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Index
Cover
Title
Copyright
Dedication
About the Author
Preface
Acknowledgments
Contents
Introduction
A Comment on Terminology
A Comment on Tone
PART ONE. CONCEPTUAL ISSUES
Chapter One - Why Diagnose?
Psychonalytic Diagnosis versus Descriptive Psychiatric Diagnosis
Treatment Planning
Prognostic Implications
Consumer Protection
The Communication of Empathy
Forestalling Flights from Treatment
Fringe Benefits
Limits to the Utility of Diagnosis
Suggestions for Further Reading
Chapter Two - Psychoanalytic Character Diagnosis
Classical Freudian Drive Theory and Its Developmental Tilt
Ego Psychology
The Object Relations Tradition
Self Psychology
The Contemporary Relational Movement
Other Psychoanalytic Contributions to Personality Assessment
Summary
Suggestions for Further Reading
Chapter Three - Developmental Levels of Personality Organization
Historical Context: Diagnosing Level of Character Pathology
Overview of the Neurotic–Borderline–Psychotic Spectrum
Summary
Suggestions for Further Reading
Chapter Four - Implications of Developmental Levels of Organization
Therapy with Neurotic-Level Patients
Therapy with Patients in the Psychotic Range
Therapy with Borderline Patients
Interaction of Maturational and Typological Dimensions of Character
Summary
Suggestions for Further Reading
Chapter Five - Primary Defensive Processes
Extreme Withdrawal
Denial
Omnipotent Control
Extreme Idealization and Devaluation
Projection, Introjection, and Projective Identification
Splitting of the Ego
Somatization
Acting Out (Defensive Enactment)
Sexualization (Instinctualization)
Extreme Dissociation
Summary
Suggestions for Further Reading
Chapter Six - Secondary Defensive Processes
Repression
Regression
Isolation of Affect
Intellectualization
Rationalization
Moralization
Compartmentalization
Undoing
Turning against the Self
Displacement
Reaction Formation
Reversal
Identification
Sublimation
Humor
Concluding Comments
Summary
Suggestions for Further Reading
PART TWO. TYPES OF CHARACTER ORGANIZATION
Chapter Seven - Psychopathic (Antisocial) Personalities
Drive, Affect, and Temperament in Psychopathy
Defensive and Adaptive Processes in Psychopathy
Relational Patterns in Psychopathy
The Psychopathic Self
Transference and Countertransference with Psychopathic Patients
Therapeutic Implications of the Diagnosis of Psychopathy
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Eight - Narcissistic Personalities
Drive, Affect, and Temperament in Narcissism
Defensive and Adaptive Processes in Narcissism
Relational Patterns in Narcissism
The Narcissistic Self
Transference and Countertransference with Narcissistic Patients
Therapeutic Implications of the Diagnosis of Narcissism
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Nine - Schizoid Personalities
Drive, Affect, and Temperament in Schizoid Psychology
Defensive and Adaptive Processes in Schizoid Psychology
Relational Patterns in Schizoid Psychology
The Schizoid Self
Transference and Countertransference with Schizoid Patients
Therapeutic Implications of the Diagnosis of Schizoid Personality
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Ten - Paranoid Personalities
Drive, Affect, and Temperament in Paranoia
Defensive and Adaptive Processes in Paranoia
Relational Patterns in Paranoid Psychology
The Paranoid Self
Transference and Countertransference with Paranoid Patients
Therapeutic Implications of the Diagnosis of Paranoid Personality
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Eleven - Depressive and Manic Personalities
Depressive Personalities
Drive, Affect, and Temperament in Depression
Defensive and Adaptive Processes in Depression
Relational Patterns in Depressive Psychology
The Depressive Self
Transference and Countertransference with Depressive Patients
Therapeutic Implications of the Diagnosis of Depressive Personality
Differential Diagnosis
Hypomanic (Cyclothymic) Personalities
Drive, Affect, and Temperament in Mania
Defensive and Adaptive Processes in Mania
Relational Patterns in Manic Psychology
The Manic Self
Transference and Countertransference with Manic Patients
Therapeutic Implications of the Diagnosis of Hypomanic Personality
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Twelve - Masochistic (Self-Defeating) Personalities
Drive, Affect, and Temperament in Masochism
Defensive and Adaptive Processes in Masochism
Relational Patterns in Masochistic Psychology
The Masochistic Self
Transference and Countertransference with Masochistic Patients
Therapeutic Implications of the Diagnosis of Masochistic Personality
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Thirteen - Obsessive and Compulsive Personalities
Drive, Affect, and Temperament in Obsession and Compulsion
Defensive and Adaptive Processes in Obsession and Compulsion
Relational Patterns in Obsessive and Compulsive Psychologies
The Obsessive–Compulsive Self
Transference and Countertransference with Obsessive and Compulsive Patients
Therapeutic Implications of the Diagnosis of Obsessive or Compulsive Personality
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Fourteen - Hysterical (Histrionic) Personalities
Drive, Affect, and Temperament in Hysteria
Defensive and Adaptive Processes in Hysteria
Relational Patterns in Hysterical Psychology
The Hysterical Self
Transference and Countertransference with Hysterical Patients
Therapeutic Implications of the Diagnosis of Hysterical Personality
Differential Diagnosis
Summary
Suggestions for Further Reading
Chapter Fifteen - Dissociative Psychologies
Drive, Affect, and Temperament in Dissociative Conditions
Defensive and Adaptive Processes in Dissociative Conditions
Relational Patterns in Dissociative Conditions
The Dissociative Self
Transference and Countertransference with Dissociative Patients
Therapeutic Implications of the Diagnosis of a Dissociative Condition
Differential Diagnosis
Summary
Suggestions for Further Reading
Appendix. Suggested Diagnostic Interview Format
Demographic Data
Current Problems and Their Onset
Personal History
Current Presentation (Mental Status)
Concluding Topics
Inferences
References
Author Index
Subject Index
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