Rather, masochism is viewed as a self-defeating way of loving and individuating that reflects a pathology of object relations.

The FULL TEXT of Sam Vaknin's classic, groundbreaking BIBLE of NARCISSISM and NARCISSISTIC ABUSE, now in its 9th revision. Tips and advice as well as the most complete clinical background. Narcissistic Personality Disorder and its effects on the narcissist, the psychopath and their nearest and dearest - in 100 frequently asked questions and two essays - a total of 680 pages! Updated to reflect the NEW criteria in the recent fifth edition of the Diagnostic and Statistical Manual (DSM).

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 Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism, the influential psychoanalyst and psychiatrist Otto Kernberg presents an integrated update of the current knowledge of personality disorders, their neurobiological and psychodynamic determinants, and a specific psychodynamic psychotherapy geared to resolve the psychopathology of these conditions -- namely, the syndrome of identity diffusion and its influence on the capacity for emotional wellbeing and gratifying relationships with significant others. The author updates the findings of the Personality Disorders Institute of the Weill Cornell Medical College Department of Psychiatry, which are derived from the empirical research and clinical investigation of severe personality disorders, and addresses the effectiveness of transference-focused psychotherapy, a specific psychodynamic treatment for these disorders developed at the Institute. The volume focuses particularly on an essential group of techniques common to all psychoanalytically derived treatments and clarifies the corresponding differential features of various psychodynamic treatment approaches. In prose both precise and evocative, the author: Examines the classification of personality disorders, the way competing viewpoints have influenced the evolution of DSM-III and DSM-IV, and the impact of new knowledge on the classification of DSM-5, with emphasis on how conflicts between scientific and political considerations have hindered the classification of personality disorders in the past. Illustrates in detail how present knowledge of neurobiological structures and neurotransmitters intertwines with the psychodynamic determinants of how psychic experience is organized. Explores psychodynamic psychotherapies and contemporary developments and controversies in the field. For example, the role of interpretation in borderline pathology is examined using a clinical case, and a new formulation of supportive psychodynamic psychotherapy is described. Addresses severe narcissistic pathology -- its diagnosis, prognosis, and treatment. Specifically, the book presents an overview of treatment options for severe narcissistic personality disorder, explores the distortions in verbal communication that may arise during psychotherapy with these patients, and focuses on the differential diagnosis of antisocial behavior. Examines the diagnosis and treatment of sexual pathology, and explores the vicissitudes of the love lives of patients with severe personality disorders. Concludes with a chapter on the essential preconditions in the education of psychodynamic psychotherapists to carry out the challenging and complex psychotherapeutic work in this field. In describing both the limits and the advances in therapeutic effectiveness, the Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism performs a great service, and it will surely become a classic of the psychoanalytic literature.

A revolutionary, personalized psychotherapy approach for the treatment of Axis II personality disorders, by renowned expert Dr. Theodore Millon Acknowledging the primacy of the whole person, Moderating Severe Personality Disorders: A Personalized Psychotherapy Approach takes into account all of the complexities of human nature - family influences, culture, neurobiological processes, unconscious memories, and so on--illustrating that no part of human nature should lie outside the scope of a clinician's regard. Part of a three book series, this book provides you with a unique combination of conceptual background and step-by-step practical advice to guide your treatment of Axis II personality disorders. Detailed case studies are provided throughout the text to illustrate the strategies of personalized psychotherapy for: Retiring/Schizoid Personality Patterns Shy/Avoidant Personality Patterns Pessimistic/Depressive Personality Patterns Aggrieved/Masochistic Personality Patterns Eccentric/Schizotypal Personality Patterns Capricious/Borderline Personality Patterns Destined to become an essential reference for trainees and professionals, this book makes a revolutionary call to return therapy to the natural reality of each patient's life, seamlessly guiding you in understanding the personality and treatment of the whole, unique, yet complex person.

Editor Nancy Chase defines parentified children as parents to their parents—those are the children who are compelled to fulfill the role of parent at the expense of their own developmentally appropriate needs and pursuits. With uncanny sensibilities, these children are attuned to their parents′ moods, wishes, vulnerabilities, and nuances. This volume is a comprehensive study of parentification in the family, covering both theoretical as well as clinical topics. Contributors have written chapters that are grouped into two sections: theory and research, and clinical and broader contextual perspectives. Part One of this book covers research related to parentification and gender, work addiction, families with a disabled or chronically ill child, and assessment for clinical or research practices. The chapters having a stronger clinical or contextual emphasis address varied interventions and theoretical orientations and posit parentification in cultural and ethnic contexts. Students, academics, and professionals in areas of family studies, social work, child abuse, developmental psychology, school psychology, and family therapy will find Burdened Children an excellent resource on this phenomenon.

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.

Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence. This practical guide on MBT treatment of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into an effective clinical treatment.

An anthology of essays examining the nature and practice of sexual masochism The contested psychoanalytic concept of masochism has served to open up pathways into less-explored regions of the human mind and behavior. Here, rituals of pain and sexual abusiveness prevail, and sometimes gruesome details of unconscious fantasies are constructed out of psychological pain, desperate need, and sexually excited, self- destructive violence. In this significant addition to the Essential Papers in Psychoanalysis series, Margaret Ann Fitzpatrick Hanly presents an anthology of the most outstanding writings in the psychoanalytic study of masochism. In bringing these essays together, Dr. Fitzpatrick Hanly expertly combines classic and contemporary theories by the most respected scholars in the field to create a varied and integrated volume. This collection features papers by S. Nacht, R. Loewenstein, Victor Smirnoff, Sigmund Freud, Jacques Laplanche, Robert Bak, Leonard Shengold, K. Novick, J. Novick, S. Coen, Margaret Brenman, Esther Menaker, S. Lorand, M. Balint, Bernhard Berliner, Charles Brenner, Helene Deutsch, Annie Reich, Marie Bonaparte, Jessica Benjamin, S.L. Olinick, Arnold Modell, Betty Joseph, and Janine Chasseguet-Smirgel.

A revision of the leading textbook on personality disorders by renowned expert Theodore Millon "Personalities are like impressionistic paintings. At a distance, each person is 'all of a piece'; up close, each is a bewildering complexity of moods, cognitions, and motives." -Theodore Millon Exploring the continuum from normal personality traits to the diagnosis and treatment of severe cases of personality disorders, Personality Disorders in Modern Life, Second Edition is unique in its coverage of both important historical figures and contemporary theorists in the field. Its content spans all the major disorders-Antisocial, Avoidant, Depressive, Compulsive, Histrionic, Narcissistic, Paranoid, Schizoid, and Borderline-as well as their many subtypes. Attention to detail and in-depth discussion of the subtleties involved in these debilitating personality disorders make this book an ideal companion to the DSM-IV(TM). Fully updated with the latest research and theory, this important text features: Discussion of the distinctive clinical features and developmental roots of personality disorders Balanced coverage of the major theoretical perspectives-biological, psychodynamic, interpersonal, cognitive, and evolutionary Individual chapters on all DSM-IV(TM) personality disorders and their several subtypes and mixtures Case studies throughout the text that bring to life the many faces of these disorders Including a new assessment section that singles out behavioral indicators considered to have positive predictive power for the disorders, this Second Edition also includes a special focus on developmental, gender, and cultural issues specific to each disorder. A comprehensive reference suitable for today's practitioners, Personality Disorders in Modern Life, Second Edition features a clear style that also makes it a valuable resource for advanced undergraduate and graduate students. The most thorough book of its kind, this Second Edition is a powerful, practical resource for all trainees and professionals in key mental health fields, such as psychology, social work, and nursing.