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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...

This groundbreaking volume presents a framework for understanding personality disorders in children, distinguishing them from more frequently diagnosed problems, and delivering effective interventions. Efrain Bleiberg draws on extensive clinical experience and cutting-edge neurobiological research to illuminate how specific personality disorders develop when children--and caregivers--become trapped in rigid, maladaptive patterns of feeling, coping, and relating. Strategies are described for integrating individual psychotherapy, family treatment, and pharmacotherapy to provide meaningful help...

This text brings together 37 nationally recognised psychodynamic psychiatrists who discuss in detail their understanding of how to work with specific types of patients. Separate chapters on clinical syndromes, including some of the most challenging that psychiatrists encounter - for example in self-destructive, post-traumatic and abused patients - provide both a historical review of dynamic perspectives and a discussion of differential diagnosis and treatment selection for each disorder. Clinical examples illustrating the underlying psychodynamic conflicts of patients with these disorders are...