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The American Psychiatric Association Publishing Textbook of Personality Disorders, Third Edition

Edited by Andrew E. Skodol, M.D., and John M. Oldham, M.D., M.S.

  • 2021
  • 760 Pages
  • ISBN 978-1-61537-339-0
  • Item #37339

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The subject of personality—what makes each of us unique and different from one another—has long been a topic of universal fascination. From a medical perspective, research on personality disorders has expanded with the advent of standardized diagnostic systems. This continuing and increased activity and progress in the field spurred the development of this third edition of The American Psychiatric Association Publishing Textbook of Personality Disorders.

With an emphasis on updating the information most relevant to clinicians, this new edition features contributions from established experts in the field as well as a new generation of scientists. Dozens of tables, illustrative figures, and real-life case examples summarize the vast data that continue to accumulate in five key areas:

  • Clinical concepts, including theories of personality disorders, as well as their manifestations, assessment, and diagnosis. This opening section also describes the Alternative DSM-5 Model for Personality Disorders in detail.
  • Risk factors for, and the etiology and impact of, personality disorders. This section of the book examines data on prevalence, sociodemographics, and levels of functional impairment associated with personality disorders. It offers both a developmental and a genetic/neurobiological perspective and describes the symptomatic and functional outcomes of personality disorders.
  • Treatment options across therapeutic modalities. A new, cutting-edge chapter argues for the early identification of borderline psychopathology in children and young adolescents, in an effort to prevent full-blown disorder later in life. Additional chapters delve into an array of individual psychotherapies, pharmacotherapeutic options, and group, family, and couples therapies. Guidance on forming and maintaining a therapeutic alliance and on avoiding boundary violations in treating patients with personality disorders is provided.
  • Special problems, populations, and settings, including suicide, substance use disorders, antisocial behavior, personality pathology in general medical settings, and personality disorders among active-duty military.
  • The usefulness of translational research to deepen understanding of the biopsychosocial nature of the personality disorders, particularly borderline personality disorder.

This comprehensive textbook is an essential resource for clinicians looking to stay on the vanguard of a rapidly growing field.


  • Preface
  • Part I: Clinical Concepts
  • Chapter 1. Personality Disorders: Recent History and New Directions
  • Chapter 2. Theories of Personality and Personality Disorders
  • Chapter 3. Articulating a Core Dimension of Personality Pathology
  • Chapter 4. The Alternative DSM-5 Model for Personality Disorders
  • Chapter 5. Manifestations, Assessment, Diagnosis, and Differential Diagnosis
  • Part II: Risk Factors, Etiology, and Impact
  • Chapter 6. Prevalence, Sociodemographics, and Functional Impairment
  • Chapter 7. Development, Attachment, and Childhood Experiences: A Mentalization Perspective
  • Chapter 8. Genetics and Neurobiology
  • Chapter 9. Longitudinal Course and Outcomes
  • Part III: Treatment
  • Chapter 10. Early Identification and Prevention of Personality Pathology: An AMPD-Informed Model of Clinical Staging
  • Chapter 11. Therapeutic Alliance
  • Chapter 12. Psychodynamic Psychotherapies
  • Chapter 13. Dialectical Behavior Therapy
  • Chapter 14. Cognitive-Behavioral Therapy
  • Chapter 15. Good Psychiatric Management: Generalist Treatments and Stepped Care for Borderline Personality Disorder
  • Chapter 16. Group, Family, and Couples Therapies
  • Chapter 17. Pharmacological Management
  • Chapter 18. Collaborative Treatment
  • Chapter 19. Boundary Issues
  • Part IV: Special Problems, Populations, and Settings
  • Chapter 20. Assessing and Managing Suicide Risk
  • Chapter 21. Co-occurring Substance Use Disorders
  • Chapter 22. Antisocial Personality Disorder and Other Antisocial Behavior
  • Chapter 23. Personality Disorders in the Medical Setting
  • Chapter 24. Personality Disorders in the Military Operational Environment
  • Part V: Future Directions
  • Chapter 25. Translational Research in Borderline Personality Disorder
  • Appendix: Alternative DSM-5 Model for Personality Disorders
  • Index


    Anthony W. Bateman, M.A., FRCPsych
    Donna S. Bender, Ph.D., FIPA
    David M. Benedek, M.D., Col., M.C., U.S.A.
    Donald W. Black, M.D.
    Nancee S. Blum, M.S.W.
    Philippe Boursiquot, M.D., FRCPC
    Beth S. Brodsky, Ph.D.
    Chloe Campbell, Ph.D.
    Andrew M. Chanen, M.B.B.S., Ph.D., FRANZCP
    Lois W. Choi-Kain, M.D., M.Ed.
    John F. Clarkin, Ph.D.
    Jennifer C. Elliott, Ph.D.
    Peter Fonagy, Ph.D.
    J. Christopher Fowler, Ph.D.
    Sharely Fred Torres, M.D.
    Lauren R. Gorfinkel, M.P.H.
    Ilana Gratch, B.A.
    Carlos M. Grilo, Ph.D.
    Thomas G. Gutheil, M.D.
    John M. Hart, Ph.D.
    Deborah S. Hasin, Ph.D.
    Sabine C. Herpertz, M.D.
    Richard Hersh, M.D.
    Christian Hicks, M.D.
    David Kealy, Ph.D.
    Amy R. Kegley, Ph.D.
    Sophie Kerr, B.A.
    Harold W. Koenigsberg, M.D.
    Jay L. Lebow, Ph.D.
    Kenneth N. Levy, Ph.D.
    Madison Links, M.D.
    Paul S. Links, M.D., FRCPC
    Nicolas Lorenzini, Ph.D.
    Patrick Luyten, Ph.D.
    Ricky D. Malone, M.D., Col. (Ret.), M.C., U.S.A.
    Jacquelyn L. Meyers, Ph.D.
    Leslie C. Morey, Ph.D.
    Philip R. Muskin, M.D., M.A., DLFAPA, LFACLP
    Sara Siris Nash, M.D., FACLP, FAPA
    Katharine J. Nelson, M.D.
    Antonia S. New, M.D.
    John S. Ogrodniczuk, Ph.D.
    John M. Oldham, M.D., M.S.
    William H. Orme, Ph.D.
    M. Mercedes Perez-Rodriguez, M.D., Ph.D.
    Seth J. Prins, Ph.D., M.P.H.
    Daniel R. Rosell, M.D., Ph.D.
    Abigail B. Schlesinger, M.D.
    Christian Schmahl, M.D.
    Carla Sharp, Ph.D.
    Andrew E. Skodol, M.D.
    Jennifer Sotsky, M.D.
    Barbara Stanley, Ph.D.
    Svenn Torgersen, Ph.D.
    Sherab Tsheringla, M.D.
    Amanda A. Uliaszek, Ph.D.
    Drew Westen, Ph.D.
    Victoria Winkeller, M.D.
    Frank E. Yeomans, M.D

About the Authors

Andrew E. Skodol, M.D., is Research Professor of Psychiatry at the University of Arizona College of Medicine in Tucson, Arizona.

John M. Oldham, M.D., M.S.,
is Distinguished Emeritus Professor at Baylor College of Medicine in Houston, Texas.

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