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Personality-Disordered Patients

Personality-Disordered Patients
Author: Michael H. Stone
Publisher: American Psychiatric Pub
Total Pages: 286
Release: 2007-05-03
Genre: Medical
ISBN: 1585627054

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Determining the amenability of personality disorders to psychotherapy -- a patient's capacity to benefit from verbal approaches to treatment -- is important in helping clinicians determine the treatability of cases. Michael Stone here shares the factors he has observed over long years of practice that can help practitioners evaluate patients, stressing the amenability of the various disorders to amelioration. By focusing on which patients are likely to respond well to therapeutic intervention and which will prove most resistive, his book will help therapists determine with what kinds of patients they will most likely succeed and with which ones failure is almost a certainty. Stone establishes the attributes that affect this amenability -- such as the capacity for self-reflection, motivation, and life circumstances -- as guidelines for evaluating patients, then describes borderline and other personality-disordered patients with varying levels of amenability, from high to low. This coverage progresses from patients belonging to the DSM "anxious cluster," along with the depressive-masochistic character and the hysteric character, to patients who demonstrate an intermediate level of amenability to psychotherapy. He introduces the interrelationship between borderline personality disorder and dissociative disorders and discusses treatability among certain patients in Clusters "A" and "C," as well as others with narcissistic, histrionic, depressive disorders. Final chapters address the most severe aberrations of personality and the limitations they impose on the efficacy of therapy. Personality-Disordered Patients is filled with practical, clinically focused information. This guideline structured book: Covers all personality disorders-including ones not addressed in the latest DSM such as sadistic, depressive, hypomanic, and irritable-explosive Identifies both attributes necessary for treatability and factors associated with low treatability Pays particular attention to borderline disorders, which represent the most discussed conditions and are among the most challenging to psychotherapists Reviews personality traits whose presence, if intense-even if unaccompanied by a definable personality disorder-creates severe problems for psychotherapy Numerous case studies throughout the book provide examples that will help therapists determine which of their own patients are most likely to benefit from their efforts and thereby establish their own limits of effectiveness. By alerting practitioners to when therapy is likely to fail, these guidelines can help them avoid the professional disappointment of being unable to reach the most intractable patients.


Personality Disorder

Personality Disorder
Author: Caroline Jacob
Publisher: Jessica Kingsley Publishers
Total Pages: 280
Release: 2008-11-15
Genre: Psychology
ISBN: 1846428645

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Personality Disorder offers a comprehensive and accessible collection of papers that will be practically useful to practitioners working in secure and non-secure settings with patients who have personality disorders. This book brings together fourteen classic papers, which address the impact that working with personality disorder patients can have on staff. It also offers theoretical explanations for personality disorder, and explores other issues such as the concept of boundaries in clinical practice, psychiatric staff as attachment figures and the relationship between severity of personality disorder and childhood experiences. Each paper is introduced with contextual material, and is followed by a series of questions that are intended to be used as educational exercises. This book will be essential reading for clinical and forensic psychologists, psychiatrists, community psychiatric nurses, social workers and students.


Handbook of Good Psychiatric Management for Borderline Personality Disorder

Handbook of Good Psychiatric Management for Borderline Personality Disorder
Author: John G. Gunderson, M.D.
Publisher: American Psychiatric Pub
Total Pages: 182
Release: 2014-01-15
Genre: Medical
ISBN: 1585624608

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This book is a complete guide to using the evidence-based Good Psychiatric Management (GPM) approach for the treatment of BPD. The book demystifies the disorder, supplying treatment guidelines, case studies, and online video demonstrations of core techniques needed to deliver effective short-term, intermittent, and non-intensive therapeutic care.


Complex Cases of Personality Disorders

Complex Cases of Personality Disorders
Author: Antonino Carcione
Publisher: Springer Nature
Total Pages: 254
Release: 2021-06-29
Genre: Psychology
ISBN: 3030704556

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This book proposes an integrated model of treatment for Personality Disorders (PDs) that goes beyond outdated categorical diagnoses, aiming to treat the general factors underlying the pathology of personality. The authors emphasize the development of metacognitive functions and the integration of procedures and techniques of different psychotherapies. The book addresses the treatment of complex cases that present with multiform psychopathological features, outlining clinical interventions that focus on structures of personal meaning, metacognition and interpersonal processes. In addition, this book: Provides an overview of pre-treatment phase procedures such as assessment interviews Explains the Metacognitive Interpersonal Therapy (MIT) approach and summarizes MIT clinical guidelines Outlines pharmacological treatment for patients with PDs Includes checklists and other useful resources for therapists evaluating their adherence to the treatment method Complex Cases of Personality Disorders: Metacognitive and Interpersonal Therapy is both an insightful reexamining of the theoretical underpinnings of personality disorder treatment and a practical resource for clinicians.


