Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character

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American Psychiatric Pub, Apr 2, 2007 - Medical - 512 pages

Featuring case vignettes from nearly 30 years of Dr. Yudofsky's clinical practice and incorporating the knowledge of gifted clinicians, educators, and research scientists with whom he has collaborated throughout that time, Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character uniquely captures the rapidly increasing body of clinical and research information about people with severe and persistent personality and character disorders.

Within these pages, the author brings to life the psychopathologies of personality and character disorders through vivid vignettes based on composites of his many patients and their most important relationships -- while meticulously changing the identifying facts and relevant details to protect confidentiality.

Covering the clinical course, treatment, genetics, biology, psychology, and destructive consequences of hysterical (histrionic), narcissistic, antisocial, paranoid, obsessive-compulsive, addictive, borderline, and schizotypal personality disorders, Fatal Flaws stands out in the literature for these powerful reasons: It is written for an unusually broad audience, from mental health students and trainees of all disciplines, to highly experienced clinicians, to patients who suffer from or are in destructive relationships with people with personality disorders. It is a hybrid -- part psychiatric textbook for clinicians and part self-help manual for patients and clients with personality and character disorders. It is designed to supplement treatment by providing patients with practical, evidence-based information about personality disorders and character flaws. It is particularly valuable to patients who are in psychotherapy, in part, because they are entangled in destructive relationships with people with disorders of personality and/or character. It is written in the first person, with the author directly communicating with a patient who either has a personality or character disorder or is in an important relationship with a person who has such a disorder. It is useful for people who are uncertain whether they or their loved ones have personality or character disorders, and who want to know more about these conditions and their treatments before making a decision about securing the help of a mental health professional.

Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character is a compelling volume that provides the essential information and a realistic sense of the clinical experience required to inform, orient, and support novice mental health professionals and seasoned practitioners alike as they face the ongoing challenges of treating patients or clients with personality or character disorders. It should also prove to be an invaluable resource for those who wish practical and effective help in understanding and changing their destructive relationships with people who have severe and persistent disorders of personality and/or character.

 

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Contents

ObsessiveCompulsive Personality Disorder
231
Paranoid Personality Disorder
289
Borderline Personality Disorder
331
Schizotypal Personality Disorder
391
Addictive Personality Disorder
423
Getting Help
463
Index
477
Copyright

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Popular passages

Page 423 - O thou invisible spirit of wine ! if thou hast no name to be known by, let us call thee devil.
Page 190 - Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest 2.
Page 115 - A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: (1) frantic efforts to avoid real or imagined abandonment.
Page 141 - I CELEBRATE myself, and sing myself, And what I assume you shall assume, For every atom belonging to me as good belongs to you.
Page 231 - There will be time, there will be time To prepare a face to meet the faces that you meet; There will be time to murder and create, And time for all the works and days of hands That lift and drop a question on your plate...
Page 262 - Obsessions as defined by (1), (2), (3), and (4): (1) recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress (2) the thoughts, impulses, or images are not simply excessive worries about real-life problems...
Page 181 - A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated...
Page 181 - Serious violations of rules (13) often stays out at night despite parental prohibitions, beginning before age 13 years (14) has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning for a lengthy period) (15) often truant from school, beginning before age 13 years B.
Page 314 - A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts...
Page 431 - The substance is often taken in larger amounts or over a longer period than was intended 4.

About the author (2007)

Stuart C. Yudofsky, M.D., is D.C. and Irene Ellwood Professor and Chairman of the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. He is Chief of Psychiatry Services at The Methodist Hospital and is also responsible for oversight of academic activities in psychiatry at The Menninger Clinic and Hospital, the Ben Taub General Hospital, the Houston Veterans Administration Medical Center, the St. Luke's Episcopal Hospital, and the Texas Children's Hospital. For the past seventeen years, Dr. Yudofsky has been Editor of the Journal of Neuropsychiatry and Clinical Neurosciences, the official journal of the American Neuropsychiatric Association.

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