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Kernberg s, Kohut s, nor any other psychodynamic theoretical viewpoint prominently influenced diagnostic conceptualizations of narcissistic personality disorder in any of the versions of the DSM since 1980 or in the mental disorders section of the International Classification of Diseases (ICD; World Health Organization, 1992) Therefore, Kohut s and others evolving views about narcissism and the self remained largely within the field of psychoanalysis proper, even as Kohut s thoughts about conditions such as addictions, perversions, and depletion depression or anxiety expanded the range of clinical disturbances associated with self-cohesion and self-esteem deficits The neo-Kraepelinian tradition and psychoanalysis grew farther apart than ever before As greater attention was directed toward understanding personality disorders, particularly as new pharmacologic agents were synthesized and as new instrumentation for defining symptoms and signs increasingly gained psychometric sophistication, the viewpoints and the methods of investigation of American psychiatry and psychoanalysis could not easily be joined.

However, a telephone survey of 6,000 married or cohabiting couples found that as many females as males appeared to be involved in partner violence (Straus & Gelles, 1990) In many cases of extreme violence the superior physical strength of the males was offset by the more frequent use of weapons by females In a similar vein, surveys of lesbian couples have found as much or more violence as in heterosexual couples (Waldner-Haugrud, Gratch, & Magruder, 1997) Regardless of the degree to which violence in perpetrated by males, it seems important to distinguish between different sorts of perpetrators.

Highlight of a Contemporary Clinical Psychologist: Alan E. Kazdin, PhD, ABPD Research Methods and Designs Cross-Sectional and Longitudinal Designs Treatment Outcome Research Questions and Challenges in Conducting Treatment Outcome Research Contemporary Issues in Clinical Psychology Treatment Outcome Research How and Where Is Research Conducted in Clinical Psychology and How Is It Funded

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From a conceptual point of view, there were major divergences about what constituted crucial variables influencing personality development and its disorders Thus, course and outcome characteristics, family history, and pharmacologic response defined the field in American psychiatry, while varying emphases on drives, ego, self, and object were central explanatory foci in psychoanalysis Psychoanalytic theories increasingly favored concepts of self and object, which developed in part out of a need to explain an apparent shift in prevalence in clinical practice from symptom or character neuroses to more disturbed, pre-Oedipal, or primitive conditions resembling personality disorders Kohut s insights about the self were welcomed for their innovations in conceptualizing and treating narcissism in a way that classical psychoanalysis could not His ideas met with interest in many quarters, because Kohut recognized a need to modify standard analytic approaches to treat narcissistic and other severely disturbed but nonpsychotic patients more effectively.

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Holtzworth-Munroe (2000) distinguished between three groups of men involved in marital violence: Those who become violent within the family only as a result of an inability to manage con ict escalation; those who have dif culty with trust issues and become overly dependent on their wives, resorting to violence when their needs are not met; and those who are antisocial and violent in all relationships Clearly, the management of domestic abuse in each of these cases requires quite different strategies In some cases couples therapy seems appropriate, but in others it would simply prolong abuse In some cases separation offers a solution However, Hart (1992) reported that about 75% of emergency room visits and calls to law enforcement, and 50% of the homicides, occur after separation.

of interacting processes occurring during the transport from the emission source to the remote site. It is obvious that long transport distances both horizontally and vertically are a key factor to characterise remote area aerosol composition, as long travel times mean long times for interaction and chemical or physical processing, which is also called ageing (see Section 8.1.3). Remote area aerosol can thus be de ned as mainly natural background aerosol at long distances from anthropogenic sources. This working de nition will be used throughout this chapter. Several types of aerosol background environments can thus be de ned applying the criteria discussed above: polar ice covered, remote marine, tropical and boreal forest, high altitude and free troposphere (FT). These environments are expected to show little anthropogenic in uence on the composition and characteristics of particulate matter, at least at favourable times and weather situations. The distinction of these compartments will serve as a good starting point for a proper description of chemical particle properties. However, under the aspect of global transport distances and observed lifetimes of particles, the different compartments are in continuous exchange among each other, and relevant reactions or structural changes have been observed to occur at the interfaces , making the concept of compartmentalisation to some degree arti cial [8]. Anthropogenic aerosols have been found everywhere in the atmosphere, although in low concentrations under background conditions.

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