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"This volume presents the latest theory and research on the diagnosis and treatment of personality disorders"--
Personality pathology is rooted in early development and affects a wide range of affects, behaviours and cognitive processes. Every year thousands of articles about the etiology pf personality pathology are published in various professional or scientific reviews. There is a growing distance between the generalist's practice and our increasingly precise scientific knowledge. However, no one can read everything and therefore, it behoves us to ask ourselves the following questions: is the most recent better than what came before? Is the measurable and demonstrable necessarily clinically interesting? Must what interests the clinician be measured and proved? Whilst theory and clinical research are becoming increasingly precise, innumerable socio-economic forces are pressing for a simplification in clinical practice. "Shrinks" are fashionable! They are everywhere: in the workplace, on television, on the radio.
Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy -- Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders -- and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: A coherent model of personality functioning and disorders based in psychodynamic object relations theory A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.
Offering a sophisticated introduction to a contemporary psychodynamic model of the mind and treatment, this book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called "dynamic psychotherapy for higher level personality pathology" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Based on psychodynamic object relations theory, DPHP is an outgrowth of transference-focused psychotherapy (TFP) and is part of an integrated approach to psychodynamic treatment of personality pathology across the spectrum of severity -- from higher level personality pathology, described in this volume, to severe personality pathology, described in a companion volume, Psychotherapy for Borderline Personality: Focusing on Object Relations. Together, they provide a comprehensive description of an object relations theory-based approach to treatment of personality disorders, embedded in an integrated model of personality. As a guide to treatment, Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. The authors offer a comprehensive description of psychodynamic consultation that includes sharing the diagnostic impression, establishing treatment goals, discussing treatment options, obtaining informed consent, and establishing treatment frame. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of the treatment. Among the book's benefits: Takes a diagnosis-driven approach, presenting a clear model of both the psychopathology and its treatment; Explains underlying theory and basic elements of DPHP for those first learning dynamic therapy; Offers an integrated, innovative synthesis of contemporary psychodynamic approaches to personality pathology and psychodynamic psychotherapy; Describes goals, strategies, tactics, and techniques of the treatment to demonstrate its flexibility over a relatively long course of treatment; Provides sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment. DPHP offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides experienced clinicians with a hands-on approach to that method, and is also useful as a primary textbook in courses focusing on the technique of dynamic psychotherapy or in courses on psychodynamics.
Personality pathology, which is characterized by a pervasive, maladaptive, and inflexible pattern of thoughts, emotions, and behaviors, has long been considered a set of categories that are distinct from each other and from "normal" personality. Research over the past three decades, however, has challenged that assumed separation, and instead suggests that abnormal personality is merely a maladaptive extension of the same features that describe the personalities of all humans. Using Basic Personality Research to Inform the Personality Disorders will present the work of prominent thinkers at the intersections of social, personality, developmental, and clinical psychology to consider theoretical and empirical issues relevant to how basic personality research can inform the scientific understanding of personality pathology. Surveying cutting-edge research on the science of basic personality and demonstrating how these ideas and methods can be applied to the conceptualization of pathology, the book first provides a historical overview, followed by an account of the current state of the personality disorder literature. Ensuing chapters highlight critical issues in the assessment and conceptualization of personality, its development across the life course, and biological underpinnings. These chapters are valuable primers on the basic science of personality, from specific genes to complex social interactions. Furthermore, each chapter aims not only to elucidate current understandings of personality, but to demonstrate its direct application to clinical diagnosis and conceptualization. Using Basic Personality Research to Inform the Personality Disorders is the first edited volume to present such diverse perspectives across biological, developmental, clinical, and social psychology from leading researchers in basic and disordered personality, and will be of interest to a broad range of students, scientists, and practitioners.
This book includes the work of 22 contributing writers in addition to the three primary authors, John F. Clarkin, Ph.D., Peter Fonagy, Ph.D., and Glen O. Gabbard, M.D. Each contributor has extensive clinical experience, and some also have research experience, with the assessment and treatment of specific personality disorders.
This text provides a summary of what is currently known about the diagnosis, assessment, construct validity, etiology, pathology, and treatment of personality disorders. It also provides extensive coverage of the many controversial changes for the DSM-5, including chapters by proponents and opponents to these changes.
For decades, The Rorschach Inkblot Method (RIM)--the most popular of the projective tests--has been routinely employed for personality assessment and treatment planning. But in recent years, it has not been free from controversy. Criticisms of its validity and empirical support are catalyzing new efforts to strengthen its foundations and document its broad utility. Among the most common--yet also most confusing and challenging--categories of clinical disorders is the personality disorders. However, minimal data have been available on the RIM evaluation of most of those found in DSM-IV. This welcomed book constitutes the first research-grounded, comprehensive guide to the use of the RIM in assessing personality disorders. The first section offers a theoretical overview of personality disorders and constructs a framework and compelling rationale for the legitimate role of the RIM in their assessment. The second, third, and fourth sections present Cluster A disorders--paranoid, schizoid, and schizotypal; Cluster B disorders--antisocial and psychopathic, borderline, histrionic, and narcissistic; and Cluster C disorders--avoidant, dependent, and obsessive-compulsive. The fifth section presents passive aggressive and depressive personality disorders, currently being proposed for DSM inclusion. Each chapter in these four sections includes an extensive description of the disorder, a review of empirical studies of the use of the RIM to assess it, an analysis of the Rorschach variables that may characterize patients diagnosed with it, and a depiction of a real case and discussion of the ways in which the RIM contributed to its formulation. The sixth and final section explores the relationship between psychoanalytic theory and the RIM. Rorschach Assessment of the Personality Disorders brings practical help for clinicians and clinicians-in-training, and suggests new paths for researchers seeking to advance our understanding of the complexities of these disorders.
This Handbook provides both breadth and depth regarding current approaches to the understanding, assessment, and treatment of personality disorders. The five parts of the book address etiology; models; individual disorders and clusters; assessment; and treatment. A comprehensive picture of personality pathology is supplied that acknowledges the contributions and missteps of the past, identifies the crucial questions of the present, and sets a course for the future. It also follows the changes the Diagnostic and Statistical Manual of Mental Disorders (DSM–5) has triggered in the field of personality disorders. The editors take a unique approach where all chapters include two commentaries by experts in the field, as well as an author rejoinder. This approach engages multiple perspectives and an exchange of ideas. It is the ideal resource for researchers and treatment providers at all career stages.
Traditionally, personality and psychopathology have been distinct areas of inquiry. This important volume reviews influential research programs that increasingly bridge the gap between the two areas. Presented are compelling perspectives on whether certain personality traits or structures confer risks for mental illness, how temperament interacts with other influences on psychological adaptation, links between personality disorders and mood and anxiety disorders, implications for effective intervention, and more.