Cognitive Therapy of Personality Disorders, Second Edition / Edition 2

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This landmark work was the first to present a cognitive framework for understanding and treating personality disorders. Now Aaron T. Beck and his distinguished team of coauthors present an extensively rewritten and updated second edition, integrating over a decade's worth of tremendous advances in theory and practice. Part I lays out the conceptual, empirical, and clinical foundations of effective work with this highly challenging population. Cognitive aspects of Axis II disorders are reviewed and general treatment principles delineated, with new chapters covering assessment procedures and issues in the therapeutic relationship. Part II details the process of cognitive-behavioral therapy for each of the specific disorders. Restructured to follow a consistent format, chapters review the current clinical literature; guide the therapist through diagnosis and case conceptualization; and demonstrate the nuts and bolts of cognitive intervention. Richly illustrated with expanded case material, the second edition also includes a wealth of new information on therapeutic impasses and how to overcome them.
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Editorial Reviews

From the Publisher

"Books from Dr. Beck and his associates have invariably displayed originality, scholarship, and depth, as well as profound sensitivity to the problems of patients with all forms of psychological difficulty. In this singular new edition of a classic treatment guide, the authors once again demonstrate their groundbreaking cognitive model of the personality disorders. Presented is an expanded, even more powerful set of extraordinary conceptual and clinical tools. This volume can be recommended enthusiastically to all who work with this difficult patient population, including experienced clinicians as well as novice practitioners and graduate students. Clinically rich, insightful, and humane."--Theodore Millon, PhD, DSc, Institute for Advanced Studies in Personology and Psychopathology

"Personality disorders cause untold suffering in millions of people, and empirically supported therapies are almost nonexistent. What is the scientist-practitioner to do? Application of cognitive-behavioral conceptualizations and interventions makes obvious sense. This volume, a revised and updated edition of a classic, is essential reading for students, teachers, clinicians, and researchers who seek to understand and treat these debilitating disorders."--Jacqueline B. Persons, PhD, San Francisco Bay Area Center for Cognitive Therapy and University of California, Berkeley

"Remarkably clear and well-articulated, this volume makes substantial new contributions by further elaborating and specifying the cognitive theory of personality disorders, reviewing new research on both the theory and therapy, and providing detailed discussions (with new clinical case illustrations) of assessment and treatment of ten different personality disorders. It also provides recommendations on how to manage the therapeutic relationship and create individualized approaches for particular patients. Informed by the work of thirteen expert practitioners, the volume combines state-of-the art theoretical and technical knowledge with critical clinical experience, judgment, and wisdom. All practitioners of cognitive or behavioral psychotherapy, as well as more psychodynamically oriented clinicians, will benefit immensely from this work, as will clinical psychology students, psychiatric residents, and students in related fields. The clear conceptualization of the personality disorders and practical illustrations of how to apply these concepts in practice will undoubtedly improve the reader's treatment skills, therapeutic results, and day-to-day professional satisfaction."--A. John Rush, MD, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas

