Psychopathology and Psychotherapy: DSM-5 Diagnosis, Case Conceptualization, and Treatment

383 Pages·2014·3.87 MB·English

by  Len Sperry

“This book provides mental health professionals with a comprehensive, theory-based method for
understanding the disorders in DSM-5. The utility of the Adlerian model is clear as each chapter
incorporates theoretical concepts and techniques into a concise discussion of the disorder, case
conceptualization, treatment considerations, and case studies. This updated edition should be
required reading for professionals working with clients in a variety of settings.”
Susan E. Belangee, Ph.D., LPC, private practice, Canton, Georgia
“In the third edition of their fine book Psychopathology and Psychotherapy, the editors Drs. Len
Sperry, Jon Carlson, Jill Duba Sauerheber, and Jon Sperry do what they have done frequently in
the past—they continue to fill a vacuum and shed light on areas of great interest and benefit. With
clarity and precision these acclaimed authors, editors and academics, along with additional
respected authors who contributed chapters, enlighten readers and provide solid and substantial
information about treatment for various DSM-5 diagnoses from an Adlerian perspective. Those
of us who work in the field can find our work enhanced greatly by reading and applying the
knowledge presented in this book. I most highly recommend.”
Debbie Joffe Ellis, private practice, New York City
“The editors of Psychopathology and Psychotherapy: DSM-5 Diagnosis, Case Conceptualization,
and Treatment (3rd Edition)—Drs. Len Sperry, Jon Carlson, Jill Duba Sauerheber, and Jon
Sperry—are to be congratulated for the development and timely release of a new resource for the
conceptualization and treatment of a range of mental health disorders. Their book has captured
the most recent evidence and thinking about mental health from an Adlerian perspective, and
then deftly weaved in case examples, to highlight the value of this approach. This work will be of
interest and value to psychotherapy trainees and practiced clinicians alike.”
Keith S. Dobson, Ph.D., R. Psych., Professor of Clinical Psychology, University of Calgary,
Canada; Past-President, International Association of Cognitive Psychotherapy
“Psychopathology and Psychotherapy begins each chapter with a captivating story, which moves to
examine changes from DSM-IV-TR to DSM-5. This skillful examination of contrast evolves into
conceptualization of dysfunction through an Adlerian perspective, giving clarity to how one
might use current systems to inform practice, and embrace mental health. A must have reference
for students and practicing clinicians.”
J. Steve Hamm, Ed.D., LCPC, Indian Oaks Academy, Manteno, Illinois
“Psychopathology and Psychotherapy is a critical tool in assisting practitioners and practitioners-
in-training to combine theory, practice, and diagnosis while incorporating a culturally sensitive
framework. Rarely do we find books that allow us to directly apply a specific theoretical framework
to our diagnostic work. This book will allow practitioners to broaden Adler’s work to incorporate
DSM-5 and make specific suggestions on how diagnostic considerations can be linked to tailored
treatment interventions for individual clients. A must read for current and developing Adlerians!”
Katherine Helm, Ph.D., Professor and Director of Graduate Programs in Psychology, Lewis
University
“Psychopathology and Psychotherapy provides readers with a comprehensive and effective
framework, compatible with most major psychotherapy approaches, that will help clinicians
better help their patients. Strongly recommended!”
Michael F. Hoyt, Ph.D., author of Brief Psychotherapies and Some Stories Are Better than Others
“Psychopathology and Psychotherapy is a descriptive encyclopedia of the DSM-5 categories put
into words by experienced clinicians and academicians. The book is a contribution to the clinical
field in Individual Psychology as well as an excellent resource for those who wish to present DSM-
5 in understandable terms to students and other clinicians. An outstanding contribution to the
field of counseling and psychology.”
Roy Kern, Ed.D., Scientific Professor, Department of Theoretical Psychology, Vytautas Magnus
University, Lithuania; co-editor of the Journal of Individual Psychology
“The third edition of Psychopathology and Psychotherapy is a necessity for every seasoned therapist
and anyone utilizing formal diagnosis in therapeutic practice or training. The authors have created
an extraordinary bridge between diagnosis and treatment, which elegantly synthesizes case
conceptualizations for the most commonly encountered disorders in outpatient practice.
Psychopathology and Psychotherapy is complete with organized treatment implications and
explicit case examples synchronized with the DSM-5 clinical classifications. This revision is
punctilious in its organization and in its contemporary congruence with Adlerian therapy and
holistic approaches to change; it is a must have treatment and training tool for anyone utilizing
DSM-5.”
