A Primer Of Transference Focused Psychotherapy For The Borderline Patient

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A Primer Of Transference Focused Psychotherapy For The Borderline Patient
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Author : Frank E. Yeomans
language : en
Publisher: Bloomsbury Publishing PLC
Release Date : 2002-07-31
A Primer Of Transference Focused Psychotherapy For The Borderline Patient written by Frank E. Yeomans and has been published by Bloomsbury Publishing PLC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-07-31 with Psychology categories.
Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.
Transference Focused Psychotherapy For Borderline Personality Disorder
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Author : Frank E. Yeomans
language : en
Publisher: American Psychiatric Pub
Release Date : 2015-04-01
Transference Focused Psychotherapy For Borderline Personality Disorder written by Frank E. Yeomans and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-01 with Medical categories.
Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide presents a model of borderline personality disorder (BPD) and its treatment that is based on contemporary psychoanalytic object relations theory as developed by the leading thinker in the field, Otto Kernberg, M.D., who is also one of the authors of this insightful manual. The model is supported and enhanced by material on current phenomenological and neurobiological research and is grounded in real-world cases that deftly illustrate principles of intervention in ways that mental health professionals can use with their patients. The book first provides clinicians with a model of borderline pathology that is essential for expert assessment and treatment planning and then addresses the empirical underpinnings and specific therapeutic strategies of transference-focused psychotherapy (TFP). From the chapter on clinical assessment, the clinician learns how to select the type of treatment on the basis of the level of personality organization, the symptoms the patient experiences, and the areas of compromised functioning. In order to decide on the type of treatment, the clinician must examine the patient's subjective experience (such as symptoms of anxiety or depression), observable behaviors (such as investments in relationships and deficits in functioning), and psychological structures (such as identity, defenses, and reality testing). Next, the clinician learns to establish the conditions of treatment through negotiating a verbal treatment contract or understanding with the patient. The contract defines the responsibilities of each of the participants and defines what the reality of the therapeutic relationship is. Techniques of treatment interventions and tactics to address particularly difficult clinical challenges are addressed next, equipping the therapist to employ the four primary techniques of TFP (interpretation, transference analysis, technical neutrality, and use of countertransference) and setting the stage for and guiding the proper use of those techniques within the individual session. What to expect in the course of long-term treatment to ameliorate symptoms and to effect personality change is covered, with sections on the early, middle, and late phases of treatment. This material prepares the clinician to deal with predictable phases, such as tests of the frame, impulse containment, movement toward integration, episodes of regression, and termination. Finally, the text is accompanied by supremely instructive online videos that demonstrate a variety of clinical situations, helping the clinician with assessment and modeling critical therapeutic strategies. The book recognizes that each BPD patient presents a unique treatment challenge. Grounded in the latest research and rich with clinical insight, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide will prove indispensable to mental health professionals seeking to provide thoughtful, effective care to these patients.
Understanding And Treating Borderline Personality Disorder
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Author : John G. Gunderson
language : en
Publisher: American Psychiatric Pub
Release Date : 2007-04-02
Understanding And Treating Borderline Personality Disorder written by John G. Gunderson and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-04-02 with Medical categories.
Understanding and Treating Borderline Personality Disorder: A Guide for Professionals and Families offers both a valuable update for mental health professionals and much-needed information and encouragement for BPD patients and their families and friends. The editors of this eminently practical and accessible text have brought together the wide-ranging and updated perspectives of 15 recognized experts who discuss topics such as A new understanding of BPD, suggesting that individuals may be genetically prone to developing BPD and that certain stressful events may trigger its onset New evidence for the success of various forms of psychotherapy, including Dialectical Behavior Therapy (DBT), in reducing self-injury, drug dependence, and days in the hospital for some groups of people with BPD Pharmacology research showing that the use of specific medications can relieve the cognitive, affective, and impulsive symptoms experienced by individuals with BPD, as part of a comprehensive psychosocial treatment plan New resources for families to help them deal with the dysregulated emotions of their loved ones with BPD and to build effective support systems for themselves Yet much remains to be done. Research on BPD is 20 to 30 years behind that on other major psychiatric disorders such as schizophrenia and bipolar disorder. Despite evidence to the contrary, much of the professional literature on BPD continues to focus on childhood trauma, abuse, and neglect as triggers for BPD -- to the detriment of both patient and family. Families of people with BPD must deal with an array of burdens in coping with the illness, often without basic information. The chapters on families and BPD give voice to the experience of BPD from the perspective of individuals and family members, and offer the hope that family involvement in treatment will be beneficial to everyone. Above all, this book is about the partnership between mental health professionals and families affected by BPD, and about how such a partnership can advance our understanding and treatment of this disorder and provide hope for the future.
