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El dr. otto f. kernberg, uno de los teóricos psicoanalíticos contemporáneos más importantes, proporciona al clínico en este volumen, los medios para diagnosticar y tratar casos graves de trastornos de la personalidad, incluyendo los trastornos límite y las estructuras narcisistas. En este extraordinario libro, el autor no sólo describe las técnicas que encontró útiles en la práctica, sino también el desarrollo teórico que formuló en sus trabajos previos y revisiones críticas, que son contribuciones recientes en estas áreas. Trastornos graves de la personalidad es una obra que describe un método específico de diagnóstico diferencial y la técnica para conducir una entrevista diagnóstica estructural. establece los vínculos entre los resultados de esta técnica diagnóstica y el pro- nóstico y tipo de tratamiento más apropiado para cada caso. Luego detalla las estrategias terapéuticas en pacientes límite, incluyendo el examen sistemático de las indicaciones y contraindicaciones para una psicoterapia expresiva y de apoyo. Resalta el manejo tanto de pacientes no responsivos, como difíciles; aborda diversos problemas, por ejemplo, cómo tratar a un enfermo que persiste en el suicidio y cómo distinguir a un paciente insocial que puede tratarse de uno no tratable. proporciona técnicas para la terapéutica de toda la gama de personalidades narcisistas. Finalmente, ofrece un modelo de tratamiento hospitalario para los trastornos graves de la personalidad y una modificación de los primeros modelos terapéuticos comunitarios para extenderlos a tratamientos en el hospital

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 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.

Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.

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.

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

The core elements of narcissism concern the dificulty individuals encounter with the separating process and their use of the mechanism of splitting. Through the work of American thinkers (such as Kernberg and Kohut) on the advancement of the understanding of narcissistic disturbances is well known, the contribution of the British school has had a comparatively low profile. This book seeks to redress the balance by providing an up-to-date presentation of the work in this area of British psychotherapists and psychoanalysts of different theoretical orientations - contemporary Freudian, Kleinian and independent.

Expanding on the object relations approach to borderline pathology developed by Otto Kernberg and described in the Psychodynamic Psychotherapy of Borderline Patients , the authors stress the practical implications of the contract, illustrating how it provides a microcosm of the patient's inner world and an opportunity for the therapist to gain an early understanding of the nature of the patient's resistances. Annotation copyright Book News, Inc. Portland, Or.

This book describes in detail how to effectively treat severely ill but not psychotic patients, by careful psychotherapeutic work on the defenses and the superego. Diverging widely from Kernberg's and Kohut's work with the same broad spectrum of patients, Léon Wurmser demonstrates his flexible and individualized method with clinical material taken directly from actual patient–therapist interaction. The core of the therapeutic work focuses on trauma; forms of defense; conflicts within the superego; and the related affects of guilt, shame, depression, and resentment. Appreciating the complex and individual nature of each case, the author uses the familiar concepts of masochism, aggression, narcissism, and repetition compulsion as descriptions, not explanations, of clinical observations. There are no shortcuts; a genuine understanding that results in real change for the patient requires an in-depth exploration of the material in a nonjudgmental atmosphere. Observing that categories, while necessary, tend to be slowly transformed into words of devaluation, Dr. Wurmser addresses the implicit, and often quite explicit, judgmental spirit directed toward severely ill patients, and cautions clinicians to avoid falling into the role of a judging authority. This is an eloquent accounting of a master therapist's successes and failures, valuable especially for offering effective and decisive interventions in treating traditionally untreatable patients.

Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.

