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“The diversity of the authors leads to a richness that is sometimes lacking when a single narrative perspective is applied to so broad a range of clinical presentations....An integrative, pragmatic text, that draws upon cognitive-behavioral, humanistic, and even psychodynamic traditions. It is bold and ambitious, and it is necessary reading for those interested in the development of personality disorders, and in the development of personality itself.”

—Cognitive Behavioral Therapy Book Reviews (on the second edition)


“The treatment approach is clearly stated....If you want to know about cognitive therapy as applied to personality disorders, this is the book to read....I really enjoyed this book because it contains the ABC's of cognitive therapy. The case examples are poignant and you can see how cognitive therapy principles are applied with each patient. Many of the authors are household names in the field, prominent experts who know what they are talking about. ****”

—Doody's Review Service (on the second edition)


“Personality disorders are debilitating conditions that, unfortunately, are far too commonly encountered in modern society. Fortunately, this remarkable volume shows just how far we have come in having the tools needed to successfully intervene when we encounter these conditions in the clinic. Particularly welcome in this third edition is the increased emphasis on connecting cognitive interventions with empirically based, dimensional models of personality disorder, such as the Alternative DSM-5 Model. An indispensable resource for students, practitioners, and researchers alike.”

—Robert F. Krueger, PhD, Distinguished McKnight University Professor, Department of Psychology, University of Minnesota


“The editors have assembled an international group of experts who provide practical, evidence-informed guidance on effectively managing difficult clinical situations. Using rich clinical examples and offering useful strategies, contributors illustrate how to manage the challenges and comorbidity so common in patients with personality disorders. Synthesizing a theoretical framework for understanding the organization of personality from a cognitive therapy perspective, strategies are grounded in neurobiology and incorporate sensitivity to cultural norms. Sections on treatment planning and progress monitoring address the patient’s well-being, while sections on therapist self-care acknowledge the demands of this kind of work. This volume belongs on the bookshelf of clinicians and educators—even if you have the prior edition.”

—Donna M. Sudak, MD, Professor of Psychiatry, Senior Associate Training Director, and Director of Psychotherapy Training, Drexel University College of Medicine


“I often say when lecturing to students that the most successful treatment for people with personality disorders is to send them (individually) to uninhabited desert islands. Without interaction with others personality disorder does not exist. So in treating personality disorders we are faced with a problem; how do we make the therapeutic relationship different from the client's previous relationships? This updated edition of a well-established book explains how—comprehensively and well. At the heart of cognitive behavior therapy is the building of collaboration and trust, a genuinely informed combination which the editors and authors of this volume show us ‘is probably more important when addressing personality disorders than in treating symptomatic problems.'”

—Peter Tyrer, MD, Centre for Mental Health, Division of Brain Sciences, Imperial College, London, United Kingdom


“Cognitive Therapy of Personality Disorders, Third Edition is a 'new classic.' This outstanding volume is completely updated, with extensive reviews of research as well as new conceptualizations and techniques, and it is filled with wisdom about the therapeutic relationship and other roadblocks to change. Every therapist interested in working with personality disorders—which should be every therapist—will want to read this volume and benefit from the clinical insights provided. I highly recommend this excellent resource.”

—Robert L. Leahy, PhD, Director, American Institute for Cognitive Therapy; Department of Psychiatry, Weill Cornell Medical College


“This seminal work updates and elaborates on one of the most important applications of cognitive therapy. Describing how to understand and change individuals' self-defeating behaviors that annoy or harm those around them, the third edition is further enhanced by chapters on assessment and the neural underpinnings of such beliefs and behaviors.”

—Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University


“I used this book in an Advanced Clinical Practicum with clinical psychology doctoral students. My students found it very useful, as did I. Students appreciated the examples of different personality disorder presentations and the systematic descriptions of interventions. One student noted, 'I see myself referring to this book throughout my clinical training and beyond as I work with more complex cases.'”

