This is the second book in the pioneering investigation of adult develop ment by Robert A. Nemiroff and Calvin A. Colarusso. The first, Adult Development: A New Dimension in Psychodynamic Theory and Practice, ar rived to critical acclaim in 1981. It presented a psychodynamic theory of development during the second half of life and a model of normal adult functioning. This book is the logical sequel, expanding and elaborating the original formulations and applying them to the clinical practice of psychotherapy and psychoanalysis. Nemiroff and Colarusso demonstrate that these are appropriate techniques for patients in the second half of life, regardless of age. They lay to rest many stereotypes and myths that have long interfered with the dynamic treatment of older patients, and they propose exciting new conceptualizations such as that of adult develop mental arrests. The genetic approach reaches beyond childhood and adolescence and takes on important new meaning by incorporating an adult developmental past that influences both psychopathology and transference. The relationship between theory and therapy is richly demonstrated in the clinical presentations, including ten detailed case histories of pa tients between the ages of 40 and BO. These and other clinical discussions provide ample evidence that a psychodynamic approach that is based on a sound adult developmental psychology can be extraordinarily effective. They also demonstrate both the similarities and differences in working with older versus younger patients. This work is a major contribution in a long-neglected dimension of clinical psychiatry. SHERWYN M.

This is the second book in the pioneering investigation of adult develop ment by Robert A. Nemiroff and Calvin A. Colarusso. The first, Adult Development: A New Dimension in Psychodynamic Theory and Practice, ar rived to critical acclaim in 1981. It presented a psychodynamic theory of development during the second half of life and a model of normal adult functioning. This book is the logical sequel, expanding and elaborating the original formulations and applying them to the clinical practice of psychotherapy and psychoanalysis. Nemiroff and Colarusso demonstrate that these are appropriate techniques for patients in the second half of life, regardless of age. They lay to rest many stereotypes and myths that have long interfered with the dynamic treatment of older patients, and they propose exciting new conceptualizations such as that of adult develop mental arrests. The genetic approach reaches beyond childhood and adolescence and takes on important new meaning by incorporating an adult developmental past that influences both psychopathology and transference. The relationship between theory and therapy is richly demonstrated in the clinical presentations, including ten detailed case histories of pa tients between the ages of 40 and BO. These and other clinical discussions provide ample evidence that a psychodynamic approach that is based on a sound adult developmental psychology can be extraordinarily effective. They also demonstrate both the similarities and differences in working with older versus younger patients. This work is a major contribution in a long-neglected dimension of clinical psychiatry. SHERWYN M.

Developmental theory is the essence of any psychodynamic psychother apy, and certainly of psychoanalysis. It is through an understanding of progressive life events, and the way these events relate to associated biological and social events, that we come to understand both psycho pathology and psychological strengths. For a long time we have needed a clinically oriented book that surveys normal development in both childhood and adulthood. This book should be particularly helpful to all mental health professionals whose daily work requires a constant awareness and appraisal of devel opmental issues. Dr. Colarusso has integrated and summarized a tremen dous amount of theoretical, empirical, and clinical material in a format that makes it come alive through clinical examples. This book should be of great interest to all students of human behav ior as well as to seasoned clinicians. SHERWYN M. WOODS, M. D. , PH. D. vii Preface Each year as I gave a lecture series on child and adult development to the adult and child psychiatric residents at the University of California at San Diego, someone inevitably would ask, "Is there a book that I could understand that has all of this information in it?" I would reply that I did not know of any single source, but I could refer the person to many articles and books on development.

'Psychoanalysis has, from its inception, been a discipline concerned with overcoming the ill effects of certain social taboos. Given this focus, it might be assumed that psychoanalysis and its practitioners are free of the constraints imposed by restrictive taboos. This book challenges this idea by examining a sampling of the taboos that are rife in the field. It is not intended to offer a complete summary of all of the forbidden ideas, clinical procedures, behaviors and institutional practices in psychoanalysis, but rather to raise consciousness about the fact that even within a field which encourages freedom of expression, many issues remain difficult to fully discuss both in the consulting room and in professional discourse. The book provides a refreshing, thoughtful, honest look at many of the taboos present in psychoanalysis, even at this moment of greatly improved communication between the various theoretical schools in the field. Reading it provides a sense of freedom for the reader, as speaking of forbidden thoughts always does.

Newly revised and updated! In this second edition, Brody and Semel contend that meaningful and successful therapy can be accomplished with an aging population, debunking the belief that the elderly can not pick up or put into practice newly acquired information. Rather, the way in which therapy with aging adults is approached may affect the way in which the therapist initially experiences and reacts to the client because of stereotypes about aging. This book encompasses three major areas of work with elderly clients aged 60 years and older: Living in nursing homes Living in assisted living housing, while participating in community-oriented activities for the aged Living independently and being seen in private practice It comprises a variety of approaches, ranging from eclectic small group formats for nursing home residents, group and individual counseling in assisted living settings, and home care for the elderly, to psychoanalytic therapy techniques in private practice. Illustrative case examples used throughout the book bring to life successful strategies and interventions. New areas of focus include: Treatment of stress and mental disorders Alzheimer's disease Caregiving issues at home Expanded information on Medicare coverage issues

The authors argue that there is little support for assuming that homosexuality has a biological basis. Recognizing the many pathways that lead to same-gender sexual orientation, the authors conclude that the cause is much less important than understanding the meaning of being homosexual.