بیماران دارای اختلال شخصیت: قابل درمان و غیرقابل درمان

Determining the amenability of personality disorders to psychotherapy -- a patient's capacity to benefit from verbal approaches to treatment -- is important in helping clinicians determine the treatability of cases. Michael Stone here shares the factors he has observed over long years of practice that can help practitioners evaluate patients, stressing the amenability of the various disorders to amelioration. By focusing on which patients are likely to respond well to therapeutic intervention and which will prove most resistive, his book will help therapists determine with what kinds of patients they will most likely succeed and with which ones failure is almost a certainty. Stone establishes the attributes that affect this amenability -- such as the capacity for self-reflection, motivation, and life circumstances's guidelines for evaluating patients, then describes borderline and other personality-disordered patients with varying levels of amenability, from high to low. This coverage progresses from patients belonging to the DSM "anxious cluster," along with the depressive-masochistic character and the hysteric character, to patients who demonstrate an intermediate level of amenability to psychotherapy. He introduces the interrelationship between borderline personality disorder and dissociative disorders and discusses treatability among certain patients in Clusters "A" and "C," as well as others with narcissistic, histrionic, depressive disorders. Final chapters address the most severe aberrations of personality and the limitations they impose on the efficacy of therapy. Personality-Disordered Patients is filled with practical, clinically focused information. This guideline structured book: Covers all personality disorders-including ones not addressed in the latest DSM such as sadistic, depressive, hypomanic, and irritable-explosive Identifies both attributes necessary for treatability and factors associated with low treatability Pays particular attention to borderline disorders, which represent the most discussed conditions and are among the most challenging to psychotherapists Reviews personality traits whose presence, if intense-even if unaccompanied by a definable personality disorder-creates severe problems for psychotherapy Numerous case studies throughout the book provide examples that will help therapists determine which of their own patients are most likely to benefit from their efforts and thereby establish their own limits of effectiveness. By alerting practitioners to when therapy is likely to fail, these guidelines can help them avoid the professional disappointment of being unable to reach the most intractable patients.

Determining the amenability of personality disorders to psychotherapy—a patient's capacity to benefit from verbal approaches to treatment—is important in helping clinicians determine the treatability of cases. Michael Stone here shares the factors he has observed over long years of practice that can help practitioners evaluate patients, stressing the amenability of the various disorders to amelioration. By focusing on which patients are likely to respond well to therapeutic intervention and which will prove most resistive, his book will help therapists determine with what kinds of patients they will most likely succeed and with which ones failure is almost a certainty.

Stone establishes the attributes that affect this amenability—such as the capacity for self-reflection, motivation, and life circumstances—as guidelines for evaluating patients, then describes borderline and other personality-disordered patients with varying levels of amenability, from high to low. This coverage progresses from patients belonging to the DSM "anxious cluster," along with the depressive-masochistic character and the hysteric character, to patients who demonstrate an intermediate level of amenability to psychotherapy. He introduces the interrelationship between borderline personality disorder and dissociative disorders and discusses treatability among certain patients in Clusters "A" and "C," as well as others with narcissistic, histrionic, depressive disorders. Final chapters address the most severe aberrations of personality and the limitations they impose on the efficacy of therapy. Personality-Disordered Patients is filled with practical, clinically focused information. This guideline structured book:

• Covers all personality disorders-including ones not addressed in the latest DSM such as sadistic, depressive, hypomanic, and irritable-explosive
• Identifies both attributes necessary for treatability and factors associated with low treatability
• Pays particular attention to borderline disorders, which represent the most discussed conditions and are among the most challenging to psychotherapists
• Reviews personality traits whose presence, if intense-even if unaccompanied by a definable personality disorder-creates severe problems for psychotherapy

Numerous case studies throughout the book provide examples that will help therapists determine which of their own patients are most likely to benefit from their efforts and thereby establish their own limits of effectiveness. By alerting practitioners to when therapy is likely to fail, these guidelines can help them avoid the professional disappointment of being unable to reach the most intractable patients.

