The Injured Self
The Psychopathology and Psychotherapy of Developmental Deviations

Contributions by Dasi Ravid
Paper: 978 1 85575 842 1
Price: $38.95
Published: April 2011 

Publisher: Karnac Books
270 pp., 6 1/4" x 9 1/4"
The ideas presented in this book are the outcome of years of conducting psychotherapy and psychoanalysis with adults and children, working with mother–infant groups, and studying infant development. Working with mother–infant pairs as an observer, rather than as a therapist, is for a psychoanalyst what time travel would be for an archeologist, albeit infinitely more accessible. One is privileged to observe the early relationship in statu nascendi, as it unfolds, whereas reconstructing it in psychoanalysis is a slow, complex process, burdened by false starts, doubts and painstaking (sometimes painful) examination of the counter-transference. Observing “normal” infants in their natural environment allows one also to appreciate the rich variety of infant personalities and their impact on the caregivers.

The book examines the clinical implications of innate developmental individuality. The authors present an outline of the interdependence of the developmental sequences: perceptual, motor, cognitive and emotional. The book examines the clinical and theoretical issues, as well as examining some recent advances in neuro-behavioral sciences.



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Reviews & Endorsements:
“Dov and Malca Aleksandrowicz have achieved a major synthesis between effects of inborn deviant or delayed neuropsychological functions, on the one hand, and conflict derived determinants of psychosocial development and psychopathology, on the other. Their volume maps out carefully the manifestations of deviant sensory, motor, perceptive, affective and what might be called ‘effortful control’ functions, their impact on the caregiver–infant and parental–child interactions, and the methods for sorting out, in a careful and painstaking diagnostic process, how conflicts and deficits interact and influence each other. Abundant, sophisticated clinical material illustrates the application of this approach to the psychotherapeutic and psychoanalytic treatment of these combined psychopathologies. The authors’ empathic discussion of the challenging work with both adults and troubled children and their parents should enrich the clinical expertise of all psychodynamic oriented psychotherapists, and expand the realm of contemporary psychoanalytic practice.”
- Otto F. Kernberg, MD, Director , Personality Disorders Institute, The New York Presbyterian Hospital, Payne Whitney Westchester
"The Injured Self is the culmination of thirty-five years of scholarly research and builds upon the work of such well-known authorities in the field of infant development as T. Berry Brazelton, Bertrand G. Cramer, Joy D. Osofsky, Daniel Stern, and the earlier work of the Aleksandrowiczs themselves. With exquisite sensitivity, it reminds us of the vulnerability of the infant and of the intransigence of injuries to the self sustained at this time. While written primarily for practitioners in the mental health field, it will serve as an invaluable reference for all parents, teachers, and practitioners in related fields.”
- Sylvia Levine Ginsparg, PhD, Professor in the Departments of Psychiatry and Pediatrics , St. Louis University Medical School, Missouri