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Social Factors in the Personality Disorders - Finding a Niche (Paperback, 2nd Revised edition): Joel Paris Social Factors in the Personality Disorders - Finding a Niche (Paperback, 2nd Revised edition)
Joel Paris
R540 Discovery Miles 5 400 Ships in 10 - 15 working days

Studies reveal that nearly 10% of the adult population meet criteria for an official diagnosis of personality disorder. Personality disorders have been shown to be strongly influenced by biological and psychological factors, however, less attention has been paid to the social context of these disorders. Synthesizing over 25 years of research since the first edition, this book explores how certain social forces can amplify heritable traits into disorders. It considers these interactions in the framework of a broad biopsychosocial model. Chapters cover clinically important categories, including borderline, narcissistic, and antisocial personality, as well as topics such as modernity, exploring how rapid social change is acting as a major risk factor for these disorders. Concise, balanced, and evidence-based throughout, this important book offers a unique perspective and shows how this can inform treatment decisions for all mental health professionals. It will also be of interest to researchers in the social sciences.

An Evidence-Based Critique of Contemporary Psychoanalysis - Research, Theory, and Clinical Practice (Paperback): Joel Paris An Evidence-Based Critique of Contemporary Psychoanalysis - Research, Theory, and Clinical Practice (Paperback)
Joel Paris
R943 Discovery Miles 9 430 Ships in 10 - 15 working days

An Evidence-Based Critique of Contemporary Psychoanalysis assesses the state of psychoanalysis in the 21st century. Joel Paris examines areas where analysis needs to develop a stronger scientific and clinical base, and to integrate its ideas with modern clinical psychology and psychiatry. While psychoanalysis has declined as an independent discipline, it continues to play a major role in clinical thought. Paris explores the extent to which analysis has gained support from recent empirical research. He argues that it could revive its influence by establishing a stronger relationship to science, whilst looking at the state of current research. For clinical applications, he suggests while convincing evidence is lacking to support long-term treatment, brief psychoanalytic therapy, lasting for a few months, has been shown to be relatively effective for common mental disorders. For theory, Paris reviews changes in the psychoanalytic paradigm, most particularly the shift from a theory based largely on intrapsychic mechanisms to the more interpersonal approach of attachment theory. He also reviews the interfaces between psychoanalysis and other disciplines, ranging from "neuropsychoanalysis" to the incorporation of analytic theory into post-modern models popular in the humanities. An Evidence-Based Critique of Contemporary Psychoanalysis concludes by examining the legacy of psychoanalysis and making recommendations for integration into broader psychological theory and psychotherapy. It will be of great interest to psychoanalysts, psychoanalytic psychotherapists, and scholars and practitioners across the mental health professions interested in the future and influence of the field.

The Use and Misuse of Psychiatric Drugs - An Evidence-Based Critique (Paperback): Joel Paris The Use and Misuse of Psychiatric Drugs - An Evidence-Based Critique (Paperback)
Joel Paris
R1,128 R1,037 Discovery Miles 10 370 Save R91 (8%) Ships in 10 - 15 working days

