The vital guide to reliable diagnosis and assessment of personality disorders internationally.

"This volume presents the latest theory and research on the diagnosis and treatment of personality disorders"--

The older adult population is booming in the United State and across the globe. With this boom comes an increase in the number of older adults who experience psychological disorders. Current estimates suggest that about 20% of older persons are diagnosable with a mental disorder: Personality disorders are among the most poorly understood, challenging, and frustrating of these disorders among older adults. This book is designed to provide scholarly and scientifically-based guidance about the diagnosis, assessment, and treatment of personality disorders to health professionals, mental health professionals, and senior service professionals who encounter personality-disordered or "difficult" older adults.

For decades, The Rorschach Inkblot Method (RIM)--the most popular of the projective tests--has been routinely employed for personality assessment and treatment planning. But in recent years, it has not been free from controversy. Criticisms of its validity and empirical support are catalyzing new efforts to strengthen its foundations and document its broad utility. Among the most common--yet also most confusing and challenging--categories of clinical disorders is the personality disorders. However, minimal data have been available on the RIM evaluation of most of those found in DSM-IV. This welcomed book constitutes the first research-grounded, comprehensive guide to the use of the RIM in assessing personality disorders. The first section offers a theoretical overview of personality disorders and constructs a framework and compelling rationale for the legitimate role of the RIM in their assessment. The second, third, and fourth sections present Cluster A disorders--paranoid, schizoid, and schizotypal; Cluster B disorders--antisocial and psychopathic, borderline, histrionic, and narcissistic; and Cluster C disorders--avoidant, dependent, and obsessive-compulsive. The fifth section presents passive aggressive and depressive personality disorders, currently being proposed for DSM inclusion. Each chapter in these four sections includes an extensive description of the disorder, a review of empirical studies of the use of the RIM to assess it, an analysis of the Rorschach variables that may characterize patients diagnosed with it, and a depiction of a real case and discussion of the ways in which the RIM contributed to its formulation. The sixth and final section explores the relationship between psychoanalytic theory and the RIM. Rorschach Assessment of the Personality Disorders brings practical help for clinicians and clinicians-in-training, and suggests new paths for researchers seeking to advance our understanding of the complexities of these disorders.

Clinical Assessment and Management of Severe Personality Disorders (Clinical Practice 35) offers the clinician working in the community a practicable approach to the treatment of patients with personality disorders. Clearly written, with minimal use of jargon, this book focuses on issues relevant to the clinician in private practice, including the diagnosis of a wide range of personality disorders and alternative management approaches. Recognizing patients with a personality disorder, differentiating one disorder from another, and using psychological tests in the diagnosis and treatment of personality disorders are among the clinical assessment issues covered. Two commonly encountered issues -- the assessment and management of patients using a neuropsychiatric approach and treatment of patients with comorbid symptoms and personality disorders -- are discussed. This book takes a broad approach to the management of personality disorders, moving beyond individual dynamic psychotherapy as the only treatment option. Pharmacological management of patients with personality disorders and differential management for patients in various settings are described. A discussion of the etiological impact and implications of early life experiences on the patient offers valuable insight for psychotherapeutic management. Clinicians are also provided with a useful framework for interacting and intervening with the families of patients with personality disorders.

The DSM-5 Alternative Model for Personality Disorders reviews and advances this innovative and increasingly popular scheme for diagnosing and evaluating personality disorders. The authors identify the multiple clinical, theoretical, and research paradigms that co-exist in the Alternative Model for Personality Disorders (AMPD) and show how the model can aid the practicing mental health professional in evaluating and treating patients as well as its importance in stimulating research and theoretical understanding of this domain. This work explores and summarizes methods of personality assessment and psychiatric evaluation, research findings, and clinical applications of the AMPD, highlighting its usefulness to clinical teaching and supervision, forensic application, and current research. It is a go-to reference for experienced professionals and researchers, those who wish to learn this new diagnostic system, and for clinicians in training.