The Unanswered Self
The Masterson Approach to the Healing of Personality Disorders
Author: Candace Orcutt
James F. Masterson pioneered an innovative clinical approach to the dynamic psychotherapy of personality disorder, based on a steadily evolving synthesis of his own theory and interchange with other leaders in the field. Together with these originating minds, he established greater appreciation of mother-child attachment for shaping the personality — the basis for the effectiveness of a parallel therapeutic relationship in later healing of early relational failure.
Masterson holds that borderline, narcissistic, and schizoid conditions begin when growth of outer relationship and inner object relatedness is inhibited at focal stages of the beginning development of the self. A therapeutic relationship addressed to the specific developmental needs of a troubled personality, he believes, frees the natural progress of the self toward fulfilment.
This review of Masterson’s legacy cites his later integration of neurobiology as well as attachment theory, and considers inclusion of such post-Masterson concepts as self-state theory. Clinical examples are offered throughout to illustrate this dynamic approach to a therapeutic challenge now at the forefront of today’s caseloads.
REVIEWS AND ENDORSEMENTS
“In this unique blend of academic scholarship and clinical wisdom, Candace 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.” – Dr Allan Schore, University of California at Los Angeles and author of Right Brain Psychotherapy.
“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, Ph.D., 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, Ph.D., Director, The International Masterson Institute.
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ABOUT THE AUTHOR
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.
CONTENTS
ACKNOWLEDGEMENTS
INTRODUCTION
Chapter 1. Overview: Personality Disorder and the Developmental Paradigm
Chapter 2. The Borderline Personality
Case Study: Confrontation of Hysterical [Borderline] Transference Acting Out
Chapter 3. The Narcissistic Personality
Case Study: A Patient with Manifest Narcissist Personality Disorder and Developmental Trauma
Chapter 4. The Schizoid Personality
Case Study Part 1: The Differentiating Schizoid – Clinical Considerations
Case Study Part 2: Schizoid Fantasy: Refuge or Transitional Location?
Chapter 5. Abandonment Depression, The Triad, and the Developmental Paradigm
Chapter 6. The Diagrams
Illustrative Diagrams
Chapter 7. Masterson and Beyond: Dissociation, Trauma, and Self-States
Case Study Part 1: Psychotherapy with a Borderline Adolescent: From Clinical Crisis to Emancipation
Case Study Part 2: Integration of Multiple Personality Disorder in the Context of the Masterson Approach
BIBLIOGRAPHY
INDEX
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