"Dr. Paris has written an honest, balanced presentation of the waysin which psychiatric drugs are evaluated and prescribed. Hehighlights the complexity of the task, the limits of what is knownand the mixed picture that research often produces. His conclusionsare refreshing because they are built from an even-handed,pragmatic assessment of the empirical evidence. The result is astimulating look at the world of treatments for emotional disordersthat acknowledges the usefulness of both biological andpsychosocial explanations where appropriate. His recommendationsprovide helpful roadmaps for patients, practitioners andresearchers alike. The book is sure to serve as a welcome catalystfor the continuing debates about which treatments are likely toproduce the best outcomes." Roger P. Greenberg, Ph.D. Distinguished Professor andHead, Psychology Division Dept. of Psychiatry & BehavioralScience SUNY Upstate Medical University, NY, USA The message of this book is that psychiatrists have some verygood drugs, but can expect bad results when they are over-used,prescribed outside of evidence-based indications, or given to thewrong patients. While acknowledging that many current agents arehighly effective and have revolutionized the treatment of certaindisorders, Joel Paris criticizes their use outside of an evidencebase. Too many patients are either over-medicated or aremisdiagnosed to justify aggressive treatment. Dr. Paris calls formore government funding of clinical trials to establish, withoutbias, the effectiveness of these agents. He has written this bookfor practitioners and trainees to show that scientific evidencesupports a more cautious and conservative approach to drugtherapy. After describing the history of psychopharmacology, includingits early successes, Dr. Paris reviews the relationship betweenpsychiatry and the pharmaceutical industry. This problem hasreceived considerable popular attention in recent years and Dr.Paris documents initiatives to increase transparency and decreasethe influence of pharmaceutical marketing on diagnosis andprescribing habits. Dr Paris then examines some major controversies. One is the factthat newer drugs have not been shown to be superior to olderagents. Another is that while the number of prescriptions forantidepressants has increased dramatically, meta-analyses show thattheir value is more limited than previously believed. Still anotheris the widespread prescription of mood stabilizers andantipsychotic drugs for patients, including children andadolescents, who do not have bipolar illness. Polypharmacy is anespecially contentious area: very few drug combinations have beentested in clinical trials, yet many patients end up on a cocktailof powerful drugs, each with its own side effects. Dr Paris briefly considers alternatives to pharmacology andagain calls for more clinical trials of these approaches. He alsodiscusses the current trend to medicalizing what many woulddescribe as normal distress and states succinctly: Some things inlife are worth being upset about.

Treatment of Borderline Personality Disorder, Second Edition - A Guide to Evidence-Based Practice (Paperback, 2nd New edition):... Treatment of Borderline Personality Disorder, Second Edition - A Guide to Evidence-Based Practice (Paperback, 2nd New edition)
Joel Paris
R904 Discovery Miles 9 040 Ships in 7 - 11 working days

Acclaimed for its wisdom and no-nonsense style, this authoritative guide has now been revised and expanded with 50% new content reflecting a decade of advances in the field. Distinguished psychiatrist Joel Paris distills current knowledge about borderline personality disorder (BPD) and reviews what works in diagnosis and treatment. Rather than advocating a particular therapy, Paris guides therapists to flexibly interweave a range of evidence-based strategies, within a stepped-care framework. The book presents "dos and don'ts" for engaging patients with BPD, building emotion regulation and impulse control skills, working with family members, and managing suicidality and other crises. It is illustrated throughout with rich clinical vignettes. New to This Edition *Up-to-date findings on treatment effectiveness and outcomes. *Chapter on dimensional models of BPD, plus detailed discussion of DSM-5 diagnosis. *Chapter on stepped care, including new findings on the benefits of brief treatment. *Chapter on family psychoeducation and other ways to combat stigma. *New and expanded discussions of cutting-edge topics--BPD in adolescents, childhood risk factors, and neurobiology.

Psychotherapy in An Age of Neuroscience (Paperback): Joel Paris Psychotherapy in An Age of Neuroscience (Paperback)
Joel Paris
R934 Discovery Miles 9 340 Ships in 10 - 15 working days

Psychotherapy In an Age of Neuroscience is a critique of the neuroscience model that dominates contemporary psychiatric practice. It shows that while the neurosciences have made great advances, this line of research has thus far had little application to the care of patients. It criticizes the over-use of psychopharmacological interventions for common mental disorders such as depression, anxiety, and substance use. It examines why many, if not most, psychiatrists are seeing patients for 15-minute "med checks" oriented to current symptoms and DSM criteria, and are not taking the time to become familiar with the lives of their patients. The book shows that effective psychotherapeutic interventions are being under-utilized. It proposes that psychiatric practice include the use of psychotherapies that are brief and evidence-based. While most therapy will need to be carried out by psychologists and other mental health professionals, psychiatrists should take on the most complex and difficult cases that require both medication and therapy. By integrating biological and psychosocial interventions, psychiatrists can regain their reputation for breadth of vision and humanism.

