This work on the development and treatment of borderline and narcissistic disorders reflects the sweeping changes that have taken place in psychoanalytic theory and practice. It integrates classical and object relations concepts with Mahler's developmental phase theory and the contributions of Klein, Kernberg, Kohut and others. The author presents the developmental understanding of the borderline and narcissistic personality disorders. Rinsley argues that these conditions share closely related pathogeneses resulting from very early developmental arrest, that the narcissistic personality represents a higher-level version of the borderline personality, and that each of these arises as a result of significant impairment of the separation-individuation process.
Donald B. Rinsley, M.D., studied at Harvard Medical School and the Washington Universtiy School of Medicine. In addition to holding various teaching positions, Dr. Rinsley has been a Spencer Foundation Fellow in Advanced Studies and a Fellow in Interdisciplinary Studies at the Menninger Foundation. He is a Fellow of the American Board of Medical Psychotherapists, American Psychiatric Association, American College of Psychoanalysis, American Society for Adolescent Psychiatry, and New York Academy of Sciences. In addition to authoring numerous books and journal articles, Dr. Rinsley is a Consulting Editor for the Bulletin of the Menninger Clinic and is a member of the editorial boards of Annals of the American Society for Adolescent Psychiatry and Medical Psychotherapy.