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1

Kantor, Martin. Distancing: Avoidant personality disorder. Westport, CT: Praeger, 2004.

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2

Distancing: Avoidant personality disorder. Westport, Conn: Praeger, 2003.

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3

Kantor, Martin. Distancing: A guide to avoidance and avoidant personality disorder. Westport, Conn: Praeger, 1993.

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4

Kantor, Martin. The essential guide to overcoming avoidant personality disorder. Santa Barbara, Calif: Praeger, 2010.

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5

Kantor, Martin. The essential guide to overcoming avoidant personality disorder. Santa Barbara, Calif: Praeger, 2010.

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6

Kantor, Martin. Distancing: Avoidant Personality Disorder, Revised and Expanded. Praeger Publishers, 2003.

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7

Wilberg, Theresa, and Kenneth Silk. The Neurobiological Basis of Avoidant Personality Disorder. Edited by Christian Schmahl, K. Luan Phan, Robert O. Friedel, and Larry J. Siever. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199362318.003.0015.

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This chapter reports neurobiological findings relevant to avoidant personality disorder (AvPD) and focuses on several areas and dimensions assumed to be of special interest with respect to it. Because there are many different psychiatric disorders, cognitive styles, and interpersonal patterns that can overlap with AvPD, the chapter is selective in what areas are considered. The chapter begins with a discussion of biological findings that pertain to the diagnosis of AvPD, summarizing developments in genetics, neurotransmitters, and neuroimaging. It then turns to areas of temperament, emotional dysfunction, attachment, and stress regulation. Because these areas are applicable across all personality disorders, the chapter emphasizes how they apply more specifically to AvPD.
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8

Rizvi, Waqar. Personality Disorders. Edited by Rajiv Radhakrishnan and Lily Arora. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190265557.003.0026.

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In this chapter essential aspects of personality disorder will be reviewed including paranoid personality disorder, schizoid personality disorder, schizotypal personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder, Avoidant personality disorder, dependent personality disorder, obsessive-compulsive personality disorder and antisocial personality disorder
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9

Hart, Ashley S., and Martha A. Niemiec. Comorbidity and Personality in Body Dysmorphic Disorder. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0011.

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Comorbidity is common in body dysmorphic disorder (BDD). Major depressive disorder, social anxiety disorder (social phobia), obsessive-compulsive disorder, and substance use disorders are the most frequently co-occurring Axis I conditions. Except for eating disorders (more common in women) and substance use disorders (more common in men), Axis I comorbidity rates in BDD appear similar across genders. Axis I comorbidity is associated with greater functional impairment and morbidity. Rates of comorbid personality disorders in BDD are high. Disorders from cluster C occur most frequently, with avoidant personality disorder the most common. Associated traits include low self-esteem and high levels of neuroticism, introversion, unassertiveness, social anxiety and inhibition, rejection sensitivity, and perfectionism. Research is needed on the relationship between BDD and psychiatric comorbidity, the causes and consequences of comorbidity in BDD, and the relationship between BDD and associated personality traits.
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10

Caligor, Eve, Frank Yeomans, and Ze’ev Levin. Personality Disorders. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199326075.003.0008.

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This chapter discusses the personality disorders. Patients with personality disorders exhibit enduring patterns of behavior that are maladaptive, inflexible, and pervasive. These patients experience difficulty in three core domains of personality functioning: sense of self, interpersonal relationships, and affect regulation. Patients with the cluster A personality disorders (paranoid, schizoid, and schizotypal) tend to suffer profound compromise of functioning. Features that are shared by many patients with the cluster B disorders (borderline, narcissistic, antisocial, and histrionic) include emotional reactivity, poor impulse control, and an unclear sense of identity. Patients with borderline, narcissistic, and antisocial personality disorders are also often characterized by high levels of aggression, whereas patients with histrionic personality disorder share a more favorable prognosis with the cluster C personality disorders (avoidant, dependent, and obsessive-compulsive). Psychotherapy is the backbone of treatment for the personality disorders.
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11

Publications, ICON Health. Avoidant Personality Disorder: A Medical Dictionary, Bibliography, And Annotated Research Guide To Internet References. Icon Health Publications, 2004.

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12

Lis, Stefanie, Nicole E. Derish, and M. Mercedes Perez-Rodriguez. Social Cognition in Personality Disorders. Edited by Christian Schmahl, K. Luan Phan, Robert O. Friedel, and Larry J. Siever. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199362318.003.0009.

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Changes in social cognition are increasingly recognized as core illness features in the personality disorders with a broad impact on social functioning. Despite the significant disability caused by social cognitive dysfunction, treatments for this symptom dimension tailored to the specific deficits of a disorder are still missing. This chapter characterizes the different domains of social cognitive processing and describes different approaches and instruments for measuring impairments. It provides a short overview of the evidence demonstrating changes in social cognition in schizotypal personality disorder, borderline personality disorder, and antisocial and avoidant personality disorder, as well as the neurobiology of social cognition. During the recent past the number of studies addressing this topic increased tremendously. Nevertheless, research in this area is still young and requires approaches that study these functions while emphasizing the social context and associate deficits observed in experimental paradigms with interpersonal dysfunction during every-day life.
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13

Trull, Timothy J., Marika B. Solhan, Whitney C. Brown, Rachel L. Tomko, Lauren Schaefer, Kristin D. McLaughlin, and Seungmin Jahng. Substance Use Disorders and Personality Disorders. Edited by Kenneth J. Sher. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199381708.013.15.