—Gregory H. Mumma, PhD, Associate Professor, Department of Psychological Sciences, Texas Tech University

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Table of Contents

I. Theory, Research, and Clinical Methods

1. Overview of Cognitive-Behavioral Therapy of Personality Disorders, Daniel O. David & Arthur Freeman

2. Theory of Personality Disorders, Aaron T. Beck

3. Assessment of Personality Pathology, Jay C. Fournier

4. Neural Mechanisms of Maladaptive Schemas and Modes in Personality Disorders, Michael T. Treadway

5. General Principles and Specialized Techniques in Cognitive Therapy of Personality Disorders, Aaron T. Beck, Arthur Freeman, & Denise D. Davis

6. The Therapeutic Alliance with Patients With Personality Disorders, Denise D. Davis & Judith S. Beck

7. Diversity, Culture, and Personality Disorders, James L. Rebeta

II. Clinical Applications

8. Dependent Personality Disorder, Lindsay Brauer & Mark A. Reinecke

9. Avoidant Personality Disorder, Christine A. Padesky & Judith S. Beck

10. Obsessive–Compulsive Personality Disorder, Karen M. Simon

11. Depressive Personality Disorder, David A. Clark & Catherine A. Hilchey

12. Paranoid, Schizotypal, and Schizoid Personality Disorders, Julia C. Renton & Pawel D. Mankiewicz

13. Passive–Aggressive Personality Disorder (Negativistic Personality Disorder), Gina M. Fusco

14. Narcissistic Personality Disorder, Wendy T. Behary & Denise D. Davis

15. Histrionic Personality Disorder, Mehmet Z. Sungur & Anil Gündüz

16. Antisocial Personality Disorder, Damon Mitchell, Raymond Chip Tafrate, & Arthur Freeman

17. Borderline Personality Disorder, Arnoud Arntz

III. Comorbidity and Clinical Management

18. Symptomatic Comorbidity, Robert A. DiTomasso & Bradley Rosenfield

19. Clinical Management: Working with Those Diagnosed with Personality Disorders, Gina M. Fusco

20. Synthesis and Prospects for the Future, Denise D. Davis & Arthur Freeman

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About the Editors

Aaron T. Beck, MD, until his death in 2021, was University Professor Emeritus of Psychiatry at the University of Pennsylvania and President Emeritus of the Beck Institute for Cognitive Behavior Therapy. Internationally recognized as the founder of cognitive therapy, Dr. Beck has been credited with shaping the face of American psychiatry, and was cited byAmerican Psychologistas “one of the five most influential psychotherapists of all time.” Dr. Beck was the recipient of awards including the Albert Lasker Clinical Medical Research Award, the Lifetime Achievement Award from the American Psychological Association, the Distinguished Service Award from the American Psychiatric Association, the James McKeen Cattell Fellow Award in Applied Psychology from the Association for Psychological Science, and the Sarnat International Prize in Mental Health and Gustav O. Lienhard Award from the Institute of Medicine. He authored or edited numerous books for professionals and the general public.

• Author's website
• All titles by Aaron T. Beck

Denise D. Davis, PhD, is Associate Professor of the Practice of Psychology at Vanderbilt University, where she is Associate Director of Graduate Training in Clinical Science. She is a Founding Fellow, Diplomate, and certified Trainer and Consultant of the Academy of Cognitive and Behavioral Therapies. Dr. Davis was the founding Associate Editor of the journal Cognitive and Behavioral Practice prior to serving the first full term as that journal’s Editor. Her research and clinical interests include ethics, psychotherapy termination, and cognitive therapy of personality disorders.

Arthur Freeman, EdD, LLD (h.c.), ABPP, until his death in 2020, was Professor Emeritus of Psychology at the Philadelphia College of Osteopathic Medicine. A leading expert on cognitive-behavioral therapy, he was a past president of the Association for Behavioral and Cognitive Therapies and of the International Association for Cognitive Psychotherapy, and a Distinguished Founding Fellow of the Academy of Cognitive and Behavioral Therapies. Dr. Freeman's research and clinical interests included marital and family therapy and cognitive-behavioral treatment of depression, anxiety, and personality disorders. The author of over 100 chapters and articles, he lectured in 45 countries and his work has been translated into 20 languages.

