{"title":"PCC: 20 Years Old and Growing: (Publisher's Note)","authors":"J. Shelton","doi":"10.4088/PCC.18PN02287","DOIUrl":"https://doi.org/10.4088/PCC.18PN02287","url":null,"abstract":"","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129415666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Twenty Years!: (Editorial)","authors":"L. Culpepper","doi":"10.4088/PCC.18ED02285","DOIUrl":"https://doi.org/10.4088/PCC.18ED02285","url":null,"abstract":"","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124403243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Time for Celebration","authors":"J. Shelton","doi":"10.4088/PCC.16PN02047","DOIUrl":"https://doi.org/10.4088/PCC.16PN02047","url":null,"abstract":"","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121289028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anxiety: (Psychotherapy Casebook)","authors":"D. Schuyler","doi":"10.4088/PCC.16F02039","DOIUrl":"https://doi.org/10.4088/PCC.16F02039","url":null,"abstract":"","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"2675 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127557627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Welcome to the first digital flip-page edition of The Primary Care Companion for CNS Disorders. We hope this turn-page format will give you the feel of holding a printed journal in your hands, while allowing you to seamlessly navigate from article to article. Over the years, technology has enabled numerous changes to improve readability and portability but at the sacrifice of the traditional reader experience. Our website now incorporates all of the advantages of reading in the digital world: app accessibility, linking, sharing, commenting, and printing. If you were with us from the beginning 16 years ago, you will remember that the Companion appeared in print as the Primary Care Companion to The Journal of Clinical Psychiatry. As our readership increased and the Companion expanded, we became an important source of mental health information for primary care physicians and the broader health care community. Thus, we changed our name to The Primary Care Companion for CNS Disorders. In 2009, we made the decision to move from print to the electronic environment to reach an even broader constituency. At the start of our 17th year, we are embracing change again with our new turn-page format. The success of the Companion is owed to the insights and dedicated work of our many editors and supporters. The founding editors worked to shape the Companion’s foundation and set the stage for its growth. For the past 12 years, the Companion has gained prominence under the editorship of Larry Culpepper, MD. Dr Culpepper has been tireless in his dedication to bringing only the best of the best to the Companion’s pages, and we look forward to thriving under his leadership in the coming years. The success of the Companion is also due in great part to you, our readers, and those who submit their research. The quality of submissions is high, and we now attract researchers and clinicians from every continent. As the quality of papers has increased, so has the Companion’s following. Today, the Companion attracts over 50,000 visitors a month. Perhaps the best way to describe today’s Companion is as a “colleague,” for its articles cover the breadth of the CNS spectrum and the illnesses it encompasses. Now, many of our articles explore the interrelationship between mind and body and help our readers better understand the diagnosis and treatment of many comorbid illnesses. Our promise to you is that as new and exciting communication choices come our way, we will bring them to you. No matter the format, you—our readers—can be certain that we will continue to provide the most essential information to help you treat your patients.
