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Kegan acknowledges a debt to Piaget, Kohlberg, and the psychoanalytic object-relations theorists. He regards his theory as a synthesis and extension of their views, resulting in a developmental theory that presents a unified conceptualization of affective, cognitive, and moral development. Individual chapters are devoted to each of six developmental stages—their growth and loss. The last chapter explores the implications of the theory for psychotherapy and for implementing growth in everyday life...The theory is elegant...There is much food for thought and many hypotheses for research in Kegan's book. If one has not appreciated the importance of meaning-making as a central concept in personality theorizing, the book might even propel one into the next stage. More likely, the reader will...obtain some important new insights. All in all I recommend the book highly.
— Seymour Epstein