James F. Masterson, M.D., is Director of the Masterson Institute in New York City. He is also Adjunct Clinical Professor of Psychiatry at Cornell University Medical College. The author of several widely acclaimed books on personality disorders that span decades of innovative research and clinical work, he conducts workshops nationally and abroad and also maintains a private practice.

Ralph Klein, M.D., is Clinical Director of the Masterson Institute and also Assistant Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons in New York City. He also maintains a private practice.

Part 1 The Self-in-Exile: A Developmental, Self, and Object Relations Approach to the Schizoid Disorder of the Self; Chapter 1 Evolution, Ralph Klein; Chapter 2 Description, Ralph Klein; Chapter 3 Developmental Theory, Ralph Klein; Chapter 4 Intrapsychic Structures, Ralph Klein; Chapter 5 Establishing a Therapeutic Alliance, Ralph Klein; Chapter 6 Shorter-Term Treatment, Ralph Klein; Chapter 7 Intensive, Long-Term Psychotherapy, Ralph Klein; Chapter 8 Safety First: Approaching Treatment of the Schizoid Disorder of the Self, Stephen Silberstein; Chapter 9 Narcissistic Defenses against a Schizoid Disorder, Barbara L. Short; Part 2 Early Trauma and the Developing Self; Chapter 10 The Influence of Early Trauma on the Developing Self, Candace Orcutt; Chapter 11 Uncovering "Forgotten" Child Abuse in the Psychotherapy of a Borderline Disorder of the Self, Candace Orcutt; Chapter 12 Integration of Multiple Personality Disorder in the Context of the Masterson Approach, Candace Orcutt; Chapter 13. It was subsequently published in the Clinical Social Work Journal, vol. 21, no. 1, Spring, 1993, ana is reprinted, with some revisions, with the permission of that publication. The author would like to thank Jean Sanville, editor of the Clinical Social Work Journal, as well as the members of the program committee of the Committee on Psychoanalysis for their invitation to present the address and for their encouragement and support.The author would also like to thank many friends and colleagues for their help in preparing this work, in particular, Dr. James Masterson, Dr. Eleanor Grayer, Andrea Stone, Dr. Shelly Nagel, Dr. Stephen Reed, and Stewart Clark. All of them took the time and trouble to make many helpful comments. In addition, I would like, in particular, to thank Dr. Candace Orcutt, whose thinking about trauma and dissociative states has had a profound influence upon my work., Karla R. Clark; Part 3 Perspectives on Treating the Narcissistic Disorder of the Self; Chapter 14 Disavowed Narcissism: Fusion and Externalizing Defenses in the Closet Narcissistic Disorder of the Self, Shirley Zuckerman Issel; Chapter 15 Mirrors of Rage: The Devaluing Narcissistic Patient, Judith Pearson; Chapter 16 Neutrality Under Attack: Devaluation in the Therapeutic Relationship, Bill Robbins; Chapter 17 Therapeutic Management of Disappointment Reactions with the Closet Narcissistic Disorder of the Self, Bill Robbins; Part 4 Other Treatment Strategies; Chapter 18 Group Psychotherapy and Disorders of the Self, Richard E. Fischer; Chapter 19 Couples Therapy of Patients with Disorders of the Self, Ken Seider; Chapter 20 Working with the Collective Marital Self, Candace Orcutt; Chapter 21 Antidepressants in Psychotherapy: Use and Abuse, David Grubb; Chapter 22 Three Bipolar Women: The Boundary between Bipolar Disorders and Disorders of the Self, David Grubb;