Making the DSM-5 - Concepts and Controversies (Paperback, 2013 ed.): Joel Paris, James 'Phillips Making the DSM-5 - Concepts and Controversies (Paperback, 2013 ed.)
Joel Paris, James 'Phillips
R2,198 R2,001 Discovery Miles 20 010 Save R197 (9%) Ships in 10 - 15 working days

In 2013, the American Psychiatric Association published the 5thedition of its"Diagnostic and Statistical Manual of Mental Disorders"(DSM-5). Often referred to as the "bible" of psychiatry, the manual only classifies mental disorders and does not explain them or guide their treatment. While science should be the basis of any diagnostic system, to date, there is no knowledge on whether most conditions listed in the manual are true diseases. Moreover, in DSM-5 the overall definition of mental disorder is weak, failing to distinguish psychopathology from normality. In spite of all the progress that has been made in neuroscience over the last few decades, the psychiatric community is no closer to understanding the etiology and pathogenesis of mental disorders than it was fifty years ago.

In"Making the DSM-5," prominent experts delve into the debate about psychiatric nosology and examine the conceptual and pragmatic issues underlying the new manual. While retracing the historic controversy over DSM, considering the political context and economic impact of the manual, and focusing on what was revised or left unchanged in the new edition, this timely volume addresses the main concerns of the future of psychiatry and questions whether the DSM legacy can truly improve the specialty and advance its goals.

"

The Intelligent Clinician's Guide to the DSM-5 (R) (Paperback, 2nd Revised edition): Joel Paris The Intelligent Clinician's Guide to the DSM-5 (R) (Paperback, 2nd Revised edition)
Joel Paris
R987 Discovery Miles 9 870 Ships in 7 - 11 working days

The Intelligent Clinician's Guide to the DSM-5 (R) is the second edition of the widely-read book first published in 2013. This second edition is thoroughly revised, and has several new chapters describing the response to the publication of the new manual, as well as suggestions on its use in clinical practice. The Intelligent Clinician's Guide to the DSM-5 (R), Second Edition reviews the history of diagnosis in psychiatry, emphasizing the limitations for classification of our current lack of knowledge of the causes of most mental disorders. It emphasizes that, in the absence of biomarkers, current categories can only be considered provisional. It takes a critical look at schema for spectra and dimensionaliztion of diagnosis, examines the borders between normality and psychopathology, and discusses the problem of clinical utility. The book has chapters on all the major diagnoses in psychiatry, in which the main problems of diagnosis are addressed, and in which all changes in DSM-5 are described.

A Concise Guide to Personality Disorders (Hardcover): Joel Paris A Concise Guide to Personality Disorders (Hardcover)
Joel Paris
R1,763 R1,597 Discovery Miles 15 970 Save R166 (9%) Ships in 10 - 15 working days

Clients with personality disorders (PDs) present special challenges to clinicians. Nonetheless, successful treatment is possible, and a rapidly growing research base can inform diagnosis and intervention. This book reviews what we know and what we don't know about PDs, and what this implies for clinical practice. It integrates a large body of research findings into a concise, highly practical approach to managing difficult clients. Rather than advocating a single method of treatment, Joel Paris promotes an integration of all evidence-based psychotherapies, as well as effective case management. The evidence base for pharmacotherapy is reviewed as well. Focusing particularly on borderline, antisocial, and narcissistic PDs, the author also reviews other PD categories. His extensive experience and clinical wisdom illuminate the discussion, demonstrating how to work productively and empathically with these clients.

