Personality Disorders Over Time: Precursors, Course, and Outcome

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Treating personality disorders can be extremely frustrating for clinicians. As a result, many doctors get caught in a cycle of diagnosing and rediagnosing in an attempt to find an approach that works. In Personality Disorders Over Time: Precursors, Course, and Outcome, Joel Paris, M.D., proposes a better approach-one based on management rather than cure-that he developed while following a group of patients with borderline personality disorder (BPD) for over 25 years.

Paris believes that the key to effective treatment of personality disorders lies in understanding their progression over a lifetime. In Personality Disorders Over Time, he outlines a sound framework for treatment that features • A realistic long-term treatment approach that strives for gradual recovery with intermittent interventions• An examination of the progression of these disorders over time, including childhood precursors, course and outcome, and treatment• A general theory of personality disorders, including Axis I and Axis II cluster disorders• Suggestions for a broader, more accurate DSM classification reflecting the personality trait dimensions that underlie disorders

Written in the first person, studded with clinical anecdotes, and filled with up-to-date literature references, Personality Disorders Over Time provides fascinating insights into these complicated disorders. It is an excellent resource for any clinician who wants to understand and provide more effective treatment to patients with personality disorders.

American Psychiatric Publishing

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Editorial Reviews

James W. Lomax

As a teacher of personality disorders to medical students, I will incorporate many of the book's carefully considered, collected, and documented information about phenomenology and epidemiology.

Doody's Review Service
Reviewer: Brett C. Plyler, M.D.(Northwestern Memorial Hospital)
Description: This book attempts to look at the development of personality disorders, particularly antisocial and borderline, from childhood through to their eventual outcomes in late adulthood.
Purpose: The purpose is to describe the natural history of personality disorders for clinicians in order for them to understand the expected outcomes and chronicity of these disorders. The author also focuses on childhood behavior problems that could lead to the development of adult personality disorders. Of note, he briefly outlines some management strategies for specific disorders and considers the problem of suicidality in borderline patients.
Audience: The audience is clinicians and therapists who treat patients with personality disorders.
Features: The book includes the results of a 27-year longitudinal study of borderline patients and a discussion of the findings. It has numerous up-to-date references that allow for further reading on any of the topics. It also has some ideas for future research on personality disorders.
Assessment: This is a good book for developing an understanding of the natural history, precursors, and expected outcomes of personality disorders, particularly borderline and antisocial types. The importance of chronicity of traits in each disorder is emphasized, and there is a good discussion of suicidality in borderline patients. There could be more depth of discussion about each topic, but the author does provide good references for further reading. This is a good introduction to personality disorders as a lifelong issue and will enable clinicians to be more understanding and better equipped to treat these particular types of patients.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781585620401
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 5/28/2003
  • Edition description: New Edition
  • Pages: 224
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.50 (d)

Meet the Author

Joel Paris, M.D., is a Professor and Chair of the Department of Psychiatry at McGill University; Psychiatrist-in-Chief of the Health Centre at McGill University; and Research Associate at the SMBD-Jewish General Hospital, in Montreal, Quebec.

American Psychiatric Publishing

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Table of Contents

Introduction. Time and illness. Precursors of personality disorders. Borderline pathology of childhood. Personality disorders in adulthood. Long-term outcome of personality disorders. Patients with borderline personality disorder after 27 years. Mechanisms of recovery. Course, prevention, and management. Suicide and borderline personality disorder. Working with traits. Epilogue: a program for future research. References. Index.

American Psychiatric Publishing

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