At last, this much?awaited volume sheds substantial light on one of the most difficult disorders to diagnose and treat: the closet narcissistic disorders of the self. The third of a series on the disorders of the self, and the first written by Dr. Masterson since 1985, the book fills a crucial niche in his work and in the field of personality disorders. It describes not only the psychopathology and treatment of this disorder but, more importantly, demonstrates the key dynamic of the disorders of the self triad: self activation leads to anxiety and depression, which leads to defense. This is the central dynamic of all the disorders of the self, and its particular manifestations in the closet narcissistic personality disorder are described along with the therapeutic techniques required to identify and manage it. The volume succeeds in clarifying a great deal of the clinical confusion surrounding the disorder, and addresses such questions as: What does the clinical picture look like? What is the reason for the diagnostic confusion? How does one resolve it? What other disorders does this disorder mimic? How do you differentiate it from the borderline and/or schizoid disorders of the self? What are some possible etiologic factors? What precipitates a clinical syndrome? What is the intrapsychic structure of this disorder, and how does it compare with other disorders? What is the central psychodynamic? What is a mirroring interpretation of narcissistic vulnerability, and why is it the intervention of choice? What is projective identification, and why is it so important to countertransference reactions to these patients? The Emerging Self offers a clear, down to earth, hands?on presentation of interest to all therapists students, teachers, and practitioners. It will enable the therapist to identify what emotional issues are on center stage, understand how to deal with it, and also how to evaluate the results of his or her efforts. Beyond that, it will illustrate the variations in countertransference that occur as a result of projective identification. Above all, the volume will take its substantial place alongside Psychotherapy of the Borderline Adult and The Real Self as one of the three pillars of Dr. Masterson's whole theoretical approach.

First published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

First Published in 1985. This informative volume examines the clinical research linking nor­mal separation-individuation with object relations theory and devel­opmental psychopathology. It focuses on the core problem-the lack of a concept of the self-integrated with object relations theory. By adding a theory of the self to object relations theory, the book both enlarges and more acutely focuses the therapeutic perspective, thereby enhancing work with patients. It also further enables therapists to clarify their own real selves. Dr. Masterson's thesis is that, for the real self to finally emerge from the symbiotic union and assume its full capacities, identification, acknowledgment, and support are required from the mother and father in early development and from the therapist in psychotherapy. Dr. Masterson describes and illustrates the therapeutic technique of communicative matching and provides the necessary acknowledg­ment while maintaining therapeutic neutrality. Part I reviews psychoanalytic theory of the ego and the emerging real self; its structure, function, development, and its psychopathol­ogy and treatment. Part II explores the relationship between maternal libidinal ac­knowledgment and the development of the real self by a cross­cultural comparison of child raising in Japan, Israel, and the United States. It then describes the influence of social and cultural factors on the functioning of the real self in the United States. Part III on Creativity and the Real Self draws upon fairy tales, Jean Paul Sartre, Edvard Munch, and the life and work of the novelist Thomas Wolfe to show how for some artists creativity becomes a crucial vehicle in their search to establish a real self. This section illuminates the nature of personal and artistic creativity and describes how a professional interest in the functioning of the real self leads inevitably to an interest in the ultimate of self-expression-creativity. Of special interest are the numerous case illustrations drawn from Masterson's extensive clinical work showing how acknowledgment and support enable the real self to fully emerge from the symbiotic union and to assume its full capacities.)

The author reflects on his 25 years of work in the personality disorders. He reviews some of the most significant ideas be set forth and wonders out loud how they will cross over into the new millennium. Most have stood the test of time and indeed will serve as a strong foundation for the work that is to come; some have gone through a healthy evolution. A unique highlight is the inclusion of a comprehensive report of a six-year course of psychoanalytic psychotherapy with a patient who has a closet narcissistic defence against neurosis.

Object Relations and Self Psychology are two leading schools of psychological thought discussed in social work classrooms and applied by practitioners to a variety of social work populations. Yet both groups have lacked a basic manual for teaching and reference -- until now. For them, Dr. Eda G. Goldstein's book fills a void on two fronts: Part I provides a readable, systematic, and comprehensive review of object relations and self psychology, while Part II gives readers a friendly, step-by-step description and illustration of basic treatment techniques. For educators, this textbook offers a learned and accessible discussion of the major concepts and terminology, treatment principles, and the relationship of object relations and self psychology to classic Freudian theory. Practitioners find within these pages treatment guidelines for such varied problems as illness and disability, the loss of a significant other, and such special problems as substance abuse, child maltreatment, and couple and family disruptions. In a single volume, Dr. Goldstein has met the complex challenges of education and clinical practice.

Self and Others is addressed to students and practitioners of psychoanalysis and psychoanalytic psychotherapy. Its 19 chapters are divided into five evenly balanced parts. The first rubric, "Self, Others, and Ego," introduces us to the units of the intersubjective constitution we have come to know as object relations theory. The second rubric, "Developing Object Relations," is a confluence of lessons derived from infant studies and the psychotherapeutic process, specifically from the work of Mahler and Kernberg. Third, Hamilton integrates into an "Object Relations Continuum" Mahler's developmental stages and organizational series with nosological entities and levels of personality organization. Under the penultimate rubric, "Treatment," levels of object relatedness and types of psychopathology are grounded in considerations of technique in treatment, and generous clinical vignettes are provided to illustrate the technical issues cited. Last, the rubric of "Broader Contexts" takes object relations theory out of the consulting room into application areas that include folklore, myth, and transformative themes on the self, small and large groups, applications of object relations theory outside psychoanalysis, and the evolutionary history and politics of object relations theory. This volume thus presents an integrative theory of object relations that links theory with practice. But, more than that, Hamilton accomplishes his objective of delineating an integrative theory that is quite free of rivalry between schools of thought. An indispensable contribution to beginning psychoanalytic candidates and other practitioners as well as those who wish to see the application of object relations theories to fields outside of psychoanalysis. —Psychoanalytic Books: A Quarterly Journal of Reviews A Jason Aronson Book