Overdiagnosis in Psychiatry - How Modern Psychiatry Lost Its Way While Creating a Diagnosis for Almost All of Life's... Overdiagnosis in Psychiatry - How Modern Psychiatry Lost Its Way While Creating a Diagnosis for Almost All of Life's Misfortunes (Paperback, 2nd Revised edition)
Joel Paris
R1,186 Discovery Miles 11 860 Ships in 7 - 11 working days

Dr. Joel Paris' Overdiagnosis in Psychiatry takes a much-needed look at the dangerous epidemic of unnecessary or incorrect treatments in contemporary psychiatry. The last 30 years of psychiatry have seen the development of a system of classification aimed at establishing greater scientific credibility. Unfortunately, the current categories are based entirely on signs and symptoms rather than on causes, which remain unknown. This has inevitably made diagnosis imprecise and uncertain. The result is that well-meaning professionals can have problems separating psychopathology from normality, can be unduly influenced by diagnostic fads, and can ultimately wind up prescribing treatments that do more harm than good. Paris examines prominent examples of overused diagnoses including major depressive disorder, ADHD, bipolar-II disorder, autism spectrum disorders, and PTSD. This new edition expands on Dr. Paris' argument and offers a new section on the link between aggressive psychopharmacology and current diagnostic practices, as well as on transdiagnostic approaches to classification of mental disorders.

The Fall of An Icon - Psychoanalysis and Academic Psychiatry (Hardcover, 2nd Revised edition): Joel Paris The Fall of An Icon - Psychoanalysis and Academic Psychiatry (Hardcover, 2nd Revised edition)
Joel Paris
R1,410 R1,199 Discovery Miles 11 990 Save R211 (15%) Ships in 10 - 15 working days

Over the last few decades, academic psychiatry has undergone a revolution. After the Second World War, most department chairs were psychoanalysts who belonged to separate institutes, not subject to the checks and balances of academia, and who did not subscribe to the tenets of scientific medicine. The revolution against psychoanalytic dominance began when a group of psychiatrists developed an evidence-based model that brought psychiatry back into the medical mainstream. In The Fall of an Icon, Joel Paris narrates the history of this transition, placing it in the context of current trends in science and medicine. He illustrates the story using interviews with prominent academic psychiatrists in Canada and the United States, and describes his own experiences as a psychiatrist: how he was caught up in the excitement of the psychoanalytic model, how he became disillusioned with it, and how he came to a new and more scientific view of his discipline. This is an essential work for understanding the recent history of psychiatry.

The Fall of An Icon - Psychoanalysis and Academic Psychiatry (Paperback, New): Joel Paris The Fall of An Icon - Psychoanalysis and Academic Psychiatry (Paperback, New)
Joel Paris
R819 R722 Discovery Miles 7 220 Save R97 (12%) Ships in 10 - 15 working days

Over the last few decades, academic psychiatry has undergone a revolution. After the Second World War, most department chairs were psychoanalysts who belonged to separate institutes, not subject to the checks and balances of academia, and who did not subscribe to the tenets of scientific medicine. The revolution against psychoanalytic dominance began when a group of psychiatrists developed an evidence-based model that brought psychiatry back into the medical mainstream. In The Fall of an Icon, Joel Paris narrates the history of this transition, placing it in the context of current trends in science and medicine. He illustrates the story using interviews with prominent academic psychiatrists in Canada and the United States, and describes his own experiences as a psychiatrist: how he was caught up in the excitement of the psychoanalytic model, how he became disillusioned with it, and how he came to a new and more scientific view of his discipline. This is an essential work for understanding the recent history of psychiatry.

Treatment of Borderline Personality Disorder, Second Edition - A Guide to Evidence-Based Practice (Hardcover, 2nd New edition):... Treatment of Borderline Personality Disorder, Second Edition - A Guide to Evidence-Based Practice (Hardcover, 2nd New edition)
Joel Paris
R2,087 Discovery Miles 20 870 Ships in 7 - 11 working days

Acclaimed for its wisdom and no-nonsense style, this authoritative guide has now been revised and expanded with 50% new content reflecting a decade of advances in the field. Distinguished psychiatrist Joel Paris distills current knowledge about borderline personality disorder (BPD) and reviews what works in diagnosis and treatment. Rather than advocating a particular therapy, Paris guides therapists to flexibly interweave a range of evidence-based strategies, within a stepped-care framework. The book presents "dos and don'ts" for engaging patients with BPD, building emotion regulation and impulse control skills, working with family members, and managing suicidality and other crises. It is illustrated throughout with rich clinical vignettes. New to This Edition *Up-to-date findings on treatment effectiveness and outcomes. *Chapter on dimensional models of BPD, plus detailed discussion of DSM-5 diagnosis. *Chapter on stepped care, including new findings on the benefits of brief treatment. *Chapter on family psychoeducation and other ways to combat stigma. *New and expanded discussions of cutting-edge topics--BPD in adolescents, childhood risk factors, and neurobiology.