{"title":"We’re Turning a Page…","authors":"J. Shelton","doi":"10.4088/PCC.15PN01793","DOIUrl":"https://doi.org/10.4088/PCC.15PN01793","url":null,"abstract":"Welcome to the first digital flip-page edition of The Primary Care Companion for CNS Disorders. We hope this turn-page format will give you the feel of holding a printed journal in your hands, while allowing you to seamlessly navigate from article to article. Over the years, technology has enabled numerous changes to improve readability and portability but at the sacrifice of the traditional reader experience. Our website now incorporates all of the advantages of reading in the digital world: app accessibility, linking, sharing, commenting, and printing. \u0000 \u0000If you were with us from the beginning 16 years ago, you will remember that the Companion appeared in print as the Primary Care Companion to The Journal of Clinical Psychiatry. As our readership increased and the Companion expanded, we became an important source of mental health information for primary care physicians and the broader health care community. Thus, we changed our name to The Primary Care Companion for CNS Disorders. In 2009, we made the decision to move from print to the electronic environment to reach an even broader constituency. At the start of our 17th year, we are embracing change again with our new turn-page format. \u0000 \u0000The success of the Companion is owed to the insights and dedicated work of our many editors and supporters. The founding editors worked to shape the Companion’s foundation and set the stage for its growth. For the past 12 years, the Companion has gained prominence under the editorship of Larry Culpepper, MD. Dr Culpepper has been tireless in his dedication to bringing only the best of the best to the Companion’s pages, and we look forward to thriving under his leadership in the coming years. \u0000 \u0000The success of the Companion is also due in great part to you, our readers, and those who submit their research. The quality of submissions is high, and we now attract researchers and clinicians from every continent. As the quality of papers has increased, so has the Companion’s following. Today, the Companion attracts over 50,000 visitors a month. \u0000 \u0000Perhaps the best way to describe today’s Companion is as a “colleague,” for its articles cover the breadth of the CNS spectrum and the illnesses it encompasses. Now, many of our articles explore the interrelationship between mind and body and help our readers better understand the diagnosis and treatment of many comorbid illnesses. \u0000 \u0000Our promise to you is that as new and exciting communication choices come our way, we will bring them to you. No matter the format, you—our readers—can be certain that we will continue to provide the most essential information to help you treat your patients.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114825793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evaluating and Treating Families: The McMaster Approach, by Christine E. Ryan and colleagues, is a book that I would have welcomed as a marriage and family therapy trainee. Even though I trained as a family physician in a biopsychosocially oriented family medicine residency, I was still unprepared for the complexity of the material I learned during my introductory course in family systems. Ryan and colleagues’ text provides a comprehensive and systematic description of the historical, theoretical, methodological, and research bases for the McMaster model of family therapy, beginning with the description of their model for normal family functioning. Nathan B. Epstein, one of the early developers of the McMaster model, is the second author, and his experience and history with the model are evident throughout. Part 1 outlines the history and development of the McMaster Model of Family Functioning (MMFF) and the Problem Centered Systems Therapy of the Family (PCSTF) and discusses considerations in training and research using the McMaster model. Part 2 (pp. 225–318) presents 7 assessment and research scales developed by the McMaster program and includes instructions for their use. The authors state in the Introduction that the McMaster model of family therapy has “internal consistency and demonstrated effectiveness” (p. xi). In chapter 1, the authors lay out the historical development of Dr Epstein's approach to working with families, including his experience with psychodynamic, interactional, and systems models. The authors describe how Dr Epstein synthesized these ideas into the McMaster model and provide comparisons and contrasts with other models of family therapy. Of importance, the authors point out that the McMaster model is a family systems approach wherein the therapist maintains open and