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Personality Disorders and Older Adults Diagnosis, Assessment, and Treatment

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ISBN-10: 047164983X

ISBN-13: 9780471649830

Edition: 2006

Authors: Daniel L. Segal, Frederick L. Coolidge, Erlene Rosowsky

List price: $75.00
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Praise for Personality Disorders and Older Adults The authors have presented a valuable addition to the literature of geropsychology, a clinically relevant work whose virtues are its comprehensiveness, ease of understanding, and simplicity of expression. -Theodore Millon, PhD, DSc, Dean and Scientific Director Institute for Advanced Studies in Personology and Psychopathology ...a "must-have" for all clinicians working with this population and an important resource for students and trainees. -Bob Knight, PhD, University of Southern California ...[this book] should be on the bookshelf of all mental health professionals who work with "problem" clients in geriatric settings, and of all academics who want to understand the latest thinking on aging, personality, and dysfunction. -Victor Molinari, PhD, ABPPLouis de la Parte Florida Mental Health Institute University of South Florida ...this volume is a much-needed state-of-the-art compendium for both clinicians and researchers. -Michael Duffy, PhDTexas A&M University Improving quality of life for older adults with personality disorders This book provides a theorized pattern for each personality disorder in later life. It examines the potential impact of aging on each of the personality disorders and offers extended case examples for odd and eccentric, dramatic and erratic, and fearful and anxious personality disorders as well as other personality disorders that affect older adults: sadistic, self-defeating, depressive, passive-aggressive, and inadequate. The authors offer guidance based on scholarly research and scientific evidence. The book covers epidemiology and comorbidity, theories of personality disorders, assessment, and intervention strategies. Personality disorder represents a tough and often frustrating challenge for clinicians. On top of this already challenging clinical situation, managing older patients entails contending with the physical and cognitive declines, social losses, reduced independence, and financial strains associated with the aging process. Armed with a better understanding of this very challenging clinical population, readers can help personality-disorderedolder adults age more gracefully and successfully, and help improve their quality of life.
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Book details

List price: $75.00
Copyright year: 2006
Publisher: John Wiley & Sons, Incorporated
Publication date: 4/21/2006
Binding: Hardcover
Pages: 352
Size: 7.50" wide x 9.50" long x 1.25" tall
Weight: 1.958
Language: English

Frederick L. Coolidge (Ph.D.) received his B.A., M.A., and Ph.D. in Psychology at the University of Florida. He completed a two-year postdoctoral fellowship in clinical neuropsychology at Shands Teaching Hospital in Gainesville, Florida. He has been awarded three Fulbright Fellowships to India (1987, 1992, and 2005). He has also won three teaching awards at the University of Colorado (1984, 1987, and 1992), including the lifetime title of University of Colorado Presidential Teaching Scholar. In 2005, he received the University of Colorado at Colorado Springs College of Letters, Arts, and Sciences' Outstanding Research and Creative Works award. Dr. Coolidge conducts research in behavioral genetics and has established the strong heritability of gender identity and gender identity disorder. He also conducts research in lifespan personality assessment and has established the reliability of posthumous personality evaluations, and also applies cognitive models of thinking and language to explain evolutionary changes in the archaeological record.

Dr.nbsp;Erlene Rosowskynbsp;is a licensed psychologist and past-president of Needham Psychotherapy Associates, LLC. She specializes in the assessment and treatment of emotional problems at middle-age through later life. Specific interests are personality in older age, health and aging, and the older couple. Dr. Rosowskynbsp;divides her time between clinical practice and professional/community education. She is an Assistant Clinical Professor in Psychology in the Department of Psychiatry, Harvard Medical School, and is affiliated with the Beth Israel Deaconess Medical Center and Beth Israel Deaconess Medical Center � Needham Campus. She is on the faculty of the Massachusetts School of Professional Psychology, anbsp;Director of their Center for Mental Health and Aging, and a Fellow in the Gerontological Society of America.nbsp; Dr. Rosowskynbsp;is also well-published in the professional literature, and is a popular national speaker and workshop leader for both professional and lay groups. She serves as Chair of the Generations editorial board and wrote a column, Speaking of Aging, for the Journal of Retirement Planning. Dr. Rosowsky has authored and edited three books: Personality Disorders in Older Adults: Emerging Issues in Diagnosis and Treatment (1999); Personality Disorders in Older Adults: Diagnosis, Assessment and Treatment (2006) & Geropsychology and Long Term Care: A Practitioner�s Guide (2008).Dr. Joseph Casciani is the President of Concept Healthcare, LLC in San Diego, CA, providing online, interactive training and live web conferences for those working with older adults, at www.cohealth.org.nbsp; He is also the director of a multi-state group delivering behavioral health services to residents in LTC facilities.nbsp; Dr. Casciani is licensed as a psychologist in the states of California, Texas, Pennsylvania, and New York, and is the President of Psychologists in Long Term Care for the 2008-2010 term.Dr. Merla Arnold is an independent practitioner providing geropsychology services, behavioral health counseling, consultation and education. Her clinical practice takes place in long term care settings in Western Suffolk & Eastern Nassau Counties, New York. Dr. Arnold is a New York State licensed psychologist and a member of the American Board of Quality Assurance and Utilization Review Physicians, a Certified QA/UR Professional; and a New York State licensed Registered Nurse. Dr. Arnold is the recipient of several awards and honors, including the ISABEL BELL Award.

