The DSM-IV Personality Disorders

Overview

Reflecting the tremendous progress in the study of personality disorders, this authoritative work examines the background, influences on, and evolution of DSM-IV classification and offers critical analyses of each personality disorder diagnosis. A thorough assessment of both the achievements and limitations of DSM-IV, the book is clearly written and organized for optimal accessibility.

Based in part on reports from the DSM-IV Personality Disorders Work Group previously published...

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Overview

Reflecting the tremendous progress in the study of personality disorders, this authoritative work examines the background, influences on, and evolution of DSM-IV classification and offers critical analyses of each personality disorder diagnosis. A thorough assessment of both the achievements and limitations of DSM-IV, the book is clearly written and organized for optimal accessibility.

Based in part on reports from the DSM-IV Personality Disorders Work Group previously published in the Journal of Personality Disorders, this volume provides a detailed update for psychiatric clinicians, clinical psychologists, researchers, residents, educators, and students, as well as an important account of the current state of the classification of personality disorder. By identifying and exploring key issues it sets the stage for the empirical and conceptual work required to build the foundation for a valid classification of disordered personality.

"...examines the background of, influences on, and the evolution of the DSM-IV classification, and offers critical analyses of each personality disorder diagnosis...assesses achievements, limitations, & future directions for the DSM."

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Editorial Reviews

From the Publisher

"For the clinician or researcher interested in the current state of knowledge about personality disorders and how they should be conceptualized, classified and defined, this book is a gold mine. It not only includes a discussion of each of the DSM-IV personality disorders prepared by members of the DSM-IV Personality Disorders Work Group, but also presents critical commentaries on many of the controversial DSM-IV personality disorders, such as borderline and antisocial personality disorder.

Having been an insider-outsider to the DSM-IV process, I can attest to the accuracy of the accounts of the DSM-IV Personality Work Group controversies and how they were resolved, such as the deletion of the DSM-III-R appendix categories of Sadistic and Self-defeating Personality Disorder. The DSM categorical approach to personality disorder classification is critically examined in several chapters and alternative models are presented.

Dr. Livesley, the editor, and himself an important personality disorder researcher, is to be congratulated for providing the field with such a useful and important book." --Robert L. Spitzer, M.D., Professor of Psychiatry, Columbia University and former Chair, DSM-III and DSM-III-R Work Group

"W. John Livesley, the editor of this volume, has assembled an outstanding group of authors who cover the background and decisions on the diagnostic criteria for all of the personality disorders in DSM-IV. Most importantly, the editor recognizes the limitations of DSM-IV, and has directed the authors to also discuss and consider alternative approaches to the description of personality disorders and problems. Any student or scholar on personality pathology must read this book." --John F. Clarkin, Ph.D., The New York Hospital-Cornell Medical Center, Westchester Division, Dept of Psychology
"This volume is an essential companion to the DSM-IV for clinicians and researchers concerned with personality disorders and personality theory. Reports by members of the DSM-IV Work Group present the background information and reasons for changes made in the personality disorder definitions. Commentaries by other experts provide a lively and thought-provoking counterpoint. But what is most exciting to the scholar is that all of these details are combined with thoughtful and rich discussions of the key conceptual issues and theoretical perspectives that must be considered in the ongoing effort to build a useful and robust taxonomy of personality pathology." --Marjorie H. Klein, Ph.D., University of Wisconsin, Dept. of Psychiatry

Bulletin of the Menninger Clinic

"....Given its thoroughness and comprehensiveness, this is a substantial contribution to the elucidation of a key realm of psychopathology."--Bulletin of the Menninger Clinic
From the Publisher
"For the clinician or researcher interested in the current state of knowledge about personality disorders and how they should be conceptualized, classified and defined, this book is a gold mine. It not only includes a discussion of each of the DSM-IV personality disorders prepared by members of the DSM-IV Personality Disorders Work Group, but also presents critical commentaries on many of the controversial DSM-IV personality disorders, such as borderline and antisocial personality disorder.

Having been an insider-outsider to the DSM-IV process, I can attest to the accuracy of the accounts of the DSM-IV Personality Work Group controversies and how they were resolved, such as the deletion of the DSM-III-R appendix categories of Sadistic and Self-defeating Personality Disorder. The DSM categorical approach to personality disorder classification is critically examined in several chapters and alternative models are presented.

Dr. Livesley, the editor, and himself an important personality disorder researcher, is to be congratulated for providing the field with such a useful and important book." --Robert L. Spitzer, M.D., Professor of Psychiatry, Columbia University and former Chair, DSM-III and DSM-III-R Work Group

"W. John Livesley, the editor of this volume, has assembled an outstanding group of authors who cover the background and decisions on the diagnostic criteria for all of the personality disorders in DSM-IV. Most importantly, the editor recognizes the limitations of DSM-IV, and has directed the authors to also discuss and consider alternative approaches to the description of personality disorders and problems. Any student or scholar on personality pathology must read this book." --John F. Clarkin, Ph.D., The New York Hospital-Cornell Medical Center, Westchester Division, Dept of Psychology
"This volume is an essential companion to the DSM-IV for clinicians and researchers concerned with personality disorders and personality theory. Reports by members of the DSM-IV Work Group present the background information and reasons for changes made in the personality disorder definitions. Commentaries by other experts provide a lively and thought-provoking counterpoint. But what is most exciting to the scholar is that all of these details are combined with thoughtful and rich discussions of the key conceptual issues and theoretical perspectives that must be considered in the ongoing effort to build a useful and robust taxonomy of personality pathology." --Marjorie H. Klein, Ph.D., University of Wisconsin, Dept. of Psychiatry

