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 Handbook gathers 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 Handbook is, 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.
Preface. Part I: Personality Pathology: Defining the Focus of Intervention. An object relations model of personality and personality pathology. Attachment and personality pathology. Neurobiology of personality disorders. The Shedler-Westen assessment procedure: making personality diagnosis clinically meaningful. Part II: Psychodynamic Treatment Approaches. Psychotherapeutic treatment of cluster A personality disorders. Mentalization-based treatment and borderline personality disorder. Transference-focused psychotherapy and borderline personality disorder. Therapeutic action in the psychoanalytic psychotherapy of borderline personality disorder. Narcissistic personality disorder. Treatment of histrionic personality disorder. Psychodynamic treatment of antisocial personality disorder. Cluster C personality disorders: prevalence, phenomenology, treatment effects, and principles of treatment. Psychodynamic approaches integrated into day treatment and inpatient settings. Treatability of personality disorders: possibilities and limitations. Part III: Research and Future Directions. Evidence for psychodynamic psychotherapy in personality disorders: a review. Psychodynamic treatment planning and the official diagnostic system: toward DSM-5. Index.
Personality Disorders are among the most prevalent mental disorders, both in
the community and in clinical practice. Psychodynamic psychotherapy is an essential
element of their treatment, and is frequently the treatment of choice. Clarkin,
Fonagy and Gabbard have assembled the world's leading experts (a group that
includes themselves) in this comprehensive survey of psychodynamic theory, personality
pathology, specific therapies for personality disorders, and evidence concerning
their efficacy. Anyone who works with these patients will want this review of
research, the current state of treatments, and prospects for the future. An
essential reference for any mental health professional who deals with personality
disorders."—Robert Michels, M.D., Walsh McDermott University
Professor of Medicine and Psychiatry, Cornell University, Training and Supervising
Analyst, Columbia University Center for Psychoanalytic Training and Research
About the Author
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., F.B.A., 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.