Examine personality psychopathology from diverse perspectives and explore multiple research and treatment approaches with The American Psychiatric Publishing Textbook of Personality Disorders. Capture the multifaceted range of nonpathological human behavior and develop a judicious understanding of the extremes of behavior that are called personality disorders. No other textbook today matches the clinically useful scope and relevance of Textbook of Personality Disorders. Its comprehensive coverage of theory, research, and treatment of personality disorders, incorporating illustrative case examples to enhance understanding, reflects the work of more than 70 expert contributors who review the latest theories, research findings, and clinical expertise in the increasingly complex field of personality disorders. The deeply informative Textbook of Personality Disordersis organized into six main sections: Basic concepts-Summarizes definitions and classifications of personality disorders, building on broader international concepts and theories of psychopathology and including categorical and dimensional models of personality disorders Clinical evaluation-Discusses manifestations, problems in differential diagnosis, and patterns of comorbidity; the most widely used interviews and self-administered questionnaires; and the course and outcome of personality disorders. Etiology-Includes an integrative perspective (personality disorders, personality traits, and temperament); epidemiology (one in ten people has a personality disorder) and genetics; neurobiology; antecedents of personality disorders in children and adolescents; attachment theory and mentalization therapy in borderline personality disorder; and the complex and variable interface between personality disorders and sociocultural factors Treatment-Covers levels of care and the full range of therapies, from psychoanalysis to pharmacotherapy; includes detailed information on schema therapy, dialectical behavior therapy (specifically developed for self-injuring/suicidal patients with borderline personality disorder), interpersonal therapy, dynamically-informed supportive psychotherapy, group treatment, family therapy, psychoeducation, the therapeutic alliance, boundary issues, and collaborative treatment Special problems and populations-Addresses suicide, substance abuse, violence, dissociative states, defensive functioning, gender and cross-cultural issues, and patients in correctional and medical settings New developments and future directions-Offers perspectives on brain imaging and translational research and asserts that the closer working relationship between clinical psychiatrists and behavioral neuroscientists-with neuroimaging techniques as the common ground-will result in more promising models to enhance our understanding of the neuroscience and molecular biology of personality disorders Offering both a wealth of practical information that clinicians can use right away in their daily practice and an up-to-date review of empirical research, The American Psychiatric Publishing Textbook of Personality Disordersis the definitive reference and clinical guide not only for seasoned clinicians but also for psychiatry residents, psychology interns and graduate students, and social work, medical, and nursing students.

John M. Oldham, M.D., M.S., is Professor and Chairman of the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina in Charleston, South Carolina.

Andrew E. Skodol, M.D., is Professor of Clinical Psychiatry at the Columbia University College of Physicians and Surgeons and Director of the Department of Personality Studies at New York State Psychiatric Institute in New York, New York.

Donna S. Bender, Ph.D., is Assistant Clinical Professor of Medical Psychology in Psychiatry at Columbia University College of Physicians and Surgeons and Research Scientist in the Department of Personality Studies at the New York State Psychiatric Institute in New York, New York.

Contributors

xiii

Introduction

xvii

Part I Basic Concepts

Personality Disorders: Recent History and Future Directions

3

(14)

John M. Oldham

Theories of Personality and Personality Disorders

17

(18)

Amy Heim

Drew Westen

Categorical and Dimensional Models of Personality Disorders

35

(22)

Thomas A. Widiger

Stephanie N. Mullins-Sweatt

Part II Clinical Evaluation

Manifestations, Clinical Diagnosis, and Comorbidity

57

(32)

Andrew E. Skodol

Assessment Instruments and Standardized Evaluation

89

(14)

Wilson McDermut

Mark Zimmerman

Course and Outcome of Personality Disorders

103

(16)

Carlos M. Grilo

Thomas H. McGlashan

Part III Etiology

A Current Integrative Perspective on Personality Disorders

119

(10)

Joel Paris

Epidemiology

129

(14)

Svenn Torgersen

Genetics

143

(12)

C. Robert Cloninger

Neurobiology

155

(16)

Emil F. Coccaro

Larry J. Siever

Developmental Issues

171

(16)

Patricia Cohen

Thomas Crawford

Attachment Theory and Mentalization-Oriented Model of Borderline Personality Disorder

187

(22)

Peter Fonagy

Anthony W. Bateman

Role of Childhood Experiences in the Development of Maladaptive and Adaptive Personality Traits

209

(14)

Jeffrey G. Johnson

Elizabeth Bromley

Pamela G. McGeoch

Sociocultural Factors

223

(16)

Theodore Millon

Seth D. Grossman

Part IV Treatment

Levels of Care in Treatment

239

(18)

John G. Gunderson

Kim L. Gratz

Edmund C. Neuhaus

George W. Smith

Psychoanalysis

257

(18)

Glen O. Gabbard

Psychodynamic Psychotherapies

275

(14)

Frank E. Yeomans

John F. Clarkin

Kenneth N. Levy

Schema Therapy

289

(18)

Jeffrey Young

Janet Klosko

Dialectical Behavior Therapy

307

(14)

Barbara Stanley

Beth S. Brodsky

Interpersonal Therapy

321

(14)

John C. Markowitz

Supportive Psychotherapy

335

(12)

Ann H. Appelbaum

Group Treatment

347

(12)

William E. Piper

John S. Ogrodniczuk

Family Therapy

359

(16)

G. Pirooz Sholevar

Psychoeducation

375

(12)

Perry D. Hoffman

Alan E. Fruzzetti

Somatic Treatments

387

(18)

Paul H. Soloff

Therapeutic Alliance

405

(16)

Donna S. Bender

Boundary Issues

421

(10)

Thomas G. Gutheil

Collaborative Treatment

431

(18)

Abigail Schlesinger

Kenneth R. Silk

Part V Special Problems and Populations

Assessing and Managing Suicide Risk

449

(14)

Paul S. Links

Nathan Kolla

Substance Abuse

463

(14)

Roel Verheul

Louisa M.C. van den Bosch

Samuel A. Ball

Violence

477

(16)

Michael H. Stone

Dissociative States

493

(30)

Jose R. Maldonado

David Spiegel

Defensive Functioning

523

(18)

J. Christopher Perry

Michael Bond

Gender

541

(20)

Leslie C. Morey

Gerianne M. Alexander

Christina Boggs

Cross-Cultural Issues

561

(18)

Renato D. Alarcon

Correctional Populations: Criminal Careers and Recidivism

579

(28)

Jeremy Coid

Medical Settings

607

(16)

Peter Tyrer

Part VI New Developments and Future Directions

Brain Imaging

623

(18)

Ziad Nahas

Chris Molnar

Mark S. George

Translational Research

641

(12)

Martin Bohus

Christian Schmahl

Development of Animal Models in Neuroscience and Molecular Biology

653

(16)

Michael J. Meaney

Biology in the Service of Psychotherapy

669

(14)

Amit Etkin

Christopher J. Pittenger

Eric R. Kandel

Appendix: DSM-IV-TR Diagnostic Criteria for Personality Disorders

683

(8)

Index

691

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