clear communication with the family during the course of treatment. According to the McMaster model, and in contrast to psychodynamic/psychoanalytic models, insight into the problem is neither necessary nor sufficient for change to occur, but, rather, the therapist directs the family's attention to assist them to change the family dynamics that allow or encourage the undesired behavior. Chapter 2 describes the MMFF, beginning with the 6 dimensions of family functioning that underlie the model: (1) problem solving, (2) communication, (3) roles, (4) affective responses, (5) affective involvement, and (6) behavior control. These 6 dimensions compose the main axes of the Family Assessment Device, which is discussed throughout the book and presented in part 2. Trainees will find these dimensions helpful in understanding family functioning, in both “normal” and “distressed” families. Chapter 3, “The Problem Centered Systems Therapy of the Family,” moves from the description of the MMFF into a description of the process of assessing and treating families using a structured technique. The PCSTF emphasizes what the authors refer to as the “macro stages” o
家庭评估装置(版本3)、麦克马斯特临床评定量表(对家庭功能的6个维度进行评定)和麦克马斯特家庭功能结构化访谈，对于希望了解和比较不同家庭的家庭功能的研究人员或向学员教授评估和访谈技术的教师都很有用。作者在第4章和第5章中介绍了他们的学员评估工具，没有任何评分标准。这4种工具评估受训者在观察治疗过程中对麦克马斯特模型中步骤的依从性和执行能力(麦克马斯特PCSFT依从性量表和麦克马斯特PCSFT能力量表)，以及受训者对模型的概念和应用知识(麦克马斯特家庭功能概念测试和麦克马斯特家庭功能感知测试)。总之，《评估和治疗家庭:麦克马斯特方法》为MMFF和PCSTF的历史发展提供了全面的指导，以及在该模型中培训学生的信息，使用结构化的评估进行临床和研究工作。这本书是密集的信息，是广泛适用于婚姻和家庭治疗教师和学员。部分文本，特别是许多表格，可能有助于向面向家庭的初级保健和精神病学学员教授基本的家庭概念，对测量量表的丰富描述将对家庭研究人员有用。Colleen T. Fogarty，医学博士，罗切斯特大学医学中心理学硕士，罗切斯特，纽约
{"title":"Evaluating and Treating Families: The McMaster Approach","authors":"C. Fogarty","doi":"10.4088/PCC.08BK00770","DOIUrl":"https://doi.org/10.4088/PCC.08BK00770","url":null,"abstract":"Evaluating and Treating Families: The McMaster Approach, by Christine E. Ryan and colleagues, is a book that I would have welcomed as a marriage and family therapy trainee. Even though I trained as a family physician in a biopsychosocially oriented family medicine residency, I was still unprepared for the complexity of the material I learned during my introductory course in family systems. Ryan and colleagues’ text provides a comprehensive and systematic description of the historical, theoretical, methodological, and research bases for the McMaster model of family therapy, beginning with the description of their model for normal family functioning. \u0000 \u0000Nathan B. Epstein, one of the early developers of the McMaster model, is the second author, and his experience and history with the model are evident throughout. Part 1 outlines the history and development of the McMaster Model of Family Functioning (MMFF) and the Problem Centered Systems Therapy of the Family (PCSTF) and discusses considerations in training and research using the McMaster model. Part 2 (pp. 225–318) presents 7 assessment and research scales developed by the McMaster program and includes instructions for their use. \u0000 \u0000The authors state in the Introduction that the McMaster model of family therapy has “internal consistency and demonstrated effectiveness” (p. xi). In chapter 1, the authors lay out the historical development of Dr Epstein's approach to working with families, including his experience with psychodynamic, interactional, and systems models. The authors describe how Dr Epstein synthesized these ideas into the McMaster model and provide comparisons and contrasts with other models of family therapy. Of importance, the authors point out that the McMaster model is a family systems approach wherein the therapist maintains open and clear communication with the family during the course of treatment. According to the McMaster model, and in contrast to psychodynamic/psychoanalytic models, insight into the problem is neither necessary nor sufficient for change to occur, but, rather, the therapist directs the family's attention to assist them to change the family dynamics that allow or encourage the undesired behavior. \u0000 \u0000Chapter 2 describes the MMFF, beginning with the 6 dimensions of family functioning that underlie the model: (1) problem solving, (2) communication, (3) roles, (4) affective responses, (5) affective involvement, and (6) behavior control. These 6 dimensions compose the main axes of the Family Assessment Device, which is discussed throughout the book and presented in part 2. Trainees will find these dimensions helpful in understanding family functioning, in both “normal” and “distressed” families. \u0000 \u0000Chapter 3, “The Problem Centered Systems Therapy of the Family,” moves from the description of the MMFF into a description of the process of assessing and treating families using a structured technique. The PCSTF emphasizes