In this book a leading psychoanalytic clinician and theoretician presents his thoughts on the latest psychodynamic developments and insights related to treatment of severe personality disorders. Dividing his discussions into two sections, one on psychopathology and the other on psychotherapy, Dr. Otto F. Kernberg examines borderline personality disorder, narcissism, sexual inhibition, transference and countertransference, suicidal behavior, and eating disorders. In each chapter he integrates the ideas of European and Latin American psychoanalytic thinkers, bringing them to the attention of English-speaking readers. This book includes a selection of recently published journal articles. Their collection into one volume makes readily available Dr. Kernberg’s present thinking on an important subject.

Revenge: Narcissistic Injury, Rage, and Retaliation addresses the ubiquitous human wish to take revenge and settle scores. Featuring the contributions of eleven distinguished mental health professionals, it offers a panoramic and yet deep perspective on the real or imagined narcissistic injury that often underlies fantasies of revenge and the behavioral trait of vindictiveness. It describes various types of revenge and introduces the concept of a 'good-enough revenge.' Deftly blending psychoanalysis, ethology, religious studies, literary criticism, and clinical experience, the book goes a long way to enhance empathy with patients struggling with hurt, pain, and desires to get even with their tormentors. This volume is of great clinical value indeed!

The problem of how to understand and to treat masochism has plagued the vast majority of clinicians. The Clinical Problem of Masochism, edited by Deanna Holtzman, PhD, and Nancy Kulish, PhD, focuses on the common and difficult clinical problems posed by masochistic patients who are spread throughout all diagnostic categories. Foremost psychoanalytic clinicians in the field from various theoretical backgrounds demonstrate their approaches to working clinically with these problems. Each expert provides detailed clinical examples, making their approaches and suggestions come alive. This volume, unique in its varied clinical and practical focus, offers therapists of all theoretical persuasions ideas on how to think about and help individuals suffering from masochistic difficulties.

In this book a psychoanalytic clinician and theoretician of world renown integrates current knowledge of the psychodynamics of individuals, groups, and organizations into a new theoretical framework. Dr. Otto F. Kernberg shows how the interplay of libidinal and aggressive impulses enacted within the dynamic unconscious of the individual also occurs at the level of groups and social organizations. He sheds new light on the turbulent nature of human interactions in groups, suggests how this understanding may help to resolve conflicts at the group and institutional levels, and provides a model for achieving effective institutional change. Dr. Kernberg applies his integrative frame to the analysis of the regressive processes in groups, the nature of institutional leadership, and the conditions of rational functioning that may protect the organization from the most dangerous consequences of regressive group processes. To illustrate the therapeutic uses of the model, he considers its applications to group therapy and the therapeutic community; to illustrate its consultative potential, he includes a section on problems in psychoanalytic organizations. In conclusion, the author extends his theoretical framework to the social sciences, proposing contributions to the psychology of ideology formation, bureaucracy, conventionality, and the political process.

In this important book, one of the world's foremost psychoanalysts provides the clinician with tools to diagnose and treat severe cases of personality disorder, including borderline and narcissistic structures. Dr. Kernberg not only describes techniques he has found useful in clinical practice but also further develops theories formulated in his previous work and critically reviews other recent contributions. "A splendid book . . . of great value for anyone involved in psychotherapy with patients suffering from one or another variety of personality disorder, as well as for anyone who is teaching or doing research in this field. . . . An outstandingly fine and valuable book.-Harold F. Searles, M.D., Journal of Nervous and Mental Disease "Kernberg is a synthesizing, creative eclectic on the contemporary psychoanalytic and psychodynamic scene, broadly based in theory and in practice, a powerful intelligence, a prolific writer, and a man of ideas....This is a challenging and provocative book."-Alan A. Stone, M.D., American Journal of Psychiatry "A major work that brings together in one volume a host of clinical insights into people with a variety of severe personality disorders.... Anyone who has attempted to work with patients with severe personality disorders will be rewarding by studying this book." -Robert D. Gillman, Psychoanalytic Quarterly

Revenge: Narcissistic Injury, Rage, and Retaliation addresses the ubiquitous human wish to take revenge and settle scores. Featuring the contributions of eleven distinguished mental health professionals, it offers a panoramic and yet deep perspective on the real or imagined narcissistic injury that often underlies fantasies of revenge and the behavioral trait of vindictiveness. It describes various types of revenge and introduces the concept of a 'good-enough revenge.' Deftly blending psychoanalysis, ethology, religious studies, literary criticism, and clinical experience, the book goes a long way to enhance empathy with patients struggling with hurt, pain, and desires to get even with their tormentors. This volume is of great clinical value indeed!

The problem of how to understand and to treat masochism has plagued the vast majority of clinicians. The Clinical Problem of Masochism, edited by Deanna Holtzman, PhD, and Nancy Kulish, PhD, focuses on the common and difficult clinical problems posed by masochistic patients who are spread throughout all diagnostic categories. Foremost psychoanalytic clinicians in the field from various theoretical backgrounds demonstrate their approaches to working clinically with these problems. Each expert provides detailed clinical examples, making their approaches and suggestions come alive. This volume, unique in its varied clinical and practical focus, offers therapists of all theoretical persuasions ideas on how to think about and help individuals suffering from masochistic difficulties.

In this important new book, Dr. Otto F. Kernberg, one of the world's foremost psychoanalysts, explores the role of aggression in severe personality disorders and in normal and perverse sexuality, integrating new developments in psychoanalytic theory with findings from clinical work with severely regressed patients. The book also integrates Dr. Kernberg's recent studies of the descriptive, structural, and psychodynamic features of problems stemming from pathological aggression with the vicissitudes of their psychoanalytic treatment. Finally, Dr. Kernberg demonstrates the importance of differential diagnosis for effective psychoanalytically inspired treatment of these disorders, providing a rich variety of clinical illustrations. The book begins by relating the dual-drive theory of libido and aggression to contemporary developments in affect theory. Dr. Kernberg then applies this general theory of affects to aggression, which in its pathological form centers on the affect of hatred. He analyzes sado-masochistic, hysterical-hysteroid, and narcissistic-antisocial spectrums of personality disorders, emphasizing how aggression is structured in each group. Dr. Kernberg next describes and updates the theoretical frame underlying his approach to the treatment of these disorders, outlines their clinical manifestations, and illustrates their diagnosis and treatment, ranging from standard psychoanalysis with infantile personalities, to psychoanalytic psychotherapy with borderline personalities, to the psychotherapeutic approach to the treatment of psychosis and hospital milieu treatment in the management of highly regressed patients. In the final section, Dr. Kernberg links the findings from psychoanalytic approaches to personality disorders with those from the psychoanalytic study of sexual perversions.