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Aggression in Personality Disorders and Perversions Paperback – September 27, 1995

5 out of 5 stars 1 customer review

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  • Aggression in Personality Disorders and Perversions
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Product Details

  • Paperback: 326 pages
  • Publisher: Yale University Press; New edition edition (September 27, 1995)
  • Language: English
  • ISBN-10: 0300065086
  • ISBN-13: 978-0300065084
  • Product Dimensions: 6 x 0.7 x 9 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (1 customer review)
  • Amazon Best Sellers Rank: #700,592 in Books (See Top 100 in Books)

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Kernberg brings his clinical acumen and unique blend of ego psychology and object relations to bear upon the problem of aggression, particularly rage and its cognitively higher-level manifestation as hatred, in severe personality disorders.
He begins by offering a sensible formulation of affect theory, a developmental model which the clinician can use as a checklist: when the patient approaches an area of emotional sensitivity, is his affect primitive and disorganized or evolved enough to appear as an emotion? Is the somatic component there? The cognitive? And, since affect involves an object, is the object relation there too? If not, how far from consciousness? What defenses protect it?
The book is organized into sections on the role of affects, developmental aspects of broad-spectrum personality disorders (not necessarily (thank God) in the DSM sense), clinical applications of object relations theory (discusses the transference, structural change, and other such considerations), technical approaches to severe regression, and the dynamics of sexual perversion.
In this last section, Kernberg mentions that per classic analytic thought, homosexuality = unresolved Oedipal conflict. The man who loves a man is actually submitting to dad and thereby failing to identify with him and grow up. Explaining that the biological and clinical evidence is not yet in, Kernberg states, honestly enough, that in his clinical experience few homosexual men fail to present significant character pathology. But would a psychologically mature homosexual want to do therapy to begin with, especially within a tradition known to see homosexuality as infantile?
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