what the authors refer to as the “macro stages” o","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126355318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Theodore Millon and Dr. Seth Grossman are recognized experts in the field of personality disorders and psychopathology. Psychological test reports frequently cite the results of Dr. Millon's personality assessment inventories. Both gentlemen have coauthored numerous textbooks and research projects. Dr. Millon was on both the DSM-III and DSM-IV task forces. Thus, clinicians anticipate that any new publications by Drs. Millon and Grossman may clarify the difficult clinical arena of personality psychopathology. Resolving Difficult Clinical Syndromes: A Personalized Psychotherapy Approach is one of 3 books in a series. The other 2 books are Moderating Severe Personality Disorders: A Personalized Psychotherapy Approach and Overcoming Resistant Personality Disorders: A Personalized Psychotherapy Approach, both of which are also available from the publisher. Clinicians know that no two patients are exactly alike. A patient may remind us of someone we saw previously, but we know that the interplay of backgrounds, genetics, and experiences differ even for identical twins. Yet, most therapists have a “favored” form of therapy. Those trained in cognitive therapy approach most patients in a cognitive framework. Those trained psychodynamically look for psychodynamic factors. A psychopharmacologist will utilize medications. Even for those who claim an “eclectic” approach, background and training influence the clinician just as specific personal factors influence the patient. In the authors’ words, “Personalized psychotherapy is not a vague concept or a platitudinous buzzword in our treatment approach, but an explicit commitment to focus first and foremost on the unique composite of a patient's psychological makeup” (p. ix). Drs. Millon and Grossman authored this series to take all these factors into account. The first part of the book includes basic information about personalized psychotherapy and the Millon-Grossman Personality Domain Checklist (MG-PDC). The clinician completes the MG-PDC regarding the patient in the following areas: expressive behavior, interpersonal conduct, cognitive style/content, self-image, mood/affect, intrapsychic mechanisms, intrapsychic content, and intrapsychic structure. The inventory gives the therapist a tool for personalized psychotherapy. The second part of the book discusses therapy for specific syndromes. Chapter topics include mood disorders, anxiety symptoms, substance abuse disorders, and schizophrenia. Each topic area includes general clinical picture, prevailing treatment options, and personalized psychotherapy. The personalized psychotherapy section focuses on the specific disorder with different personality presentations. Case examples follow with domain analysis and therapeutic steps. The case presentations and discussion of psychotherapy elucidate the concepts presented in the book. Although the subject of personalized psychotherapy has a promising future, this book does not present the material i
{"title":"Resolving Difficult Clinical Syndromes: A Personalized Psychotherapy Approach","authors":"M. Fitz-Gerald","doi":"10.4088/PCC.08BK00731","DOIUrl":"https://doi.org/10.4088/PCC.08BK00731","url":null,"abstract":"Dr. Theodore Millon and Dr. Seth Grossman are recognized experts in the field of personality disorders and psychopathology. Psychological test reports frequently cite the results of Dr. Millon's personality assessment inventories. Both gentlemen have coauthored numerous textbooks and research projects. Dr. Millon was on both the DSM-III and DSM-IV task forces. Thus, clinicians anticipate that any new publications by Drs. Millon and Grossman may clarify the difficult clinical arena of personality psychopathology. \u0000 \u0000Resolving Difficult Clinical Syndromes: A Personalized Psychotherapy Approach is one of 3 books in a series. The other 2 books are Moderating Severe Personality Disorders: A Personalized Psychotherapy Approach and Overcoming Resistant Personality Disorders: A Personalized Psychotherapy Approach, both of which are also available from the publisher. \u0000 \u0000Clinicians know that no two patients are exactly alike. A patient may remind us of someone we saw previously, but we know that the interplay of backgrounds, genetics, and experiences differ even for identical twins. Yet, most therapists have a “favored” form of therapy. Those trained in cognitive therapy approach most patients in a cognitive framework. Those trained psychodynamically look for psychodynamic factors. A psychopharmacologist will utilize medications. Even for those who claim an “eclectic” approach, background and training influence