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From The CriticsReviewer: Corey Goldstein, MD (Rush University Medical Center)
Description: This book offers a relatively complete summary of borderline personality disorder including disease definition, natural history, treatment options, evidence underlying treatment options, and special features influencing treatment.
Purpose: The purpose is to set up practice guidelines or a set of patient care strategies to assist physicians in clinical decision-making regarding borderline personality disorder. This is an extremely worthy objective given the difficulty in treating patients diagnosed with this disorder. In addition, a comprehensive guide to treatment with an evidence-based approach is a welcome addition to the current body of literature. The authors meet their objectives without difficulty and are quick to point out that the book is not intended to serve as a standard of medical care.
Audience: According to the author, this book is written to assist physicians in clinical decision-making. The target audience seems to be general psychiatrists, although it would be helpful to a much wider audience including the extended field of mental health practitioners as well as primary care physicians. There is no question that the authors are credible.
Features: The book summarizes data regarding the care of patients with borderline personality disorder, including definitions, clinical features, natural history, evidence for treatments, and future research needs. Particularly well covered in thorough reviews are the areas of psychotherapy and medications, which are presented in concise, easy to read formats. The evidence-based approach is well organized and much appreciated. The algorithms for pharmacological treatments in the appendixes are a unique way of presenting the information.
Assessment: This book contains useful guidelines for the treatment of a disorder that is often misunderstood and poorly treated. It provides an evidence-based summary of the current body of literature to a wide audience of clinicians. It is a high quality resource for mental health practitioners in addition to any physician treating patients with borderline personality disorder.