This book describes in detail how to effectively treat severely ill but not psychotic patients, by careful psychotherapeutic work on the defenses and the superego. Diverging widely from Kernberg's and Kohut's work with the same broad spectrum of patients, Léon Wurmser demonstrates his flexible and individualized method with clinical material taken directly from actual patient–therapist interaction. The core of the therapeutic work focuses on trauma; forms of defense; conflicts within the superego; and the related affects of guilt, shame, depression, and resentment. Appreciating the complex and individual nature of each case, the author uses the familiar concepts of masochism, aggression, narcissism, and repetition compulsion as descriptions, not explanations, of clinical observations. There are no shortcuts; a genuine understanding that results in real change for the patient requires an in-depth exploration of the material in a nonjudgmental atmosphere. Observing that categories, while necessary, tend to be slowly transformed into words of devaluation, Dr. Wurmser addresses the implicit, and often quite explicit, judgmental spirit directed toward severely ill patients, and cautions clinicians to avoid falling into the role of a judging authority. This is an eloquent accounting of a master therapist's successes and failures, valuable especially for offering effective and decisive interventions in treating traditionally untreatable patients.

Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.

In the first book to argue that neurotic, psychotic, and borderline personality disorders can be identified, diagnosed, and treated even in the young, a renowned child psychiatrist marshalls her developmental perspective and adduces clinical evidence to support it. Kernberg and her colleagues elucidate assessment criteria and advance therapeutic approaches for each disorder.

A collection of papers on the Oedipus complex, divided into three parts: theory, practice and supervision. The contributors, who include Joyce McDougall, Hanna Segal, Otto Kernberg and Leon Grinberg, invite the reader to explore with them the processes affecting the therapist's mind - and, occasionally his body - during psychoanalytic therapy, and the reasons why the therapist thinks, feels, and reacts in a particular way. The full significance of these processes, referred to as "counter-transference" since Freud's time, has recently been recognized, resulting in the therapist's use of additional resources so that he or she can understand and help the patient more effectively. In the 1950s and 1960s, Paula Heimann and Heinrich Racker, following on Freud's own observations, made important contributions to the study of the countertransference, considerably enlarging upon the concept and re-evaluating the nature of the psychoanalytic therapeutic relationship as a result.

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.

The core elements of narcissism concern the dificulty individuals encounter with the separating process and their use of the mechanism of splitting. Through the work of American thinkers (such as Kernberg and Kohut) on the advancement of the understanding of narcissistic disturbances is well known, the contribution of the British school has had a comparatively low profile. This book seeks to redress the balance by providing an up-to-date presentation of the work in this area of British psychotherapists and psychoanalysts of different theoretical orientations - contemporary Freudian, Kleinian and independent.

No name has been more closely associated with borderline pathology than that of world-renowned psychiatrist Otto D. Kernberg. His conceptualization of borderline personality organization and his ego psychology—object relations approach have broadened the understanding of these difficult patients and pointed the way to a more successful treatment of them. This long-awaited book, based on years of clinical research by Kernberg and his associates, is the first to present his model of psychodynamic psychotherapy with borderline patients.Using abundant clinical vignettes and transcripts, the authors take the reader through the treatment—from establishing the contract through dealing with termination—always explaining the theory that underlies the technique. They describe the phases of treatment, beginning with the most primitive and moving on to working with advanced defenses and transferences. Included are guidelines on such crucial issues as dealing with countertransference, modifying technical neutrality, and handling suicide threats. With its elegant integration of theory and practice and clear explication of treatment strategies, this important book is an essential resource for both beginning and seasoned practitioners.

Essential Papers on Borderline Disorders: One Hundred Years at the Border gathers between two covers the classic articles on the subject of borderline psychology. It includes essays by such core figures as Otto Kernberg, John G. Gunderson, Edith Jacobson, and Erik H. Erikson, as well as an extensive introduction by the editor providing a comprehensive overview of the field. Contributors: Hagop S. Akiskal, Michael Balint, Helene Deutsch, Erik H. Erikson, John Frosch, Roy Grinker, Sr., John G. Gunderson, Paul Hoch, C. H. Hughes, Edith Jacobson, Otto Kernberg, Seymout S. Kety, Robert P. Knight, Margaret S. Mahler, Phillip Polatin, James Cowles Prichard, Sandor Rado, Irving C. Rosse, Melitta Schmideberg, Harold F. Searles, Margaret T. Singer, Robert L. Spitzer, Adolph Stern, and Leo Stone.