the clinician just as specific personal factors influence the patient. In the authors’ words, “Personalized psychotherapy is not a vague concept or a platitudinous buzzword in our treatment approach, but an explicit commitment to focus first and foremost on the unique composite of a patient's psychological makeup” (p. ix). \u0000 \u0000Drs. Millon and Grossman authored this series to take all these factors into account. The first part of the book includes basic information about personalized psychotherapy and the Millon-Grossman Personality Domain Checklist (MG-PDC). The clinician completes the MG-PDC regarding the patient in the following areas: expressive behavior, interpersonal conduct, cognitive style/content, self-image, mood/affect, intrapsychic mechanisms, intrapsychic content, and intrapsychic structure. The inventory gives the therapist a tool for personalized psychotherapy. \u0000 \u0000The second part of the book discusses therapy for specific syndromes. Chapter topics include mood disorders, anxiety symptoms, substance abuse disorders, and schizophrenia. Each topic area includes general clinical picture, prevailing treatment options, and personalized psychotherapy. The personalized psychotherapy section focuses on the specific disorder with different personality presentations. Case examples follow with domain analysis and therapeutic steps. \u0000 \u0000The case presentations and discussion of psychotherapy elucidate the concepts presented in the book. Although the subject of personalized psychotherapy has a promising future, this book does not present the material i","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"187 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131957620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
“Would it not be a great step forward in our field if diagnosis or psychological assessment, following a series of interviews, tests, or laboratory procedures, actually pointed clearly to what a clinician should do in therapy?” (p. ix). This quote is from the preface of the reviewed book, and it nicely captures the authors' overarching goal in this series of books. Dr. Millon is regarded as one of the major personality theorists; his theory incorporates components of evolutionary progression as well as stages of biosocial development. Dr. Millon maintains that his theory contains the elements of all mature clinical sciences in that the theory provides the basis for coherent taxonomies (i.e., classification into clinical personality prototypes). These personality prototypes are then coupled with empirically based assessment instruments that identify and measure the problematic components of each prototype, the results of which are used to develop highly individualized and change-oriented interventions. This process, with its focus on the identification of the unique aspects of a patient's psychological composition that guide the formulation of empirically based and personalized therapeutic interventions, is termed personalized psychotherapy. The authors' notions are provocative; they challenge practitioners who use a single modality of therapy for all patients as using an outdated and simplistic approach to psychotherapy. Likewise, they argue that eclectic approaches are intellectual blends of different theories that fail to consider the patient's unique personality composition. The authors cogently argue that the patient's personality (rather than theory or theories) should guide the formulation of a treatment plan. The authors also note the inadequacy of the traditional medical model in describing the causes and complexity of symptoms. In this vein, they caution against treating Axis I disorders without consideration of whether these are simple reactions that reflect chiefly external precipitants versus complex clinical syndromes in which the same disorder may be fueled by pervasive personality vulnerabilities. In essence, the authors' contention is that truly personalized psychotherapy proceeds not by using a single theory or even a combination of therapies haphazardly woven together. Instead, no theory or technique is given preferential status, and the process of therapy is guided by the unique configuration of the patient's personality and symptoms. It is only after the problematic aspects of a patient's personality have been quantified by customized assessment instruments that the tailored sequence and combination of therapies or interventions are formulated and then utilized in a synergistic fashion. The clinician may select either of 2 instruments for this process: the Millon Clinical Multiaxial Inventory-III (MCMI-III) or the newly-developed Millon-Grossman Personality Domain Checklist (MG-PDC). The MCMI-III is a true-false se
