Broken Structures / Edition 1

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"This landmark volume synthesizes the vast descriptive and dynamic literature on the phenomenology and treatment of severe personality disorders. Among the psychoanalytic authors whose views are included are:" "the "pioneers" such as Freud, Abraham, Ferenczi, Jones, Fenichel, and Reich; the "second generation" analysts such as Klein, Anna Freud, Fairbairn, Balint, Winnicott, Guntrip, Erikson, Waelder, Greenacre, Jacobson, Menninger, and Eissler; and the contemporary theorists such as Mahler, Kohut, Kernberg, Khan, Blos, Blum, Modell, Volkan, Adler, Kramer, Bach, Meissner, Burland, Singer, and Chasseguet-Smirgel." "Among the descriptive psychiatrists included are:" "the founding fathers of descriptive psychiatry such as Kraepelin, Magnan, Kretschmer, Bleuler, Schneider, and Jaspers; later investigators such as Maudsley, Cleckley, Langfeldt, Leonhard, Sheldon, Hoch, and Polatin; and contemporary observers such as Fish, Winokur, Spitzer, Gunderson, Frances, Kendler, Stone, Reid, Livesley, Akiskal, Perry, and Klerman." Combining the observations of these prominent analysts and empirical researchers leads to the sound clinical profiles of eight severe personality disorders - narcissistic, borderline, schizoid, paranoid, hypomanic, antisocial, histrionic, and schizotypal - contained in this book. Akhtar provides a rich harvest of evaluative procedures and therapeutic techniques. In the initial evaluation he combines traditional history taking with a penetrating examination of the patient's sense of identity, ego defenses, object relations, and psychological-mindedness. This enables the clinician to choose the most effective therapeutic strategies. Psychoanalytic psychotherapy is discussed in detail, including the synthesis of diverse approaches as well as the addition of environmental and supportive measures. This is an important exploration of the mutual interdependence of psychiatry and psychoanalysis and makes a major contribution to the understanding and psychoth

Clinical profiles of severe disorders, based on the findings of prominent analysts & researchers; therapeutic appl.

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Editorial Reviews

Vamik Volkan
This outstanding book by Dr. Akhtar offers a fresh and novel classification of severe personality disorders. He meticulously outlines the characteristics of each of the severe personality disorders and desribes in encyclopedic fashion the technical issues pertaining to their treatment, making this book a valuable desk reference for students as well as for seasoned clinicians.
Melvin Singer
This encyclopedic text is most impressive in its ability to organize all the personality disorders in a modern dimensional system while still retaining the nosological categories that emphasize the centrality of identity disturbances and splitting for the more severe forms. Utilizing his wide net of past and present papers and a clear and very readable style, Akhtar has combined the descriptive and dynamic without sacrificing depth of conceptualization for clarity. A wonderful work.
Vamık D. Volkan
This outstanding book by Dr. Akhtar offers a fresh and novel classification of severe personality disorders. He meticulously outlines the characteristics of each of the severe personality disorders and desribes in encyclopedic fashion the technical issues pertaining to their treatment, making this book a valuable desk reference for students as well as for seasoned clinicians.
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Product Details

  • ISBN-13: 9780765702555
  • Publisher: Aronson, Jason Inc.
  • Publication date: 10/28/2002
  • Edition number: 1
  • Pages: 440
  • Sales rank: 1,149,037
  • Product dimensions: 6.62 (w) x 8.94 (h) x 1.31 (d)

Meet the Author

Salman Akhtar, M.D. , is Professor of Psychiatry at Jefferson Medical College, Lecturer on Psychiatry at Harvard Medical School, and Training and Supervising Analyst at the Philadelphia Psychoanalytic Institute. He is the Book Review Editor of the Journal of Applied Psychoanalytic Studies, an associate editor of the Journal of Psychotherapy Practice and Research, member of the editorial board of the Journal of the American Psychoanalytic Association, past member of the editorial board of the International Journal of Psycho-Analysis, and an editorial reader for Psychoanalytic Quarterly.

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Table of Contents

Preface and Acknowledgments
Pt. I Identity
1 Identity and Its Origins 3
2 The Syndrome of Identity Diffusion 25
Pt. II The Personality Disorders
3 Narcissistic Personality Disorder 45
4 Borderline Personality Disorder 79
5 Schizoid Personality Disorder 121
6 Paranoid Personality Disorder 149
7 Hypomanic Personality Disorder 177
8 Antisocial Personality Disorder 201
9 Histrionic and Schizotypal Personality Disorders 247
Pt. III Psychotherapy
10 Initial Evaluation and Early Treatment Decisions 275
11 Psychoanalytic Psychotherapy 309
Pt. IV Coda
12 Summary, Conclusion, and Recommendations 355
References 377
Credits 409
Index 411
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Customer Reviews

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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted June 25, 2003

    Objects, not Relations

    With an introduction by the doyen of the field, Otto Kernmberg, the book sails off to a good start. Akhtar is a prolific scholar of personality disorders. This tome is typically lucid and borrows from a deep theoretical background coupled with a rich clinical experience. Yet, it is largely confined to the vantage point of Object Relations theory and, therefore, lacks coverage of recent advances in treatment modailties as diverse as Cognitive-Behavioral Therapies, Gestalt, NLP, and others. Sam Vaknin, author of 'Malignant Self Love - Narcissism Revisited'.

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