Glen O. Gabbard

Borderline Personality Disorder: Tailoring the Psychotherapy to the Patient explores the challenge of treating patients with borderline personality disorder. These patients make up a large segment of the difficult-to-treat population. The instability of their relationships, the intensity of their affective responses, and their proneness to paranoid reactions all contribute to their difficulty in working consistently and constructively in the psychotherapeutic situation. When one adds these difficult patient problems to the therapist's quandary about how expressive or supportive to be, therapists are indeed often confronted with a challenging therapeutic task. The book begins with a review of the clinical and research literature pertaining to the treatment of borderline patients. It presents a unique, empirically based intensive study of three borderline patients, based on transcripts of audiotaped therapy sessions. The research methodology is reviewed, and clinically oriented descriptions of the three patients, their psychotherapy processes, and their outcomes are included. Following an overall summary of results, conclusions regarding the differential indications for supportive versus expressive emphasis in psychotherapy are discussed. In their research, the authors recorded every psychotherapy session and studied a randomly selected group of sessions. Therefore, the reader is provided with increased insight into what is most effective with what kind of patient at a given point in the therapy process.

This volume contains a collection of outstanding examples of psychoanalytic film criticism, applying different theoretical orientations, drawn from the first four years of the film review section in the International Journal of Psychoanalysis during author's tenure as film review editor.

The definition of narcissism can be a moving target. Is it an excess of self-love? Profound insecurity? Low self-esteem? Too much self-esteem? Because of the multifaceted nature of narcissistic personality disorder (NPD), treating this disorder presents clinicians with a range of wholly unique challenges. Narcissism and Its Discontents recognizes the variable nature of NPD and provides a template for adjusting treatment to the patient rather than shoehorning the patient into a manualized treatment that may prove to be less effectual. This guide offers clinicians strategies, including transference and countertransference, to deal with the complex situations that often arise when treating narcissistic patients, among them, patient entitlement, disengagement, and envy. The authors provide a skillful integration of research and psychoanalytic theory while also addressing psychotherapeutic strategies that are less intensive but also useful -- being cognizant of the fact that a majority of patients do not have access to psychoanalysis proper. A chapter on the cultural aspects of narcissism addresses the recent societal fascination with NPD in the discourse on politics and celebrity, particularly in the age of social media. Regardless of the treatment setting -- psychoanalysis, psychotherapy, pharmacotherapy, partial hospital, or inpatient -- clinicians will find a wealth of approaches to treating a diverse and challenging patient population in Narcissism and Its Discontents.

Long-Term Psychodynamic Psychotherapy: A Basic Text takes a hands-on approach, focusing on the fundamental principles and basic features of the psychodynamic modality for the benefit of training directors and trainees in a variety of mental health fields. This new, meticulously updated edition offers the latest research on the foundations, techniques, and efficacy of psychodynamic psychotherapy, while still providing the basic information on assessment, indications, formulations, therapist interventions, goals of therapy, and mechanisms of therapeutic action that all mental health professionals require in order to provide excellent care. The author, one of the foremost authorities on psychotherapy, recognizes the common dilemmas experienced by beginning therapists and students, and he has designed the book so that the case examples—and principles illustrated by those examples—are directly applicable to learning and practice. Noteworthy and unique to this volume are the expanded videos, which allows students to see clinical concepts in action through the use of carefully constructed clinical vignettes. Each chapter has been thoroughly revised, and the new edition boasts a substantial amount of new material and enhanced coverage. • Literature on the empirical evidence supporting the efficacy of psychodynamic therapy, increasingly the focus of rigorous clinical trials, has been added to Chapter 2. • The videos, originally provided as a companion DVD and now available online, have been expanded with two new case study vignettes and now include two vignettes of the same patient during and at the termination of therapy. This satisfies the need of trainees in psychotherapy to study senior clinicians at work and to see how the concepts and data in the field are applied to individual treatments.• The recent ubiquity of texting, e-mailing, social media, and other cyberspace communications in the practice of psychotherapy is covered in Chapter 3. • Practical, hands-on applications, such as case write-ups, oral presentations at case conferences, written examinations, oral examinations, videotaped recordings and direct observations, audiotape recordings, and supervision are covered in depth to help build solid skills and broad knowledge. As useful to educators as it is to students, Long-Term Psychodynamic Psychotherapy explains the theoretical foundations and elucidates the reasoning behind the psychotherapist's actions in a wide variety of clinical situations, challenging the reader to build empathy and competency.

Denne boken omhandler de mest grunnleggende aspekter ved psykoterapi og er nå endelig tilgjengelig i norsk språkdrakt. Den er obligatorisk for leger i psykiatrispesialisering og brukes også ved utdanningsinstitusjoner der psykoterapi har et hovedfokus. Boken har 11 oversiktlige kapitler hvor man får en grundig, men lettfattelig innføring i det psykoterapeutiske landskap. Dr Glen Gabbard er en høyt merittert professor og psykoanalytiker som gjennom de siste fire tiår har viet sitt liv til dette feltet og har publisert over 300 artikler og bokkapitler. Langtids Psykodynamisk Psykoterapi er tidligere oversatt til 11 språk.