Frank Main, Ed.D., Professor Emeritus, University of South Dakota
“Two people go into a bar. One is a psychiatrist and the other is an Adlerian. They have a long and
deep discussion. When they leave they understand themselves better and seek to be more like the
other. They go back to their respective practices. And in the end their patients benefit from this
fascinating integration. From personality disorders to the neurocognitive disorders, this book
integrates Adlerian theory and contemporary psychopathology. The merging of these two diverse
perspectives make for a profound and illuminating read. When you finish, you’ll have a
substantially deeper understanding of how Alfred Adler, in his ubiquitous inclusiveness, would
embrace DSM-5.”
John Sommers-Flanagan, Ph.D., Professor, University of Montana and author of Clinical
Interviewing and Counseling and Psychotherapy Theories in Context and Practice
Psychopathology and Psychotherapy
Psychopathology and Psychotherapy: DSM-5 Diagnosis, Case Conceptualization, and Treatment,
Third Edition differs from other psychopathology and abnormal psychology books. While other
books focus on describing diagnostic conditions, this book focuses on the critical link between
psychopathology and psychotherapy. More specifically, it links diagnostic evaluation, case
conceptualization, and treatment selection to psychotherapy practice. Research affirms that
knowledge and awareness of these links is essential in planning and providing highly effective
psychotherapy.
This third edition incorporates detailed case conceptualizations and treatment considerations
for the DSM-5 diagnoses most commonly seen in everyday clinical practice. Extensive case studies
illustrate the diagnostic, case conceptualization, and treatment process in a way that makes it
come alive. Written by practicing clinicians with expertise in specific disorders, this book will be
an invaluable resource to both novice and experienced clinicians.
Len Sperry, M.D., Ph.D. is Professor, Mental Health Counseling, Florida Atlantic University and
Clinical Professor of Psychiatry and Behavioral Medicine at the Medical College of Wisconsin. He
holds the post-doctoral Certificate in Psychotherapy from the Adler Institute—Chicago, and is a
Life Fellow of the American Psychological Association and a Distinguished Life Fellow of the
American Psychiatric Association. Of his 750 publications, 70 are books, of which nine are on
psychopathology and its treatment.
Jon Carlson, Psy.D., Ed.D. is Distinguished Professor, Psychology and Counseling at Governors
State University and a psychologist at the Wellness Clinic in Lake Geneva, Wisconsin. Jon has
served as editor of several periodicals including the Journal of Individual Psychology and the
Family Journal. He has authored 175 journal articles and 60 books and created over 300
professional trade videos and DVDs with leading professional therapists and educators.
Jill Duba Sauerheber, Ph.D., LPCC, EMDR Certified, Reality Therapy Certified, is Associate
Professor in the Department of Counseling and Student Affairs at Western Kentucky University
and has a private counseling practice. She has participated in the Harvard Graduate School of
Education’s Management Development Program, holds a certificate in Adlerian Psychology, and
is the current President of the North American Society of Adlerian Psychology. Jill has also
authored or coauthored over 35 journal articles, one edited book, and 15 book chapters.
Jon Sperry, Ph.D. is Visiting Assistant Professor, Mental Health Counseling, Florida Atlantic
University and Counseling Specialist at Counseling and Psychological Services, Florida Atlantic
University. Dr. Sperry holds a certificate in Adlerian Psychotherapy and is a Certified Addictions
Professional. He serves as co-chair of the Theory, Research, and Training Section of the North
American Society of Adlerian Psychology.
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Psychopathology and
Psychotherapy
DSM-5 Diagnosis, Case
Conceptualization, and Treatment
Third Edition
Edited by
Len Sperry, Jon Carlson,
Jill Duba Sauerheber, and Jon Sperry
RO Routledge
U
TLED Taylor & Francis Group
G
E
LONDON AND NEW YORK
First published 2015
by Routledge
711 Third Avenue, New York, NY 10017
and by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2015 Taylor & Francis
The right of the editors to be identified as the authors of the editorial material, and of the
authors for their individual chapters, has been asserted in accordance with sections 77 and 78
of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any
form or by any electronic, mechanical, or other means, now known or hereafter invented,
including photocopying and recording, or in any information storage or retrieval system,
without permission in writing from the publishers.
First edition published 1993 by Routledge
Second edition published 1996 by Routledge
Trademark notice: Product or corporate names may be trademarks or registered trademarks,
and are used only for identification and explanation without intent to infringe.
