Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment

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Segal, Daniel L., Coolidge, Frederick L., and Rosowsky, Erlene (2006) New Jersey: John Wiley & Sons. ISBN-13 978-0-471-64983-0. xx + 332 pp.This volume is addressed to clinicians who deal increasingly with older patients. The impact of stressors associated with aging upon individuals already adaptively impaired by personality disorders can create significant dilemmas for professionals who are expected not only to evaluate but to treat seemingly intractable problems.The authors have provided a useful guide to understanding and treating older patients, some of whom will have multiple diagnoses. They include a brief but helpful discussion of counter-transference, which is characteristically challenging when dealing with personality disordered individuals. As they put it: “counter-transference can serve as a microcosm of the patient's universe” (p. 285).

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