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D B Rinsley

Publications and source records attributed to D B Rinsley.

16 recordsLinked to original sources

The severely disturbed adolescent: indications for hospital and residential treatment.

Certain groups of preadolescent and adolescent children suffer from developmental and adaptive problems serious enough that they become candidates for full-time hospital or residential treatment. The author reviews the diagnostic criteria that justify such placement and describes these groups of children and adolescents, with particular attention to borderline and narcissistic personality disorders. He concludes by emphasizing the need for a psychodynamic, rather than merely symptom-focused, approach to milieu treatment.

Adolescent

Notes on the developmental pathogenesis of narcissistic personality disorder.

Narcissistic personality disorder is considered here as a higher-order borderline personality disorder: Both share related pathogeneses in terms of impaired parent-child relationships. The author develops his view of these disorders as arising from impaired separation-individuation, drawing on both "classic" and object-relations concepts as expressed in the contributions of Mahler, Kernberg, Kohut, Gerald Adler, Masterson, and himself. Emphasis is placed on pre-Oedipal developmental arrest as fundamental to the separation-individuation failure that characterizes these cases.

Borderline Personality Disorder

Fairbairn's 'basic endopsychic situation' considered in terms of 'classical' and 'deficit' metapsychological models.

W. R. D. Fairbairn's singularly original contributions to an understanding of psychoanalytic object-relations theory are grounded upon what he termed the "basic endopsychic situation." Fundamental to that formulation are: (1) there exist from the beginning an "original object" and an "original ego" which form the matrix of later-developed mental structure, (2) the process of splitting is responsible for that development, (3) splitting and repression are essentially equivalent, (4) the dynamic of repression is aggression, and (5) schizoid and hysterical phenomena are dynamically similar. It is the author's conclusion that these and other related formulations lead ineluctably to a concept of mental structure that necessarily incorporates elements of both "deficit" and "drive-defense" models and the paper that follows attempts to develop and explicate that conclusion by means of a detailed examination of relevant parts of Fairbairn's writings.

Aggression

Habitual use?

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Alcoholism