This chapter describes the value of using Contemporary Integrative Interpersonal Theory (CIIT) to understand the self and social impairments that define personality disorders as a group. CIIT’s major tenets are summarized, with a particular emphasis on elaborating how the self and self-functioning are an integral part of interpersonal experience and expression. A generic definition of adaptive interpersonal functioning is provided along with a demonstration of how CIIT can accommodate specific constructs and diagnoses using borderline personality disorder and narcissism as examples.

This chapter will examine how intentionality shapes the intimate life of people affected by narcissistic traits. Focusing on the notion of interaffectivity, the chapter will discuss the affectivity of people suffering from narcissistic traits through the lenses of passive, active and practical intentionality as expounded in Husserl’s work. I believe that the clarification of the narcissistic wound and its impact on the interaffective dynamics of daily life might help rehabilitation to a healthier life. Removing the “intentional blockage” that prevents them from exploring the content of their lived-experience would restore an interaffective space conducive to a more flourishing intimate life with their loved ones.

I scrutinize the common idea that Narcissistic Personality Disorder (NPD) involves empathy deficits. I argue that empathy is foremost an epistemic mechanism, leading to different forms and levels of interpersonal understanding. Interactive difficulties can result in profound interpersonal misunderstanding, which leaves some people in persistent doubt about other people’s perspectives and about their own social standing. Such status blindness, as I will call it, can explain some specific symptoms of NPD. I introduce relevant conceptual distinctions, devise a complex map of empathy that describes four types and four features, and apply the map to NPD. Finally, I specifically discuss empathy deficits in being the target of the empathy of others.

This chapter overviews the characteristics and circumstances predisposing people to lead or join hate movements with a particular focus on the virulent anti-Semitism that united figures such as Father Charles Coughlin, Charles Lindbergh, and Henry Ford. By analyzing these figures and their followers, we extrapolate practices common among hate groups. After identifying character traits and risk factors (e.g., political and economic insecurity), we discuss their more modern manifestations. First we clarify our definition of hate groups as defined by the Department of Justice, Federal Bureau of Investigation, and Southern Poverty Law Center. We then extrapolate from these definitions to show how they align well with our definition of a cult. Following this, we acknowledge the challenges that accompany hate group designation while concluding that it is still vital for tracking modern-day hate groups and discrimination. We conclude by acknowledging the continued threat of hate groups and the presence of risk factors seen throughout history, such as global public health emergencies. We also discuss challenges unique to the technology age, such as epistemic bubbles and echo chambers. In summary, the chapter provides an outline of how hate groups come to be and provides a discussion of their continuing threat in society.

After the biological turn of the Fliess years, the key word in psychoanalysis is no longer “trauma” but “drive.” The ultimate cause of neurotic disorders is no longer to be found in an external accident but in internal, hereditary instincts that repeat, in a compulsive and reflex way, the history of life and the species. As a result, everything that was previously described in terms of neuro-physio-psychological conflicts (desire/defense, will/counter-will, repression/return of the repressed, etc.) is henceforth interpreted as expressing conflicts between biological drives: sexual drive (reproductive instinct)/ego drive (self-preservation instinct); object (erotic) libido/ego (narcissistic) libido; and finally, life drive/death drive, Eros/Thanatos. Freud’s metapsychology is a speculative metabiology.

This chapter provides an overview of current thinking regarding the supporting theory of psychodynamic psychotherapy. Rather than going through theoretical constructs in historical order of when each theory was proposed, they are presented as a composite of past and present thinking that the authors have found to be clinically relevant. It commences by describing theories on the early development of the infant and the creation of the internal world and object relations. The chapter them moves on to the issue of accommodating to the world as it is experienced by the infant, outlining circumstances leading to adaptive and less adaptive development. The chapter then outlines ‘core theory’ which covers more traditional psychodynamic concepts such as conflict, resistance, and defence mechanisms with an emphasis on projective identification. The role of this latter defence mechanism is linked with the theoretical constructs of transference and countertransference. There is a section on the narcissistic constellation in order to help the reader negotiate later sections in the book. Finally the chapter concludes with an introduction to theories as to how change is effected in psychodynamic psychotherapy.

A mentalizing framework for understanding narcissism is outlined, and the resulting modifications of basic mentalization-based treatment (MBT) for narcissistic personality disorder are discussed. Treatment of patients with pathological narcissism requires an emphasis on empathic validation and support of the vulnerable “I-mode.” The dangers of not recognizing low mentalizing in narcissistic functioning are also discussed, as both patient and clinician can fail to recognize pretend mode, which may masquerade as “we-mode.” Together the patient and the therapist may then set up a pretend therapy that can be interminable and that functions only to fuel the mental narcissistic structure. A clinical example of a patient in treatment is used to illustrate the process of treatment.

