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by: Efrain Bleiberg  Availability: Usually ships in 24 hours
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Binding: PaperbackDewey Decimal Number: 618.9285 EAN: 9781593850180 Edition: 1 ISBN: 1593850182 Label: The Guilford Press Manufacturer: The Guilford Press Number Of Items: 1 Number Of Pages: 348 Publication Date: February 10, 2004 Publisher: The Guilford Press Studio: The Guilford Press Related Items:
Browse for similar items by category: Click to Display Editorial Review: Product Description: While personality disorders traditionally have been conceptualized only in adults, it is not uncommon to encounter children and adolescents with the classic diagnostic signs. Youngsters with personality disorders may come across as strikingly arrogant, defiant, and manipulative, yet their demeanor typically masks devastating experiences of vulnerability and pain. This groundbreaking volume offers a framework to make sense of childhood personality disorders, distinguish them from more frequently diagnosed childhood conditions, and respond appropriately to the challenges this population presents. Interweaving neurobiological, psychodynamic, and developmental perspectives, Efrain Bleiberg presents an effective treatment model grounded in research and extensive clinical experience. All therapists working with children and adolescents will find vital insights and strategies in this lucidly written book. The author first explores the nature and clinical presentation of childhood personality disorders. Diverse theoretical and empirical literatures are integrated to show how a combination of constitutional vulnerability, attachment difficulties, and trauma may impair the child's capacity to interpret and respond to the world in human, meaningful terms. Elucidated are the processes by which specific personality disorders develop when children--and caregivers--become trapped in rigid, maladaptive patterns of feeling, coping, and relating. The book then takes the clinician step-by-step through offering multimodal interventions that incorporate individual psychotherapy, family treatment, and pharmacotherapy. Compelling case vignettes and transcripts bring to life the inner worlds of these frightened young people and the clinicians who work with them, showing how treatment can help achieve intrapsychic change, free inhibited development, and modify the child's family context. Emphasizing the importance of the therapeutic alliance, the book gives particular attention to ways that therapists can understand and work with their own emotional reactions in highly charged clinical situations. Providing a unique, research-based approach to working with a notably difficult-to-treat population, this book belongs on the desks of psychologists, psychiatrists, social workers, and other clinicians working with children and adolescents. Rendering complex ideas accessible, it will also be an invaluable resource for graduate-level students and trainees in these fields. Average Rating:
 Rating: - EXCELLENT, WELL THOUGHT OUT BOOKThis book presents an excellent and thought-provoking discussion of a controversial subject. I have been a practicing child psychiatrist for 23 years. As a group, we child psychiatrist are reluctant to diagnose personality disorders in children and adolescents. There are many reasons for this. As we become primarily prescribers of psychotropic medications, which are helpful in many cases. we may have developed a bias toward diagnosing Axis I disorders which frequently do respond to psychotropic medications. ... Read More Rating: - Brilliant!Dr. Bleiberg's writing particularly shines in his use of clinical examples. He is a close listener, perspicacious observer, and gifted in his ability to truly understand the inner experiences of his patients-sometimes before his patients see what he sees. I look forward to his (I hope, forthcoming)second edition that will no doubt include the advances in neuroscience that have contributed to our understanding of reflective functioning. Rating: - Well done-a masterpieceSimply put, this work demands a place on the bookshelf of every compatent practicioner. For many years I have cleaned out libraries and the clinical guides belonging to colleauges and never have I found a book so comprehensive and insightful as Bleibergs. I had the privilege of meeting Dr. Bleiberg and i must say that he is as eloquent and knowleadgeable as the book presents him to be. Bleiberg is one of the premier psychiatrists and his rich knowledge of his field is obvious Rating: - An inteligent model for treating personality disorder!I, together with collegues, have been working on a model of understanding severe personality disorder in children and adolescents for almost two decades. We have always planed to write a book on the implications of our ideas for treatment. We never succeeded. We never had the clinical experience to take on the task of the kind of comprehensive treatment model which we envisioned as the only approriate one for this group of seriously handicapped youngsters. Where we fell short, Bleiberg succeeded. ... Read More 
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