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Textbook Information
Encompassing case vignettes based on composites of numerous patients from Dr. Yudofskys 30 years of clinical practice and his collaborations with gifted clinicians, educators, and research scientists, Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character uniquely and vividly captures essential clinical and research information that brings to life the psychopathologies of people with the fatal flaws of personality and character.
Part psychiatric textbook and part self-help manual for patients and clients, Fatal Flaws reviews comprehensively the course, treatment, genetics, biology, psychology, and destructive consequences of hysterical (histrionic), narcissistic, antisocial, paranoid, obsessive-compulsive, addictive, borderline, and schizotypal personality disorders. This book is written in the first person; the author communicates directly with a patient who either has a personality or character disorder or is in an important relationship with a person with this condition.
With meticulously protected confidentiality, Fatal Flaws offers a true sense of the clinical experience by informing, orienting, and supporting both novice and seasoned mental health professionals as they face the ongoing challenges of treating patients with personality or character disorders. It is also particularly valuable for patients in psychotherapeutic treatment who are in destructive relationships with people with untreated personality disorders.
Reviewer:Patricia E. Murphy, PhD (Rush University Medical Center)
Description:Using 30 years of experience as a successful therapist in the psychoanalytic tradition, the author provides rich information about personality disorders through cases that illustrate symptoms and treatment.
Purpose:The book is hard to put down, attesting to the author's achievement of his goal of providing information about persons with these disorders in a clear and interesting way.
Audience:The style of the book lends itself well to the targeted audience of those who are beginning or are in training to provide therapy for persons with personality disorders as well as for patients themselves or their families who want a better understanding of these "flaws."
Features:Each chapter on a specific disorder provides both biological and psychodynamic explanations of the origin of problems of a fictitious patient. Plenty of information depicts how the person interacts at work, with a spouse, and with children. Although the title "Fatal Flaws" sounds a bit pessimistic, the author wants to highlight the fact that if a person is unwilling to address symptoms in treatment, there are serious limitations to relationships. The material includes ways for the reader to recognize these limits and to take important self-protective steps.
Assessment:The experience and expertise of the author makes this a worthwhile bookz' for persons who are in a setting that calls for or allows psychodynamic treatment. It could also be instructional for those who use other methods in therapy. A value of the book is its inclusion of what iscurrently known about biology and genetics related to the disorders addressed. The author's inclusion of research does not address information about outcome-based studies to support his contention of the efficacy of his methods. His claim that only a therapist with no affiliation with organized religion can effectively treat spiritual issues of patients might also be checked against research on the topic. The reader will enjoy time spent with this book.
Stuart C. Yudofsky, M.D., is D.C. and Irene Ellwood Professor and Chairman of the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. He is Chief of Psychiatry Services at The Methodist Hospital and is also responsible for oversight of academic activities in psychiatry at The Menninger Clinic and Hospital, the Ben Taub General Hospital, the Houston Veterans Administration Medical Center, the St. Luke's Episcopal Hospital, and the Texas Children's Hospital. For the past seventeen years, Dr. Yudofsky has been Editor of the Journal of Neuropsychiatry and Clinical Neurosciences, the official journal of the American Neuropsychiatric Association.
Reader Rating:
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May 01, 2006: Limited to being a 'geography' of the subject when what the lay reader wants is a 'roadmap'. The checklists and other devices used to make this book accessible --including the tabloid title,intemperate literary quotes and clinical composites that seem drawn from People Magazine-- succeed only in patronizing the lay reader. Perhaps useful to students of the author but the lay reader should be warned that this is a textbook masquerading under a tabloid title. Indeed, even the devoted student of psychodynamic treatment may question the validity and usefulness of the author's attempt to define 'deadly' flaws of personality and character, in that, without a definative position on causation of these 'flaws', the effort to define them seems to oscillate, on the spectrum of medicine and science, between triteness and tautology.
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December 06, 2005: This work is tainted --moderately-- by a moralistic dimension which detracts from its psychoanalytic impact. In trying to provide useful checklists of 'flaws of personality', Dr. 'Y' crosses a line and becomes as much moralist as analyst. The reader ends feeling confused as to where science ends and moral philosophy begins. Nonetheless, 'Fatal Flaws' is well written and would make a great gift for your prospective mother-in-law or anyone living in a gated community.