Certain problems arise because of Dr. Livesley’s approach. First, the text is somewhat repetitive because specific strategies are applied to multiple problem domains; for instance, tackling maladaptive schemata is used to combat traumatic experiences, maladaptive interpersonal and relationship patterns, and maladaptive traits. Second, the text insists on the importance of understanding the process of change when treating patients with personality disorders, but Dr. Livesley makes up his own stages rather than using the well-established model of change of Prochaska and DiClemente (1). The stages are presented as "convenient" but seem more related to problem-solving strategies than the process of change. Finally, emotion-focused therapies are not included in the approach, and the importance and role of emotion in promoting change are given short shrift. Most often, difficult emotional issues are dealt with only by control and containment strategies.