The Self in Emotional Distress: Cognitive and Psychodynamic Perspectives

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Overview

Does understanding a client's view of self increase a clinician's ability to treat emotional disorder? How can practitioners agree on the essentials of self-representation if various clinical theories implicate different aspects of the self in accounting for psychological distress? These questions form the basis for this unique examination of "the self" in the development and treatment of a number of emotional disorders. What is most exceptional about this volume is that it explores these issues from cognitive behavioral and psychodynamic approaches, each of which has articulated treatment methods that incorporate a focus on self-based processes. The result is a rare forum in which leading clinicians and theorists from both orientations address a single set of specific topics.

The book opens with two chapters that review theories of the self construct in both social cognition and psychoanalysis. The focus then shifts to the specific diagnostic categories of anxiety, depression, eating disorders, and borderline personality disorder. For each clinical disorder, separate chapters present the cognitive and psychodynamic perspectives. Then each set of authors provide commentary on the complementary chapter. Allowing for an interaction among cognitive-behavioral and psychodynamic authors rarely found in other works, this format engenders comprehensive coverage of each specific disorder, as well as a uniquely informative synthesis of the insights of each approach. The editors' concluding chapter delineates the ways in which the self provides a vantage point for understanding emotional disorder.

The Self In Emotional Distress will interest all professionals of cognitive-behavioral and psychodynamic orientations. Given its integrative focus, it will also be valuable to those involved with the psychotherapy integration movement, and therapists who describe themselves as eclectic. In addition, the volume serves as a text for upper-level courses in psychotherapy, psychopathology, abnormal psychology, and psychotherapy integration.

This book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher
"This is a timely and important contribution to both psychotherapy integration and the growing interest in self psychology as a central context for understanding basic issues in psychopathology, lifespan development, and psychotherapy process. The Self in Emotional Distress is a seminal volume—I highly recommend it." —Michael J. Mahoney, Ph.D. University of North Texas

"This is an extremely valuable book both in format and in content. It embodies notable advances in our understanding of the self in psychological disorder while making a significant contribution to the evolving integrative trends in our field. The unique format offers authoritative pairs of chapters on the most important clinical disorders by experts from both the psychodynamic and cognitive-behavioral traditions along with comments by each cognitive-behavioral author on the psychodynamic chapter and vice versa. The result is a volume rich in constructive engagement and a stimulating treat for the reader."—Paul Wachtel, Ph.D., The City College of The City University of New York

"The self and theoretical integration are two of the most vital concepts in contemporary psychological thought. Segal and Blatt bring them together in a creative effort that extends the boundaries of our understanding of both concepts. The imaginative format allows experts from cognitive and psychodynamic vantage points to discuss their ideas across chapters. Their discussions provide an expanded appreciation of the self and, in this way, they bring the two orientations together." —George Stricker, Ph.D., Adelphi University

From the Publisher
"This is a timely and important contribution to both psychotherapy integration and the growing interest in self psychology as a central context for understanding basic issues in psychopathology, lifespan development, and psychotherapy process. The Self in Emotional Distress is a seminal volume—I highly recommend it." —Michael J. Mahoney, Ph.D. University of North Texas

"This is an extremely valuable book both in format and in content. It embodies notable advances in our understanding of the self in psychological disorder while making a significant contribution to the evolving integrative trends in our field. The unique format offers authoritative pairs of chapters on the most important clinical disorders by experts from both the psychodynamic and cognitive-behavioral traditions along with comments by each cognitive-behavioral author on the psychodynamic chapter and vice versa. The result is a volume rich in constructive engagement and a stimulating treat for the reader."—Paul Wachtel, Ph.D., The City College of The City University of New York

"The self and theoretical integration are two of the most vital concepts in contemporary psychological thought. Segal and Blatt bring them together in a creative effort that extends the boundaries of our understanding of both concepts. The imaginative format allows experts from cognitive and psychodynamic vantage points to discuss their ideas across chapters. Their discussions provide an expanded appreciation of the self and, in this way, they bring the two orientations together." —George Stricker, Ph.D., Adelphi University

Booknews
Contributors use the sense of self as a vantage point for considering various psychological difficulties--anxiety, depression, eating disorders, and borderline personality disorder. The orientation is integrative and will interest eclectic therapists and students. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780898622560
  • Publisher: Guilford Publications, Inc.
  • Publication date: 3/12/1993
  • Edition description: New Edition
  • Pages: 386
  • Product dimensions: 6.33 (w) x 9.26 (h) x 1.22 (d)

Meet the Author

Zindel V. Segal, Ph.D., is Head of the Cognitive Behavioral Therapy Unit at Clarke Institute of Psychiatry in Toronto, and Associate Professor of Psychiatry and Psychology at the University of Toronto. A coauthor of Interpersonal Process in Cognitive Therapy (with Jeremy D. Safran), Dr. Segal's research interests are in the areas of cognitive vulnerability to relapse in unipolar depression and the assessment of changes in self-representation following treatment.
Sidney J. Blatt, Ph.D., is Professor of Psychiatry and Psychology at Yale University and Chief of the Psychology Section in the Department of Psychiatry. He is also a faculty member of the Western New England Institute of Psychoanalysis. Dr. Blatt's primary area of investigation is the development of mental representations (cognitive-affective schemas of self and others and their interactions), the differential impairment of these schemas in various forms of psychopathology, and changes that occur in these schemas in the therapeutic process.

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Table of Contents

1 The Self Construct in Social Cognition: Past, Present, and Future 3
2 The Self Construct in Psychoanalytic Theory: A Comparative View 41
3 Self-representation in Post-traumatic Stress Disorder: A Cognitive Perspective 71
Commentary 92
4 Self-representation in Anxious States of Mind: A Comparison of Psychodynamic Models 100
Commentary 123
5 A Cognitive Perspective on Self-representation in Depression 131
Commentary 164
6 The Sense of Self in Depression: A Psychodynamic Perspective 171
Commentary 211
7 Self-representation in Eating Disorders: A Cognitive Perspective 221
Commentary 258
8 Self-representation in Eating Disorders: A Psychodynamic Perspective 267
Commentary 288
9 Problems of Self and Borderline Personality Disorder: A Dialectical Behavioral Analysis 301
Commentary 326
10 The Self in Borderline Personality Disorder: A Psychodynamic Perspective 334
Commentary 361
11 The Self as a Vantage Point for Understanding Emotional Disorder 371
Index 379
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