Social Factors in the Personality Disorders - A Biopsychosocial Approach to Etiology and Treatment (Hardcover, New): Joel Paris Social Factors in the Personality Disorders - A Biopsychosocial Approach to Etiology and Treatment (Hardcover, New)
Joel Paris; Foreword by Peter Tyrer
R2,798 Discovery Miles 27 980 Out of stock

Personality disorders have been described as "the stepchildren of psychiatry". They have only recently been recognized as categories of psychiatric illness, and still need to be better defined. So far only the category of antisocial personality disorder has been fully validated, while schizotypal and borderline categories now have reasonable acceptance. This book interprets the personality disorders as products of the interaction between social influences and other etiological factors as part of a broad biopsychosocial model, and sets out to explain how personality traits develop into personality disorders. Strongly oriented towards recent empirical findings, the author's analysis leads him to question certain common assumptions about the origins of personality disorders, and in particular the simplistic notion that they may be traced back to dramatic childhood events. He argues that although biological, psychological, and social factors are all necessary, none of them is by itself sufficient to produce personality disorder. This basic model is also a model of treatment, in which biological, experiential, and social factors should all be addressed in therapy, and his treatment recommendations focus particularly on social adjustment through the adaptive use of personality traits. Illustrated with revealing case vignettes, this balanced, humane, and rational account of a difficult and sometimes contentious area will greatly assist clinicians in the understanding and treatment of individuals with personality disorder.

Fads and Fallacies in Psychiatry (Paperback, New): Joel Paris Fads and Fallacies in Psychiatry (Paperback, New)
Joel Paris
R438 Discovery Miles 4 380 Out of stock

Relative to some other medical specialties, psychiatry is a new and still scientifically underdeveloped field - as a result practitioners can be influenced by attractive but unproven ideas. Since mental illness is still a mystery and answers to the most important questions about mental illness will require another century of research, it is important to criticise contemporary practice - especially as fads in psychiatry have occurred not only on the fringe, but in the very mainstream of theory and practice. Some of the trendiest theoretical paradigms may turn out to be unsupported by data. In diagnosis, the many faddish approaches to classification are unlikely to last. In treatment, both psychopharmacology and psychotherapy sometimes embrace interventions with a weak base in evidence that run the risk of doing harm to patients. This book examines the fads and fallacies that have and continue to plague psychiatry, in both diagnosis and in treatment. These include over-diagnosis (especially of depression, bipolar disorder, ADHD, PTSD and autism), over-treatment with pharmaceuticals and the assumption that neuroscience has all the answers for psychiatry. The reasons why psychotherapy has long been prone to faddishness are explored; as are the reasons for more recent faddishness in psychopharmacology, which can lead to irrational methods of over-treatment, and a failure to consider alternatives. There is discussion of the problematic areas of diagnostic systems (ICD and DSM) and an over-reliance on drugs. Many examples from the author's own personal clinical experience are included. The author's strong opinions and critical tone may seem to conflict with the dispassionate approach of evidence-based medicine, however, the book presents balanced arguments and includes positive suggestions and recommendations for change. Until we really understand the nature of serious mental illness, psychiatrists need to resist fads in diagnosis and treatment and the author concludes that the best antidote to fads lies in cautious con

An Evidence-Based Critique of Contemporary Psychoanalysis - Research, Theory, and Clinical Practice (Hardcover): Joel Paris An Evidence-Based Critique of Contemporary Psychoanalysis - Research, Theory, and Clinical Practice (Hardcover)
Joel Paris
R3,237 Discovery Miles 32 370 Out of stock

