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A Developmental Model of Borderline Personality Disorder

Understanding Variations in Course and Outcome

Patricia Hoffman Judd, Ph.D., and Thomas H. McGlashan, M.D.

  • ISBN 978-0-88048-515-9
  • Item #8515


Patients with borderline personality disorder (BPD) are among the most challenging patients for clinicians to treat. Their behaviors and emotions can shift abruptly. As a result, these patients can seem like therapeutic moving targets, and improvement can be vexingly slow.

A Developmental Model of Borderline Personality Disorder is a landmark work on this difficult condition. The book emphasizes a developmental approach to BPD based on an in-depth study of inpatients at Chestnut Lodge in Rockville, Maryland, during the years 1950 through 1975 and the authors’ thirty years of clinical and supervisory experience. Using information gleaned from the original clinical notes and follow-up studies, the authors present four intriguing case studies to chart the etiology, long-term course, and clinical manifestations of BPD. With three main parts that cover theory, case examples, and practical strategies for treatment, A Developmental Model of Borderline Personality Disorder

  • Introduces the reader to a multidimensional and integrated etiologic model of BPD to inform treatment
  • Helps clinicians develop the understanding and empathy needed to deal with difficult patient behaviors
  • Gives strategies for designing psychotherapy in tandem with psychosocial services to help patients with BPD improve or sustain functioning in the community

A Developmental Model of Borderline Personality Disorder combines rich clinical case descriptions with an integrated theoretical model that captures the complexities of BPD. The first resource to chart BPD over the long term in such depth, this book is a first-rate clinical resource that reads like a novel, illuminating the disorder to help interpret its causes and course. It will inspire and encourage clinicians, along with patients and their family members, to strive for success in treating this difficult disease.


    Part I: Etiology
    Chapter 1. An Integrated Developmental Model
    Part II: Variations in Course and Outcome: Case Histories
    Chapter 2. The Chestnut Lodge Follow-Up Study
    Chapter 3. When She Was Good...Lillian
    Chapter 4. Love Having No Geography...Susan
    Chapter 5. Kindness of Strangers...Sylvia
    Chapter 6. Wild at Heart...Wendy
    Part III: Treatment
    Chapter 7. Universal Features of Treatment
    Chapter 8. Recurrent Themes and Issues

About the Authors

Patricia Hoffman Judd, Ph.D., is Clinical Professor of Psychiatry at the University of California, San Diego, School of Medicine, and Program Director of UCSD Outpatient Psychiatric Services in San Diego, California.

Thomas H. McGlashan, M.D., is Professor of Psychiatry at the Yale University School of Medicine and Yale Psychiatric Institute in New Haven, Connecticut.

With the reader's indulgence, I would like to begin this review with my final comment: this may well be the best book on borderline personality disorder you are likely to read. . . . As for the treatment section, there is so much wisdom packed into its two chapters that I gave up underlining the gems with highlighter lest I underline the whole 63 pages. . . . I hope this wonderful book of Judd and McGlashan will inspire others to carry on this work, learning along the way what makes borderline patients behave as they do, and what we can do to make them better.—Michael H. Stone, M.D., American Journal of Psychiatry, 7/1/2004

I enjoyed reading this book. Its view of the field is state of the art, and the text is beautifully written. . . . I found the overall orientation of this book to be down to earth, practical, and broad minded. I would strongly recommend it to clinicians struggling with this patient population.—Joel Paris, M.D., Psychiatric Services, 7/1/2004

Clinicians will find much here that, while familiar, is illuminated by new insights and presented in an easy-to-read and often enlightening fashion.—The Journal of Nervous and Mental Disease, 7/1/2004

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