Development in Psychopathology. Studies in Psychoanalytic Psychiatry: By Clifford Yorke, Stanley Wiseberg, and Thomas Freeman. New York/London: Yale University Press, 1989. 243 pp.

This book, by members of the Anna Freud Center whose workers have contributed so much to the psychoanalytic literature, is presented as an expository book on psychoanalytic psychiatry. It attempts to expand the developmental concepts of Anna Freud's Profile schema, developed as an aid in assessment for child analysis, through a wide range of adult psychopathologies from neurosis to psychosis. The authors state that one of the purposes of the book is to help general psychiatrists appreciate the contribution of psychoanalytic thinking to their work and to bridge some of what they view as the unnecessary and unfortunate isolation of psychoanalysis. They further express the hope that it will help those unfamiliar with the developmental point of view to appreciate its potential contributions.

Anna Freud's contributions to the book are indicated both in terms of her active participation during its writing and in terms of her overall orientation. To quote from the book: "Seeking to go beyond phenomenology, Anna Freud was aware of the need to consider the complexities of the whole personality—the interactions of competing mental agencies both with each other, within each agency and with the outside world. Her approach to nosology insisted that due weight be given to possible genetic, constitutional and physical factors as well as psychological ones. Environmental influences both past and present played a role, as did beneficial and injurious events, successes and failures, the development of defensive organization, symptoms and all those manifold elements that together make up the personality as seen at a particular time" (p.