• All titles by Arthur Freeman

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Contributors

Arnoud Arntz, PhD, Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands

Aaron T. Beck, MD, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania; Beck Institute for Cognitive Behavior Therapy, Bala Cynwyd, Pennsylvania

Judith S. Beck, PhD, Department of Psychology in Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania; Beck Institute for Cognitive Behavior Therapy, Bala Cynwyd, Pennsylvania

Wendy T. Behary, LCSW, The Cognitive Therapy Center of New Jersey, Springfield, New Jersey

Lindsay Brauer, PhD, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois

David A. Clark, PhD, Department of Psychology, University of New Brunswick, Fredericton, New Brunswick, Canada

Daniel O. David, PhD, Department of Clinical Cognitive Sciences, Babes-Bolyai University, Cluj-Napoca, Romania

Denise D. Davis, PhD, Department of Psychology, Vanderbilt University, Nashville, Tennessee

Robert A. DiTomasso, PhD, ABPP, Department of Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania

Jay C. Fournier, PhD, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Arthur Freeman, EdD, ScD, ABPP, ACT, Department of Behavioral Medicine and Clinical Psychology Programs, Midwestern University, Downers Grove, Illinois

Gina M. Fusco, PsyD, Foundations Behavioral Health and First Home Care, Doylestown, Pennsylvania

Anil Gündüz, MD, Department of Psychiatry, Marmara University, Istanbul, Turkey

Catherine A. Hilchey, BSc, Department of Psychology, University of New Brunswick, Fredericton, New Brunswick, Canada

Pawel D. Mankiewicz, DClinPsy, National Health Service, South Essex Partnership University NHS Foundation Trust, Clinical Psychology Services, Disability Resource Centre, Dunstable, United Kingdom

Damon Mitchell, PhD, Department of Criminology and Criminal Justice, Central Connecticut State University, New Britain, Connecticut

Christine A. Padesky, PhD, Center for Cognitive Therapy, Huntington Beach, California

James L. Rebeta, MTh, PhD, Department of Psychiatry, Weill Cornell Medical College, New York Presbyterian Hospital, White Plains, New York

Mark A. Reinecke, PhD, Division of Psychology, Northwestern University, Chicago, Illinois

Julia C. Renton, DClinPsy, National Health Service, South Essex Partnership University NHS Foundation Trust, Clinical Psychology Services, Disability Resource Centre, Dunstable, United Kingdom

Bradley Rosenfield, PsyD, Department of Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania

Karen M. Simon, PhD, Cognitive Behavioral Therapy of Newport Beach, Newport Beach, California

Mehmet Z. Sungur, MD, Department of Psychiatry, Marmara University, Istanbul, Turkey

Raymond Chip Tafrate, PhD, Department of Criminology and Criminal Justice, Central Connecticut State University, New Britain, Connecticut

Michael T. Treadway, PhD, Center for Depression, Anxiety and Stress Research, McLean Hospital/Harvard Medical School, Belmont, Massachusetts

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Audience

Clinical psychologists, psychiatrists, clinical social workers, mental health counselors, and psychiatric nurses.

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Course Use

Serves as a text in graduate-level courses in cognitive-behavioral therapy or treatment of personality disorders.

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Previous editions published by Guilford:

Second Edition, © 2004
ISBN: 9781593854768

First Edition, © 1990
ISBN: 9780898624342

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New to this edition:

• Incorporates cutting-edge clinical approaches and research; expands the cognitive theory of personality disorder.
• Chapters on neural mechanisms, cultural diversity issues, and depressive personality disorder.
• Chapters on co-occurring disorders and management of clinical challenges.
• Disorder-specific chapters now include sections on key treatment goals, progress and termination, and clinician self-care.
• Discusses DSM-5 concepts and diagnostic criteria.
• Reviews advances in assessing personality beliefs.