Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook

by Clarkin, John F., Ph.D.

• ISBN13: 9781585623556
• ISBN10: 1585623555
• Edition: 1st
• Format: Paperback
• Copyright: 2010-05-01
• Publisher: AMERICAN PSYCHIATRIC PUBLISHING INC

Summary

This handbook is intended for clinicians with a range of expertise who employ a psychodynamic orientation in the assessment and/or treatment of patients with personality pathology. Well documented and articulate, this manual is appropriate for everyone from students of psychotherapy to experienced clinicians seeking to refine their practice. Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbookgathers in one place the psychodynamic psychotherapy thinking on each of the Axis II personality disorders. This includes the work of 22 contributing writers in addition to the three primary authors, John F. Clarkin, Ph.D., Peter Fonagy, Ph.D., and Glen O. Gabbard, M.D. The material presented here is available elsewhere but, until now, not all in one place.The focus of the book is the psychodynamic conceptualization, assessment, and treatment of the personality disorders as currently described in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Included are 16 chapters in three sections: Defining Personality Pathology, Treatment Approaches, and Research for Future Directions. The background of models of personality and its pathology comprises Section I. Section II contains chapters on the treatment of specific personality disorder constellations. These treatment chapters provide information on the relevant empirical research, patient phenomenology and psychodynamics, treatment strategies, and techniques, woven together with clinical illustrations and vignettes. Section III includes a summary of the existing treatment outcome research and a glimpse of the diagnostic procedures in the near future. Each of the chapter authors has had extensive clinical, and sometimes research, experience with the assessment and treatment of one of the personality disorders described.Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbookis, as titled, a practical handbook and guide to clinicians with real-world applications. • Every patient a clinician treats has personality issues, if not a personality disorder. This book provides strategies and techniques for addressing personality issues.• DSM-IV-TR is proceeding to DSM-V. This collection of papers provides up-to-date information on how the personality disorders will be handled in the upcoming DSM-V.• The authors provide summaries of key concepts and suggested readings of particular value to residents and students in other disciplines.The authors suggest that new research and reviews indicate, to the surprise of many, that psychodynamic treatments are effective for these personality disorders, and its impact is as great as, that of cognitive-behavioral treatments.

Author Biography

John F. Clarkin, Ph.D., is Clinical Professor of Psychology in Psychiatry, Weill Cornell Medical College, New York, New York, and New York Presbyterian Hospital-Cornell Medical Center in White Plains, New York. Peter Fonagy, Ph.D., is Freud Memorial Professor of Psychoanalysis and Director of the Sub-Department of Clinical Health Psychology, University College London, as well as Chief Executive of the Anna Freud Centre in London, England.

Glen O. Gabbard, M.D., is Brown Foundation Chair of Psychoanalysis and Professor of Psychiatry, Baylor College of Medicine in Houston, Texas.

Table of Contents

Contributors	p. ix
Preface	p. xiii
Personality Pathology: Defining the Focus of Intervention
An Object Relations Model of Personality and Personality Pathology	p. 3
Attachment and Personality Pathology	p. 37
Neurobiology of Personality Disorders	p. 89
The Shedler-Westen Assessment Procedure: Making Personality Diagnosis Clinically Meaningful	p. 125
Psychodynamic Treatment Approaches
Psychotherapeutic Treatment of Cluster A Personality Disorders	p. 165
Mentalization-Based Treatment and Borderline Personality Disorder	p. 187
Transference-Focused Psychotherapy and Borderline Personality Disorder	p. 209
Therapeutic Action in the Psychoanalytic Psychotherapy of Borderline Personality Disorder	p. 239
Narcissistic Personality Disorder	p. 257
Treatment of Histrionic Personality Disorder	p. 289
Psychodynamic Treatment of Antisocial Personality Disorder	p. 311
Cluster C Personality Disorders: Prevalence, Phenomenology, Treatment Effects, and Principles of Treatment	p. 337
Psychodynamic Approaches Integrated Into Day Treatment and Inpatient Settings	p. 369
Treatability of Personality Disorders: Possibilities and Limitations	p. 391
Research and Future Directions
Evidence for Psychodynamic Psychotherapy in Personality Disorders: A Review	p. 421
Psychodynamic Treatment Planning and the Official Diagnostic System: Toward DSM-5	p. 439
Index	p. 457
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