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For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems. Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT Skills Training Manual, Second Edition, and DBT Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.
Combines developmental perspectives with intervention techniques, discussing methods of conceptualizing borderline cases and developing treatment plans. Includes case studies. The four authors have all been associated at one time or another with the Center for Cognitive Therapy at the U. of Pennsylv
The Cognitive Behavioral Therapy Workbook for Personality Disorders helps readers learn and practice eight core skills based in cognitive behavioral therapy (CBT) to overcome the symptoms of a variety of personality disorders, including paranoid personality disorder, narcissistic personality disorder, and borderline personality disorder.
It is increasingly recognized that a significant number of individuals with personality disorders can benefit from therapy. In this new edition - based on the treatment of over a hundred patients with antisocial and borderline personality disorders - Kate Davidson demonstrates that clinicians using cognitive therapy can reduce a patient's tendency to deliberately self-harm and to harm others; it also improves their psychological well-being. Case studies and therapeutic techniques are described as well as current evidence from research trials for this group of patients. Cognitive Therapy for Personality Disorders provides a thorough description of how to apply cognitive behavioural therapy to patients who are traditionally regarded as being difficult to treat: those with borderline personality disorders and those with antisocial personality disorders. The book contains detailed descriptions and strategies of how to: formulate a case within the cognitive model of personality disorders overcome problems encountered when treating personality disordered patients understand how therapy may develop over a course of treatment. This clinician's guide to cognitive behavioural therapy in the treatment of borderline and antisocial personality disorder will be essential reading for psychiatrists, clinical and counselling psychologists, therapists, mental health nurses, and students on associated training courses.
This landmark work was the first to present a cognitive framework for understanding and treating personality disorders. Part I lays out the conceptual, empirical, and clinical foundations of effective work with this highly challenging population, reviews cognitive aspects of Axis II disorders, and delineates general treatment principles. In Part II, chapters detail the process of cognitive-behavioral therapy for each of the specific disorders, review the clinical literature, guide the therapist through diagnosis and case conceptualization, and demonstrate the nuts and bolts of cognitive intervention.
There are two ways to pursue happiness. There is the 'Western' approach, known as 'optimizing, ' in which we try to bring about the satisfaction of our desires, and there is the 'Eastern' method, known as 'adapting, ' in which we transform our desires so that nothing can hurt us - we become invulnerable, even to such realities as death. In Invulnerability, Steven Luper analyzes the nature of happiness and compares the two strategies: optimizing and adapting. He investigates the claim made by some of the greatest thinkers (including Buddha, Socrates, Epicurus, and Epictetus) that the prospect of dying need not alarm us, and that we may be completely happy no matter what our circumstances. Professor Luper explains in detail how adaptation may be implemented, including the steps we must take if we are to adapt to death and every contingency which might undermine our happiness. He demonstrates that adapting, as a complete strategy, has shortcomings: if we did manage to alter our conception of happiness to guarantee ourselves the possibility of complete happiness despite premature death, our conception of happiness would be impoverished. And yet adapting can often be a useful alternative to optimizing.
Borderline Personality Disorder patients are impulsive, unstable and destructive, hurting themselves and those around them, including those who seek to help them. This has resulted in a widespread reluctance to treat them and a pessimism about treatment. In the experience of the authors this pessimism is unjustified, because for many patients a relatively brief intervention can be effective in cost-benefit terms as well as human terms. The interventions illustrated here have been used to treat outpatients for 15 years. The results indicate that treatments can achieve clinically significant changes in the course of 16 24 sessions, in a substantial proportion of patients. While CAT shares some ideas and methods with other approaches, it introduces many new features and is uniquely integrated at both the theoretical and practical level. The early joint reformulation of patients problems serves to contain destructiveness and to create a working alliance. Also, the use of reformulation to teach self-reflection and avoid collusive responses from the therapist, throughout the therapy, represents a powerful new technique. The book offers a critical appraisal of current ideas and practices, contrasting with these the ways in which CAT mobilizes the patient s own resources. The authors argue that CAT should have a place in any service seeking to help these difficult patients. From a review of Cognitive Analytic Therapy: Developments in Theory and Practice (Anthony Ryle (Editor), 1995): "Ryle is surely the most original, productive and interesting writer in psychotherapy in Britain today, and CAT is a remarkable systematizing achievement which deserves to be better known on the other side of the Atlantic This book documenting CAT s recent theoretical and practical developments is a must for anyone interested in CAT itself and in integrative approaches, for those interested in brief, psychodynamically informed therapy, or indeed for those interested in developments in psychology generally." Robert Rentoul, British Journal of Medical Psychology
This is the second edition of the book that sparked the current wave of interest in schema therapy. Although schema therapy was originally developed by Jeff Young in the USA, it was not until unprecedented outcome data was published from pioneering Dutch clinical trials with BPD patients that the clinical CBT community took serious notice. Schema therapy has now become one of the most popular forms of contemporary CBT. It has parallels to the ‘third wave’ of contextual behavioural science in that it develops traditional CBT in new directions, but while contextual behavioural science priorities behavioural techniques based on acceptance and mindfulness, schema therapy is more cognitive and draws on elements of experiential learning, object relations and psychodynamic therapy in addition to traditional CBT. The first edition of this book has sold more than 3,000 copies at a steady rate of around 500 units per year since 2009.
Until recently, borderline personality disorder has been the step-child of psychiatric disorders. Many researchers even questioned its existence. Clinicians have been reluctant to reveal the diagnosis to patients because of the stigma attached to it. But individuals with BPD suffer terribly and a significant proportion die by suicide and engage in non-suicidal self injury. This volume provides state of the art information on clinical course, epidemiology, comorbidities and specialized treatments
Motivate your BPD clients with values-based treatment! This 16-week ACT protocol will help you get started today. As you know, clients with borderline personality disorder (BPD) and emotion dysregulation often struggle with negative beliefs about themselves—beliefs that can lead to feelings of shame, problems with personal relationships, and dangerous behaviors. And while dialectical behavior therapy (DBT) is the standard treatment for BPD, more and more, acceptance and commitment therapy (ACT) has shown promising results when treating BPD clients by helping them focus on their core values and forgiveness. Acceptance and Commitment Therapy for Borderline Personality Disorder provides a comprehensive program for delivering ACT to clients with BPD. Using the session-by-session, 16-week protocol in this professional guide, you can help clients work through the main driver behind BPD—experiential avoidance—and gain the psychological flexibility needed to balance their emotions and begin healing. You can use this protocol on its own, or in conjunction with treatment. With this guide, you’ll learn to target the fundamental causes of BPD for better treatment outcomes and happier, healthier clients.