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Hatred, Emptiness, and Hope: Transference-Focused Psychotherapy in Personality Disorders - Original PDF
Hatred, Emptiness, and Hope: Transference-Focused Psychotherapy in Personality Disorders - Original PDF
نویسندگان: Otto F. Kernberg خلاصه: Introduction The present volume continues my investigation of the psychopathology and treatment of severe personality disorders. It focuses on the analysis of particular clinical features of personality pathologies and describes contemporary psychoanalytic object relations theory as a general theoret- ical frame of treatment that allows us to conceptualize both normal per- sonality functioning and the very nature of personality disorders. This volume also includes my recent contributions to understanding the rela- tionship between neurobiological dispositions and their interaction with psychodynamic developments, again, both in normality and psychopa- thology. Finally, this volume explores the application of object relations theory to group processes, love relations, and therapists’ training. Part I of the book includes major theoretical statements. Chapter 1, “Object Relations Theory and Transference Analysis,” presents a brief, updated summary of contemporary object relations theory and its direct relevance to transference analysis, the fundamental therapeutic approach of transference-focused psychotherapy (TFP). This chapter summarizes the theoretical approach that informs the new psychotherapeutic devel- opments in the treatment of severe personality disorders that are de- scribed throughout the entire volume. Chapter 2, “Some Implications of New Developments in Neurobiology for Psychoanalytic Object Relations Theory” summarizes developments in neurobiology regarding the con- ceptualization of affect systems and their role as the motivational basis ix x HATRED, EMPTINESS, AND HOPE for establishing internalized dyadic self- and object-relations structures. This chapter shows how the underlying limbic and cortical brain struc- tures and functions contribute to embedding the fundamental concepts of self and of significant others. It proposes that the formation of such dy- adic structures is an essential task of higher levels of psychic functioning. Part II, on technique, updates empirical studies of the Personality Disorders Institute at Weill Cornell Medical College, expanding the ap- plications of TFP, exploring its relationship to standard psychoanalytic technique, and outlining a general comprehensive theory of technique that applies to both psychoanalysis and its derived psychotherapies. Chapter 3, “Extensions of Psychoanalytic Technique: The Mutual Influ- ences of Standard Psychoanalysis and Transference-Focused Psycho- therapy” presents an updated view of TFP in comparison with standard psychoanalytic technique that differentiates more sharply these two technical approaches and discusses the problems in training therapists efficiently in both modalities. Chapter 4, “Therapeutic Implications of Transference Structures in Various Personality Pathologies,” presents an overview of transference developments in different modalities of severe personality disorders and the modifications in technical approaches to transference analysis related to these structural differences. It is a highly specialized description of TFP in action. Chapter 5, “Affective Domi- nance, Dyadic Relationship, and Mentalization,” focuses on two basic premises from which the therapist enters every therapeutic session—that is, the alertness to affective dominance and the diagnosis of the predom- inant dyadic object relationship linked to it. By illustrating this approach with clinical cases, the chapter also points to similarities and differences between TFP and mentalization-based therapy (MBT), an alternative psychodynamic approach to severe personality disorders. Chapter 6, “Reflections on Supervision,” describes my personal experience as well as general controversial issues regarding the supervision of psychoan- alytic and derivative treatments. In the process, the chapter details our collective experience of training and supervising clinicians in TFP over many years at the Personality Disorders Institute. Part III, on specific psychopathologies, deals with particular disor- ders within the broad field of