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The American Psychiatric Publishing Textbook of Personality Disorders PDF

729 Pages·2005·9.8 MB·English
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The American Psychiatric Publishing Textbook of Personality Disorders This page intentionally left blank The American Psychiatric Publishing Textbook of Personality Disorders Edited by John M. Oldham, M.D., M.S. Andrew E. Skodol, M.D. Donna S. Bender, Ph.D. Associate Editors Glen O. Gabbard, M.D. Joel Paris, M.D. M. Tracie Shea, Ph.D. Thomas A. Widiger, Ph.D. Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Associ- ation. Copyright © 2005 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 09 08 07 06 05 5 4 3 2 1 First Edition Typeset in Adobe’s Palatino and Optima. American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data The American Psychiatric Publishing textbook of personality disorders / edited by John M. Oldham, Andrew E. Skodol, Donna S. Bender.—1st ed. p. ; cm. Includes bibliographical references and index. ISBN 1-58562-159-5 (hardcover : alk. paper) 1. Personality disorders. 2. Personality disorders—Treatment. [DNLM: 1. Personality Disorders—therapy. 2. Personality Disorders—diagnosis. 3. Personality Disorders— etiology. WM 190 A5125 2005] I. Title: Textbook of personality disorders. II. Oldham, John M. III. Skodol, Andrew E. IV. Bender, Donna S., 1960– V. American Psychiatric Publishing. RC554.A247 2005 616.85′81–dc22 2004023812 British Library Cataloguing in Publication Data A CIP record is available from the British Library. To our families, who have supported us: Karen, Madeleine, and Michael Oldham; Laura, Dan, and Ali Skodol; and John and Joseph Rosegrant. To our colleagues, who have helped us. To our patients, who have taught us. And to each other, for the friendship that has enriched our work together. This page intentionally left blank Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xvii Part I Basic Concepts 1 Personality Disorders: Recent History and Future Directions . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 John M. Oldham, M.D., M.S. 2 Theories of Personality and Personality Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Amy Heim, Ph.D. Drew Westen, Ph.D. 3 Categorical and Dimensional Models of Personality Disorders . . . . . . . . . . . . . . . . . . . . . . . . . 35 Thomas A. Widiger, Ph.D. Stephanie N. Mullins-Sweatt, M.A. Part II Clinical Evaluation 4 Manifestations, Clinical Diagnosis, and Comorbidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Andrew E. Skodol, M.D. 5 Assessment Instruments and Standardized Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Wilson McDermut, Ph.D. Mark Zimmerman, M.D. 6 Course and Outcome of Personality Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Carlos M. Grilo, Ph.D. Thomas H. McGlashan, M.D. Part III Etiology 7 A Current Integrative Perspective on Personality Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Joel Paris, M.D. 8 Epidemiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Svenn Torgersen, Ph.D. 9 Genetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 C. Robert Cloninger, M.D. 10 Neurobiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Emil F. Coccaro, M.D. Larry J. Siever, M.D. 11 Developmental Issues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 Patricia Cohen, Ph.D. Thomas Crawford, Ph.D. 12 Attachment Theory and Mentalization-Oriented Model of Borderline Personality Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187 Peter Fonagy, Ph.D., F.B.A. Anthony W. Bateman, M.A., F.R.C.Psych. 13 Role of Childhood Experiences in the Development of Maladaptive and Adaptive Personality Traits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209 Jeffrey G. Johnson, Ph.D. Elizabeth Bromley, M.D. Pamela G. McGeoch, M.A. 14 Sociocultural Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223 Theodore Millon, Ph.D., D.Sc. Seth D. Grossman, Psych.D. Part IV Treatment 15 Levels of Care in Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 John G. Gunderson, M.D. Kim L. Gratz, Ph.D. Edmund C. Neuhaus, Ph.D. George W. Smith, M.S.W. 16 Psychoanalysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257 Glen O. Gabbard, M.D. 17 Psychodynamic Psychotherapies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275 Frank E. Yeomans, M.D. John F. Clarkin, Ph.D. Kenneth N. Levy, Ph.D. 18 Schema Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289 Jeffrey Young, Ph.D. Janet Klosko, Ph.D. 19 Dialectical Behavior Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307 Barbara Stanley, Ph.D. Beth S. Brodsky, Ph.D. 20 Interpersonal Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321 John C. Markowitz, M.D. 21 Supportive Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335 Ann H. Appelbaum, M.D. 22 Group Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347 William E. Piper, Ph.D. John S. Ogrodniczuk, Ph.D. 23 Family Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359 G. Pirooz Sholevar, M.D. 24 Psychoeducation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375 Perry D. Hoffman, Ph.D. Alan E. Fruzzetti, Ph.D. 25 Somatic Treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 387 Paul H. Soloff, M.D. 26 Therapeutic Alliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405 Donna S. Bender, Ph.D. 27 Boundary Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 421 Thomas G. Gutheil, M.D. 28 Collaborative Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431 Abigail Schlesinger, M.D. Kenneth R. Silk, M.D.

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