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This volume, expansive in size and outlook, might be passed over in our present psychoanalytic climate of broad theoretical issues related to narrow and particular clinical syndromes, such as borderline and narcisstic conditions. The prevailing concern here, however, is with pragmatism and modification
of technique, along with significant nods to theoretical considerations. In , Jacob Arlow directed our attention to a necessary shift of focus in psychoanalysis, analogous to the shift of focus in biology made possible through the electron microscope. In its articulation of particulars of technique within syndromes, this collection of articles moves in the direction called for by Dr. Arlow.
This collection is organized by an attempt to schematize particular syndromes and and the appropriate clinical techniques. Generally the articles are psychoanalytically oriented. There are some incursions of behavior theory and attempts to integrate various systems. By and large the articles are clear in portraying syndromes, specific in stating theoretical understanding, realistic in assessment of clinical difficulties within syndromes, and straightforward in outlining treatment parameters.
Dr. Karasu introduces the collection this way: “… the stated task for the future is to achieve greater specificity concerning the effects of particular kinds of interventions. Thus the tantalizing need for increased examination and clarification of the therapeutic process” (p. 4). This sets the program for the chapters that follow, including Karasu's excellent overview of the psychotherapeutic process.
In a collection of 25 articles, one is hard put to select within a brief review. Topics range from treatment of ambulatory schizophrenics and borderline patients to treatment of pathological mourning, depression, and anorexia nervosa. The articles also deal with combinations of hypnotherapy, group, family, behavioral techniques, and pharmacotherapy with individual psychotherapy. One value of the v