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Paul T. Mason, M.S., C.P.C., is a program manager of Child/Adolescent Services at St. Luke's Hospital and a psychotherapist in private practice at Psychiatric Services in Racine, Wisconsin. His research on borderline personality disorder ("BPD") has appeared in the Journal of Clinical Psychology, and he teaches seminars for mental health professionals on the effects of BPD on partners and family members. Randi Kreger is a professional writer and an executive in public relations and marketing. She has collected more than 1,000 stories detailing the devastating experiences of people in close relationship with persons suffering from BPD ("BP's"). Kreger moderates two e-mail discussion groups for friends and family of BP's on her comprehensive Web site about BPD: [....] Mason and Kreger's carefully written, highly readable book provides a brilliant analysis of a disorder that wreaks enormous havoc. In addition to clarifying what BPD is, they provide crucial survival techniques for those who wish to stay in relationship with the BP's they love. There are extensive references and a list of recommended resources in this 258-page book as well as appendices on the following subjects: coping suggestions for clinicians, tips for BP's who have other BP's in their lives, a summary of causes and treatment of BPD. The topics covered in the main body of the book include: (1) understanding BPD behavior; (2) keeping control of your life while in close association with a BP; (3) resolving special issues, including raising a BP child, distortion campaigns of the BP against you, making decisions about continuing your relationship with the adult BP in your life. The authors state that the central irony of BPD is that "people who suffer from it desperately want closeness and intimacy, but the things they do to get it often drive people away from them." Their needs are extremely difficult to meet, because they are so turbulent and irrational. In a profoundly important departure from the militant-environmentalism stance that has engulfed the mental-health establishment for decades, the authors freely admit the existence of children with BPD. In the Freudian tradition, most psychiatrists continue to believe that BPD is caused entirely by poor mothering, with the damage only showing up in adulthood after the destructive childhood has ended. The real truth is, however, that BPD can occur very early in life, and in the most nurturing of families, both of which indicate there is a strong genetic component to this disorder. This vital insight on childhood BPD will bring great comfort to besieged mothers of BP children who are unfairly shamed and stigmatized by mental-health and educational personnel as the "cause" of their child's condition. I believe this book should be required reading for every psychological and psychiatric training program in the country. It will also bring enormous insight, comfort and encouragement to the friends and families of BP's everywhere.