当然，那些已知与精神分裂症相关的人格障碍被认为是严重的，但所审查的卷包括一些没有这种关联的疾病。这本书是丰富的临床与许多说明性的案例，由资深作者在过去的40多年。按照米伦博士的风格，这篇散文有点正式，内容丰富。米伦博士的人格理论经常被提及，它为个性化心理治疗提供了理论基础。然而，米伦博士理论的概要是如此简短，以至于不熟悉米伦博士工作的读者在熟悉他的人格理论后，可能会对个性化心理治疗有更大的欣赏。这可以通过访问米伦博士的网站http://millon.net来完成，也可以通过阅读《人格障碍:DSM-IV及其后续》一书来完成。并于1996年出版。除了相当简略的概要外，MG-PDC还存在一些逻辑问题。由于个性化的心理治疗依赖于评估，从而指导治疗过程，所以这本书的大部分内容都是关于MG-PDC的，这并不奇怪。不过，该文书似乎尚未出版，但可在http://millon.net/instruments/MG_PDC.htm上查阅。此外，没有提供心理测量数据，但随着该工具获得接受，这些数据有望成为可用的。总之，缓和严重的人格障碍:一种个性化的心理治疗方法既具有挑衅性，又具有显著的相关性。虽然仔细研究本卷将帮助临床医生避免陷阱的单一模式的心理治疗或草率的折衷主义，谨慎的临床医生也可以获得最先进的知识，关于性格病理学及其治疗。C. Don Morgan博士，堪萨斯大学医学院，威奇托，堪萨斯州
{"title":"Moderating Severe Personality Disorders","authors":"C. D. Morgan","doi":"10.4088/PCC.08bk00738","DOIUrl":"https://doi.org/10.4088/PCC.08bk00738","url":null,"abstract":"“Would it not be a great step forward in our field if diagnosis or psychological assessment, following a series of interviews, tests, or laboratory procedures, actually pointed clearly to what a clinician should do in therapy?” (p. ix). This quote is from the preface of the reviewed book, and it nicely captures the authors' overarching goal in this series of books. Dr. Millon is regarded as one of the major personality theorists; his theory incorporates components of evolutionary progression as well as stages of biosocial development. \u0000 \u0000Dr. Millon maintains that his theory contains the elements of all mature clinical sciences in that the theory provides the basis for coherent taxonomies (i.e., classification into clinical personality prototypes). These personality prototypes are then coupled with empirically based assessment instruments that identify and measure the problematic components of each prototype, the results of which are used to develop highly individualized and change-oriented interventions. This process, with its focus on the identification of the unique aspects of a patient's psychological composition that guide the formulation of empirically based and personalized therapeutic interventions, is termed personalized psychotherapy. \u0000 \u0000The authors' notions are provocative; they challenge practitioners who use a single modality of therapy for all patients as using an outdated and simplistic approach to psychotherapy. Likewise, they argue that eclectic approaches are intellectual blends of different theories that fail to consider the patient's unique personality composition. The authors cogently argue that the patient's personality (rather than theory or theories) should guide the formulation of a treatment plan. The authors also note the inadequacy of the traditional medical model in describing the causes and complexity of symptoms. In this vein, they caution against treating Axis I disorders without consideration of whether these are simple reactions that reflect chiefly external precipitants versus complex clinical syndromes in which the same disorder may be fueled by pervasive personality vulnerabilities. \u0000 \u0000In essence, the authors' contention is that truly personalized psychotherapy proceeds not by using a single theory or even a combination of therapies haphazardly woven together. Instead, no theory or technique is given preferential status, and the process of therapy is guided by the unique configuration of the patient's personality and symptoms. It is only after the problematic aspects of a patient's personality have been quantified by customized assessment instruments that the tailored sequence and combination of therapies or interventions are formulated and then utilized in a synergistic fashion. \u0000 \u0000The clinician may select either of 2 instruments for this process: the Millon Clinical Multiaxial Inventory-III (MCMI-III) or the newly-developed Millon-Grossman Personality Domain Checklist (MG-PDC). The MCMI-III is a true-false se","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130913589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Needs of the Dying: A Guide for Bringing Hope, Comfort, and Love to Life’s Final Chapter, 10th anniversary ed.","authors":"A. Hicks","doi":"10.4088/PCC.08BK00693","DOIUrl":"https://doi.org/10.4088/PCC.08BK00693","url":null,"abstract":"","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"253 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125711439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As an academic geriatric psychiatrist and a former training director of a geriatric psychiatry fellowship program, I am always on the lookout for books that can give a comprehensive review of topics in geriatric psychiatry for trainees to read. Over the years, I have reviewed multiple books and articles on personality disorders in the elderly, but was never impressed by what I saw or read. It was fortunate that I got a chance to review this wonderful book by Drs. Segal, Coolidge, and Rosowsky. In