Doody Review Services

Reviewer:Steven T. Herron, MD(University of Arizona Health Sciences Center)
Description:Based on the improving realm of research in, and understanding of, personality disorders, this book attempts to identify those Axis II disorders which are most likely to respond to psychotherapeutic interventions.
Purpose:Often the treatment of individuals with personality disorders is fraught with complications and misunderstandings. Residents, and even experienced clinicians, can have significant difficulty working with these patients to provide a structure and vision for their therapy. This book is intended to offer insight to clinicians regarding the likely outcomes for personality disordered patients.
Audience:It is penned primarily for those working with personality disordered individuals. However, it is not designed for the inexperienced or psychotherapeutically naive. Upper level residents, therapists with prior experience, or psychiatrists with some background in treating these individuals are more likely to benefit from this book.
Features:The book begins with chapters addressing personality disorders the author considers treatable progressing to those conditions deemed untreatable. Numerous case examples in the first few chapters illustrate salient points about treating personality disordered individuals, and the author draws upon his own extensive clinical experience and combines it with ideas and concepts borrowed from psychotherapists such as Kemberg.
Assessment:One troublesome aspect of the book is that the structure and layout can be confusing, making the book difficult to read in places. And, like many other individuals in the area of psychotherapy (see Kemberg), this author's writing is at times too dense for immediate understanding. This book is not appropriate for those in the early stages of their training. Many of the concepts are tremendously challenging for trainees, and full comprehension often requires the author to present ideas in plain, straightforward language. This book may be more valuable to those with more clinical experience and training, but beginners might find their learning more productive by choosing basic texts on psychotherapy by authors such as Gabbard.

Determining the amenability of personality disorders to psychotherapy -- a patient's capacity to benefit from verbal approaches to treatment -- is important in helping clinicians determine the treatability of cases. Michael Stone here shares the factors he has observed over long years of practice that can help practitioners evaluate patients, stressing the amenability of the various disorders to amelioration. By focusing on which patients are likely to respond well to therapeutic intervention and which will prove most resistive, his book will help therapists determine with what kinds of patients they will most likely succeed and with which ones failure is almost a certainty. Stone establishes the attributes that affect this amenability -- such as the capacity for self-reflection, motivation, and life circumstances -- as guidelines for evaluating patients, then describes borderline and other personality-disordered patients with varying levels of amenability, from high to low. This coverage progresses from patients belonging to the DSM'anxious cluster,'along with the depressive-masochistic character and the hysteric character, to patients who demonstrate an intermediate level of amenability to psychotherapy. He introduces the interrelationship between borderline personality disorder and dissociative disorders and discusses treatability among certain patients in Clusters'A'and'C,'as well as others with narcissistic, histrionic, depressive disorders. Final chapters address the most severe aberrations of personality and the limitations they impose on the efficacy of therapy. Personality-Disordered Patients is filled with practical, clinically focused information. This guideline structured book: • Covers all personality disorders-including ones not addressed in the latest DSM such as sadistic, depressive, hypomanic, and irritable-explosive• Identifies both attributes necessary for treatability and factors associated with low treatability• Pays particular attention to borderline disorders, which represent the most discussed conditions and are among the most challenging to psychotherapists• Reviews personality traits whose presence, if intense-even if unaccompanied by a definable personality disorder-creates severe problems for psychotherapy Numerous case studies throughout the book provide examples that will help therapists determine which of their own patients are most likely to benefit from their efforts and thereby establish their own limits of effectiveness. By alerting practitioners to when therapy is likely to fail, these guidelines can help them avoid the professional disappointment of being unable to reach the most intractable patients. Determining the amenability of personality disorders to psychotherapy -- a patient's capacity to benefit from verbal approaches to treatment -- is important in helping clinicians determine the treatability of cases. The author shares the factors he has observed over long years of practice that can help practitioners evaluate patients, stressing the amenability of the various disorders to amelioration. By focusing on which patients are likely to respond well to therapeutic intervention and which will prove most resistive, his book is designed to help therapists determine with what kinds of patients they will most likely succeed and with which ones failure is almost a certainty Amenability to treatment Personality disorders most accessible to psychotherapy: borderline personality disorder Personality disorders most accessible to psychotherapy: the "anxious cluster" and related disorders Personality disorders of intermediate amenability to psychotherapy: borderline personality disorder Personality disorders of intermediate amenability to psychotherapy: other personality disorders Personality disorders with low amenability to psychotherapy: borderline personality disorder Personality disorders with low amenability to psychotherapy: other personality disorders Personality traits at the edge of treatability Untreatable personality disorders.