Donald W. Black

Donald W. Black



Average rating: 3.7 · 170 ratings · 18 reviews · 5 distinct worksSimilar authors
Bad Boys, Bad Men: Confront...

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3.68 avg rating — 88 ratings — published 1999 — 9 editions
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Introductory Textbook of Ps...

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3.71 avg rating — 78 ratings — published 1990 — 14 editions
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DSM-5 Guidebook: The Essent...

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3.67 avg rating — 3 ratings — published 2013 — 2 editions
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Introductory Psychiatry: A ...

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it was amazing 5.00 avg rating — 1 rating2 editions
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Systems Training for Emotio...

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“Narcissistic personality disorder is named for Narcissus, from Greek mythology, who fell in love with his own reflection. Freud used the term to describe persons who were self-absorbed, and psychoanalysts have focused on the narcissist's need to bolster his or her self-esteem through grandiose fantasy, exaggerated ambition, exhibitionism, and feelings of entitlement.”
Donald W. Black, DSM-5 Guidebook: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders

“Acts of psychological abuse include berating or humiliating the victim; interrogating the victim; restricting the victim's ability to come and go freely; obstructing the victim's access to assistance (e.g., law enforcement; legal, protective, or medical resources); threatening the victim with physical harm or sexual assault; harming, or threatening to harm, people or things that the victim cares about; unwarranted restriction of the victim's access to or use of economic resources; isolating the victim from family, friends, or social support resources; stalking the victim; and trying to make the victim think that he or she is crazy.”
Donald W. Black, DSM-5 Guidebook: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders

“The case of a patient with dissociative identity disorder follows:

Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis.

Cindy had been well until 3 years before admission, when she developed depression, "voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen.

Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life.

Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged.

At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters.”
Donald W. Black, Introductory Textbook of Psychiatry



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