Experiences of Depression: Theoretical, Clinical, and Research Perspectives
In Experiences of Depression, Sidney J. Blatt masterfully integrates nearly 30 years of clinical insight and research exploring the nature of depression and the life experiences that contribute to its emergence. Beginning with case studies of two depressed patients in long-term treatment, this landmark book paints a compelling picture, demonstrating the value of considering the psychological dimensions of depression.
In a profound contribution to understanding the nature of depression, Dr. Blatt identifies two types of depression that, despite a common set of symptoms, have distinct roots. One, which he terms anaclitic depression, arises from feelings of loneliness and abandonment. The other, which he terms introjective depression, is born of feelings of failure and worthlessness. Recognizing these fundamentally different depressive experiences has spurred a remarkably wide range of research, the development of assessment tools, and impressive strides in understanding the nature, etiology, and treatment of this far-reaching disorder.
With clarity and meticulous care he traces the extensive systematic investigation of these two types of depression and the role of disturbances in mental representations. A closing chapter considers the implications of these theoretical formulations and research findings for understanding the nature of therapeutic process with depressed patients.
I. Theoretical Formulations and Clinical Examples of Anaclitic and Introjective Depression
- Two Types of Depression
- Clinical Expression of Anaclitic and Introjective Depression
II. Assessment of Anaclitic and Introjective Depression and of Mental Representation
- Measurement of Anaclitic and Introjective Depressive Experiences
- Assessment of Object Representation
III. Expressions of Anaclitic and Introjective Depression and Their Distal and Proximal Antecedents
- Anaclitic and Introjective Depression in Clinical and Nonclinical Settings
- Developmental Origins (Distal Antecedents)
- Precipitating Events (Proximal Antecedents)
- Therapeutic Implications
About the Author
Sidney J. Blatt received his PhD in personality development and psychopathology from the University of Chicago in 1957, where he interned with Dr. Carl Rogers. He was a post-doctoral fellow in the joint program at the University of Illinois Medical School and Michael Reese Hospital in Chicago. He joined the faculty of the psychology department at Yale University in 1960, and in 1964 also assumed the post of chief of the psychology section in the Department of Psychiatry.
Dr. Blatt was a fellow of the Foundations Fund for Research in Psychiatry for psychoanalytic training at the Western New England Institute for Psychoanalysis, graduating in 1972. He has also held a Senior Fulbright Research Fellowship.
Dr. Blatt has published extensively (approaching some 200 publications) in a wide range of journals in psychology, psychiatry, and psychoanalysis. He is also coauthor of several books — The Interpretation of Psychological Tests (1968/1988; with J. Allison & C. N. Zimet), Schizophrenia: A Developmental Analysis (1976; with C. M. Wild), Continuity and Change in Art: The Development of Modes of Representation (1984; with E. S. Blatt), and Therapeutic Change: An Object Relations Perspective (1994; with R. Q. Ford) and is coeditor of several volumes — The Self in Emotional Distress: Cognitive and Psychodynamic Perspectives (1993; with Z. V. Segal), three volumes on psychoanalytic theory and attachment research (1999, 1999, 2003; with D. Diamond), and Theory and Treatment of Depression: Toward Integration (in press; with J. Corevelyn & P. Luyten).
He is on the editorial board of a number of journals in psychology, psychiatry, and psychoanalysis and has received citations from professional organizations for distinguished contributions to research, teaching, and clinical practice. He has also been visiting professor at a number of universities, including the Hebrew University of Jerusalem, University College London, Catholic University of Lueven, and Ben Gurion University of the Negev, as well as at the Menninger Foundation.