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The Royal College of Psychiatrists Improving the lives of people with mental illness

Clinical Topics in Personality Disorder

Edited by Jaydip Sarkar and Gwen Adshead

Price: £30.00

College members' price: £27.00

Published: Jul 2012

Format: Paperback

Number of pages: 368

ISBN: 9781908020390

Clinical Topics in Personality Disorder

Personality disorder used to be a diagnosis of exclusion, a condition deemed ‘untreatable’. This situation has been transformed in the past 10 years, with a huge expansion of research and clinical interest in personality disorders: what it is like to have a personality disorder, what sort of services are helpful, what treatments work best and what staff need to know.

This book provides an expert synthesis of these clinical advances. It covers the nature of personality disorders, assessment, diagnosis and classification, management and a broad range of therapeutic approaches. Written by practitioners with real expertise in the field, the book is equally suitable for psychiatric trainees and more experienced clinicians from the full range of disciplines in mental healthcare.

  • Up to date and comprehensive.
  • Includes service user experiences.
  • Draws on a wealth of real clinical experience.
  • Eclectic range of therapies and approaches.
  • Covers all age groups and specialist settings.

Five chapters have been specially commissioned for this book, while previous versions of the other 15 chapters have been published in the journal Advances in Psychiatric Treatment - many have been extensively updated by the authors.

Readership: Particularly relevant for any healthcare professionals caring for those with personality disorder. It will also be useful for psychiatric trainees, those working in forensic services and anyone in the multi-disciplinary mental health team.

About the editors:
Jaydip Sarkar – Consultant Forensic Psychiatrist, East Midlands Centre for Forensic Mental Health, Leicester.
Gwen Adshead – Consultant Forensic Psychotherapist, Broadmoor Hospital, Berks.



Part 1: The nature of the problem


The nature of personality disorder


Differences between psychopathy and other personality disorders: evidence from neuroimaging


Challenges in the treatment of dangerous and severe personality disorder


Are you looking at me? Understanding and managing paranoid personality disorder


Personality disorder in older people: how common is it and what can be done?


Management of common personality disorders in the acute setting


Personality disorder in women


Personality disorder in adolescence


Part 2: Management and general treatment approaches


Assessment of personality disorder


Diagnosis and classification of personality disorder: difficulties, their resolution and implications for practice


Murmurs of discontent: treatment and treatability of personality disorder


Personality disorder: its impact on staff and the role of supervision


Part 3: Specific treatment approaches


Treating personality disorder: methods and outcomes


Skills-based therapies for personality disorder


Insight-oriented therapies for personality disorder


Treatment approaches for severe personality disorder


Mindfulness in the psychotherapy of personality disorder


Cognitive analytic therapy for borderline personality disorder


Contemporary therapeutic communities: complex treatment for complex needs


Nidotherapy: making the environment do the therapeutic work


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Winner of the Psychiatry category of the BMA Medical Book Awards 2013

BMA Medical Book Awards“This is an excellent overview, challenging certain negative attitudes towards the disorders and their treatability, with good, up-to-date referencing to assist further enquiry into the subject. Its strengths are its  breadth and well-informed exploration of the subjects. It definitely has benefitted my knowledge and understanding of current thinking.”

2013 BMA Medical Book and Patient Information Awards: Programme and Awards Winners


First Prize in Psychiatry 2013


Dr Gwen Adshead (on the right) being presented the First Prize at the Awards ceremony, Sep 2013

First Prize in Psychiatry 2013