Depression and Personality

Depression and Personality : Conceptual and Clinical Challenges

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Depression and Personality: Conceptual and Clinical Challenges offers an intriguing new look at where we are in understanding the relationship between personality dimensions, disorders, and mood disorder. It is both a cogent update of conceptual models and a clearly written, practical guide to the challenges faced every day by clinicians as they treat patients with depression and bipolar disorder.Laying the groundwork for subsequent chapters, the editors emphasize the value of not only robust pharmacotherapy augmented by psychosocial interventions (with a focus on the assets rather than the liabilities of a patient's temperament), but also of a detailed review of where we are today. An introductory overview provides valuable historical perspective on the evolution of personality from "humors" to body constitution and temperament. In 10 informative chapters, 22 contributors discuss  The neurobiological dimensions of personality, focusing on affect-related traits as they review the evidence for serotonin and norepinephrine disturbance based on challenge paradigms, and the range of models to understand the interrelationship between personality and depression. The justification for depressive personality in both categorical terms, i.e., adding to the diagnostic armamentarium of DSM-V, and dimensional terms, focusing on the Five Factor Model to provide a link between several facets of neuroticism and depressive personality disorder.  The impact of personality on various aspects of treatment, filling in a gap in the pharmacotherapy literature by asserting that personality pathology can affect the patient's capacity to seek, be engaged in, or be compliant with treatment. Key assessment and treatment issues, recommending a multimodal phased treatment approach that involves targeted pharmacotherapy and integrated individual psychotherapy. The role of personality disorder in the assessment and treatment of chronic depression, with a concise, practical overview of medication and psychotherapy issues regarding the role of Axis II disorders, and the complex relationship between bipolar disorder and personality factors. The complexity involved in adolescent depression with personality disorder, providing a conceptual framework for understanding what factors of personality contribute to vulnerability for depression in adolescents, and depression in later life, including particularly relevant issues such as the role of physical illness and organic factors on the clinical presentation of personality and affective disorder Invaluable reading for clinicians and researchers alike, Depression and Personality: Conceptual and Clinical Challenges offers fascinating perspectives on the historical antecedents, neurobiological dimensions, and conceptual models regarding the relationship between personality and depression.show more

Product details

  • Paperback | 338 pages
  • 149.9 x 226.1 x 20.3mm | 430.92g
  • American Psychiatric Association Publishing
  • VA, United States
  • English
  • New.
  • 33 Tables, unspecified; 3 Line drawings, unspecified
  • 1585621544
  • 9781585621545
  • 1,853,144

Flap copy

Depression and Personality: Conceptual and Clinical Challenges offers an intriguing new look at where we are in understanding the relationship between personality dimensions, disorders, and mood disorder. It is both a cogent update of conceptual models and a clearly written, practical guide to the challenges faced every day by clinicians as they treat patients with depression and bipolar disorder. In introducing the volume, the editors emphasize the value of robust pharmacotherapy -- augmented by psychosocial interventions focused on assets, rather than liabilities, of a patient's personality. They also stress the importance of a detailed review of our understanding -- conceptually and clinically -- of the relationship between personality and depression. In the 10 subsequent chapters, 22 authors examine the impact of personality on pharmacotherapy and review crucial issues of assessment and therapy for personality disorder patients with comorbid depression, chronic depression, and bipolar disorder. Similar issues of the occurrence of these illnesses in adolescents and the elderly are also addressed. Invaluable reading for clinicians and researchers alike, Depression and Personality: Conceptual and Clinical Challenges offers fascinating perspectives on the historical antecedents, neurobiological dimensions, and conceptual models of the relationship between personality and depression.show more

Review quote

"Overall, [ "Depression and Personality"] tackles a wide set of findings. The chapters are clearly written. All of the conclusions and discussions are solidly grounded by empirical studies. The authors of each chapter are experts in their area, which is shown by the depth with which topics are presented."-- "The Journal of Nervous and Mental Disease", "June 2007"show more

About Michael Rosenbluth

Michael Rosenbluth, M.D., is Assistant Professor of Psychiatry at the University of Toronto and Director of the Psychiatric Rehabilitation Treatment Program at Toronto East General Hospital in Toronto, Ontario.Sidney H. Kennedy, M.D., is Professor of Psychiatry at the University of Toronto and Psychiatrist-in-Chief of the University Health Network in Toronto, Ontario.R. Michael Bagby, Ph.D., is Professor of Psychiatry at the University of Toronto and Director of Clinical Research at the Centre for Addiction & Mental Health in Toronto, Ontario.show more

Table of contents

CONTRIBUTORSPREFACEINTRODUCTIONPART I: CONCEPTUAL ISSUESChapter 1. PERSONALITY AND TEMPERAMENT: HISTORICAL PERSPECTIVESChapter 2. THE PSYCHOBIOLOGY OF PERSONALITY DISORDERSChapter 3. PERSONALITY TRAITS/DISORDERS AND DEPRESSION: A SUMMARY OF CONCEPTUAL AND EMPIRICAL FINDINGSChapter 4. THE DEPRESSIVE PERSONALITY: PSYCHOPATHOLOGY, ASSESSMENT, AND TREATMENTPART II: TREATMENT IMPLICATIONSChapter 5. THE IMPACT OF PERSONALITY ON THE PHARMACOLOGICAL TREATMENT OF DEPRESSIONChapter 6. CLINICAL STRATEGIES FOR EFFICIENT TREATMENT OF MAJOR DEPRESSIVE DISORDER COMPLICATED BY PERSONALITY DISORDERChapter 7. REFRACTORY AND CHRONIC DEPRESSION: THE ROLE OF AXIS II DISORDERS IN ASSESSMENT AND TREATMENTChapter 8. BIPOLAR DISORDER AND PERSONALITY: CONSTRUCTS, FINDINGS, AND CHALLENGESChapter 9. EVALUATING THE CONTRIBUTION OF PERSONALITY FACTORS TO DEPRESSED MOOD IN ADOLESCENTS: CONCEPTUAL AND CLINICAL ISSUESChapter 10. THE IMPACT OF PERSONALITY DISORDERS ON LATE-LIFE DEPRESSIONINDEXshow more