Borderline and Other Self Disorders: A Developmental and Object-Relations Perspective
Dr. Rinsley's years of experience treating seriously disturbed children, adolescents, adults, and their families led him to understand the major personality pathology that lies midway along a developmental-diagnostic continuum between the psychoses and the psychoneuroses.
Dr. Rinsley clearly delineates the borderline and other self disorders from a developmental viewpoint and suggests viable approaches to psychotherapy with these difficult, often elusive patients. He synthesizes of the work of Klein and Fairbairn from the British school of object relations, Jacobson and Kernberg on internalized object relations, Mahler on symbiosis and individuation, Bowlby on attachment and loss, Kohut on the psychology of narcissism and disorders of the self, Masterson on borderline object relations and the concept of abandonment depression, and Piaget on the development of cognitive-perceptual structure. The author places particular importance on the failure of communicative matching, mutual cueing or "goodness of fit" between mother and child, leading to the latter's disturbances. He shows that the basic therapeutic task is to provide the patient with a "good enough" or "holding" environment within the context of which explanation, confrontation, and interpretation may lead to the resolution of underlying pathologic determinants.
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THE ROLE OF THE MOTHER
A VIEW OF OBJECT RELATIONS
FAIRBAIRNS OBJECTRELATIONS THEORY
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abandonment depression affective aggressive alliance anxiety Aronson associated autism bad object basic behavior borderline and narcissistic borderline disorder borderline individual borderline patients borderline personality borderline personality disorder cathected cathexis chapter child classical clinical comprises concept depersonification depressive position developmental arrest diagnostic ego cathexis ego ideal Ego Psychology ego's endopsychic structure etiology experiences failure Fairbairn's fantasy Federn fixation Freud function glossolalia glossolalic hence impairment infant infantile instinctual internal objects introjection Kernberg later Mahler Masterson maternal Melanie Klein ment mental mother-infant narcissistic personality nosology object relations object-relations theory object-representations parents part-object part-object-representation part-self-representation perceived perceptual persistence personality disorders phase pleasure ego projection Psychiatry Psychoanal psychoanalytic psychopathology psychosexual development psychosis psychotic rapprochement subphase reality rejecting relationship representations repression rewarding part-unit Rinsley schizophrenia self-disordered self-object differentiation self-representation separation separation-individuation sexual significant SORU splitting defense stage superego symbiotic symptomatic symptomatology syndromes therapist tion treatment whole-object relations withdrawing part-unit York