Library of Congress Cataloging in Publication Data
Psychopathology and psychotherapy : DSM-5 diagnosis, case conceptualization, and
treatment / edited by Len Sperry [and three others]. -- Third edition.
pages cm
1. Psychology, Pathological. 2. Psychotherapy. 3. Psychiatry--Differential therapeutics. 4.
Adler, Alfred, 1870-1937. 5. Diagnostic and statistical manual of mental disorders. I. Sperry,
Len, editor of compilation.
RC454.S68 2015
616.89--dc23
2014006300
ISBN: 978-0-415-83872-6 (hbk)
ISBN: 978-0-415-83873-3 (pbk)
ISBN: 978-0-203-77228-7 (ebk)
Typeset in Minion Pro
by Saxon Graphics Ltd, Derby
Contents
Contributors xi
Foreword xv
Preface xvii
Acknowledgements xix
1 Diagnosis, Case Conceptualization, Culture, and Treatment 1
LEN SPERRY
2 Adlerian Case Conceptualization 15
LEN SPERRY
3 Personality Disorders 27
LEN SPERRY
Avoidant Personality Disorder 30
Borderline Personality Disorder 33
Narcissistic Personality Disorder 37
Obsessive-Compulsive Personality Disorder 39
Schizotypal Personality Disorder 42
Antisocial Personality Disorder 45
Dependent Personality Disorder 48
Histrionic Personality Disorder 51
Schizoid Personality Disorder 54
Paranoid Personality Disorder 56
4 Anxiety and Obsessive-Compulsive Disorders 63
JILL DUBA SAUERHEBER AND JAMES ROBERT BITTER
Separation Anxiety Disorder 68
Selective Mutism 70
Specific Phobias and Social Anxiety Disorder 73
viii Contents
Panic Attacks and Panic Disorder 75
Agoraphobia 77
Generalized Anxiety Disorder 80
Obsessive-Compulsive and Related Disorders 82
Body Dysmorphic Disorder, Trichotillomania, and Excoriation 85
Hoarding Disorder 89
5 Depression and Bipolar Disorders 95
PAUL R. RASMUSSEN AND DINKO ALEKSANDROF
Major Depressive Disorder 101
Disruptive Mood Dysregulation Disorder 105
Persistent Depressive Disorder (Dysthymia) 107
Bipolar Disorder 109
Bipolar II Disorder 115
Cyclothymia 117
6 Trauma- and Stressor-Related Disorders 123
BRET A. MOORE AND JOHN F. NEWBAUER
Reactive Attachment Disorder 127
Disinhibited Social Engagement Disorder 131
Post-Traumatic Stress Disorder 134
Acute Stress Disorder 142
Adjustment Disorders 145
7 Eating Disorders 151
MARY FRANCES SCHNEIDER
Anorexia Nervosa 153
Bulimia Nervosa 158
Avoidant/Restrictive Food-Intake Disorder 162
Binge-Eating Disorder 165
Pica and Rumination Disorder 171
8 Schizophrenia Spectrum and Other Psychotic Disorders 177
LEN SPERRY AND JON SPERRY
Schizophrenia and Schizophreniform Disorders 184
Delusional Disorders 194
Schizoaffective Disorder 197
Brief Psychotic Disorder 199
Substance/Medication-Induced Psychotic Disorders 201
Contents ix
9 Dissociative Disorders 205
JON SPERRY AND LEN SPERRY
Dissociative Identity Disorder 210
Dissociative Amnesia 213
Depersonalization/Derealization Disorder 215
Other Specified Dissociative Disorder 218
Unspecified Dissociative Disorder 220
10 Somatic Symptoms and Related Disorders 223
LAURIE SACKETT-MANIACCI AND MICHAEL P. MANIACCI
Somatic Symptom Disorder 226
Illness Anxiety Disorder 229
Conversion Disorder 232
Psychological Factors Affecting Other Medical Condition 235
Factitious Disorder 238
11 Sleep-Wake Disorders 243
JENNIFER N. WILLIAMSON AND DANIEL G. WILLIAMSON
Insomnia Disorder 246
Hypersomnolence Disorder 249
Narcolepsy/Hypocretin Deficiency 251
Sleep Apnea and Obstructive Sleep Apnea Hypopnea Syndrome 254
Central Sleep Apnea 255
Nightmare Disorder 259
12 Sexual Disorders 265
SHARYL M. TRAIL
Genito-Pelvic Pain/Penetration Disorder 270
Gender Dysphoria 273
Gender Dysphoria: Children 274
Paraphilic Disorders 278
Pedophilic Disorder 278
13 Neurodevelopmental and Conduct Disorders 285
LARRY MAUCIERI
Autistic Spectrum Disorder 292
Specific Learning Disorder 295