The Emerging Self: A Developmental Self & Object Relations Approach to the Treatment of the Closet Narcissistic Disorder of the Self Review

The Emerging Self: A Developmental Self and Object Relations Approach to the Treatment of the Closet Narcissistic Disorder of the Self
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Masterson is one of the few theoreticians [come] practitioners to offer a coherent and self-sufficient theory of personality disorders, including the narcissistic one. This book encourages diagnosticians to diagnose pathological narcissism, even when the presenting signs are misleading. Masterson believes in the unacanny ability of pernicious narcissism to disguise itself and manifest in numerous, uncharted, ways. His is a road map backed by impressive amounts of research and practice. The only drawback is that it presents only the views of the psychodynamic [come]object relations school of psychology and largely ignores advances in other fields. Sam Vaknin, author of "Malignant Self Love - Narcissism Revisited".

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This volume aims to shed light on one of the most difficult disorders to diagnose and treat: the closet narcissistic disorder of the self. The third of a series on the disorders of the self, the book fills a niche in the field of personality disorders. It describes not only the psychopathology and treatment of this disorder but, more importantly, demonstrates the key dynamics of the disorders of the self triad: self activation leads to anxiety and depression, which leads to defense. This is the central dynamic of all the disorders of the self, and its particular manifestations in the closet narcissistic personality disorder are described along with the therapeutic techniques required to identify and manage it. The volume also clarifies a great deal of the clinical confusion surrounding the disorder, and addresses such questions as: what does the clinical picture look like? What is the reason for the diagnostic confusion? How does one resolve it? What other disorders does this disorder mimic? How do you differentiate it from the borderline and/or schizoid disorders of the self? What are some possible etiologic factors? What precipitates a clinical syndrome?And what is the intrapsychic structure of this disorder? The book offers a clear and down-to-earth presentation on the subject, and aims to be of interest to all therapists, students, teachers and practitioners, enabling them to identify what emotional issues are on centre stage, understand how to deal with them, and also how to evaluate the results of his or her efforts. Beyond that, it illustrates the variations in countertransference that occur as a result of projective identification.

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