What kinds of questions do experienced therapists ask themselves when facing a new client? How can clinical expertise be taught? From the author of the landmark Psychoanalytic Diagnosis, this book takes clinicians step-by- step through developing an understanding of each client's unique psychology and using this information to guide and inform treatment decisions. McWilliams shows that while seasoned practitioners rely upon established diagnostic categories for record-keeping and insurance purposes, their actual clinical concepts and practices reflect more inferential, subjective, and intuitive processes. Interweaving illustrative case examples with theoretical insights and clinically significant research, chapters cover assessment of client temperament, developmental issues, defenses, affects, identifications, relational patterns, self-esteem needs, and pathogenic beliefs.

Winner--Gradiva Award, National Association for the Advancement of Psychoanalysis

From the Publisher:

Also From Nancy Mcwilliams- Psychoanalytic Diagnosis Understanding Personality Structure in the Clinical Process, 398 Pages, 1994, Hardcover ISBN 0-89862-199-2, Cat. #2199, $40.00. A successful attempt to bring together the many strands of contemporary psychoanalytic investigation of the nature and psychotherapeutic treatment of character pathology. Readable and informative....[An] excellent primer (Otto F. Kernberg, MD).

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