|Gillman, R.D. (1986). Severe Personality Disorders: Psychotherapeutic Strategies: By Otto F. Kernberg. New Haven/London: Yale University Press, 1984. 381 pp.. Psychoanal Q., 55:502-508.|
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(1986). Psychoanalytic Quarterly, 55:502-508
Severe Personality Disorders: Psychotherapeutic Strategies: By Otto F. Kernberg. New Haven/London: Yale University Press, 1984. 381 pp.
In a 1976 book review, Kernberg stated that " has yet to develop a systematic theory and of , and … the of such a theory and would expand psychoanalytic and its application to the large number of patients who require , but who cannot benefit from non-modified …" This statement describes the thread that runs through and binds together the twenty-two chapters of this book on the and treatment of patients with severe psychopathology. The book is a quest for the expansion of psychoanalytic through psychoanalytically informed diagnostic and psychotherapeutic work.
Fenichel also expressed a hope for attainment of the elusive goal of establishing a systematic basis for . He stated: "An analyst is able to use the patient's , , , and utterances for the purpose of establishing a ' ' about the patient's leading conflicts, the relative strength of repressing and repressed forces respectively, the system and its weak spots, the patient's rigidity and elasticity, and his general accessibility." He listed different kinds of therapeutic interventions, including , and predicted that "a psychoanalytic theory of non-psychoanalytic influence [would] soon be advanced."
In his search to reach this goal, Kernberg emerges as a skilled psychiatric diagnostician, a resourceful clinician, a consultant who has experience with a wide variety of treatment cases, and a hospital director with a wealth of about inpatient and inpatient management. The first chapter, "Diagnostic Considerations," sets the for understanding the intrapsychic structural characteristics of patients with severe pathology. The next chapter, "The Structural Interview," sharpens the concept of differential
1 Kernberg, O. F. (1976): Review of G. Blanck & R. Blanck: Ego Psychology: Theory and Practice. Int. J. Psychoanal., 57:363.
2 Fenichel, O. (1944): . In The Collected Papers of Otto Fenichel, Second Series. New York: Norton, 1954, p. 256.
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