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Download Author: Wolberg, Arlene Robbins


12 eBooks available.

Infant Development and Antithetic Diameters

In this chapter, we shall review some of the literature in the field of infant development that appears to negate the current psychoanalytic concepts regarding the early phases of infant life. These recent studies have important implications for the understanding of the borderline patient.

The Problem of Identification

It is the environment that forces identification on the individual rather than the innate schedule. The ability to imitate makes it possible to defend through identification. It is possible that this capacity to imitate has a relation to the ability to “give in to the other” and to identify with and appease another, an enduring characteristic defense of the borderline patient.

The Problem of Feeling Demeaned

In psychoanalysis with the borderline patient the problem of feeling demeaned as a child arises constantly and has to be dealt with repeatedly. The feeling of being demeaned is functionally related to the problem of having created an identification with the neurotic patterns of the parents.

Theoretical Orientation

In this chapter I shall try to summarize my ideas regarding the dynamics of the borderline condition in the context of the theory that environment plays a decisive role in the etiology of the neuroses and the psychoses.

The Treatment Process

It is my thought that the dynamics of borderline cases may be more evident if I discuss in this chapter the more resistive types of cases, those that are closer to psychosis, and who may be in treatment for as many as twenty years or more.

Brief Psychotherapy

Short-term therapy can be effective with the borderline patient even though certain borderlines benefit only from long-term treatment; but the borderline patient, for many reasons, does not get into a long-term treatment regimen readily.

Illustrative Sessions

This chapter contains primarily illustrative sessions to which I have referred throughout the book. The cases in point emphasize special problems that arise at different times in treatment. Characteristic resistances will be seen in these sessions. Some instances demonstrate a working-through process to a greater or lesser degree.

Comments on Current Theories

The dynamics and treatment of the borderline patient have been examined extensively by Otto Kernberg, James F. Masterson, and Richard D. Chessick as well as the present author. In this chapter their theories will be the focus of the discussion. In addition, we shall consider Heinz Kohut, for although he writes primarily about narcissistic disorders, he assumes that his theory concerning narcissistic personalities and some of his ideas regarding schizophrenia cover the main facets of the borderline syndrome.

Special Problems

This chapter is a review of selected papers on the borderline condition.  I am suggesting in this chapter alternatives that I think may be useful to the therapist who is working with the borderline patient.

Psychoanalytic Psychotherapy of The Borderline Patient

Outlines the common elements found in working with borderline patients and the therapeutic techniques that have proven helpful even with those patients who resist conventional therapies. There are many insights into the theories regarding the dynamics of the borderline patient and how these theories are applied to the therapeutic endeavor. (669 pp.)

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