| Preface | xi |
| Acknowledgments | xvii |
| Foreword | xix |
| Introduction | xxiii |
| 1 | The Concept of Conflict | 1 |
| The Conflict between Id Impulse and Ego Defense | |
| Tension between Yes and No | |
| An Operational Definition of Resistance | |
| Illusion and Distortion | |
| Mental Health and Illness | |
| The Repetition Compulsion | |
| Anxiety-Provoking Realities and Anxiety-Assuaging Defenses | |
| Convergent and Divergent Conflict | |
| 2 | Clinical Interventions | 17 |
| Situations of Conflict | |
| The Conflict Statement | |
| Working with the Patient's Defenses | |
| Owning of Responsibility and Moving On | |
| The Damaged-for-Life Statement | |
| The Compensation Statement | |
| The Entitlement Statement | |
| Respecting the Patient's Internal Experience | |
| Supporting the Patient's Defense | |
| The Defense-against-Affects Statement | |
| The Structure of the Conflict Statement | |
| The Path-of-Least-Resistance Statement | |
| The Price-Paid Conflict Statement | |
| Confrontation and Paradox | |
| Titration of Anxiety | |
| Reconnecting Conflicting Elements | |
| 3 | Understanding and Being Understood | 51 |
| Moment by Moment | |
| Focusing the Patient's Attention | |
| Clinical Example: A Defense against Painful Affects | |
| 4 | Learning to Contain Internal Conflict | 75 |
| The Capacity to Experience Internal Conflict | |
| The Containing Statement | |
| Clinical Example: Provision of Containment | |
| 5 | Freud on Resistance | 91 |
| The Resistance as a Pathway to the Unconscious | |
| Freud's Five Types of Resistance | |
| Three Types of Guilt | |
| Defending against Helplessness | |
| 6 | Resistance as a Failure to Grieve | 105 |
| Protecting against the Pain of Knowing | |
| Clinical Example: Failure to Grieve | |
| Tolerating the Intolerable | |
| 7 | Grief and Internalization | 127 |
| The Original Trauma | |
| Toxic and Nontoxic Realities | |
| Work to Be Done | |
| Internalization as a Part of Grieving | |
| Optimal Disillusionment and Transmuting Internalization | |
| Kohut and Winnicott on Internalization | |
| Internal Impoverishment | |
| Seduction and Betrayal? | |
| Self Psychology on Structural Growth | |
| Freud on Internalization and Structure Building | |
| 8 | The Development of Pathology | 143 |
| Nontraumatic and Traumatic Frustration | |
| Transformation of Need into Capacity | |
| Two Narcissistic Lines of Development | |
| Structural Growth | |
| Development of Deficit and Conflict | |
| Fairbairn on Internalization and Structuralization | |
| Pathogenic Introjects | |
| The Negative Transference | |
| Negative Identifications and Attachments | |
| Absence of Good and Presence of Bad | |
| Positive and Negative Transference | |
| The Idealizing Transference | |
| New Good Object or Old Bad Object? | |
| 9 | The Defense of Affective Nonrelatedness | 165 |
| Resistance to Developing a Relationship with the Therapist | |
| Clinical Example: A Defense against Being in Relationship | |
| Penetrating the Patient's Defense | |
| The Facilitation Statement | |
| The Work-To-Be-Done Conflict Statement | |
| 10 | The Positive Transference | 201 |
| Transferential Need | |
| Transforming Infantile Need into Mature Capacity | |
| The Emergence of a Selfobject Transference | |
| The Illusion Statement | |
| The Legitimization Statement | |
| Entitlement | |
| The Disruption of a Selfobject Transference | |
| The Disillusionment Statement | |
| The Integration Statement | |
| The Working-Through Process | |
| 11 | The Negative Transference | 225 |
| The Changing of Old Bad | |
| One-Person versus Two-Person | |
| Recognizing a Negative Transference | |
| When the Therapist Becomes the Bad Parent | |
| The Dynamic between Patient and Therapist | |
| The Patient's Distortions | |
| The Distortion Statement and the Legitimization Statement | |
| Directing the Patient's Attention Outward | |
| The Modification Statement | |
| The Inverted Modification Statement | |
| Ego-Dystonicity | |
| The Synthetic Function of the Ego | |
| Dovetailing of Insight and Experience | |
| 12 | The Defense of Relentless Entitlement | 259 |
| Recognizing Relentless Entitlement | |
| Narcissistic Cathexis and Ambivalent Attachment | |
| Protection against Pain | |
| Sadomasochistic Psychopathology | |
| Working through the Defense of Relentless Entitlement | |
| The Masochism Statement | |
| The Sadism (Tit-for-Tat) Statement | |
| Resolution | |
| 13 | The Attainment of Mature Hope | 281 |
| The Work of the Treatment | |
| Empathic Failures Determined by the Patient's History | |
| Unrealistic or Realistic Hope? | |
| References | 289 |
| Index | 293 |
