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This small but information-filled book is a compendium of ten individual papers. It includes a very interesting discussion of diagnostic subtypes by the editor, Michael Stone. Certain chapters will be more likely to engage the interest of the analytic clinician, while other chapters have a very powerful organic flavor. In a paper coauthored by Donald F. Klein, "Hysteroid Dysphoric Borderlines," for example, combined treatment with psychotherapy and monoamine oxidase inhibitors is recommended. According to the results of the study described in this paper, features of chronic emptiness or boredom, discomfort in being alone, and impulsivity seem to respond favorably to such a regimen.
Donald B. Rinsley reports on "Dynamic and Developmental Issues in Borderline and Related Spectrum Disorders." In his review of the literature, Rinsley describes a subspectrum of characterological disorders, in which the common developmental psychodynamics center on incomplete self-object differentiation. These patients remain more or less symbiotic, with the degree of their psychopathology varying according to the degree of self-object differentiation. A section by John Sours on the relationship between depression and anorexia nervosa will be of particular interest to psychoanalysts. The author sees depression as an integral part of the developmental disorder of anorexia nervosa. He finds elements of rage, helplessness, and hopelessness representing a part of the collapse of an idealized