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Tip: To review the bibliography…

PEP-Web Tip of the Day

It is always useful to review an article’s bibliography and references to get a deeper understanding of the psychoanalytic concepts and theoretical framework in it.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Mahoney, D. (2017). A Dissociation Model of Borderline Personality Disorder, : edited by R. Meares. (2012). New York, NY: W. W. Norton, 398 pp., $44.95.. Psychoanal. Soc. Work, 24(2):171-175.

(2017). Psychoanalytic Social Work, 24(2):171-175

Book Reviews

A Dissociation Model of Borderline Personality Disorder, : edited by R. Meares. (2012). New York, NY: W. W. Norton, 398 pp., $44.95.

Donna M. Mahoney, Ph.D.

It is interesting to witness the current shifts in theory, research, and practice in psychoanalysis. From its Freudian beginnings and instinct theory to the present focus on the integration of neurobiology and psychoanalysis, models of psychopathology are reflecting the complex interplay of intrapsychic, relational, and neurobiological factors. We may wonder how theories can be used to inform how to intervene with patients displaying disturbances that are often profound in nature, such as borderline personality disorder (BPD). This book on the dissociation model of borderline personality disorder aptly and succinctly notes that, at its core, borderline personality disorder represents a disturbance of the experience of the self, with its central feature being feelings of disconnection in multiple life areas. Isolation and disengagement in the social sphere mirror the inner sense of fragmentation—resembling dissociation—that the individual experiences. Meares aptly quotes one of his patients who uttered, “When I look in the mirror, I don't see me.”

This book is very timely in that much of the current thrust in terms of therapeutic approaches for BPD tend to emphasize skill building related to affect regulation and distress tolerance. Linehan (1993, 2014), who outlines a cognitive-behavioral model for BPD, emphasizes affective skill building and mindfulness but deemphasizes the attachment and developmental issues that are associated with BPD. In this author's

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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