An Evidence-Based Critique of Contemporary Psychoanalysis assesses the state of psychoanalysis in the 21st century. Joel Paris examines areas where analysis needs to develop a stronger scientific and clinical base, and to integrate its ideas with modern clinical psychology and psychiatry. While psychoanalysis has declined as an independent discipline, it continues to play a major role in clinical thought. Paris explores the extent to which analysis has gained support from recent empirical research. He argues that it could revive its influence by establishing a stronger relationship to science, whilst looking at the state of current research. For clinical applications, he suggests while convincing evidence is lacking to support long-term treatment, brief psychoanalytic therapy, lasting for a few months, has been shown to be relatively effective for common mental disorders. For theory, Paris reviews changes in the psychoanalytic paradigm, most particularly the shift from a theory based largely on intrapsychic mechanisms to the more interpersonal approach of attachment theory. He also reviews the interfaces between psychoanalysis and other disciplines, ranging from "neuropsychoanalysis" to the incorporation of analytic theory into post-modern models popular in the humanities. An Evidence-Based Critique of Contemporary Psychoanalysis concludes by examining the legacy of psychoanalysis and making recommendations for integration into broader psychological theory and psychotherapy. It will be of great interest to psychoanalysts, psychoanalytic psychotherapists, and scholars and practitioners across the mental health professions interested in the future and influence of the field.

The Bipolar Spectrum - Diagnosis or Fad? (Paperback): Joel Paris The Bipolar Spectrum - Diagnosis or Fad? (Paperback)
Joel Paris
R1,073 Discovery Miles 10 730 Out of stock

In the 1970s, author Joel Paris was one of the first doctors in his hospital to prescribe lithium to a psychiatric patient. In the wake of the drug's success, both in that case and countless others, why this book? As Dr. Paris' historical examination of bipolar diagnosis and critique of the spectrum demonstrates, medicine has often been prone to fads that are assumed correct until proven wrong by science. This book opens discussion about the overdiagnosis of bipolar disorder and the negative impact of this development on clinical care. Dr. Paris explores why patients are being classified as bipolar on dubious grounds and are being prescribed drugs they do not need. He explains the differences between bipolar disorder and depression without mania, personality disorders characterized by unstable mood, and impulsive disorders. A separate chapter discusses the unique issues present in the field of child psychiatry. Fads remain popular as long as they answer elusive and complex questions. Unfortunately, the bipolar spectrum being used to explain a wide variety of psychopathological phenomena has caused classic bipolar disorder to become almost lost in the shuffle. Combining research findings and personal experiences, Dr. Paris documents the damage of overdiagnosis and explores alternative treatments patients could benefit from.

Prescriptions for the Mind - A Critical View of Contemporary Psychiatry (Hardcover): Joel Paris Prescriptions for the Mind - A Critical View of Contemporary Psychiatry (Hardcover)
Joel Paris
R939 Discovery Miles 9 390 Out of stock

The practice of psychiatry has undergone great changes in recent years. In this book, Joel Paris, MD, a veteran psychiatrist, provides a fluently written and accessible "state-of-the-field" assessment. Himself a clinician, researcher, and teacher, Paris focuses on the most striking change within the field - the diverging roles of psychopharmacology and psychotherapy in contemporary practice. Where once psychiatrists were trained in Freudian psychoanalysis - which involved, more than anything else, talking - current pressures in mental health practice, including those imposed by managed care, are leading psychiatrists to treat more and more of their patients exclusively with medication, which is cheaper and faster. At the same time, psychotherapy is increasingly not being taught to new psychiatrists-in-training, even though, as Paris reveals, there is scientific evidence that both talk therapies and medication can play an important role in the treatment of mental illness. These developments are occuring against a backdrop of exploding research in the genetics and neurobiology of mental illness that will continue to drive the field. Paris ends by contemplating how going forward psychiatry can best respond to all these forces and proposes a team-based approach to mental health care. The book will appeal both to specialists and nonspecialists, particularly psychiatric residents and fellows, medical students considering specialization in psychiatry, clinical psychologists, social workers, and general readers, especially consumers of mental health services.