my opinion, Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment is a must-read for anyone who is caring for elderly patients. It is also a must-have for any medical library, as the contents of this book will be useful to any clinician interested in dealing with difficult elderly patients. The charm of the book lies in the fact that it is beautifully written in a simple style that catches one's attention immediately. It has enough material to not only provide basic information to satisfy the curiosity of a lay person but to also cater to the needs of a senior professional dealing with the care of the elderly. This book is very easy to read because it is well organized into different chapters starting with an introduction to personality disorder and aging (chapter 1) and ending with the chapter on the “Goodness of Fit” model and its implication for treatment (chapter 11). The book provides a comprehensive review of each cluster of personality disorders and addresses the issues of comorbidity, epidemiology, diagnosis, and treatment of the elderly with personality disorder. Case vignettes highlighting each of the clusters of personality disorders make the narrative more interesting. The authors have also done an excellent job of providing a comprehensive framework for conceptualizing personality disorders combining the psychodynamic, cognitive, and biological realms. It is a tribute to the authority of Drs. Segal, Coolidge, and Rosowsky on the concept of personality disorders in older adults that they have been able to provide such a comprehensive narrative on this difficult to understand and treat condition. Elegantly designed in hardcover and priced appropriately at $60.00, Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment is a wonderful addition to the growing world of literature on psychiatric issues in the elderly. Rajesh R. Tampi, M.D., M.S. Yale University School of Medicine, New Haven, Connecticut
{"title":"Personality Disorders and Older Adults","authors":"R. Tampi","doi":"10.4088/PCC.08BK00706","DOIUrl":"https://doi.org/10.4088/PCC.08BK00706","url":null,"abstract":"As an academic geriatric psychiatrist and a former training director of a geriatric psychiatry fellowship program, I am always on the lookout for books that can give a comprehensive review of topics in geriatric psychiatry for trainees to read. Over the years, I have reviewed multiple books and articles on personality disorders in the elderly, but was never impressed by what I saw or read. It was fortunate that I got a chance to review this wonderful book by Drs. Segal, Coolidge, and Rosowsky. \u0000 \u0000In my opinion, Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment is a must-read for anyone who is caring for elderly patients. It is also a must-have for any medical library, as the contents of this book will be useful to any clinician interested in dealing with difficult elderly patients. The charm of the book lies in the fact that it is beautifully written in a simple style that catches one's attention immediately. It has enough material to not only provide basic information to satisfy the curiosity of a lay person but to also cater to the needs of a senior professional dealing with the care of the elderly. \u0000 \u0000This book is very easy to read because it is well organized into different chapters starting with an introduction to personality disorder and aging (chapter 1) and ending with the chapter on the “Goodness of Fit” model and its implication for treatment (chapter 11). The book provides a comprehensive review of each cluster of personality disorders and addresses the issues of comorbidity, epidemiology, diagnosis, and treatment of the elderly with personality disorder. Case vignettes highlighting each of the clusters of personality disorders make the narrative more interesting. The authors have also done an excellent job of providing a comprehensive framework for conceptualizing personality disorders combining the psychodynamic, cognitive, and biological realms. \u0000 \u0000It is a tribute to the authority of Drs. Segal, Coolidge, and Rosowsky on the concept of personality disorders in older adults that they have been able to provide such a comprehensive narrative on this difficult to understand and treat condition. Elegantly designed in hardcover and priced appropriately at $60.00, Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment is a wonderful addition to the growing world of literature on psychiatric issues in the elderly. \u0000 \u0000 \u0000Rajesh R. Tampi, M.D., M.S. \u0000 \u0000Yale University School of Medicine, New Haven, Connecticut","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128829196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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