While scholarship and cultural commentary following Wallace’s death was laudatory, straying at times into the hagiographic, at a distance of over ten years, different currents in his legacy are emerging. As might be expected with the developing field of research into any author of such high profile, a second wave of more critical work followed that first wave of scholarship, grappling with problems and failures in the Wallace oeuvre once the work of establishing the field was complete. This exciting period in the growth of Wallace Studies focused particularly around Wallace’s treatment of gender and positions of racial and gender privilege occupied by his writing. This turn, which has enriched and enlivened the scholarly dialogue, anticipated by some years the resurgence of a conversation regarding Wallace’s personal behavior in relationships with women, but Wallace’s public reputation has also been deeply affected by this conversation. Picking up some of the themes identified in earlier chapters relating specifically to the writing, this chapter traces the development of Wallace’s critical and cultural legacy with reference to this confluence of conversations, discussing the emerging public imagination of Wallace as well as the evolving critical dialogue around the strengths and weaknesses of his work.

The individual of our times is often characterized by a tendency toward narcissism and depression. What is the dynamic underlying these phenomena? How do these aspects correlate to the body image concept? Today we can also note that dynamics of counter-power inhabit the social system and trigger some processes: in the contemporary approach to the body, where frequently there is no “healthy distance,” there are difficulties in harmonizing sexual performance and tenderness, because people are often treated like things, or simply like soulless bodies (which is the point of view associated with pornography). The experience of falling in love also tends to assume the typical connotations of mercantile exchange in respect of particularly desirable personal and social characteristics, reflecting a more or less unconscious drive to obtain the best and most convenient things that concrete reality can offer. Contemporary psychological and anthropological perspectives on these topics are presented.

Chapter 6, ‘Absence of the Other’, points to moments in Schumann where the music is marked by the absence of another’s voice, be it through the Romantic evocation of distant voices in pieces such as the Novelletten’s ‘Stimme aus der Ferne’, or, more troublingly, the loss of voice in songs like ‘Des Sennen Abschied’ and ‘Die Sennin’ – a non-presence often explicitly denoting death, as is the case at the close of Frauenliebe or in the Kerner setting ‘Aus das Trinkglas eines verstorbenen Freundes’. As is found increasingly in Schumann’s later work, the music may pointedly not trace a successful ‘coming to lyricism’: the emergence of an expected lyrical voice is missing. This tendency is epitomised in the genre of melodrama, where music accompanies a declaimed speech that refuses to attain the subjective presence of lyricism, and in pieces such as Manfred.

This chapter examines military attitudes toward “emotional injuries” resulting from the end of romantic relationships. Evaluations of why some men “cracked” evolved substantially from World War I to the present. Often, however, psychiatrists attributed servicemen’s maladies to deficient female love: whether that of mothers or romantic partners. In Vietnam, psychiatrists construed romantic rejection as a “narcissistic injury”: a blow to the ego that led men to decompensate in various ways. Alcoholism, going AWOL, self-harm, and violence directed toward others were all associated with Dear John letters. The chapter considers how the military medical and legal establishments adjudicated unlawful acts perpetrated by servicemen whose intimate relationships had recently been severed by letter. It focuses on two court-martial cases: a Korean War POW who briefly rejected repatriation to the United States in 1953, citing a Dear John as his motive for defection, and a Marine Corps private court-martialled in 1969 for killing four Vietnamese peasants. In the latter case, military lawyers deemed the defendant to have been temporarily insane after his fiancée sent him a Dear John.

In Austen’s Pride and Prejudice and Persuasion, Elizabeth Bennet and Elizabeth Elliot, the preferred daughters of their fathers, are prey to blind spots in their judgments. Austen differentiates Elizabeth Elliot’s static character, certain of her “rights” to preference and pride of place in her father’s life, from Elizabeth Bennet’s character despite her prejudice as the favorite child of her father, in relishing quick judgments of others. Elizabeth realizes in time that she has been misled by her vanity in judging both Darcy and Wickham: “she had been blind, partial, prejudiced, absurd.” Elizabeth Elliot, favorite of her father and his consort, her mother having died when she was 16, suffers a harsher fate, in her oedipal victory. She remains an adolescent with self-centered misperceptions. Trapped in her narcissistic defenses, she misjudges the flattering Mr. Elliot and Mrs. Clay, suffers humiliation at their deceptions, but remains unchanged and alone with her father.