Severe Personality Disorders

doi:10.1017/CBO9780511544439

This book is about understanding and managing patients with severe personality disorders. It covers biological, psychoanalytic and cognitive behavioral approaches and provides a pragmatic guide to best practice. As well as discussing issues of severity, treatability and the range of appropriate management options, the content explores the common elements of effective interventions and covers early prediction, countertransference, disruptions of the therapeutic alliance, suicidal crises and what to do when dealing with dangerous, refractory and stalking patients. The chapters are authored by an international cast of distinguished investigators and innovators from the field. This is a holistic, practical guide to the treatment of patients with a range of these disorders and it should be read by members of the mental health team dealing with this challenging clinical group.

Review of the hardback:'This book covers important aspects of personality disorders management. It starts with treatability, methods of treatment, issues in children and adolescence, managing suicidal crisis, management of severe and dangerous cases and discussion of common elements of effective treatment. … a detailed, thoughtful and comprehensive survey of the available literature on treatment of personality disorders with meticulous attention to conceptual details. The reader explores the essential ingredients of an effective therapeutic approach for these conditions.'

Source: Saudi Medical Journal

Review of the hardback:'By presenting the opinions of renowned experts on a broad range of issues integral to the understanding and treatment of severe personality disorders, the book is certainly a treasure box that contains an interesting mixture of stimulating ideas and useful practical guidelines. … Severe Personality Disorders can be recommended highly to anyone who want to enhance his or her knowledge of these challenging conditions.'

Source: Journal of Psychosomatic Research

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Contents

Frontmatter
pp i-vi
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Contents
pp vii-viii
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List of contributors
pp ix-x
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Preface
pp xi-xvi
- By Bert van Luyn, Clinical Psychologist and Clinical Head of Transmural Services for Longterm Psychiatric Disorders, Symfora Groep The Netherlands, Salman Akhtar, Professor of Psychiatry Jefferson Medical College and Supervising and Training Analyst, Psychoanalytic Center of Philadelphia, USA, W. John Livesley, Professor Emeritus in the Department of Psychiatry University of British Columbia, Canada
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1 - Treatability in severe personality disorders: how far do the science and art of psychotherapy carry us?
pp 1-29
- By Michael H. Stone, Professor of Clinical Psychiatry Columbia College of Physicians and Surgeons, New York City; Attending in Psychiatry and former Research Director, Mid-Hudson Forensic Psychiatric Center, retired New Hampton, NY, USA
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2 - The treatment of choice: what method fits whom?
pp 30-41
- By John F. Clarkin, Clinical Professor of Clinical Psychology in Psychiatry Co-Director, Personality Disorders Institute, Weill Medical College of Cornell University, New York, NY USA
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3 - Countertransference: recent developments and technical implications for the treatment of patients with severe personality disorders
pp 42-58
- By Otto F. M. D. Kernberg, Professor of Psychiatry Director Personality Disorders Institute, Weill Medical College of Cornell University, New York Presbyterian Hospital, Training and Supervising Analyst, Colombia University Center for Psychoanalytic Training and Research, New York, NY, USA
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4 - Beyond management to cure: enhancing the positive dimensions of personality
pp 59-78
- By C. Robert Cloninger, Wallace Renard Professor of Psychiatry Genetics, and Psychology, Director, Sansone Family Center for Well-Being Washington University School of Medicine, St. Louis, MO, USA
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5 - Personality disorders from the perspective of child and adolescent psychiatry
pp 79-92
- By Arnold Allertz, Managing Director Fornhese Department of Child & Adolescent Psychiatry, and Emerhese, Center for Autistic Disorders, Symfora groep, Centers for Mental Health, Amersfoort, The Netherlands, Guus van Voorst, Clinical Psychologist Clinical Head Emerhese, Center for Autistic Disorders, Symfora groep, Centers for Mental Health, Amersfoort, The Netherlands
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6 - Disruptions in the course of psychotherapy and psychoanalysis
pp 93-108
- By Salman Akhtar, Professor of Psychiatry Jefferson Medical College, Supervising and Training Analyst, Psychoanalytic Center of Philadelphia, Philadelphia, PA, USA
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7 - Managing suicidal crises in patients with severe personality disorders
pp 109-117
- By Joel Paris, Professor of Psychiatry McGill University, Research Associate, SMBD-Jewish General Hospital, Montreal, Québec, Canada
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8 - Borderline personality disorder, day hospitals, and mentalization
pp 118-136
- By Anthony W. Bateman, Consultant Psychiatrist and Psychotherapist Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK; Visiting Professor Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK, Peter Fonagy, Freud Memorial Professor of Psychoanalysis Director Sub-Department of Clinical Health Psychology, Chief Executive Anna Freud Centre, University College London, London, UK
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9 - Pharmacotherapy of severe personality disorders: a critical review
pp 137-163
- By Thomas Rinne, Scientific Director Dutch Institute of Forensic Psychiatry and Psychology, Member of the Board, Medical Director Pieter Baan Centrum, Forensic Psychiatric Observation Clinic, Utrecht, The Netherlands, Theo Ingenhoven, Clinical Head De Zwaluw and De Enk, Centers for Psychotherapy for Personality Disorders Symfora groep, Centers for Mental Health, Amersfoort, The Netherlands
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10 - Severe cases: management of the refractory borderline patient
pp 164-180
- By Bert van Luyn, Clinical Psychologist and Clinical Head of Transmural Services for Longterm Psychiatric Disorders, Symfora Groep The Netherlands
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11 - Dangerous cases: when treatment is not an option
pp 181-195
- By J. Reid Meloy, Associate Clinical Professor of Psychiatry University of California, San Diego, CA, USA; Adjunct Professor University of San Diego School of Law, San Diego, CA, USA; President, Forensis San Diego, CA, USA, James A. Reavis, Director of Forensic Services Relationship Training Institute, San Diego, CA, USA
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12 - Stalking of therapists
pp 196-210
- By Paul E. Mullen, Professor of Forensic Psychiatry Monash University; Clinical Director Victorian Institute of Forensic Mental Health, Melbourne, Australia, Rosemary Purcell, Senior Research Fellow ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Victoria, Australia
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13 - Common elements of effective treatments
pp 211-239
- By W. John Livesley, Professor Emeritus in the Department of Psychiatry University of British Columbia, Canada
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Index
pp 240-245
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Severe Personality Disorders

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Contents

Frontmatter
pp i-vi

Contents
pp vii-viii

List of contributors
pp ix-x

Preface
pp xi-xvi

1 - Treatability in severe personality disorders: how far do the science and art of psychotherapy carry us?
pp 1-29

2 - The treatment of choice: what method fits whom?
pp 30-41

3 - Countertransference: recent developments and technical implications for the treatment of patients with severe personality disorders
pp 42-58

4 - Beyond management to cure: enhancing the positive dimensions of personality
pp 59-78

5 - Personality disorders from the perspective of child and adolescent psychiatry
pp 79-92

6 - Disruptions in the course of psychotherapy and psychoanalysis
pp 93-108

7 - Managing suicidal crises in patients with severe personality disorders
pp 109-117

8 - Borderline personality disorder, day hospitals, and mentalization
pp 118-136

9 - Pharmacotherapy of severe personality disorders: a critical review
pp 137-163

10 - Severe cases: management of the refractory borderline patient
pp 164-180

11 - Dangerous cases: when treatment is not an option
pp 181-195

12 - Stalking of therapists
pp 196-210

13 - Common elements of effective treatments
pp 211-239

Index
pp 240-245

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Severe Personality Disorders

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