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, Kernberg first distinguishes, then interrelates psychoanalytic, clinical psychiatric, and neurobiological perspectives in a variety of areas, beginning with severe personality disorders and extending to love, destructiveness, mourning, spirituality, and the future of psychoanalytic inquiry. Dr. Kernberg is renowned for his work with borderline and narcissistic patients, and in this book, he offers new approaches to the diagnosis and treatment of the most severe personality disorders, particularly the spectrum of severe narcissistic psychopathology. His effort to relate psychoanalytic to neurobiological findings continues in two fascinating areas -- the study of sexual love and of religious experience -- and he examines object relations theory in relation to these two phenomena. Kernberg's analysis of love and aggression is both bold and nuanced and will captivate the professional psychotherapist as well as the psychologically astute general reader.

Freud's Beyond the Pleasure Principle constitutes a major landmark and a real turning point in the evolution of psychoanalytic theory. Pushing aside the primacy of the tension-discharge-gratification model of mental dynamics, this work introduced the notion of a "daemonic force" within all human beings that slowly but insistently seeks psychic inactivity, inertia, and death. Politely dismissed by some as a pseudo-biological speculation and rapturously espoused by others as a bold conceptual advance, "death instinct" became a stepping stone to the latter conceptualizations of mind's attacks on itself, negative narcissism, addiction to near-death, and the utter destruction of meaning in some clinical situations. The concept also served as a bridge between the quintessentially Western psychoanalysis and the Eastern perspectives on life and death. These diverse and rich connotations of the proposal are elucidated in On Freud's "Beyond the Pleasure Principle". Other consequences of Freud's 1920 paper - namely, the marginalization of ego instincts and the "upgrading" of aggression in the scheme of things - are also addressed.

"Hatred, Emptiness, and Hope offers an updated vision of psychoanalytic object relations theory, revealing its application to transference focused psychotherapy (TFP), a treatment approach derived from and related to psychoanalysis. With empirical studies carried out by the Personality Disorders Institute at Weill Cornell as a basis, this volume expands the applications of TFP, illustrating it at work in scenarios that include severe personality disorders, disturbances in sexuality and love relations of narcissistic personalities, inpatient hospital treatment, and group settings. It also looks at the implications of new developments in neurobiology on psychoanalytic object relations theory. Readers will benefit from a discussion of the practice of TFP itself, with chapters that tackle the supervision of psychoanalysis, challenges for the future of psychoanalysis, and innovations that can serve to strengthen its role as a profession, a treatment approach, and a social organization within mental health sciences. It focuses on the analysis of particular clinical features of personality pathologies and describes the consideration of contemporary psychoanalytic object relations theory as a general theoretical frame of treatment that permits to conceptualize both normal personality functioning and the very nature of personality disorders. This volume also includes my recent efforts to contribute to the understanding of the relationship between neurobiological dispositions and their interaction with psychodynamic developments, again, both in normality and psychopathology. Finally, this volume explores the application of object relations theory to group processes, love relations, and therapists' training"--

"This textbook purposefully, professionally, and politically correctly covers CACREP standards and COAMFTE key elements and brings awareness to the application of systemic models and techniques in today's world. Current day concerns such as COVID-19, relevant social justice issues, and telebehavioral health are discussed along with ethical implications to help develop appropriate and timely systemic skills. Educators who are seeking a resource that provides an excellent and objective presentation of systemic history, ethics, skills, current issues, and even current topics more specifically related to youth will find this the ideal resource." Tracy Baldo Senstock, PhD Associate Dean, School of Counseling Walden University Delivers the knowledge and skills to help today's diverse clients in an increasingly complex world Sweeping in breadth and depth, this is the most comprehensive guide available to examine contemporary issues and interventions in couple, marriage, and family therapy. Designed for masters and doctoral level students, it helps clinicians to examine their professional identity; family systems and systems theory; current issues facing today’s families, couples, and children; and how to apply skills, interventions, and assessments to provide optimal service to clients. The book is distinguished by its focus on the intersection of marriage and family therapy and the counseling professions. Also included is key information about multiculturalism, intersectionality, nontraditional families, and other social justice issues as well as a dedicated chapter centered on working with people of color and underrepresented couples and families. The text also covers issues affecting today's youth and relevant youth-based skills, interventions, and assessments; and contemporary issues related to crisis, disaster, mental health, technology, and telebehavioral health. Voices from the Field sections from diverse practitioners underscore important information. Each chapter provides clear definitions, descriptions, and relevant scholarship along with activities and examples showcasing the use of systemic theory, contextual issues, major interventions, relevant technology, and skills. Instructors will have access to an Instructor's Manual, a Test Bank, and chapter PowerPoints. Key Features: Delivers an in-depth exploration of family-based issues, theories, and skills related to diversity, multiculturalism, intersectionality, and racism/discrimination Examines professional identity, the connection between contemporary issues and systemic theory, professional organizations, practice-based information, and more Uniquely addresses the integration of foundational counseling skills and systematic interventions Presents Voices from the Field, first-person accounts from diverse clinicians working with people of color, LGBTQIA+ clientele, and other underrepresented populations Each chapter includes student activities and additional resources to facilitate learning The Instructor's Manual provides a detailed matrix indicating how the text maps to CACREP and COAMFTE accreditation standards

Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy -- Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders -- and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: A coherent model of personality functioning and disorders based in psychodynamic object relations theory A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.

