John G. Gunderson & Glen O. Gabbard - Psychotherapy for Personality Disorders

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Psychotherapy for Personality Disorders is a slim volume put out by the American Psychiatric Press as part of its Review of Psychiatry series. At first glance is seems too slim, given the amount that has been written about the treatment of these disorders. In professional books, I tend to look for the thick ones, assuming (immodestly) that for me to learn something new takes a lot more words. However, this book is a pleasant (and educational surprise).

The book is comprised of five chapters on different topics. Of these, I was most impressed with the first three. Chapter One focuses on the empirical studies of psychotherapy for personality disorders. It reviews the literature addressing several critical questions, including: (1) Does psychotherapy result in significant improvement? (2) Do some diagnoses respond to treatment better than others? (3) What changes occur during and after psychotherapy? The author's conclusions are hopeful-yes, psychotherapy works, to oversimplify. They also provide an object lesson to those who would like to advance the field. This lesson is that our research on treatment is inadequate in both quality and quantity.