severe personality disorders. Chapter 7, “Psychodynamics and Treatment of Schizoid Personality Disorders,” presents our experience with these complex disorders. Schizoid struc- ture has received less attention in recent times than other types of severe personality disorders, particularly borderline and narcissistic personal- ity disorders. This chapter presents a diagnostic update and summa- rizes the specific contributions of the TFP approach to the treatment of schizoid personality. Chapter 8, “Psychotic Personality Structure,” ex- plores the differences between borderline personality organization and psychotic personality organization. It describes the development of psy- chotic features as a potential transitory regression in patients with bor- xiIntroduction derline personality organization, as well as a reflection of a psychotic structure that only emerges during treatment. It proposes correspond- ing differences in technique for transitory psychotic developments aris- ing in sessions, for transference psychosis, and for the emergence of major psychotic illness during the course of TFP. The chapter also ana- lyzes the nature and shifts in reality testing in the context of transference analysis. Chapter 9, “Narcissistic Pathology of Love Relations,” deals with the specific pathology of narcissistic personalities, the great diffi- culties of these patients in establishing and maintaining a love relation in depth, and the general study of sexuality and the capacity to love as part of the diagnostic evaluation of all patients with severe personality disorders. It also considers the influences of the therapist’s own emo- tional maturity in the assessment of this aspect of psychopathology. Part IV deals with the application of object relations theory to inpa- tient hospital treatment, to group regression and political leadership, and to psychoanalytic education. Chapter 10, “Psychoanalytic Ap- proaches to Inpatient Treatment of Personality Disorders: A Neglected Dimension,” examines the inpatient treatment of patients with person- ality disorders, a neglected therapeutic approach in the United States. Although pioneered predominantly in the United States, inpatient treat- ment has been developed in new ways in recent European experiences, with relatively extended hospital treatment of severe personality disor- ders. This chapter summarizes both the North American and recent Eu- ropean experiences with an important therapeutic instrument that, mostly for financial reasons, has been underutilized in the United States. It offers important technical tools that are relevant for the repetitive brief hospitalizations of regressed borderline patients that have replaced se- lective long-term inpatient treatment. This approach may be the basis for the development of optimal treatment of very regressed stages of illness in the future. Chapter 11, “Malignant Narcissism and Large Group Re- gression,” applies psychoanalytic object relations theory and the devel- oping knowledge of the social functioning of some personality disorders to the study of the mutual influences of severe leadership pathology in organizational and political structures and the psychological conditions that underpin large group regression. Political circumstances that foster such large group regression in social subgroups and leadership with ma- lignant narcissistic features tend to reinforce each other, with potentially damaging and dangerous consequences to the social community. This chapter is a contribution to the clarification of these potentially threaten- ing and damaging social developments. Chapter 12, “Challenges for the Future of Psychoanalysis,” applies the psychoanalytical approach that underlies this volume to the analysis of particular conditions of psycho- analysis today as a profession, an educational enterprise, and a social or- ganization within the mental health sciences. This chapter and the book end with recommendations for innovations that may strengthen the role xii HATRED, EMPTINESS,AND HOPE of psychoanalysis as a profession, a treatment approach, and a social or- ganization. It proposes solutions to organizational problems, particu- larly stressing the urgent need for development of empirical research, psychoanalytic psychotherapies, and radical renovation in its educa- tional structure.
