This book addresses the impact that working with personality disorder patients can have on staff. It offers theoretical explanations for personality disorder, explores other issues such as the concept of boundaries in clinical practice, psychiatric staff and the relationship between severity of personality disorder and childhood experiences.

Edited by Gwen Adshead and Caroline Jacob

Introduction. Contributors. Part 1 Theory: Aetiology and Psychopathology. 1. The Relationship Between Severity of Personality Disorder and Certain Adverse Childhood Influences. Michael Craft, Geoffrey Stephenson and Clive Granger 1964. 2. Care-Eliciting Behaviour in Man. Scott Henderson, 1974. Points for Reflective Practice. Part II Clinical Implications. 3. Hate in the Countertransference. D.W. Winnicott, 1947. 4. Taking Care of the Hateful Patient. James E. Groves, 1978. 5. The Ailment. T.F. Main, 1976. 6. Malignant Alienation: Dangers for Patients who are Hard to Like. Darell Watts and Gethin Morgan, 1994. 7. Malignant Alienation. Mary Whittle, 1997. 8. The Beginning of Wisdom is Never Calling a Patient a Borderline. George Valliant, 1992. 9. Psychiatric Staff as Attachment Figures: Understanding Management Problems in Psychiatric Services in the Light of Attachment Theory. Gwen Adshead, 1998. 10. In the Prison on Severe Personality Disorder. Kingsley Norton, 1997. Points for Reflective Practice. Part III Treatment and Management. 11. Murmurs of Discontent: Treatment and Treatability of Personality Disorder. Gwen Adshead, 2001. 12. Management of Difficult Personality Disorder Patients. Kingsley Norton, 1996. 13. Problems in the Management of Borderline Patients in Inpatient Settings. Marcus Evans, 1998. 14. Ten Traps for Therapists in the Treatment of Trauma Survivors. James A. Chu, 1988. 15. Severe Personality Disorder: Treatment Issues and Selection for In-patient Psychotherapy. Kingsley Norton and R.D. Hinshelwood, 1996. 16. The Concept of Boundaries in Clinical Practice: Theoretical and Risk-Management Decisions. Thomas Gutheil and Glen O. Gabbard, 1993. Points for Reflective Practice.