Myths of Childhood (Hardcover): Joel Paris Myths of Childhood (Hardcover)
Joel Paris
R820 R739 Discovery Miles 7 390 Save R81 (10%) Out of stock

Childhood has long been considered the major factor in determining adult life. It sets us on the path toward or away from happiness, shapes our personality, and is a major cause of mental disorders. Or is it?
"Myths of Childhood" strongly challenges these assumptions usually taken for granted in contemporary society and the mental health community. With a healthy dose of scepticism toward clinical impressions and using empirically-based research from areas including behavioral genetics and attachment, Dr. Paris builds a convincing case against the primacy of childhood in the development of adult personality and psychopathology. In its place, he offers an alternative model for development and shows how mental health professionals can apply this model to clinical pracitce.
"Myths of Childhood" represents an important addition to the ongoing debate between mental health professionals regarding nature vs. nurture. For supporters of either side, this book is a valuable resource for further exploration of this controversy.

Personality Disorders Over Time - Precursors, Course, and Outcome (Paperback): Joel Paris Personality Disorders Over Time - Precursors, Course, and Outcome (Paperback)
Joel Paris
R1,202 Discovery Miles 12 020 Out of stock

Treating personality disorders can be extremely frustrating for clinicians. As a result, many doctors get caught in a cycle of diagnosing and rediagnosing in an attempt to find an approach that works. In Personality Disorders Over Time: Precursors, Course, and Outcome, Joel Paris, M.D., proposes a better approach-one based on management rather than cure-that he developed while following a group of patients with borderline personality disorder (BPD) for over 25 years.

Paris believes that the key to effective treatment of personality disorders lies in understanding their progression over a lifetime. In Personality Disorders Over Time, he outlines a sound framework for treatment that features - A realistic long-term treatment approach that strives for gradual recovery with intermittent interventions- An examination of the progression of these disorders over time, including childhood precursors, course and outcome, and treatment- A general theory of personality disorders, including Axis I and Axis II cluster disorders- Suggestions for a broader, more accurate DSM classification reflecting the personality trait dimensions that underlie disorders

Written in the first person, studded with clinical anecdotes, and filled with up-to-date literature references, Personality Disorders Over Time provides fascinating insights into these complicated disorders. It is an excellent resource for any clinician who wants to understand and provide more effective treatment to patients with personality disorders.

Borderline Personality Disorder - Etiology and Treatment (Hardcover, New): Joel Paris Borderline Personality Disorder - Etiology and Treatment (Hardcover, New)
Joel Paris
R2,131 Discovery Miles 21 310 Out of stock

At this time, borderline personality disorder is the most researched Axis II disorder and is beginning to rival the functional psychoses for space devoted to the topic in prominent journals.

This book differs from other books on borderline personality disorder in its commitment to empirical data as the basis for progress and understanding when treating the borderline patient. Written by experts in this ever-changing field, it includes the most in-depth and up-to-date research and clinical findings on the etiology and treatment of borderline personality disorder.

Borderline Personality Disorder - A Multidimensional Approach (Hardcover, New): Joel Paris Borderline Personality Disorder - A Multidimensional Approach (Hardcover, New)
Joel Paris
R1,608 Discovery Miles 16 080 Out of stock

The etiology of borderline personality disorder is essentially unknown. Although many well-known theoretical formulations remain the best possible hypotheses, much of what has been suggested thus far for the management of BPD has proved impractical in a majority of cases. Written by an expert in the field of BPD, Borderline Personality Disorder presents a practical approach to the management of patients with this disorder. Designed for readers who are skeptical of facile explanations, this book provides a broader view of the etiology of BPD than has been presented in previous studies. Readers will not only appreciate the review of the current research but also its theoretical integration into practice. Borderline Personality Disorderhas two goals: to build a comprehensive theory of etiology which takes into account biological, psychological, and social factors. to suggest treatment guidelines which are consistent with this theory, and which are based on the findings of clinical trials. Based on the most up-to-date clinical research available, Borderline Personality Disorder shows how these complex disorders are shaped by biological vulnerability, brought on by psychological experiences, and influenced by social conditions.