Boundaries and Boundary Violations in Psychoanalysis is a state-of-the-art overview of the problem of boundary violations in psychoanalysis and psychotherapy. This new edition is a major overhaul of the seminal first edition, published 20 years ago, and addresses topics with which every psychoanalyst, therapist, resident, and training director should be conversant. Penned by one of the foremost experts on psychoanalysis, the book is both broad and thorough in scope, presenting models of prevention to help readers avoid boundary problems in their practices and providing expert advice on institutional responses to complaints and rumors. In addition, the impact of boundary violations on patients is examined, a long-neglected and overdue exploration that encourages increased institutional responsiveness to victims' needs. The book was designed to inform and forearm, with chapters and features that psychoanalysts and therapists will find eminently useful: • The fear that the patient may commit suicide and how that fear may play a role in the development of boundary violations warrants a separate chapter therapists will find illuminating.• Boundaries in cyberspace, a topic only recently pertinent, is explored in depth in a chapter that provides guidance on how the therapeutic frame has been broadened by the impact of texting, email, googling, and social media.• Detailed guidelines on how to handle complaints are included, information that will prepare organizations to respond both strategically and compassionately to these complex situations.• Examples and cases are based on those the author has encountered over 30 years of evaluating, treating, and consulting and reflect the diversity of clinical practice, involving both male and female violators as well as victims and their families.• Boundary violations do not always include a sexual relationship, and the types of boundary violations discussed include nonsexual, supervisory, and post-termination. Every chapter has been updated to include new data and current understanding, addressing the most critically important topics in a rigorous, yet humane manner. Boundaries and Boundary Violations in Psychoanalysis is the most authoritative resource on the subject, and will help the reader manage boundaries across a variety of therapeutic contexts.

It is difficult to improve on a classic, but the fifth edition of Psychodynamic Psychiatry in Clinical Practice does just that, offering the updates readers expect with a deft reorganization that integrates DSM-5 with the author's emphasis on psychodynamic thinking. The individual patient is never sacrificed to the diagnostic category, yet clinicians will find the guidance they need to apply DSM-5 appropriately. Each chapter has been systematically updated to reflect the myriad and manifold changes in the 9 years since the previous edition's publication. All 19 chapters have new references and cutting-edge material that will prepare psychiatrists and residents to treat patients with compassion and skill. The book offers the following features: • Each chapter integrates new neurobiological findings with psychodynamic understanding so that clinicians can approach their patients with a truly biopsychosocial treatment plan.• Excellent writing and an intuitive structure make complicated psychodynamic concepts easy to understand so that readers can grasp the practical application of theory in everyday practice.• The book links clinical understanding to the new DSM-5 nomenclature so that clinicians and trainees can adapt psychodynamic thinking to the new conceptual models of disorders.• New coverage of psychodynamic thinking with relation to the treatment of patients on the autism spectrum addresses an increasingly important practice area.• Posttraumatic stress and dissociative disorders have been combined to allow for integrated coverage of primary psychiatric disorders related to trauma and stressors. A boon to clinicians in training and practice, the book has been meticulously edited and grounded in the latest research. The author firmly believes that clinicians must not lose the complexities of the person in the process of helping the patient. Psychodynamic Psychiatry in Clinical Practice, Fifth Edition, keeps this approach front and center as it engages, instructs, and exhorts the reader in the thoughtful, humane practice of psychodynamic psychiatry.

Physicians and psychiatrists typically see themselves as true professionals. But in the past, some displayed behavior far beneath the confines of professionalism, including exploding at nurses, not returning calls, or conducting insensitive interactions with patients, that was usually tolerated and seldom disciplined. Today, the rise of professionalism in medicine in general and psychiatry in particular has prompted a quiet revolution in how doctors are trained and how they are expected to behave in the workplace. The Accreditation Council for Graduate Medical Education (ACGME) has now advanced professionalism to be one of the core competencies all emerging practitioners must have. While almost all physicians believe in professionalism, the movement toward making it a core competency has challenged doctors everywhere to accept the practice of monitoring, observing and assessing what is not always welcome in a field where autonomy is so highly valued. In Professionalism in Psychiatry, the authors identify and expand on professional behaviors, such as being a good team player, being accountable, pursuing improvement in an ongoing way, and behaving compassionately toward patients and families. The importance of treating all co-workers with respect and of being attuned to the management of healthcare resources in a way that reflects fairness and integrity is also thoroughly reviewed. Important features of this book are: • Tailoring professionalism principles from medicine to the unique features of psychiatry in order to enhance educators' teaching and improve the behaviors of psychiatrists and residents in the work setting. • Development of guidelines for professionalism in cyberspace to provide psychiatrists with an ethical framework for dealing with patients in the online realm.• Discussion of the ethical principles that apply when academic departments approach donors.• Focus on cultural competency and empathy in an effort to improve patient care through greater understanding and sensitivity to ethnic, racial, gender and sexual orientation issues encountered in clinical practice. • Use of numerous clinical examples to articulate the new professionalism in psychiatry, which illustrates the importance of going beyond "one size fits all" thinking. Professionalism in Psychiatry is an important contribution toward beginning to characterize the ever-evolving professional behaviors and clinical strategies of the contemporary psychiatrist and place them in a systematic framework.

