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Focus

  • Volume 20
  • Number 4
  • October 2022

From the Guest Editor

Reviews

Publication date: 01 October 2022

Pages337–352

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, ...

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

Publication date: 01 October 2022

Pages353–357

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 ...

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

Publication date: 01 October 2022

Pages358–367

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 ...

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

Publication date: 01 October 2022

Pages368–377

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 ...

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

Publication date: 01 October 2022

Pages378–388

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: ...

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

Publication date: 01 October 2022

Pages389–396

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 ...

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

Articles

Publication date: 01 October 2022

Pages397–401

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, ...

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

Publication date: 01 October 2022

Pages402–408

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 ...

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

21st-Century Psychiatrist

Publication date: 01 October 2022

Pages409–410

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 ...

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

Ask the Expert

Communication Commentary

Ethics Commentary

Bibliography

Abstracts

Influential Publications

Publication date: 01 October 2022

Pages424–433

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 ...

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

Publication date: 01 October 2022

Pages434–438

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 ...

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

Publication date: 01 October 2022

Pages439–448

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 ...

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

Past Issues

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No.4
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1 Oct 2024

Vol. 22 | No. 4

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Vol. 22 | No. 3

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1 Apr 2024

Vol. 22 | No. 2

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1 Jan 2024

Vol. 22 | No. 1