Foreword
Preface
Acknowledgments
Introduction to Personality Disorders and Aging
The Demographics of Aging
Mental Health and Aging: The Big Picture
Overview of Personality and Personality Disorder
History of the Personality Disorder Category
Modern Conceptualizations
The DSM-IV-TR Personality Disorders
Challenges Associated with Personality Disorder Psychopathology
Conclusions
About This Book
The Odd and Eccentric (Cluster A) Personality Disorders and Aging
General Diagnostic Criteria
Cluster A Personality Disorders: Paranoid, Schizoid, and Schizotypal
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
The Dramatic, Emotional, and Erratic (Cluster B) Personality Disorders and Aging
Cluster B Personality Disorders: Antisocial, Borderline, Histrionic, and Narcissistic
Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissitic Personality Disorder
The Fearful or Anxious (Cluster C) Personality Disorders and Aging
Cluster C Personality Disorders: Avoidant, Dependent, and Obsessive-Compulsive
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder
Other Personality Disorders and Aging: Sadistic, Self-Defeating, Depressive, Passive-Aggressive, and Inadequate
Personality Disorders in DSM-III-R Appendix A and in DSM-IV-TR Appendix B
Sadistic Personality Disorder: DSM-III-R Appendix A
Self-Defeating Personality Disorder: DSM-III-R Appendix A
Depressive Personality Disorder: DSM-IV-TR Appendix B
Passive-Aggressive Personality Disorder: DSM-IV-TR Appendix B
Inadequate Personality Disorder-A Manifestation of Frontal Lobe Syndrome?
Inadequate Personality Disorder
Epidemiology and Comorbidity
Epidemiology of Personality Disorders in Later Adult Life
Community and Psychiatric Samples
The Debate about Stability versus Change for the Personality Disorders
Epidemiology and Gender
Course and Prognosis for the Personality Disorders
Comorbidity: General Issues
Comorbidity of Personality Disorders with Clinical Disorders and with other Personality Disorders
Personality Disorders and Dementia
Conclusions
Theories of Personality Disorders: Cognitive, Psychoanalytic, and Interpersonal
Cognitive Theories of Personality Disorders
Cognitive Therapy Basics
Application to Personality Disorders
Psychoanalytic Theories of Personality Disorders
Provinces and Instincts of the Psyche
Neuroses, Psychoses, and Personality Disorders
Psychoanalytic Theory and Aging
A Brief Note about the Humanistic Approach
Interpersonal Theories of Personality Disorders
Horney's Interpersonal View of the Personality, Personality Disorders, and the Basic Conflict
Horney's Description of Types
The Resolution of Neurotic Conflict
Horney, Feminist Psychology, and Humanism
Horney, Aging, and Personality Disorders
Conclusions
Theories of Personality Disorders: Evolutionary and Neurobiological
Evolutionary Theories of Personality Disorders
Basic Concepts of Evolutionary Theory
Application to Antisocial, Histrionic, Narcissistic, Dependent, and Avoidant Personality Disorders
Application to Borderline Personality Disorder
Application to Paranoid Personality Disorder
Application to Schizoid, Schizotypal, and Avoidant Personality Disorders
Neurobiological Theories of Personality Disorders
Conclusions
Assessment
Chart/Records Review
The Clinical Interview of the Patient
Interview with Informants
Self-Report Objective Personality Instruments
Millon Clinical Multiaxial Inventory-III
Personality Diagnostic Questionnaire-Fourth Edition Plus
Coolidge Axis II Inventory
Minnesota Multiphasic Personality Inventory-2
NEO Personality Inventory-Revised
Application of Personality Inventories with Older Adults
Semi-Structured Clinical Interviews
Structured Interview for DSM-IV Personality
International Personality Disorder Examination
Structured Clinical Interview for DSM-IV Axis II Personality Disorders
Personality Disorder Interview-IV
Diagnostic Interview for DSM-IV Personality Disorders
Application of Semi-Structured Interviews with Older Adults
Conclusions
Treatment: General Issues and Models
Core Features of Personality Disorder Affecting Treatment
Reliance on Primitive Defenses
Rigidity of Character Structure and Limited Repertoire
Effect on Others
Course of Personality Disorders
Routes into Treatment
Function of Buffering
Function of Bolstering
Function of Binding
An Essential Caveat
Goals of Treatment
Invisibility of Personality Disorders
What (Little) Is Known
Comorbidity of Axis I and Axis II Disorders
Understanding the Comorbidity
Treatments and Therapies
Somatic Treatments
Psychological Treatments
Countertransference
Guideposts for Treatment Planning and Goal Setting
Understanding the Phenomenology of Personality Disorders and Helping Guide Treatment
Patterns of Attachment
Inside and Outside Feeders
Rules of Personality Disorders
Illusion of Uniqueness
The "Goodness of Fit" Model and Its Implications for Treatment
"Goodness of Fit" Model
Trait Template
Utility of a Personality Trait Model
Implications of the Goodness of Fit Model for Designing a Treatment Plan
References
Author Index
Subject Index