Because physicians are shaped by the expectations and responsibilities of their profession and are especially susceptible to stress and illness, professionals treating them need to be attuned to a host of demands and considerations not applicable to other patients. The Physician as Patient meets that need by combining the perspectives of two seasoned psychiatrists who have been assessing and treating physicians for more than 30 years. Drs. Myers and Gabbard pool their career-long dedication to physician health, counseling, and risk management to demonstrate that, through accurate diagnosis and state-of-the-art treatment, most impaired physicians can recover and return to practice. As the most current sourcebook available on this subject, The Physician as Patient not only discusses common illnesses and problems seen in doctors but also outlines the many biopsychosocial treatments that are indicated—always with an emphasis on integrated care. It considers such issues as the reluctance of physicians to assume the role of patient and the uniqueness of the physician's psychological makeup that facilitates or impedes diagnosis and treatment. It describes the most common medical and psychiatric illnesses in physicians—including addictions—and addresses personality disorders and the increasingly important subject of boundary violations. And it helps readers determine what can be done about doctors behaving badly or out-of-character, or what strategies are useful in treating physicians to assure accuracy while also diminishing morbidity and relieving suffering. Among other key issues raised are: • The importance of considering sociocultural customs and values when treating the increasing number of minority and International Medical Graduate physicians • Addressing the many clinical, humanistic, ethical, and legal dimensions of the psychiatric evaluation of physicians• Distinguishing between long-standing patterns of personality disorders that manifest as disruptive behaviors and those patterns that lead to burnout and depression• Assessing amenability to rehabilitation in cases of sexual boundary violation, including an awareness of alcohol or drug abuse as contributing factors• Utilizing a physician's predisposition as a learner and pragmatist to enter into cognitive behavior therapy• The success of early diagnosis and treatment in lowering the occurrence of suicide, for which physicians are notoriously at risk Brimming with case examples, The Physician as Patient adopts a reader-friendly style that facilitates quick grasp of concepts, while an extensive list of references and websites provides an entrée for additional support. This book is an indispensable resource for all mental health professionals who take caregivers into their care.

This volume contains a collection of outstanding examples of psychoanalytic film criticism, applying different theoretical orientations, drawn from the first four years of the film review section in the International Journal of Psychoanalysis during author's tenure as film review editor.

Management of Countertransference with Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient.

Passionate feelings of love and hate are stirred in psychotherapy. Paradoxically, these passions may either undermine the therapist catastrophically or serve as the crucible in which profound understanding is forged. Transferences and countertransferences of love and hate occur on a spectrum that includes unobjectionable negative and positive feelings, relatively benign forms of love and hate, and more malignant, intractable versions of love and hate that present formidable challenges to the therapist. Each of these variations is explored in different chapters of this book. Gender configurations, gender fluidity, adolescent transferences, the link between love and lust, and passive forms of hating are among the topics discussed. Most of all, the author, noted psychoanalyst Glen Gabbard, depicts what it is like to be in the eye of the hurricane when passions are aroused. He provides a practical yet theoretically sophisticated guide to the management of love and hate as they are experienced by both patient and therapist.

This text examines psychiatry and the cinema. It looks at the typology, mythology, and ideology of the psychiatry in movies. It also examines psychoanalytic film criticism and such issues as narcissm in the cinema, and phallic women in contemporary cinema.

Management of Countertransference With Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient. This comprehensive volume • includes an overview of common countertransference feelings that arise in treating borderline patients• describes various aspects of countertransference management• illustrates these aspects with detailed clinical vignettes• covers gender issues in countertransference• presents a detailed examination of countertransference when the therapist is pregnant Management of Countertransference With Borderline Patients serves as a clinical guide for all mental health professionals seeking to avoid boundary violations in their clinical work.

Passionate feelings of love and hate are stirred in psychotherapy. Paradoxically, these passions may either undermine the therapist catastrophically or serve as the crucible in which profound understanding is forged. Transferences and countertransferences of love and hate occur on a spectrum that includes unobjectionable negative and positive feelings, relatively benign forms of love and hate, and more malignant, intractable versions of love and hate that present formidable challenges to the therapist. Each of these variations is explored in different chapters of this book. Gender configurations, gender fluidity, adolescent transferences, the link between love and lust, and passive forms of hating are among the topics discussed. Most of all, the author, noted psychoanalyst Glen Gabbard, depicts what it is like to be in the eye of the hurricane when passions are aroused. He provides a practical yet theoretically sophisticated guide to the management of love and hate as they are experienced by both patient and therapist.