Bulletin of the Menninger Clinic
"....Given its thoroughness and comprehensiveness, this is a substantial contribution to the elucidation of a key realm of psychopathology."--Bulletin of the Menninger Clinic
Booknews
Examines the background, influences, and evolution of DSM-IV classification of personality disorders. Surveys the history of their classification, and reviews the literature on the ten diagnoses, detailing the various approaches used to define each diagnosis. Also includes critical commentaries on each diagnosis by experts who were not part of the DSM-IV Work Groups, and discusses proposed concepts not yet included in the DSM. For students, professionals, and researchers in psychiatry. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

Meet the Author


Dr. John Livesley, MD, PhD is Professor and Head of the Department of Psychiatry at University of British Columbia, a position he has held since 1992.

Dr. Livesley was born just outside Liverpool, England. He completed an undergraduate degree at University of Liverpool and a Ph.D. in psychology with a thesis on the development of personality. After a brief period on faculty at University of Liverpool and experience in a child guidance clinic, he completed medical training, again at University of Liverpool. Subsequently, he moved to University of Edinburgh for specialist training in psychiatry. He was Lecturer in Psychiatry at University of Edinburgh from 1977 until 1979, when he moved to University of Calgary. In 1987, he became Professor of Psychiatry and National Health Research Scholar in the Department of Psychiatry, University of British Colombia.

Dr. Livesley's academic interests are in the classification, assessment, and etiology of personality disorders. He also has an interest in the general problem of classifying mental disorders. His research on personality disorder has focused on identifying some of the basic components of personality pathology and investigating the environmental and genetic factors that contribute to personalty problems. His clinical interests are in the treatment of personality disorder with particular emphasis on psychological interventions.

Dr. Livesley was recently appointed editor of the Journal of Personality Disorders, and he has served as advisor to the DSM-IIIR and DSM-IV working groups on the classification of personality disorder.
 

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Table of Contents


I. THE DSM-IV CLASSIFICATION OF PERSONALITY DISORDERS

1. Conceptions of Personality Disorders: Historical Perspectives, the DMS's, and Future Directions, Theodore Millon and Roger Davis
2. Are Personality Disorders Well Classified in DSM-IV? Peter Tyrer

II. DSM-IV PERSONALITY DISORDER DIAGNOSES

3. Paranoid Personality Disorder David P. Bernstein, David Useda, and Larry J. Siever
4. Schizoid Personality Disorder Oren Kalus, David P. Bernstein, and Larry J. Siever
5. Schizotypal Personality Disorder, Larry J. Siever, David P. Bernstein, and Jeremy M. Silverman
6. Antisocial Personality Disorder, Thomas A. Widiger and Elizabeth M. Corbitt
Commentary on Antisocial Personality Disorder: The DSM-IV Field Trial, Robert D. Hare and Stephen Hart
Commentary on Antisocial Personality Disorder, Lee Robins
7. Borderline Personality Disorder John G. Gunderson, Mary C. Zanarini and Cassandra L. Kisiel
Commentary on Borderline Personality Disorder, Alva A. Dahl
Commentary on Borderline Personality Disorder, Steven Taylor
8. Histrionic Personality Disorder, Bruce Pfohl
Commentary on Histrionic personality Disorder: Where Should We Go with Hysteria? Harold Merskey
9. Narcissistic Personality Disorder, John G. Gunderson, Elsa Ronningstam, and Lauren E. Smith
Commentary on Narcissistic Personality Disorders, Joel Paris
10. Avoidant Personality Disorder, Theodore Millon
Commentary on Avoidant Personality Disorder: Temperament, Shame, or Both? Paul A. Pilkonis
11. Dependent Personality Disorder, Robert M. A. Hirschfeld, M. Tracie Shea, and Richard Weise
Commentary on Dependent Personality Disorder, W. John Livesley
12. Obsessive-Compulsive Personality Disorder, Bruce Pfohl
Commentary on Obsessive-Compulsive Disorder, Jerrold M. Pollak

III. APPENDED AND DELETED DIAGNOSES

14. Passive-Aggressive (Negativistic) Personality Disorder, Theodore Millon and Jelena Radovanov
15. Sadistic Personality Disorder Susan J. Fiester and Martha Gay
16. Self-Defeating Personality Disorder, Susan J. Fiester
17. Deletion of Self-Defeating and Sadistic Personality Disorders, Thomas W. Widiger
IV. Basic Issues and Alternative Perspectives
18. The Importance of Theory to a Taxonomy of Personality Disorders, Roger Davis and Theodore Millon
19. Interrelationships among Categories of Personality Disorders, Tracie Shea
20. Confusions in the Terminology Used for Classificatory Models, Roger K. Blashfield and Ross A. McElory
21. Prototypes, Ideal Types, and Personality Disorders: The Return to Classical Phenomenology, Michael A. Schwartz, Osborne P. Wiggins, and Michael A. Norko
22. Toward a Dimensional Model of Personality Disorders in DSM-IV and DSM-V, Thomas A. Widiger and Cynthia J. Sanderson
23. Possible Contributions from Personality Assessment to the Classification of Personality Disorders, Douglas N. Jackson and W. John Livesley
24. Alternative Perspectives or Consideration of Fundamental Issues? A Discussion of Classification, Lee-Anna Clark
25. Past Achievements and Future Directions, W. John Livesley

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