Psychotherapy for Personality Disorders / Edition 1

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Overview

Defined by stable, long-term, subjective distress and/or social impairment, personality disorders affect up to 18% of the population. Social impairment and health care usage are far more prevalent among people with personality disorders than among people with major depressive disorders. Personality disorders are highly prevalent, variable, and notoriously difficult to treat, and they continue to challenge the therapeutic community and represent a formidable public health concern.

This volume ably addresses personality disorders as one of the top priorities of psychiatry for the new millennium, offering a thorough and updated review and analysis of empirical work to point up the issues central to developing a therapeutic model for treatment as well as current research challenges. A review of extant research yields the heartening conclusion that psychotherapy remains an effective treatment for people with personality disorders. An examination of psychodynamic treatment for borderline personality disorder speaks to its efficacy. An analysis of the rationale for combining psychotherapy and psychopharmacology emphasizes the importance of identifying temperament and target conditions. A well-documented and reasoned treatise on antisocial personality disorder makes the crucial point that clinicians must acquire a depth of understanding and skill sufficient to determine what the cut-off point is for treatable versus nontreatable gradations. With the caveat that evidence supporting the efficacy of cognitive treatments for personality disorders is slight and that such approaches require tailoring, a strong case is made for their validity.

This timely volume both answers and reframes many stubborn questions about the efficacy of psychotherapy for treating personality disorders.

American Psychiatric Publishing

The book contains no figures.

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Editorial Reviews

Contemporary Psychology: APA Review of Books Lynn E. Alden

All in all, this is a highly readable volume that elucidates a number of important topics related to psychotherapy with personality disordered patients.

Lynn E. Alden
All in all, this is a highly readable volume that elucidates a number of important topics related to psychotherapy with personality disordered patients.

(Contemporary Psychology: APA Review of Books)

Blackwell Science Asia

This book successfully provides a solid, coherent update and selective review of priority topics. It is excellent reading for general psychiatrists, pre-exam psychiatric trainees, case managers and other mental health clinicians...In an area of controversy and limited research, the editors and authors have been remarkably successful in producing a clinically relevant and helpful book that is both authoritative and easy to read.

Doody's Review Service
Reviewer: Cindy L. Gilbert, MSW, LSW (Rush University Medical Center)
Description: The editors offer this insightful, brief volume on the treatment of personality disorders, which is part of the American Psychiatric Association's Review of Psychiatry series. This subject matter has been visited most recently in 1992. This new volume includes recent empirical information on personality disorders as well as suggestions for treatment options, among other things.
Purpose: The editors offer an examination of psychotherapy for personality disorders addressing three main approaches: psychodynamic, cognitive-behavioral, and psychodynamic with medications. Also included is empirical information regarding efficacy rates of these various treatment approaches. In light of the fact that personality disorders are so difficult to treat, the editors of this volume offer useful insights.
Audience: The editors do not overtly address any particular audience, however the difficulty of the subject matter would suggest the intended audience is clinicians working with personality disordered clients or, at the very least, advanced students. Both editors have significant clinical experience and credentials that testify to their expertise.
Features: A wide range of topics are covered in five chapters, including a review of empirical information, psychodynamic therapy with the borderline personality disordered client, gradations of antisocial personality disorder, use of medications in conjunction with psychotherapy for personality disorders, and cognitive therapy for personality disorders. Each topic is thoroughly explored. Many tables are included to illustrate various points; some of these are more useful than others. One limitation of this volume is that only a small number of topics is addressed. The editors acknowledge this in the foreword. They suggest places where further information can be found and encourage readers to conduct further research on this fascinating group of disorders.
Assessment: This is a succinct, focused volume in which only a few topics are covered, but which are covered quite well. Given the continuous advances in our understanding of the human mind as well as the myriad ways in which it can become disordered, this volume is not merely justified, but overdue.
Cindy L. Gilbert
The editors offer this insightful, brief volume on the treatment of personality disorders, which is part of the American Psychiatric Association's Review of Psychiatry series. This subject matter has been visited most recently in 1992. This new volume includes recent empirical information on personality disorders as well as suggestions for treatment options, among other things. The editors offer an examination of psychotherapy for personality disorders addressing three main approaches: psychodynamic, cognitive-behavioral, and psychodynamic with medications. Also included is empirical information regarding efficacy rates of these various treatment approaches. In light of the fact that personality disorders are so difficult to treat, the editors of this volume offer useful insights. The editors do not overtly address any particular audience, however the difficulty of the subject matter would suggest the intended audience is clinicians working with personality disordered clients or, at the very least, advanced students. Both editors have significant clinical experience and credentials that testify to their expertise. A wide range of topics are covered in five chapters, including a review of empirical information, psychodynamic therapy with the borderline personality disordered client, gradations of antisocial personality disorder, use of medications in conjunction with psychotherapy for personality disorders, and cognitive therapy for personality disorders. Each topic is thoroughly explored. Many tables are included to illustrate various points; some of these are more useful than others. One limitation of this volume is that only a small number of topics is addressed. The editorsacknowledge this in the foreword. They suggest places where further information can be found and encourage readers to conduct further research on this fascinating group of disorders. This is a succinct, focused volume in which only a few topics are covered, but which are covered quite well. Given the continuous advances in our understanding of the human mind as well as the myriad ways in which it can become disordered, this volume is not merely justified, but overdue.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780880482738
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 6/28/2000
  • Series: Review of Psychiatry
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 192
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.50 (d)

Meet the Author

John G. Gunderson, M.D., is Director of Psychotherapy and Psychosocial Research and Chief of Ambulatory Personality Disorder Services at McLean Hospital in Belmont, Massachusetts. He is also Professor of Psychiatry at Harvard Medical School in Boston.

Glen O. Gabbard, M.D., is Professor and Director of the Baylor Psychiatry Clinic at the Baylor College of Medicine and Training and Supervising Analyst at the Houston-Galveston Psychoanalytic Institute in Houston, Texas. He was previously Director of the Menninger Hospital in Topeka, Kansas. Dr. Gabbard is the author or editor of sixteen books and currently is joint Editor-in-Chief and Editor for North America of the International Journal of Psychoanalysis. His numerous awards include the 2000 Mary Sigourney Award for outstanding contributions to psychoanalysis.

American Psychiatric Publishing

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Table of Contents

Foreword. Empirical studies of psychotherapy for personality disorders. Psychodynamic psychotherapy for borderline personality disorder. Combining medication with psychotherapy in treatment of personality disorders. Gradations of antisociality and responsivity to psychosocial therapies. Cognitive therapy of personality disorders. Afterword. Index.

American Psychiatric Publishing

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