Acknowledgements
Introduction
1. Overview: Personality Disorder and the Developmental Paradigm
2. The Borderline Personality
Case Study: Confrontation of Hysterical [Borderline] Transference
Acting Out
3. The Narcissistic Personality
Case Study: A Patient with Manifest Narcissist Personality Disorder
and Developmental Trauma
4. The Schizoid Personality
Case Study: The Differentiating Schizoid – Clinical
Considerations
Case Study: Schizoid Fantasy: Refuge or Transitional Location?
5. Abandonment Depression, the Triad, and the Developmental Paradigm
6. The Diagrams
7. Masterson and Beyond: Dissociation, Trauma, and
Self-States
Case Study
Part 1: Psychotherapy with a Borderline Adolescent: From Clinical Crisis to Emancipation
Part 2: Integration of Multiple Personality Disorder in the Context of the Masterson Approach
Bibliography
Index
Candace Orcutt, MA, PhD, holds a doctorate in Clinical Social Work, and is a certified psychoanalyst and widely published author. She worked for twenty years as an associate of James F. Masterson.
'In this remarkable blend of academic scholarship and clinical
wisdom, Candance Orcutt compellingly describes the pioneering and
seminal work of James Masterson on a spectrum of personality
disorders. As the highly informative text and rich case material
demonstrate, his writings were clearly ahead of their time, and
thus his psychotherapeutic contributions are perhaps even more
relevant today. On a personal level, having the good fortune of
working closely with Jim and sharing our numerous common
therapeutic and scientifc interests was one of the highlights of my
professional life.'
*Allan Schore, author of Right Brain Psychotherapy and The
Development of the Unconscious Mind*
‘In this remarkable book Dr Orcutt has created a masterful
synthesis of the past fifty years of the clinical field, especially
relevant to the treatment of personality and major dissociative
disorders. The last chapters on dissociated parts and
unacknowledged trauma are brilliant.’
*Daniel P. Brown, PhD, Harvard Medical School and senior author of
Attachment Disturbances in Adults*
‘Dr Orcutt’s brilliant, creative mind is more than evident in her
new book, The Unanswered Self. Her profound level of
understanding of the works of Freud, Masterson, Winnicott and other
psychodynamic and developmental theorists, and her deep knowledge
of the impact of trauma on the developing self, stand at the heart
of this book. A synthesis of these varied approaches culminates in
original answers to some very old, and very deep, clinical and
theoretical questions.’
*Judith Pearson, PhD, Director, The International Masterson
Institute*
'It is an honor and a privilege to write this blog on the book, The
Unanswered Self: The Masterson Approach to the Healing of
Personality Disorders, written by Dr Candace Orcutt, PhD. [...] In
this book, Dr Orcutt does a remarkable job detailing the theory and
clinical practice of the Masterson Approach to the healing of the
troubled self. In the process, she presents in-depth integrative
concepts of “Self” of world renown theorists – Freud, Winnicott,
Mahler, Kohut and Kernberg – showing how these views inform the
structure and foundation of Masterson’s work. [...] From a
historical perspective and a developmental approach to the cause
and treatment of personality disorder, Dr Orcutt guides the
reader’s understanding of why problematic behaviors are displayed,
and explains specific techniques for helping. Currently, there
isn’t a book of this depth or knowledge of the subject.'
*Diane R. Stoler, EdD, Neuropsychologist and author of Coping with
Mild Traumatic Brain Injury*
'The Unanswered Self is an important an much overdue summation of
the theorhetical and clinical achievement of James Masterson. More
than that, the boom is clear and approachable despite the
complexities of the material, which makes it accessible for both
the novice and the well-seasoned clinician. In this era of the
unstructured psyche, of dissolving social norms, of self and
societal division and uncertainty, Dr Orcutt has rendered
Masterson's contribution in an immensely readable, concise, and
illustrative guide to the understanding of the disordered self,
making an invaluable addition to contemporary psychoanalytic
thought and practice.'
*Jack Schwartz, The Psychoanalytic Review, 110:1, March 2023*
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