Severe Personality Disorders

Severe Personality Disorders
Author: Otto F. Kernberg
Publisher: Yale University Press
Total Pages: 402
Release: 1993-01-01
Genre: Psychology
ISBN: 9780300053494

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In this important book, one of the world's foremost psychoanalysts provides the clinician with tools to diagnose and treat severe cases of personality disorder, including borderline and narcissistic structures. Dr. Kernberg not only describes techniques he has found useful in clinical practice but also further develops theories formulated in his previous work and critically reviews other recent contributions. "A splendid book . . . of great value for anyone involved in psychotherapy with patients suffering from one or another variety of personality disorder, as well as for anyone who is teaching or doing research in this field. . . . An outstandingly fine and valuable book.--Harold F. Searles, M.D., Journal of Nervous and Mental Disease "Kernberg is a synthesizing, creative eclectic on the contemporary psychoanalytic and psychodynamic scene, broadly based in theory and in practice, a powerful intelligence, a prolific writer, and a man of ideas....This is a challenging and provocative book."--Alan A. Stone, M.D., American Journal of Psychiatry "A major work that brings together in one volume a host of clinical insights into people with a variety of severe personality disorders.... Anyone who has attempted to work with patients with severe personality disorders will be rewarding by studying this book." --Robert D. Gillman, Psychoanalytic Quarterly


Essentials of Personality Disorders

Essentials of Personality Disorders
Author: John M. Oldham
Publisher: American Psychiatric Pub
Total Pages: 437
Release: 2009-03-26
Genre: Medical
ISBN: 1585628956

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Essentials of Personality Disorders draws on core material from The American Psychiatric Publishing Textbook of Personality Disorders, covering the essentials of the topic in an abridged version and including the recent growth of knowledge in the neurosciences and new technologies being used to tackle the treatment of complex psychiatric disorders. In this volume, 35 international authorities -- all contributors to the parent text -- offer a balance of theory, research, and treatment geared toward ready application to a busy practice. Essentials of Personality Disorders provides half of the chapters found in the larger work, with a focus on material that is both up-to-date and useful to practicing clinicians. It first reviews the evolution of the personality disorders component in successive editions of DSM, along with major theories that have influenced thinking about their nature. A succinct guide to clinical evaluation then presents the defining features of DSM-IV-TR personality disorders, complementary approaches to clinical assessment, patterns of Axis I and Axis II disorder comorbidity, and clinical courses and outcomes. Chapters on etiology reflect the most recent data on epidemiology, progress in understanding underlying neurobiology, a developmental perspective on recognizing early patterns of behavior suggestive of future disorders, and the relevance of childhood experiences -- particularly stress -- to the development of maladaptive personality traits. Eleven chapters on treatment then offer guidelines for determining the appropriate intensity of treatment for patients, followed by a presentation of therapeutic options and considerations ranging from group treatment to boundary issues. Included in this section: A chapter on the application of mentalization-based therapy in treatment of patients with borderline personality disorder that offers an approach to attachment via a model that views this disorder as dysfunction in self-regulation. Core elements of dialectical behavior therapy, including both individual and group interventions to address parasuicidal behaviors. Emphasis on the necessity of explicitly considering alliance building across all treatment modalities. Recommendations for negotiating collaborative treatments, taking into account patients engaged in several modalities at the same time. Evidence of the association of suicidal behavior and personality disorders, examining risk factors and discussing clinical approaches to management. In a concluding chapter, the volume editors and experts in this field summarize current controversies, look ahead to DSM-V, and speculate about future directions. Presenting the essentials of a definitive text, Essentials of Personality Disorders is a practical volume that puts critical information on these vexing conditions at your fingertips.


Treatment of Severe Personality Disorders

Treatment of Severe Personality Disorders
Author: Otto F. Kernberg, M.D.
Publisher: American Psychiatric Pub
Total Pages: 322
Release: 2018-04-05
Genre: Medical
ISBN: 1615371435

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The book explores the concepts of personality in the context of its neurobiological and intrapsychic determinants, proposes a new classification and new methods of psychotherapeutic interventions, expands the analysis of severe narcissistic pathology, and details the many complications in the sexual life of patients with personality disorders.


Cognitive-Behavioral Treatment of Borderline Personality Disorder

Cognitive-Behavioral Treatment of Borderline Personality Disorder
Author: Marsha M. Linehan
Publisher: Guilford Press
Total Pages: 584
Release: 1993-05-14
Genre: Psychology
ISBN: 1606237780

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For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems. Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT Skills Training Manual, Second Edition, and DBT Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.


Gabbard's Treatments of Psychiatric Disorders, Fifth Edition

Gabbard's Treatments of Psychiatric Disorders, Fifth Edition
Author: Glen O. Gabbard, M.D.
Publisher: American Psychiatric Pub
Total Pages: 1250
Release: 2014-05-05
Genre: Medical
ISBN: 158562442X

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The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: *Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician.*Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient.*Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text.*Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.