James F. Masterson pioneered an innovative clinical approach to the
dynamic psychotherapy of personality disorder. Masterson held that
borderline, narcissistic, and schizoid conditions begin when growth of
outer relationship and inner object relatedness is inhibited at focal
stages of the development of the self. A therapeutic relationship
addressed to the specific developmental needs of a troubled personality,
he believed, frees the natural progress of the self toward fulfilment.
This review of Masterson's legacy cites his later integration of
neurobiology as well as attachment theory and considers inclusion of
such post-Masterson concepts as self-state theory. Clinical examples are
offered throughout to illustrate this dynamic approach to a therapeutic
challenge now at the forefront of today's caseloads.