Handbook Of Evidence Based Psychodynamic Psychotherapy
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Author : Raymond A. Levy
language : en
Publisher: Springer Science & Business Media
Release Date : 2008-09-20
Handbook Of Evidence Based Psychodynamic Psychotherapy written by Raymond A. Levy and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-09-20 with Medical categories.
The importance of conducting empirical research for the future of psychodynamics is presented in this excellent new volume. In Handbook of Evidence Based Psychodynamic Psychotherapy: Bridging the Gap Between Science and Practice, the editors provide evidence that supports this type of research for two primary reasons. The first reason concerns the current marginalization of psychodynamic work within the mental health field. Sound empirical research has the potential to affirm the important role that psychodynamic theory and treatment have in modern psychiatry and psychology. The second reason that research is crucial to the future of psychodynamic work concerns the role that systematic empirical investigations can have in developing and refining effective approaches to a variety of clinical problems. Empirical research functions as a check on subjectivity and theoretical alliances in on-going attempts to determine the approaches most helpful in working with patients clinically. Handbook of Evidence Based Psychodynamic Psychotherapy: Bridging the Gap Between Science and Practice brings together a panel of distinguished clinician-researchers who have been publishing their findings for decades. This important new book provides compelling evidence that psychodynamic psychotherapy is an effective treatment for many common psychological problems.
Neurodevelopmental Disorders In Adult Women
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Author : Anupriya Gogne
language : en
Publisher: Springer Nature
Release Date : 2025-04-01
Neurodevelopmental Disorders In Adult Women written by Anupriya Gogne and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-04-01 with Psychology categories.
This book elaborates on Neurodevelopmental Disorders (NDD) and their treatment in adult women with a special focus on the unique clinical presentation of these problems during the Perinatal period. Problems related to chronic, untreated NDD during adulthood are viewed through the lens of pregnant and postpartum mothers to highlight unique struggles as their family unit expands after having children. The content is based on the author’s clinical experience with mothers under her psychiatric care between 2017-2024 at an outpatient practice, affiliated with Brown University. Comorbid psychiatric problems such as anxiety, mood disorders, trauma and substance use disorders are also reviewed. In addition to sharing clinical anecdotes, the author presents a consolidated review of scientific literature on the subject. I believe that this book can be an important addition to scientific literature at this time, when Neurodiversity is being explored and accepted more in society and we are more receptive to improving women’s mental health. Afflicted mothers as well as their treatment providers have conveyed to me the profound relief on finally getting accurate diagnosis and treatment for NDDs. Several books have been published documenting the unique presentation and treatment interventions for ADHD and Autism in women, however, this will be the only book addressing symptomology and treatment interventions for NDD specifically during the perinatal period. I have seen how successful long-term treatment with a specialized team of mental health professionals can significantly improve the quality of life not just for the mother but also, for the entire family unit. The book will be divided into two parts: Part 1- Clinical Manifestations and Symptomology in Adult Women with NDD In the first part of the book, I plan to discuss the approach to diagnosis of Neurodevelopmental Disorders in General Adult Psychiatry and understand reasons for missed diagnosis, especially in females. I will outline my diagnostic and therapeutic approach, conceptualizing NDDsymptomology as variations of higher brain functioning rather than categorization of these symptoms as a “disorder,” and contemplating potential evolutionary advantages to neurodiversity. Based on my clinical practice, I will discuss tools for clinical assessment, including referral for neuropsychological testing and its utility in adults. In addition to the DSM-5 diagnoses, I will also propose conceptualizing difficulties in functioning and subjective distress in terms of symptom domains (executive dysfunction, hyperactivity/impulsivity, sensory