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Personality disorders (PDs) and substance use disorders (SUDs) frequently co-occur both in the general population and in clinical settings. The authors review the recent literature that documents high comorbidity between these two classes of disorders, discuss possible mechanisms of comorbidity, and describe the clinical implications of this comorbidity. Although most attention on comorbidity between PDs and SUDs has focused on antisocial personality disorder (ASPD) and borderline personality disorder (BPD), it is also clear that other PDs (in particular, paranoid, avoidant, and obsessive compulsive PD) are prevalent among those suffering from SUDs. The effect of SUD on PD expression appears to be one of exacerbating PD symptomatology and, in turn, contributing to chronicity. This has important treatment implications in that clinicians must keep in mind the challenges present when planning and implementing treatment for those with both SUD and PD.
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14

Phillips, Katharine A. Differentiating Body Dysmorphic Disorder from Normal Appearance Concerns and Other Mental Disorders. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0018.

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This chapter discusses differentiation of body dysmorphic disorder (BDD) from disorders that may be misdiagnosed as BDD or that present differential diagnosis challenges: eating disorders, major depressive disorder, obsessive-compulsive disorder, trichotillomania (hair-pulling disorder), excoriation (skin-picking) disorder, illness anxiety disorder, social anxiety disorder, agoraphobia, panic disorder, generalized anxiety disorder, schizophrenia and other psychotic disorders, gender dysphoria, avoidant personality disorder, olfactory reference syndrome, and several other constructs. This chapter also discusses how to differentiate BDD from normal appearance concerns and from problematic preoccupation with obvious physical defects.BDD is commonly misdiagnosed as another mental disorder. Sometimes misdiagnosis occurs because patients are too embarrassed and ashamed to reveal their appearance concerns; in such cases, BDD symptoms that are more readily observable (such as social anxiety) may be assigned an incorrect diagnosis while BDD goes undetected. In other cases, BDD symptoms are recognized but are misdiagnosed as another disorder. BDD must be differentiated from other conditions so appropriate treatment can be instituted.
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15

Barlow, David H., Todd J. Farchione, Shannon Sauer-Zavala, Heather Murray Latin, Kristen K. Ellard, Jacqueline R. Bullis, Kate H. Bentley, Hannah T. Boettcher, and Clair Cassiello-Robbins. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Oxford University Press, 2017. http://dx.doi.org/10.1093/med-psych/9780190685973.001.0001.

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The Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide is a treatment programv applicable to all anxiety and unipolar depressive disorders and potentially other disorders with strong emotional components (e.g., eating disorders, borderline personality disorder). The UP for the Transdiagnostic Treatment of Emotional Disorders addresses neuroticism by targeting the aversive, avoidant reactions to emotions that, while providing relief in the short term, increase the likelihood of future negative emotions and maintains disorder symptoms. The strategies included in this treatment are largely based on common principles found in existing empirically supported psychological treatments—namely, fostering mindful emotion awareness, reevaluating automatic cognitive appraisals, changing action tendencies associated with the disordered emotions, and utilizing emotion exposure procedures. The focus of these core skills has been adjusted to specifically address core negative responses to emotional experiences.
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16

Bertsch, Katja, Harold Koenigsberg, Inga Niedtfeld, and Christian Schmahl. Emotion Regulation. Edited by Christian Schmahl, K. Luan Phan, Robert O. Friedel, and Larry J. Siever. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199362318.003.0007.

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This chapter describes the processes and systems implicated in regulation of emotion. Emotion regulation is an important topic in many fields of psychiatric disorders. According to the established model developed by Gross and colleagues, emotion regulation can be distinguished into antecedent-focused and response-focused emotion regulation strategies. This chapter reviews several implicit and explicit forms of emotion regulation including attention, habituation, and reappraisal. It describes multiple behavioral sequelae to emotion dysregulation such as avoidance and self-harm behaviors. The chapter synthesizes the evidence of altered emotion processing and regulation across multiple personality disorders and introduces emotion regulation as a target for psychotherapy for personality disorders.
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17

Owen, Gareth, Sir Simon Wessely, and Sir Simon Wessely, eds. Psychosocial assessments with adults. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199661701.003.0002.

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The chapter covers the psychosocial assessment in detail, giving an approach to complex areas such as early life experiences and memories of sexual abuse. Advice is given on how to assess personality, including how to gain collateral history and navigate issues of negative judgement relating to personality disorder as well as issues to do with the separation of personality disorder from normality. The chapter aims to increase doctors’ confidence with how to assess family relationships, structures, and cycles and how to hold family interviews. A scheme for supplanting and extending information about the social state of the patient is given, including information on carers. The chapter ends by considering culture in psychiatric assessment and gives practical advice on enhancing communication and avoiding pitfalls in history taking and mental state examination across culture and on achieving cultural formulations..
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