Determining the amenability of personality disorders to
psychotherapy& mdash;a patient's capacity to benefit from
verbal approaches to treatment& mdash;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& mdash;such as the capacity for self-reflection,
motivation, and life circumstances& mdash;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 focusedinformation. 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.
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