overload and emotional regulation) as reflected in day-to-day functioning and social interactions in the adult life of women. Also, differential diagnoses including Obsessive Compulsive Disorder, Bipolar disorder, Post Traumatic Stress Disorder (PTSD), and personality disorders will be discussed, addressing the puzzling symptom overlap as well as genetic predisposition between these psychiatric illnesses and neurodevelopmental disorders. I will describe this association using clinical case examples and, later in the book, propose the inclusion of trauma-based interventions in treatment of Neurodevelopmental Illnesses in adult women. Lastly, comorbid substance use will be addressed. I will highlight struggles related to complex psychopathology and dual diagnosis. Given my training in Addiction Psychiatry, one of my goals is also to reduce stigma and apprehension about prescribing controlled medications in patients with history of substance use disorders. Part 2- Perinatal perspective on NDD Part 2 will have a specific perinatal focus starting with a detailed description of predisposing factors (Behavioral/Social, Psychological and Biological factors) for distress in Mothers with NDD. Behavioral factors include high-risk behaviors that occur in untreated NDD, for example, a high number of unplanned pregnancies in girls and young women with untreated ADHD. I will discuss the effect of societal rules and cultural expectations on maternal mental health, especially during the perinatal transition. I will share my clinical experiences from working with perinatal women over the past 5 years in outpatient as well as inpatient settings. Given that this is the primary area of my work, I can offer meaningful insights based on the subjective experience of women with untreated ADHD, ASD during pregnancy and postpartum period/motherhood. I am not aware of any other source (paper/book) that documents these specific perinatal experiences through the course of pregnancy and postpartum, in a clinical setting like mine- a behavioral health program as part of an Obstetric Hospital. I believe discussion of these issues can make clinicians more sensitive to screening for and treating these ailments in adult women. This has clinical relevance as I have come across several adult women, who were undiagnosed and untreatedduring childhood but were able to manage symptoms of NDD by developing compensatory behaviors. However, as they grew up and the complexity of their professional and personal lives increased, those compensatory mechanism became ineffective, and they developed clinically significant psychological distress. This is especially true during the postpartum period and early motherhood where intense internal/physiological changes are accompanied by major environmental changes and increased demands on the mother. Such role transition would be difficult for almost anyone, but for the mother with untreated NDD and secondary anxiety/depression, can be much more dysregulating and interfere with daily functioning. Importantly, I will address issues of attachment within the mother-baby dyad and the family unit as whole after the woman delivers. In child psychiatry, there are several studies on behavioral issues in children with neurodevelopmental disorders and treatments to improve parent-child interactions and social learning. However, studies evaluating the attachment patterns within the mother-baby dyad in women with undiagnosed and untreated NDDs are scarce. I will shed light on these issues and propose potential future directions for research in the perinatal population with NDD. Lastly, there is a lot of apprehension amongst prescribers about using psychiatric medications during this pregnancy and lactation. Unfortunately, a very common clinical presentation of these mothers to our clinic is after abrupt discontinuation of their meds followed by acute distress. As a perinatal psychiatrist, I will shed light on this subject with the goal of getting more prescribers comfortable with safely prescribing medications during pregnancy to prevent worsening of pre-existing illnesses or new onset of severe distress. Intended Audience: Psychologists, Psychiatrists/Psychiatric Nurse Practitioners, social workers, ADHD coaches, OB/GYNs, primary care physicians and pediatricians
The Complete Adult Psychotherapy Treatment Planner
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Author : Arthur E. Jongsma, Jr.
language : en
Publisher: John Wiley & Sons
Release Date : 2021-05-11
The Complete Adult Psychotherapy Treatment Planner written by Arthur E. Jongsma, Jr. and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-05-11 with Psychology categories.
