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Focus

Volume 20, Issue 4

Borderline and Other Personality Disorders: New Directions in 2022

October 2022

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From the Guest Editor

October 2022

Personality Disorders: A Once and Future (Nonbinary) King/Queen

Lois W. Choi-Kain, M.D., M.Ed.

Pages:335–336
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220066

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Reviews

October 2022

Borderline Personality Disorder: Updates in a Postpandemic World

Lois W. Choi-Kain, M.D., M.Ed.,
Zeynep Sahin, Ph.D.,
Jenna Traynor, Ph.D.

Pages:337–352
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220057

Abstract
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Progress in understanding borderline personality disorder has unfolded in the last decade, landing in a new COVID-19–influenced world. Borderline personality disorder is now firmly established as a valid diagnosis, distinct from its co-occurring mood, ...

October 2022

Review of Contemporary Risk Management Challenges in the Treatment of Patients With Borderline Personality Disorder

Richard G. Hersh, M.D.

Pages:353–357
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220054

Abstract
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Standard psychiatric risk management challenges are routinely amplified in the treatment of patients with primary or co-occurring borderline personality disorder diagnosis. Most psychiatrists receive limited guidance during training or as part of ...

October 2022

MDMA-Assisted Psychotherapy for Borderline Personality Disorder

Jenna M. Traynor, Ph.D.,
Daniel E. Roberts, M.D., M.S.W.,
Stephen Ross, M.D.,
Richard Zeifman, M.A.,
Lois Choi-Kain, M.D., M.Ed.

Pages:358–367
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220056

Abstract
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Borderline personality disorder is a complex psychiatric disorder with limited treatment options that are associated with large heterogeneity in treatment response and high rates of dropout. New or complementary treatments for borderline personality ...

October 2022

Narcissistic Personality Disorder: Progress in Understanding and Treatment

Igor Weinberg, Ph.D., and
Elsa Ronningstam, Ph.D.

Pages:368–377
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220052

Abstract
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This review summarizes current knowledge about narcissistic personality disorder (NPD). Each section brings the reader up to date on advances in our knowledge during the last decade. In terms of NPD diagnosis, this review describes the addition of the ...

October 2022

A Cognitive-Behavioral Formulation of Narcissistic Self-Esteem Dysregulation

Erik C. Nook, Ph.D.,
Adam C. Jaroszewski, Ph.D.,
Ellen F. Finch, M.A.,
Lois W. Choi-Kain, M.Ed., M.D.

Pages:378–388
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220055

Abstract
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Narcissistic personality disorder (NPD) is a commonly encountered diagnosis, affecting approximately 1%–6% of the population, with no evidence-based treatments. Recent scholarship has focused on self-esteem dysregulation as a key component of NPD: ...

October 2022

Obsessive-Compulsive Personality Disorder: A Review of Symptomatology, Impact on Functioning, and Treatment

Anthony Pinto, Ph.D.,
Jonathan Teller, B.A.,
Michael G. Wheaton, Ph.D.

Pages:389–396
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220058

Abstract
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Obsessive-compulsive personality disorder (OCPD) is a chronic condition that involves a maladaptive pattern of excessive perfectionism, preoccupation with orderliness and details, and the need for control over one’s environment. It is one of the most ...

Articles

October 2022

Borderline Personality Disorder and Psychosis: A Case Managed by Transference-Focused Psychotherapy

Peter Freed, M.D.,
Lois W. Choi-Kain, M.D., M.Ed.,
Elizabeth Liebson, M.D.

Pages:397–401
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220060

Abstract
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Transient stress-related paranoia is the descriptive definition of psychotic phenomena associated with borderline personality disorder. Although psychotic symptoms usually do not qualify patients for a separate diagnosis in the psychotic spectrum, ...

October 2022

Early Intervention for Personality Disorder

Andrew M. Chanen, M.B.B.S. (Hons), Ph.D.,
Carla Sharp, Ph.D.,
Katie Nicol, Ph.D.,
Michael Kaess, M.D.

Pages:402–408
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220062

Abstract
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Both the DSM-5 Section III Alternative Model for Personality Disorders and the ICD-11 have introduced a genuinely developmental approach to personality disorder. Among young people with personality disorder, compelling evidence demonstrates a high burden ...

21st-Century Psychiatrist

October 2022

Addressing Patient-Centered Care Through Mindful Listening and Mentalizing in Psychiatry

Shahrzad Bazargan-Hejazi, Ph.D.,
Anaheed Shirazi, M.D.,
Denese Shervington, M.D.,
Sabrina Amani, M.A.,
William Shay, Ph.D.

Pages:409–410
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220046

Abstract
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This 21st-Century Psychiatrist column reflects the authors’ perceptions of the importance of addressing patient-centered care through mindful listening and mentalizing in psychiatry. The authors maintain that adopting a mentalizing stance is a promising ...

Ask the Expert

October 2022

How Will Clinicians Utilize the Alternative DSM-5-TR Section III Model for Personality Disorders in Their Clinical Work?

John M. Oldham, M.D.

Pages:411–412
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220053

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Communication Commentary

October 2022

Engaging the “Difficult” Patient: Strengthening Empathic Communication Skills

Dorothy E. Stubbe, M.D.

Pages:413–415
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220067

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Ethics Commentary

October 2022

Ethical Challenges in the Treatment of Personality Disorders

Jarrod A. Marks, M.D.,
Jesse C. Palermo, L.C.S.W.,
James L. Knoll, M.D.

Pages:416–419
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.20220061

First Page
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Bibliography

October 2022

Borderline and Other Personality Disorders: New Directions in 2022

Pages:420–421
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.22020013

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Abstracts

October 2022

Borderline and Other Personality Disorders: New Directions in 2022

Pages:422–423
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.22020015

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Influential Publications

October 2022

Defining Borderline Patients: An Overview

John G. Gunderson, M.D., and
Margaret T. Singer, Ph.D.

Pages:424–433
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.22020017

Abstract
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This review of the descriptive literature on borderline patients indicates that accounts of such patients vary depending upon who is describing them, in what context, how the samples are selected, and what data are collected. The authors identify six ...

October 2022

Five Failures and Five Challenges for Prevention and Early Intervention for Personality Disorder

Andrew M. Chanen and
Katie Nicol

Pages:434–438
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.22020016

Abstract
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Despite global consensus regarding the early detection of personality disorder, current approaches to early intervention have failed to deliver for the majority of young people. This only serves to reinforce the enduring effects of personality disorder on ...

October 2022

The Psychiatric Patient’s Right to Effective Treatment: Implications of Osheroff v. Chestnut Lodge

Gerald L. Klerman, M.D.

Pages:439–448
Published Online:25 October 2022

https://doi.org/10.1176/appi.focus.22020018

Abstract
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Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to ...

Self-Assessment and CME

Take the Fall 2022 Focus CME quiz:
Borderline and Other Personality Disorders: New Directions in 2022

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