Not since Anna Freud's 1937 book, The Ego and the Mechanisms of Defense, has any one volume explored this topic as fully as Ego Mechanisms of Defense by George E. Vaillant. By summarizing the latest empirical studies, proposing a universal language of defense mechanisms, and demonstrating how various assessment methods can be used in diagnosis, case formulation, and treatment, Dr. Vaillant and an interdisciplinary group of contributors provide the groundwork for clinical practice as well as future research in the field.

When The Ego and the Mechanisms of Defense was first published in German in 1936 it was at once recognized as a major contribution to psychoanalytic psychology, and its translation into English quickly followed. More than half a century later it enjoys the status of a classic and a founding text in ego psychology . Written by a pioneer of child analysis, and illustrated by fascinating clinical pictures drawn from childhood and adolescence, it discusses those adaptive measures by which painful and unwanted feeling-states are kept at bay or made more bearable. The author's arguments have a clarity and cogency reminiscent of her father's and the work is remarkable undated. Nothing stands still, but The Ego and the Mechanisms of Defense has unmistakably passed the test of time.

This book distills the essence of child psychoanalysis from the practice and thought of its founder Anna Freud, who for over 50 years has been at the forefront of this controversial field. Children are the most refractory of all subjects to treat analytically. Here, for the first time, is a primer on the difficult technique as practiced at the Hampstead Clinic in London, which was founded by Anna Freud and is today the leading child analytic center in the world. She and her colleagues expose their wealth of experience to systematic review, which yields up rich insights not only into child psychoanalysis and psychotherapy but also into basic child development. In addition, their findings have relevance to the understanding of emotional disturbance at all ages. The book follows the treatment situation through all its stages, from the first session to termination and follow-up. It focuses on the interaction between therapist and child in the treatment room, illustrating the points with copious clinical vignettes. One point examined is the structure of treatment with respect to such matters as scheduling sessions and handling interruptions. Another element that comes under scrutiny is the development of the child's relationship to the therapist, which subsumes such factors as establishing an alliance, transference, and resistance. The child's repertoire of expressions, both verbal and nonverbal, is explored, as is the therapist's armamentarium of interpretations and interventions. Woven throughout the description of these elements is incisive commentary by Anna Freud. Her commonsense approach gives the book unique value, lifting it to a rare level of human wisdom.

What is the scientific status and the "truth value" of the concept of defense mechanisms? Among contemporary psychologists, three types of answers to this question may be expected. Some would wholeheartedly endorse the theoretical, clinical, and research value of this notion; others would reject it outright. Between these two extremes, a large number of observers, perhaps the majority, would suspend their judgment. Their attitude, compounded of hope and doubt, would capitalize on defense as an interesting and promising concept. At the same time, these psy chologists would express skepticism and disappointment over its clinical limitations, theoretical ambiguity, and research failures. The present volume is primarily addressed to the audience of hopeful skeptics-those who have not given up on the notion of defense, yet have been frustrated by the difficulties of incorporating it into the modern, streamlined structure of psychology. To this end, we have brought together theoretical and empirical contributions germane to defense together with reports about their applications to clinical and personality assessment, especially in relation to psychopathology, psychosomatics, and psycho therapeutic intervention.

Integrating theory, research, and applications, this book examines the defense mechanisms and their role in both normal development and psychopathology. It describes how children and adults mobilize specific kinds of defenses to maintain their psychological equilibrium and preserve self-esteem, particularly in situations of trauma or stress.