By Otto Kernberg
During this booklet a number one psychoanalytic clinician and theoretician provides his suggestions at the most recent psychodynamic advancements and insights on the topic of remedy of critical character issues. Dividing his discussions into sections, one on psychopathology and the opposite on psychotherapy, Dr. Otto Kernberg examines borderline character affliction, narcissism, sexual inhibition, transference and countertransference, suicidal behaviour, and consuming problems. In each one bankruptcy he integrates the guidelines of eu and Latin American psychoanalytic thinkers, bringing them to the eye of English-speaking readers. This booklet contains a collection of lately released magazine articles. Their assortment into one quantity makes on hand Dr. Kernberg's current considering on a big topic.
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Additional resources for Aggressivity, Narcissism, and Self-Destructiveness in the Psychoterapeutic Relationship: New Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders
At a higher level of development, the obsessive-compulsive personality may be conceived as one in which inordinate aggression has been neutralized by absorption into a well-integrated but excessively sadistic superego, leading to perfectionism, self-doubts, and the chronic need to control the environment as well as the self that is characteristic of this personality disorder. There are cases, however, in which this neutralization of aggression is incomplete; the severity of aggression determines the regressive features of this disorder, and transitional cases with mixed obsessive, paranoid, and schizoid features can be found that maintain a borderline personality organization in spite of significant obsessivecompulsive personality features.
Aggressively invested undifferentiated self- and object representations, built up separately from libidinally invested undifferentiated self- and object representations, characterize the basic layer of the dynamic unconscious and reflect early symbiosis. The subsequent differentiation of self- and object representations within the libidinal and the aggressive domains establishes the structural characteristics of separation-individuation and the psychopathology of borderline personality organization.
Characterologically anchored suicidal tendencies in borderline patients are another expression of self-directed hatred. The antisocial personality proper may be conceived as a personality structure so dominated by hatred that primitive, split-off idealizations are no longer possible; the world is populated exclusively by hated, hateful, sadistic persecutors. One can triumph in such a terrifying world only by becoming a persecutor, the sole alternative to destruction and suicide. Under milder conditions, unconscious identification with the hated object and its characterological translation into antisocial tendencies, cruelty, contempt, and sadism may be present in many forms.