This groundbreaking first volume of the Series has a number of features that set it apart from other books on this subject: Firstly, it focuses on interpersonal, humanistic and ecological views and approaches to P/MH nursing. Secondly, it highlights patient/client-centered approaches and mental-health-service user involvement. Lastly, it is a genuinely European P/MH nursing textbook – the first of its kind – largely written by mental health scholars from Europe, although it also includes contributions from North America and Australia/New Zealand. Focusing on clinical/practical issues, theory and empirical findings, it adopts an evidence-based or evidence-informed approach. Each contribution presents the state-of-the-art of P/MH nursing in Europe so that it can be transferred to and implemented by P/MH nurses and the broader mental health care community around the globe. As such, it will be the first genuinely 21st century European Psychiatric Mental Health Nursing book.

The papers featured in Attachment and Sexuality create a dense tapestry, each forming a separate narrative strand that elucidates different configurations of the relationship between attachment and sexuality. As a whole, the volume explores the areas of convergence and divergence, opposition, and integration between these two systems. It suggests that there is a bi-directional web of influences that weaves the attachment and sexual systems together in increasingly complex ways from infancy to adulthood. The volume’s unifying thread is the idea that the attachment system, and particularly the degree of felt security, or lack thereof in relation to early attachment figures, provides a paradigm of relatedness that forms a scaffold for the developmental unfolding of sexuality in all its manifestations. Such manifestations include infantile and adult, masturbatory and mutual, and normative and perverse. Also central to the papers is the idea that the development of secure attachment is predicated, in part, on the development of the capacity for mentalization, or the ability to envision and interpret the behavior of oneself and others in terms of intentional mental states, including desires, feelings, beliefs, and motivations. Topics discussed in the book will help to shape the direction and tenor of further dialogues in the arena of attachment and sexuality.

This practical text is the first to systematically address the competencies and techniques identified as central to the delivery of effective psychodynamic practice. It provides a framework for the therapist to develop their skills and apply them to their practice by: Discussing the personal and professional growth which underpins a professional and ethical attitude to the therapist’s work Linking specific competencies to the theory base underpinning them Describing competencies in a systematic way Including a chapter on how to use supervision Using case material to illustrate competencies and dilemmas

Psychodynamic psychotherapy offers people a chance to create new ways of thinking and behaving in order to improve the quality of their lives. This book offers a practical, step-by-step guide to the technique of psychodynamic psychotherapy, with instruction on listening, reflecting, and intervening. It will systematically take the reader from evaluation to termination using straightforward language and carefully annotated examples. Written by experienced educators and based on a tried and tested syllabus, this book provides clinically relevant and accessible aspects of theories of treatment processes. The workbook style exercises in this book allow readers to practice what they learn in each section and more “actively” learn as they read the book. This book will teach you: About psychodynamic psychotherapy and some of the ways it is hypothesized to work How to evaluate patients for psychodynamic psychotherapy, including assessment of ego function and defenses The essentials for beginning the treatment, including fostering the therapeutic alliance, setting the frame, and setting goals A systematic way for listening to patients, reflecting on what you've heard, and making choices about how and what to say How to apply the Listen/Reflect/Intervene method to the essential elements of psychodynamic technique How these techniques are used to address problems with self esteem, relationships with others, characteristic ways of adapting, and other ego functions Ways in which technique shifts over time This book presents complex concepts in a clear way that will be approachable for all readers. It is an invaluable guide for psychiatry residents, psychology students, and social work students, but also offers practicing clinicians in these areas a new way to think about psychodynamic psychotherapy. The practical approach and guided exercises make this an exceptional tool for psychotherapy educators teaching all levels of learners. This book includes a companion website: www.wiley.com/go/cabaniss/psychotherapy with the "Listening Exercise" for Chapter 16 (Learning to Listen). This is a short recording that will help the reader to learn about different ways we listen. Praise for Psychodynamic Psychotherapy: A Clinical Manual "This book has a more practical, hands-on, active learning approach than existing books on psychodynamic therapy." Bob Bornstein, co-editor of Principles of Psychotherapy; Adelphi University, NY "Well-written, concise and crystal clear for any clinician who wishes to understand and practice psychodynamic psychotherapy. Full of real-world clinical vignettes, jargon-free and useful in understanding how to assess, introduce and begin psychotherapy with a patient. Extraordinarily practical with numerous examples of how to listen to and talk with patients while retaining a sophistication about the complexity of the therapeutic interaction. My trainees have said that this book finally allowed them to understand what psychodynamic psychotherapy is all about!" —Debra Katz, Vice Chair for Education at the University of Kentucky and Director of Psychiatry Residency Training "This volume offers a comprehensive learning guide for psychodynamic psychotherapy training." —Robert Glick, Professor, Columbia University