آنتونی رابینز میگه : من در 40 سالگی به جایی رسیدم که برای رسیدن بهش 82 سال زمان لازمه و این رو مدیون کتاب خواندن زیاد هستم.
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Hatred Emptiness and Hope: Transference-Focused Psychotherapy in Personality Disorders 1st Edition
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 deve
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