Lavender Fields: Black Women Experiencing Fear, Agency, and Hope in the Time of COVID-19 - Original PDF
Lavender Fields: Black Women Experiencing Fear, Agency, and Hope in the Time of COVID-19 - Original PDF
نویسندگان: Julia S. Jordan-Zachery (editor) خلاصه: I start this book on African/Black women’s testimonies of living with COVID-19 by situating myself and my role in it. Over my twenty-plus years as an academician, I have evolved. I started simply wanting to be a political scientist who focused on Black women and public policy. I saw my work as an extension of me, but not in the way I do at this stage of my career. There was a shift in my approach to being an academician at some point. I started journaling about being a storyteller of Black women’s stories. Research, what I had been trained in, took a back seat, and the notion of storytell- ing became more prominent. I cannot explain this shift, and I have learned that some things need not be explained over time. Sometimes, Black women simply know (see Hill Collins 2000). Then COVID-19 hit. At some point during shelter in place—I have lost count of how long I have been at home—the Black feminine ancestors whispered to me. They called on me to undertake this project on Black women and COVID-19. I resisted. The project felt too big for me. I was worried that I could not do it and do it well. I went out into my garden. The energy of the ancestors deepened, and the call seemed to wrap itself around me in a way that would not release me. I did not feel threatened. But I resisted. I stayed in my gar- den for hours in my efforts to resist—weeding, tending, and avoiding. Finally, the heat of the day caught up to me, and I slowly made my way inside. I needed to find something else to occupy my mind, something that allowed me to continue avoiding the call for this project
When the Diagnosis Is Multiple Sclerosis: Help, Hope, and Insights from an Affected Physician - Original PDF
When the Diagnosis Is Multiple Sclerosis: Help, Hope, and Insights from an Affected Physician - Original PDF
نویسندگان: Kym Orsetti Furney M.D. خلاصه: THE NAME , “MULTIPLE SCLEROSIS ” I have a very hard time with the name of this illness—“multiple sclerosis.” It has such a horrific sound to it. Even after seven years, I rarely say the words multiple sclerosis aloud. I much prefer the more appealing sound of MS. In speaking to others with multiple sclerosis (MS), I have learned that I am not alone with this preference. At the time I was diagnosed, I was somewhat familiar with this illness, hav- ing intermittently cared for multiple sclerosis patients in the hospital. Most of the patients I had seen were diagnosed with MS in the 1970s or 1980s, a time when medication for relapse prevention was not yet available. Others, who were frequently in the hospital, had a variant of MS called “primary progressive multiple sclerosis,” which can lead to significant disability fairly quickly. As a physician, I thought their situations were so very sad, as many patients had developed poor functioning of their arms, legs, bladder, or speech. I rarely had the opportunity to see the MS patients who had very little disability, since they were seen in the outpatient setting. So when I finally had it con- firmed, that yes, these bizarre symptoms I had been having were in fact due to multiple sclerosis, I conjured up the worst possible images of what might happen to me. While many of you may not have had the opportunity to meet patients with more advanced stages of MS, I suspect that your reaction to the diagnosis of MS may have been quite similar to mine. Many people still carry an image of multiple sclerosis as an illness that picks an individual out of the prime of his or her life, and leaves that person wheelchair bound and severely disabled. Fortunately, for the majority of women and men who are newly diagnosed with relapsing–remitting MS in the new millennium, this is not an inevitable outcome. And yet, while we know that medications now exist to prevent relapses, this knowledge does not necessarily make the initial journey any 2 When the Diagnosis Is Multiple Sclerosis easier. We did not sign up for this club. We did not ask to play this game. The anger, the grief, and the uncertainty about the future can be overwhelming. Give yourself time. It will be possible to feel in control again.
Operational Warfare at Sea: Theory and Practice (Cass Series: Naval Policy and History) - Original PDF
Operational Warfare at Sea: Theory and Practice (Cass Series: Naval Policy and History) - Original PDF
نویسندگان: Milan Vego خلاصه: This new volume provides a comprehensive analysis of both the theory and practice of operational warfare at sea. The book is unique in using diverse sources and examples to present a comprehensive topical description and analysis of the key components of operational warfare at sea today. It opens with a survey of the emergence of operational warfare at sea since the end of the Napoleonic Wars, going on describe and analyze the objectives of naval warfare at the operational level and methods of employment of naval forces for accomplishing these objectives. The book explains the specifics of operational functions in a maritime theatre, discusses the personality traits and professional education required for successful naval operational commanders, and explores naval operational command and control in both peacetime and war, closing with predictions for the future of operational warfare at sea. This book serves as a primer of how to plan, prepare and execute major naval operations and campaigns for naval commanders and their staffs, but will also be of interest to advanced students of naval history, strategic studies and military history in general.