Treatment of Borderline Personality Disorder, Second Edition - A Guide to Evidence-Based Practice (Hardcover): Joel Paris Treatment of Borderline Personality Disorder, Second Edition - A Guide to Evidence-Based Practice (Hardcover)
Joel Paris
R1,922 Discovery Miles 19 220 Out of stock

Organizing a vast body of scientific literature, this indispensable book presents the state of the art in understanding borderline personality disorder (BPD) and distills key treatment principles that therapists need to know. Rather than advocating a particular approach, Joel Paris examines a range of therapies and identifies the core ingredients of effective intervention. He offers specific guidance for meeting the needs of this challenging population, including ways to improve diagnosis, promote emotion regulation and impulse control, maintain appropriate therapeutic boundaries, and deal with suicidality and other crises. Highly readable, practical, and humane, the book also explains the latest thinking on the causes of BPD and how it develops.

Nature and Nurture in Mental Disorders - A Gene-Environment Model (Paperback, 2nd Revised edition): Joel Paris Nature and Nurture in Mental Disorders - A Gene-Environment Model (Paperback, 2nd Revised edition)
Joel Paris
R1,107 Discovery Miles 11 070 Out of stock
The Bipolar Spectrum - Diagnosis or Fad? (Hardcover): Joel Paris The Bipolar Spectrum - Diagnosis or Fad? (Hardcover)
Joel Paris
R1,194 Discovery Miles 11 940 Out of stock

In the 1970s, author Joel Paris was one of the first doctors in his hospital to prescribe lithium to a psychiatric patient. In the wake of the drug's success, both in that case and countless others, why this book? As Dr. Paris' historical examination of bipolar diagnosis and critique of the spectrum demonstrates, medicine has often been prone to fads that are assumed correct until proven wrong by science. This book opens discussion about the overdiagnosis of bipolar disorder and the negative impact of this development on clinical care. Dr. Paris explores why patients are being classified as bipolar on dubious grounds and are being prescribed drugs they do not need. He explains the differences between bipolar disorder and depression without mania, personality disorders characterized by unstable mood, and impulsive disorders. A separate chapter discusses the unique issues present in the field of child psychiatry. Fads remain popular as long as they answer elusive and complex questions. Unfortunately, the bipolar spectrum being used to explain a wide variety of psychopathological phenomena has caused classic bipolar disorder to become almost lost in the shuffle. Combining research findings and personal experiences, Dr. Paris documents the damage of overdiagnosis and explores alternative treatments patients could benefit from.

Half in Love With Death - Managing the Chronically Suicidal Patient (Paperback, New): Joel Paris Half in Love With Death - Managing the Chronically Suicidal Patient (Paperback, New)
Joel Paris
R587 Discovery Miles 5 870 Out of stock

"Half in Love With Death "presents a new way for therapists to manage chronically suicidal patients, an incredibly challenging task for clinicians and one where an insufficient amount of literature exists to guide professionals. Author Joel Paris suggests an approach that defies conventional wisdoms about whether suicide can be predicted or prevented. He asserts that managing chronically suicidal patients begins with tolerating suicidality, understanding the inner world of patients, avoiding repeated hospitalizations, and focusing on life situations that maintain suicidal ideas and behaviors.
Each chapter in the book develops a theoretical perspective based on empirical data, and many are illustrated by clinical examples. Topics addressed throughout the text include:
*distinctions among various types of suicidality;
*the inner world of the chronically suicidal patient, with a particular focus on pain, emptiness, and hopelessness;
*the relationship between chronic suicidality and personality disorders, especially the category of borderline personality;
*the effectiveness of psychotherapy and pharmacotherapy for chronically suicidal patients; and
*the risks of litigation in managing this patient population.
This volume is a crucially important resource for clinicians who treat chronically suicidal patients, as it fills a gap in existing literature and provides enlightened guidelines that stem from a large body of research in the field.

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