Depression and Personality: Conceptual and Clinical Challenges
offers an intriguing new look at where we are in understanding the
relationship between personality dimensions, disorders, and mood
disorder. It is both a cogent update of conceptual models and a
clearly written, practical guide to the challenges faced every day
by clinicians as they treat patients with depression and bipolar
disorder.
Laying the groundwork for subsequent chapters, the editors
emphasize the value of not only robust pharmacotherapy augmented by
psychosocial interventions (with a focus on the assets rather than
the liabilities of a patient's temperament), but also of a detailed
review of where we are today.
An introductory overview provides valuable historical
perspective on the evolution of personality from "humors" to body
constitution and temperament. In 10 informative chapters, 22
contributors discuss - The neurobiological dimensions of
personality, focusing on affect-related traits as they review the
evidence for serotonin and norepinephrine disturbance based on
challenge paradigms, and the range of models to understand the
interrelationship between personality and depression.- The
justification for depressive personality in both categorical terms,
i.e., adding to the diagnostic armamentarium of DSM-V, and
dimensional terms, focusing on the Five Factor Model to provide a
link between several facets of neuroticism and depressive
personality disorder. - The impact of personality on various
aspects of treatment, filling in a gap in the pharmacotherapy
literature by asserting that personality pathology can affect the
patient's capacity to seek, be engaged in, or be compliant with
treatment.- Key assessment and treatment issues, recommending a
multimodal phased treatment approach that involves targeted
pharmacotherapy and integrated individual psychotherapy.- The role
of personality disorder in the assessment and treatment of chronic
depression, with a concise, practical overview of medication and
psychotherapy issues regarding the role of Axis II disorders, and
the complex relationship between bipolar disorder and personality
factors.- The complexity involved in adolescent depression with
personality disorder, providing a conceptual framework for
understanding what factors of personality contribute to
vulnerability for depression in adolescents, and depression in
later life, including particularly relevant issues such as the role
of physical illness and organic factors on the clinical
presentation of personality and affective disorder
Invaluable reading for clinicians and researchers alike,
Depression and Personality: Conceptual and Clinical Challenges
offers fascinating perspectives on the historical antecedents,
neurobiological dimensions, and conceptual models regarding the
relationship between personality and depression.
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