Severe Personality Disorders

Editor : Bert van Luyn, Editor : Salman Akhtar, Editor : W. John Livesley

Severe Personality Disorders

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Also by Salman Akhtar

In Short: Private Notes of a Psychoanalyst

In Short: Private Notes of a Psychoanalyst

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Also by Bert van Luyn

Also by W. John Livesley

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This book is about understanding and managing patients with severe personality disorders. It covers biological, psychoanalytic and cognitive-behavioural approaches and provides a pragmatic guide to best practice, based on the published evidence, where this is available. As well as discussing issues of severity, treatability and the range of appropriate management options, the content explores the common elements of effective interventions and covers early prediction, countertransference, disruptions of the therapeutic alliance, suicidal crises and what to do when dealing with dangerous, refractory and stalking patients. The chapters are authored by an international cast of distinguished investigators and innovators from the field. This is a holistic, practical guide to the treatment of patients with the range of these disorders and it should be read by all the members of the mental health team dealing with this challenging clinical group.

Reviews and Endorsements

Provides an up-to-date overview of topics that are relevant to clinical practice  Provides practical tools for the management of both common and difficult clinical cases  Consolidates the expertise from a team of international experts

Contents
1. Treatability in severe personality disorders: how far do the science and art of psychotherapy carry us? Michael Stone; 2. The treatment of choice: what method fits whom? John Clarkin; 3. Countertransference: recent developments and technical implications for the treatment of patients with severe personality disorders Otto Kernberg; 4. Beyond management to cure: enhancing the positive dimensions of personality Robert Cloninger; 5. Personality disorders from the perspective of child and adolescent psychiatry Arnold Allertz and Guus van Voorst; 6. Disruptions in the course of psychotherapy and psychoanalysis Salman Akhtar; 7. Managing suicidal crises in patients with severe personality disorders Joel Paris; 8. Borderline personality disorder, day hospitals, and mentalization Anthony Bateman and Peter Fonagy; 9. Pharmacotherapy of severe personality disorders: a critical review Thomas Rinne and Theo Ingenhoven; 10. Severe cases: management of the refractory borderline patient Bert van Luyn; 11. Dangerous cases: when treatment is not an option Reid Meloy and James Reavis; 12. Stalking of therapists Paul Mullen and Rosemary Purcell; 13. Common elements of effective treatments John Livesley.

Contributors
Michael Stone, John Clarkin, Otto Kernberg, Robert Cloninger, Arnold Allertz, Guus van Voorst, Salman Akhtar, Joel Paris, Anthony Bateman, Peter Fonagy, Thomas Rinne, Theo Ingenhoven, Bert van Luyn, Reid Meloy, James Reavis, Paul Mullen, Rosemary Purcell, John Livesley

About the Editor(s)

Salman Akhtar, MD, is professor of psychiatry at Jefferson Medical College and a training and supervising analyst at the Psychoanalytic Center of Philadelphia. He has served on the editorial boards of the International Journal of Psychoanalysis and the Journal of the American Psychoanalytic Association. His more than 450 publications include twenty-three solo authored books – Broken Structures (1992), Quest for Answers (1995), Inner Torment (1999), Immigration and Identity (1999), New Clinical Realms (2003), Objects of Our Desire (2005), Regarding Others (2007), Turning Points in Dynamic Psychotherapy (2009), The Damaged Core (2009), Comprehensive Dictionary of Psychoanalysis (2009), Immigration and Acculturation (2011), Matters of Life and Death (2011), Psychoanalytic Listening (2013), Good Stuff (2013), Sources of Suffering (2014), No Holds Barred (2016), A Web of Sorrow (2017), Mind, Culture, and Global Unrest (2018), Silent Virtues (2019), Tales of Transformation (2022), In Leaps and Bounds (2022), and In Short (2024) – as well as sixty-nine edited or coedited volumes in psychiatry and psychoanalysis. Dr. Akhtar has delivered many prestigious addresses and lectures including, most significantly, the inaugural address at the first IPA-Asia Congress in Beijing, China (2010). Dr. Akhtar is the recipient of the Journal of the American Psychoanalytic Association’s Best Paper of the Year Award (1995), the Margaret Mahler Literature Prize (1996), the American Society of Psychoanalytic Physicians’ Sigmund Freud Award (2000), the American College of Psychoanalysts’ Laughlin Award (2003), the American Psychoanalytic Association’s Edith Sabshin Award (2000), Columbia University’s Robert Liebert Award for Distinguished Contributions to Applied Psychoanalysis (2004), the American Psychiatric Association’s Kun Po Soo Award (2004), the Irma Bland Award for being the Outstanding Teacher of Psychiatric Residents in the country (2005), and the Nancy Roeske Award (2012). He received the Sigourney Award (2013), which is the most prestigious honor in the field of psychoanalysis. Dr. Akhtar is an internationally sought speaker and teacher, and his books have been translated in many languages, including German, Turkish, and Romanian. His interests are wide and he has served as the film review editor for the International Journal of Psychoanalysis, and is currently serving as the book review editor for the International Journal of Applied Psychoanalytic Studies. He has published eighteen collections of poetry and serves as a scholar-in-residence at the Inter-Act Theatre Company in Philadelphia. His Selected Papers (Vols I–X) were recently published and released at a festive event held at the Freud House & Museum in London.

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W. John Livesley, MD, PhD, is Professor Emeritus in the Department of Psychiatry at the University of British Columbia, Canada. His research focuses on the structure, classification, and origins of personality disorder, and on constructing an integrated framework for describing and conceptualizing personality pathology. His clinical interests are directed toward developing a unified approach to treatment. Dr. Livesley is a Fellow of the Royal Society of Canada. He is coeditor of the Journal of Personality Disorders.

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