Cognitive Behavioral Therapy Book Reviews

"An integrative, pragmatic book, which draws upon cognitive-behavioral, humanistic, and even psychodynamic traditions. It is bold and ambitious, and it is necessary reading for those interested in the development of personality disorders, and in the development of personality itself."--Cognitive Behavioral Therapy Book Reviews
Doody's Review Service
Reviewer: Gary B Kaniuk, Psy.D.(Cermak Health Services)
Description: This book describes a cognitive therapy approach to conceptualizing and treating DSM-IV personality disorders. This second edition updates the original publication of 1990.
Purpose: According to the authors, "As we considered the reasons to pursue a revised edition of this volume, a number of issues influenced our decision. First, cognitive therapy of the personality disorders has continued to expand in the 14 years since the first edition. Our experience as cognitive therapists has grown, as we see even more clearly both the value and the challenge of this potentially powerful therapeutic approach. Much has been gained in the way of new empirical evidence. Several of the authors who contributed to the first edition were ready to add the richness and depth of an additional decade of experience to their original clinical applications. We were also able to enlist the help of several new authors who have made major contributions in their areas of expertise in recent years, adding a fresh and up-to-date perspective to enhance the core of our original work. Finally, we wanted to expand the original offering in the areas of clinical assessment, and through more discussion of the role of emotions and the therapy relationship in cognitive therapy with personality disorders." These are very important objectives, which the book meets.
Audience: According to the authors, the book is targeted for "clinical psychologists, psychiatrists, clinical social workers, counselors, and other mental health practitioners, as well as students and residents in these fields. It will serve as a core text in advanced undergraduate- and graduate-level courses and in psychiatric residency programs." The authors and contributors are very credible authorities in the subject matter of the book, including Drs. Aaron Beck and Arthur Freeman, who are prolific writers and researchers in the field.
Features: The first part of the book covers history, theory, and research and the second, clinical applications. In part two, each personality disorder includes an introduction, historical and empirical data, differential diagnosis, and conceptualization. The treatment approach is clearly stated. Case examples are included so the reader can see how the cognitive strategy is applied. The book also covers passive-aggressive personality disorder (negativistic personality disorder), a DSM-IV-TR proposed diagnosis for further study. The book is written by prominent people in the field, is easy to read, and the approach is clearly delineated. If you want to know about cognitive therapy as applied to personality disorders, this is the book to read.
Assessment: I really enjoyed this book because it contains the ABC's of cognitive therapy. The case examples are poignant and you can see how cognitive therapy principles are applied with each patient. Many of the authors are household names in the field, prominent experts who know what they are talking about. This second edition is worth having, given the tremendous research base developed in the last decade and the ongoing clinical experience of the authors, some of whom contributed to the first edition.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781593854768
  • Publisher: Guilford Publications, Inc.
  • Publication date: 1/5/2007
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 412
  • Product dimensions: 6.00 (w) x 8.90 (h) x 1.10 (d)

Meet the Author

Aaron T. Beck, MD, is University Professor Emeritus of Psychiatry, School of Medicine, University of Pennsylvania, and the founder of cognitive therapy. He has published more than 20 books and over 540 articles in professional and scientific journals. Dr. Beck is the recipient of numerous awards, including the Albert Lasker Clinical Medical Research Award, the American Psychological Association Lifetime Achievement Award, the American Psychiatric Association Distinguished Service Award, the Robert J. and Claire Pasarow Foundation Award for Research in Neuropsychiatry, and the Institute of Medicine's Sarnat International Prize in Mental Health and Gustav O. Lienhard Award. He is President of the Beck Institute for Cognitive Behavior Therapy and Honorary President of the Academy of Cognitive Therapy.

Arthur Freeman, EdD, ABPP, ACT, is Visiting Professor at Governors State University, University Park, Illinois, and Clinical Professor at the Philadelphia College of Osteopathic Medicine. He has been the president of the Association for Advancement of Behavior Therapy and of the International Association for Cognitive Psychotherapy. He is a Distinguished Founding Fellow of the Academy of Cognitive Therapy and has earned diplomates in Clinical Psychology, Behavioral Psychology, and Family Psychology from the American Board of Professional Psychology. Dr. Freeman’s research and clinical interests include marital and family therapy, and cognitive-behavioral treatment of depression, anxiety, and personality disorders.
Denise D. Davis, PhD, is a Founding Fellow of the Academy of Cognitive Therapy and has collaborated with Drs. Beck and Freeman and other associates of the Beck Center since completing an extramural postdoctoral fellowship there in 1984. A contributor to the first edition of this volume as well as to numerous other chapters, articles, and workshops on cognitive therapy, Dr. Davis was a founding editor of the journal Cognitive and Behavioral Practice. She currently serves as Assistant Director of Clinical Training in Psychology at Vanderbilt University and has also maintained an independent practice of cognitive therapy for 20 years.

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Table of Contents

I. History, Theory, and Research
1. Overview of Cognitive Therapy of Personality Disorders
2. Theory of Personality Disorders
3. Assessment of Personality Disorders
4. General Principles and Specialized Techniques
5. The Cognitive Therapy Relationship With Personality-Disordered Patients
II. Clinical Applications
6. Paranoid Personality Disorder
7. Schizoid and Schizotypal Personality Disorders
8. Antisocial Personality Disorder
9. Borderline Personality Disorder
10. Histrionic Personality Disorder
11. Narcissistic Personality Disorder
12. Dependent Personality Disorder
13. Avoidant Personality Disorder
14. Obsessive-Compulsive Personality Disorder
15. Passive-Aggressive Personality Disorder
16. Synthesis and Prospects for the Future

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