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Inside Out and Outside In: Psychodynamic Clinical Theory and Psychopathology in Contemporary Multicultural Contexts, Fifth Edition
Joan Berzoff, Laura Melano Flanagan, and Patricia Hertz
Rowman & Littlefield Publishers / Softcover / Apr 2021
9781538125465 (ISBN-10: 1538125463)
Psychodynamic Psychotherapy / CICAPP Texts
reg price: $111.00 our price: $ 99.90
576 pages
In Stock (Ships within one business day)

Inside Out and Outside In has established itself as a foundational book for mental health practitioners in a variety of disciplines who work with clients in complex social environments. It is unique in its focus on the forces that shape people from within and also from their social worlds, with sensitivity to race, gender, sexuality, and class.

The fifth edition features new material and revisions throughout while maintaining the respectful and accessible style for which the book is known. It has been fully updated to reflect the changing political and social landscape, regarding women's issues, immigration issues, and racism, to name just a few. Two new chapters have been added on Biopsychosocial Assessment and Neurobiology. In addition, the authors reinforce intersectionality and diversity through case studies in every chapter.

The fifth edition of Inside Out and Outside In is an up-to-date and essential resource for mental health professionals and students practicing in today’s increasingly complex environment.


This book does a remarkable job of elucidating complex psychodynamic theory, making it powerfully relevant to clinical practice in a wide variety of settings. Numerous clinical vignettes offer a thoughtful integration of traditional psychodynamic concepts with a more contemporary understanding of ways in which social dynamics around race, gender and class help shape individual experience. I can think of no other book that offers an introduction to clinical practice as clear, comprehensive and culturally sensitive as that brought to us by the authors of Inside Out and Outside In.

— Marina Kovarsky, part-time faculty, Boston College School for Social Work

This new edition fills a critical void as schools of psychology, counseling and social work turn away from the importance of understanding how unconscious processes motivate behavior as well as how psychosocial/spiritual/structural influences shape our client's internal world. It is an accessible read that elaborates the evolution of complex contemporary psychodynamic theories with rich clinical examples. The updated edition adds timely and vital knowledge in the chapters on Neurobiology, Attachment and Trauma and Psychodynamic Contributions to Understanding Racism. This is a classic textbook that should be required reading for all mental health students and early career clinicians regardless of their settings and focus of treatment.

— Ida Roldán, former academic dean, The Institute for Clinical Social Work

Table of Contents:


1 Why a Biopsychosocial Context?

Joan Berzoff, Laura Melano Flanagan, and Patricia Hertz

2 Drive and Beyond: Freud’s Psychoanalytic Concepts

Joan Berzoff and Gerald Schamess

3 Ego Psychology

Gerald Schamess and Robert Shilkret

4 Psychosocial Ego Development: The Theory of Erik Erikson

Joan Berzoff

5 Object Relations Theory

Laura Melano Flanagan

6 The Theory of Self Psychology

Laura Melano Flanagan

7 Relational and Intersubjective Theories

Joan Berzoff

8 Attachment Theory

Cynthia J. Shilkret and Robert Shilkret

9 Neurobiology, Attachment, and Trauma

Janet Shapiro

10 Psychodynamic Theories and Gender

Joan Berzoff

11 Psychodynamic Contributions to Understanding Racism: Implications for Clinical Practice

Brian Rasmussen and Ann Marie Garran

12 The Bridge: From Theory to Practice

Patricia Hertz, Laura Flanagan, David S. Byers, and Joan Berzoff

13 The Psychoses, with a Special Emphasis on Schizophrenia Spectrum Disorders

Patricia Hertz

14 Personality Disorders, with a Special Emphasis on Borderline and Narcissistic Syndromes

Patricia Hertz and Meg Hertz

15 Mood Disorders, with a Special Emphasis on Depression and Bipolar Disorder

Joan Berzoff, Teresa Méndez, and Daniel Buccino

16 Anxiety and Its Manifestations

Joan Berzoff and Susan Pasco

17 Trauma Theories and Disorders

Kathryn Basham

18 Some Final Thoughts

Joan Berzoff, Laura Melano Flanagan, and Patricia Hertz



About the Contributors

About the Editors:

Joan Berzoff, MSW, EdD, is Professor Emerita of the Smith College School for Social Work, where she co-directed the doctoral program, directed the End of Life Program, and chaired the Human Behavior in the Social Environment Sequence. Currently on the faculty of the Institute for Clinical Social Work, she has co-authored five textbooks and over thirty-five articles, and she lectures widely in the United States and internationally. She supervises, consults, and maintains a private practice in Northampton, Massachusetts.

Laura Melano Flanagan, LCSW, taught for decades at the Smith College School for Social Work and is currently a Field Faculty Advisor. She has also taught at the Hunter College and New York University Schools of Social Work Post Masters Programs. She maintains a private practice of psychotherapy and supervision in New York City and is a psychological consultant to various programs for young opera singers.

Patricia Hertz, LICSW, maintains a private practice in the Boston area, where she works with individuals, couples, and families. Pat is a clinical consultant for staff at Beth Israel Deaconess Medical Center and Dana Farber Cancer Institute, as well as for the Laughter League Clown Care Unit at Boston Children’s Hospital. She taught for many years at the Smith College School for Social Work and Simmons College School of Social Work, and provides consultation to practicing clinicians and agencies in the area.

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