Diagnostic Radiology Physics: A Handbook For Teachers And Students - Original PDF
Diagnostic Radiology Physics: A Handbook For Teachers And Students - Original PDF
نویسندگان: International atomic energy agency خلاصه: This book is dedicated to students and teachers involved in programmes that train professionals for work in diagnostic radiology. It teaches the essential physics of diagnostic radiology and its application in modern medicine. As such, it is useful to graduate students in medical physics programmes, residents in diagnostic radiology and advanced students in radiographic technology programmes.
Japanese Cybercultures - Original PDF
Japanese Cybercultures - Original PDF
نویسندگان: Nanette Gottlieb & Mark McLelland خلاصه: Japan is rightly regarded as one of the most technologically advanced countries in the world, yet the development and deployment of Internet technology in Japan has taken a different trajectory compared with Western nations. This is the first book to look at the specific dynamics of Japanese Internet use. It examines the crucial questions: * how the Japanese are using the Internet: from the prevalence of access via portable devices, to the fashion culture of mobile phones * how Japan's "cute culture" has colonized cyberspace * the role of the Internet in different musical subcultures * how different men's and women's groups have embraced technology to highlight problems of harassment and bullying * the social, cultural and political impacts of the Internet on Japanese society * how marginalized groups in Japanese society - gay men, those living with AIDS, members of new religious groups and Japan's hereditary sub-caste, the Burakumin - are challenging the mainstream by using the Internet. Examined from a variety of interdisciplinary perspectives, using a broad range of case-studies, this is an exciting and genuinely cutting-edge book which breaks new ground in Japanese studies and will be of value to anyone interested in Japanese culture, the Internet and cyberculture.
Advancing Analytics From Excel to Python and R - Original PDF
Advancing Analytics From Excel to Python and R - Original PDF
نویسندگان: George Mount خلاصه: By the end of this book, you should be able to conduct exploratory data analysis and hypothesis testing using a programming language. Exploring and testing relationships is core to analytics. With the tools and frameworks you’ll pick up in this book, you will be well positioned to continue learning more advanced data analysis techniques. We’ll be using Excel, R, and Python because these are powerful tools, and because they make for a seamless learning journey. Few books cover this combination, even though the progression from spreadsheets into programming is common for analysts, myself included.
Secrets of the Russian Chess Masters: Beyond the Basics - PDF
Secrets of the Russian Chess Masters: Beyond the Basics - PDF
نویسندگان: Albett خلاصه: .
Rich Dad Poor Dad - Original PDF
Rich Dad Poor Dad - Original PDF
نویسندگان: Robert Kiyosaki خلاصه: “Life pushes all of us around. Some people give up and others fight. A few learn the lesson and move on. They welcome life pushing them around.” “A job is really a short-term solution to a long-term problem.” “It’s fear that keeps most people working at a job: the fear of not paying the bills, the fear of being fired, the fear of not having enough money, and the fear of starting over.
International Perspectives of Festivals and Events: Paradigms of Analysis - Original PDF
International Perspectives of Festivals and Events: Paradigms of Analysis - Original PDF
نویسندگان: Jane Ali-Knight, Martin Robertson, Alan Fyall, Adele Ladkin خلاصه: International Perspectives of Festivals and Events addresses contemporary issues concerning the potential of festivals and events to produce economic, social, cultural and community benefits. Incorporating a range of international perspectives, the book provides the reader with a global look at current trends and topics, which have until now, been underrepresented by current literature. International Perspectives of Festivals and Events includes a broad range of research, case studies and examples from well-known scholars in the field to form a unified volume that informs the reader of the current status of festivals and events around the world. In a fast-moving industry where new theory and practice is implemented rapidly, this is essential reading for any advanced student or researcher in festivals and events. * Provides a contemporary look at the current issues in the field * Expertly edited and contributed to by an international group of subject specialists * Advances and emphasises the interrelationship of multidisciplinary academic approaches, contexts and research methodologies in festivals and events

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