![]() Unlike in AvPD, where the distancing is dynamically, if not clinically, resolute, in BPD, overly close intense relationships characteristic of the object hunger–merging phase of the borderline condition are in turn fitfully undone by an equally intense object satiation–emerging phase. They fail to distinguish the characteristic chronic distancing patterns of AvPDįrom those of BPD, which consist of a more acute cyclic, intermittent approach–avoidance shifting. On their part, researchers often miss the diagnosis because they fold AvPD into borderline personality disorder (BPD). They then offer reassurances that all is well and say that no therapy is necessary, or if it is necessary, it should be for something else entirely. ![]() And their therapists, equally misinformed about, or reluctant to recognize, the disorder, dismiss their suffering as normal shyness, reticence, unfriendliness, cliquishness, or as just part of growing up or, spotting the disorder, they tell their patients that the problem is insignificant or condone it as acceptable, justified, and even romantic. This is because avoidants themselves overlook AvPD because they don’t know it exists, or they downplay AvPD because they believe that having social anxiety is somehow shameful. According to Oldham and Morris, the disorder occurs in fully “10 percent of patients of outpatient mental health clinics,”1 whereas Dalrymple and Zimmerman have written that “social anxiety disorder (SAD) is the fourth most common mental disorder in the United States with a lifetime prevalence rate of 12.1%.”2 I believe that even these disquieting statistics underestimate the extent of the problem, with this disorder far more widespread than most patients believe and clinicians acknowledge. This anxiety causes them to have difficulty meeting, connecting with, getting close to, and staying involved with other people. Preface Sufferers from avoidant personality disorder (AvPD) fear forming and maintaining relationships because of ongoing, engaging, deep, pervasive, multilayered interpersonal anxiety. Helping Avoidants Overcome Their Low Self-Esteem Helping Avoidants Overcome Their Fear of Criticism Healthy and Normal versus Pathological Avoidance PART ONE: DESCRIPTION AND CAUSATION Chapter 1Ĭlassic or Type I Avoidant Personality Disorder ![]() I am scared to talk to people and my memory is weak. For many years I am spiraling deeper into isolation and only yesterday I read about Avoidant PD and discovered I fit on all counts. ![]() Box 1911 Santa Barbara, California 93116-1911 This book is printed on acid-free paper Manufactured in the United States of America Praeger An Imprint of ABC-CLIO, LLC ABC-CLIO, LLC 130 Cremona Drive, P.O. This book is also available on the World Wide Web as an eBook. Includes bibliographical references and index. The essential guide to overcoming avoidant personality disorder / Martin Kantor. Library of Congress Cataloging-in-Publication Data Kantor, Martin. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, except for the inclusion of brief quotations in a review, without prior permission in writing from the publisher. The Essential Guide to Overcoming Avoidant Personality DisorderĬopyright 2010 by Martin Kantor, MD All rights reserved. Finally, and perhaps most critically, the book provides a section intended as a guide for psychiatrists-and a self-help guide for sufferers-including a day-by-day, one-step-at-a-time, monthly guide on how to overcome AvPD. ![]() It offers an extensive section on diagnostic criteria that will be useful to sufferers and therapists, and it discusses the various therapies for AvPD. This thorough and much-needed volume explores the development of AvPD and presents a holistic view of its causes from the psychoanalytic, cognitive-behavioral, and interpersonal perspectives. The Essential Guide to Overcoming Avoidant Personality Disorder is the only book available to guide both patients and those trying to help them. Therapists are left mystified about how to diagnose and treat it, and patients and other sufferers are at a loss as to what is wrong and how to go about correcting it. Avoidant Personality Disorder (AvPD) is an extremely widespread, devastating disorder that generally goes unrecognized or misrepresented by what little scientific literature there is on the topic. ![]()
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