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date: 07 March 2021

Abstract and Keywords

This chapter explores common forms of mental illness, conceptualizing hyper-egoicism as a transdiagnostic factor that has primary relevance to multiple disorders in the Diagnostic and Statistical Manual of Mental Disorders. It discusses the degree to which major approaches to psychotherapy (psychodynamic, behavioral, cognitive-behavioral, and mindfulness-based therapies) appear to be hyper- or hypo-egoic in focus and outcome, concluding with a discussion of common characteristics of effective clinicians, arguing that they bring to the therapy hour a foundational hypo-egoic mindset but must be able to skillfully and selectively engage in hyper-egoic processes that can inform treatment. The premise of this chapter is that the clinical psychologist’s waiting room is the land of the hyper-egoic—a room rife with people painfully mired in hyper-egoic mindsets.

Keywords: acceptance and commitment therapy, anxiety disorder, behavior therapy, borderline personality disorder, cognitive-behavioral therapy, depression, dialectical behavior therapy, mindfulness-based cognitive therapy, narcissistic personality disorder, therapi

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