Hatred, Emptiness, and Hope offers an updated vision of psychoanalytic object relations theory, revealing its application to transference-focused psychotherapy (TFP), a treatment approach derived from, and related to, psychoanalysis. Collecting previously published articles and new material based on empirical studies carried out by the Personality Disorders Institute at Weill Cornell, this volume expands the applications of TFP, illustrating its use in severe personality disorders, disturbances in sexuality and love relations of narcissistic personalities, inpatient hospital treatment, and group settings. The book also looks at the implications of new developments in neurobiology for psychoanalytic object relations theory. Readers will benefit from a discussion of the practice of TFP itself, with chapters that tackle the supervision of psychoanalysis, challenges for the future of psychoanalysis, and innovations that can serve to strengthen its role as a profession, a treatment approach, and a social organization within mental health sciences.