The revised edition of the clinicians’ time-saving Psychotherapy Treatment Planner Revised and updated, the sixth edition of The Complete Adult Psychotherapy Treatment Planner offers clinicians a timesaving, evidence-based guide that helps to clarify, simplify and accelerate the treatment planning process so they can spend less time on paperwork and more time with clients. The authors provide all the elements necessary to quickly and easily develop formal, customizable treatment plans that satisfy the demands of HMOs, managed-care companies, third-party payers and state and federal agencies. This revised edition includes new client Short-Term Objectives and clinician Therapeutic Interventions that are grounded in evidence-based treatment wherever research data provides support to an intervention approach. If no research support is available a best practice standard is provided. This new edition also offers two new presenting problem chapters (Loneliness and Opioid Use Disorder) and the authors have updated the content throughout the book to improve clarity, conciseness and accuracy. This important book: Offers a completely updated resource that helps clinicians quickly develop effective, evidence-based treatment plans Includes an easy-to-use format locating treatment plan components by Presenting Problem or DSM-5 diagnosis Contains over 3,000 prewritten treatment Symptoms, Goals, Objectives and Interventions to select from Presents evidence-based treatment plan components for 45 behaviorally defined Presenting Problems Suggests homework exercises specifically created for each Presenting Problem Written for psychologists, therapists, counselors, social workers, addiction counselors, psychiatrists, and other mental health professionals, The Complete Adult Psychotherapy Treatment Planner, Sixth Edition has been updated to contain the most recent interventions that are evidence-based.
Loving Someone With Borderline Personality Disorder
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Author : Shari Y. Manning
language : en
Publisher: Guilford Press
Release Date : 2011-06-29
Loving Someone With Borderline Personality Disorder written by Shari Y. Manning and has been published by Guilford Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-06-29 with Psychology categories.
People with BPD can be compassionate, caring, smart, and funny, but they are also prone to explosive emotional outbursts and highly self-destructive acts. BPD expert Dr. Shari Manning helps overwhelmed loved ones understand why their spouse, adult child, or other family member acts so "impossible" - and learn to respond differently.
The Little Psychotherapy Book
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Author : Allan Frankland
language : en
Publisher: Oxford University Press
Release Date : 2010-04-28
The Little Psychotherapy Book written by Allan Frankland and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-04-28 with Medical categories.
Aimed at beginning therapists and those new to object relations, this concise work introduces the reader to the practice of psychodynamic psychotherapy from an object relations (O-R) perspective in a dynamic and easy-to-follow way. One of the four main schools of psychodynamic psychotherapy, O-R is regarded as particularly challenging, both conceptually and practically. The book presents object relations in a clear and concise manner that makes it especially applicable for regular use in the clinical setting. Moreover, the author writes in a narrative style similar to actual psychotherapy supervision; dialogues between a therapist and a fictitious patient appear throughout the book to illustrate common clinical situations. Designed to complement actual training in psychotherapy, the book suggests ways in which the therapist can incorporate object relations tools with other forms of therapy, regardless of the clinical setting. Ideal for students, trainees, and clinicians in psychiatry, psychology, social work, family medicine, and psychiatric nursing, The Little Psychotherapy Book will prove invaluable for any reader seeking a helpful and succinct introduction to object relations in psychotherapy.
Handbook Of Personality Disorders Second Edition
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Author : W. John Livesley
language : en
Publisher: Guilford Publications
Release Date : 2018-03-08
Handbook Of Personality Disorders Second Edition written by W. John Livesley and has been published by Guilford Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-03-08 with Psychology categories.
"This authoritative work comprehensively reviews what is known about personality disorders, including vital information to guide clinical decision making. Leading experts synthesize contemporary thinking about the classification, etiologies, and development of these complex disorders. Diagnostic issues are explored, and available assessment instruments are discussed. The Handbook provides in-depth coverage of all commonly used psychotherapeutic and pharmacological treatments, with particular attention to the empirical evidence for each approach. Also addressed are special treatment modalities, such as day programs and group therapy, and forensic issues"--
Introduction To Psychotherapy
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Author : Anthony Bateman
language : en
Publisher: Routledge
Release Date : 2010-07-02
Introduction To Psychotherapy written by Anthony Bateman and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-07-02 with Psychology categories.
This fourth edition has been revised and extended to capture some of the current themes, controversies and issues relevant to psychotherapy as it is practised today.