| Preface |
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| Acknowledgments |
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| Part I Borderline Personality Organization |
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3 | (46) |
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Descriptive Analysis: The Presumptive Diagnostic Elements: anxiety; polysymptomatic neurosis; polymorphous perverse sexual trends; the ``classical'' prepsychotic personality structures; impulse neurosis and addictions; ``lower level'' character disorders |
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Structural Analysis: nonspecific manifestations of ego weakness; shift toward primary-process thinking; specific defensive operations at the level of borderline personality organization; pathology of internalized object relationships |
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49 | (20) |
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The Concept of Countertransference |
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Regression and Identification in the Countertransference |
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Some Chronic Countertransference Fixations |
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The Importance of Concern as a General Trait of the Analyst |
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Three General Principles of Treatment |
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69 | (42) |
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Review of the Pertinent Literature Transference and Countertransference Characteristics |
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Psychotherapeutic Approaches to the Specific Defensive Operations: splitting; primitive idealization; early forms of projection, and especially projective identification; denial; omnipotence and devaluation |
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Instinctual Vicissitudes and Psychotherapeutic Strategy |
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Further Comments on the Modality of Treatment |
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111 | (42) |
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The Descriptive Characterologic Diagnosis: predominant type of character constellation; ego and superego distortions reflected in individual character traits; self-destructiveness as a character formation and negative therapeutic reaction |
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The Degree and Quality of Ego Weakness |
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The Degree and Quality of Superego Pathology |
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The Quality of Object Relationships |
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The Skill and the Personality of the Therapist |
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Differential Diagnosis and Treatment |
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153 | (32) |
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A Critical Review of Recent Literature: diagnosis; treatment |
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Summary of Previous Work: the clinical manifestations of borderline personality; hypotheses regarding the origin of ego weakness; complications in analyzing patients with borderline personality organization, and technical implications for their treatment; some conditions under which analyzability improves or worsens |
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Further Considerations About Treatment: transference interpretation, regression and reconstruction; transference psychosis |
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Differential Diagnosis of Schizophrenia and Borderline Conditions |
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Overall Structuring and Beginning Phase of Treatment |
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185 | (28) |
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The Overall Treatment Arrangements |
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The Basic Therapeutic Setting |
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Special Problems in the Early Stages: conscious withholding of material; consistent devaluation of all human help received; chronic development of ``meaninglessness'' in the therapeutic interaction; paranoid control and withholding; early, severe acting out; misuse of previous information regarding treatment, and of ``psychotherapeutic language''; the predominant quality of separation reactions; the psychotherapist's relationship with the hospital team |
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The Subjective Experience of Emptiness |
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213 | (14) |
| Part II Narcissistic Personality |
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The Treatment of the Narcissistic Personality |
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227 | (36) |
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Etiological and Dynamic Features |
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Considerations in Regard to Technique |
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Prognostic Considerations: tolerance of depression and mourning; secondary gain of analytic treatment; transference potential for guilt versus transference potential for paranoid rage; the quality of the sublimatory potential; the degree and quality of superego integration; presence of life circumstances granting unusual narcissistic gratifications; impulse control and anxiety tolerance; regression toward primary-process thinking; the motivation for treatment |
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A Crucial Period in the Treatment |
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Clinical Problems of the Narcissistic Personality |
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263 | (52) |
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Clinical Characteristics of the Narcissistic Personality as a Specific Type of Character Pathology |
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The Relationship of Narcissistic Personality to Borderline Conditions and the Psychoses |
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The Relationship of Normal to Pathological Narcissism: developmental arrest or pathological development?; differential qualities of infantile and pathological narcissism; manifestations of pathological narcissism in the analytic situation; genetic considerations; types of idealization and the relationship of narcissistic idealization to the grandiose self; structural characteristics and origins of the grandiose self |
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Psychoanalytic Technique and Narcissistic Transference: vignette 1; vignette 2; vignette 3; vignette 4 |
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Countertransference and Therapeutic Modification of the Narcissistic Resistances |
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Prognosis of Narcissism, Treated and Untreated |
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Normal and Pathological Narcissism |
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315 | (32) |
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Definition of Normal Narcissism: the ideal self and ego goals; object representations; superego factors; instinctual and organic factors; external factors |
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Some diagnostic Applications of This Conceptualization of Narcissistic Pathology |
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The Treatment of Narcissistic Personalities |
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Some Problems Regarding Terminology and the Metapsychological Implications of Narcissism |
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| General Bibliography |
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347 | (8) |
| Index |
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355 | |
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