Borderline Patients Extending The Limits Of Treatability
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Borderline Patients Extending The Limits Of Treatability
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Author : Harold W. Koenigsberg
language : en
Publisher:
Release Date : 2000-06-09
Borderline Patients Extending The Limits Of Treatability written by Harold W. Koenigsberg and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-06-09 with Medical categories.
1. Borderline patients and transference focused psychotherapy 2. factors that shape borderline personality disorder 3. treatment dilemmas arising from misdiagnoses 4. sadomasochism 5. narcissism and psychopathy 6. the impact of attachment status 7. schizoid states and paranoid regression 8. depression and suicidality 9. trauma, sexual pathology, and acting out 10. erotic transference and countertransference 11. using dream material 12. transference focused psychotherapy combined with parmacotherapy 13. transference focused psychotherapy in sequence with other modalities.
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.
Practice Guideline For The Treatment Of Patients With Borderline Personality Disorder
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Author : American Psychiatric Association
language : en
Publisher: American Psychiatric Pub
Release Date : 2001
Practice Guideline For The Treatment Of Patients With Borderline Personality Disorder written by American Psychiatric Association 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 2001 with Medical categories.
The most common personality disorder here and abroad, borderline personality disorder is often misdiagnosed or underdiagnosed. Left untreated, it causes marked distress and impairment in social, occupational, and role functioning, with high rates of self-destructive behavior (attempted and completed suicide). Its pervasive pattern of impulsivity and instability of interpersonal relationships, affects, and self-image begins in early adulthood and presents in a variety of contexts. Developed primarily by psychiatrists in active clinical practice, the revised edition of this popular work offers an updated synthesis of current scientific knowledge and rational clinical practice for patients with borderline personality disorder -- with the important caveat that clinicians should consider, but not limit themselves to, the treatments recommended here. The summary of treatment recommendations is keyed according to the level of confidence with which each recommendation is made and coded to show the nature of its supporting evidence. Highly informative and easy to use, this eminently practical volume is organized into three major parts: Part A contains treatment recommendations (Section I, treatment summaries; Section II, treatment plans; Section III, special clinical considerations; and Section IV, risk management issues during treatment), Part B presents the evidence underlying these treatment recommendations (Section V, an overview of DSM-IV-TR criteria, prevalence rates, and natural history and course; and Section VI, a review of existing treatment literature), and Part C summarizes those areas in which better research data are needed. Remarkably concise and comprehensive, this practice guideline continues to be an indispensable reference for every clinician who treats patients with this heterogeneous and complex disorder.
A Primer Of Transference Focused Psychotherapy For The Borderline Patient
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Author : Frank E. Yeomans
language : en
Publisher: Jason Aronson, Incorporated
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 Jason Aronson, Incorporated 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.
The American Psychiatric Association Publishing Textbook Of Personality Disorders Third Edition
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Author : Andrew E. Skodol, M.D.
language : en
Publisher: American Psychiatric Pub
Release Date : 2021-03-31
The American Psychiatric Association Publishing Textbook Of Personality Disorders Third Edition written by Andrew E. Skodol, M.D. 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 2021-03-31 with Medical categories.
Through dozens of tables, illustrative figures, and real-life case examples, established experts in the field, as well as a new generation of scientists, examine clinical concepts; risk factors for and impact of personality disorders; treatment options (including a new chapter on early identification of borderline psychopathology in children); special populations; and future directions for the field.
Personality Disordered Patients
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Author : Michael H. Stone
language : en
Publisher: American Psychiatric Pub
Release Date : 2007-05-03
Personality Disordered Patients written by Michael H. Stone 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 2007-05-03 with Medical categories.
Determining the amenability of personality disorders to psychotherapy -- a patient's capacity to benefit from verbal approaches to treatment -- is important in helping clinicians determine the treatability of cases. Michael Stone here shares the factors he has observed over long years of practice that can help practitioners evaluate patients, stressing the amenability of the various disorders to amelioration. By focusing on which patients are likely to respond well to therapeutic intervention and which will prove most resistive, his book will help therapists determine with what kinds of patients they will most likely succeed and with which ones failure is almost a certainty. Stone establishes the attributes that affect this amenability -- such as the capacity for self-reflection, motivation, and life circumstances -- as guidelines for evaluating patients, then describes borderline and other personality-disordered patients with varying levels of amenability, from high to low. This coverage progresses from patients belonging to the DSM "anxious cluster," along with the depressive-masochistic character and the hysteric character, to patients who demonstrate an intermediate level of amenability to psychotherapy. He introduces the interrelationship between borderline personality disorder and dissociative disorders and discusses treatability among certain patients in Clusters "A" and "C," as well as others with narcissistic, histrionic, depressive disorders. Final chapters address the most severe aberrations of personality and the limitations they impose on the efficacy of therapy. Personality-Disordered Patients is filled with practical, clinically focused information. This guideline structured book: Covers all personality disorders-including ones not addressed in the latest DSM such as sadistic, depressive, hypomanic, and irritable-explosive Identifies both attributes necessary for treatability and factors associated with low treatability Pays particular attention to borderline disorders, which represent the most discussed conditions and are among the most challenging to psychotherapists Reviews personality traits whose presence, if intense-even if unaccompanied by a definable personality disorder-creates severe problems for psychotherapy Numerous case studies throughout the book provide examples that will help therapists determine which of their own patients are most likely to benefit from their efforts and thereby establish their own limits of effectiveness. By alerting practitioners to when therapy is likely to fail, these guidelines can help them avoid the professional disappointment of being unable to reach the most intractable patients.
Fatal Flaws
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Author : Stuart C. Yudofsky
language : en
Publisher: American Psychiatric Pub
Release Date : 2007-04-02
Fatal Flaws written by Stuart C. Yudofsky 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.
Featuring case vignettes from nearly 30 years of Dr. Yudofsky's clinical practice and incorporating the knowledge of gifted clinicians, educators, and research scientists with whom he has collaborated throughout that time, Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character uniquely captures the rapidly increasing body of clinical and research information about people with severe and persistent personality and character disorders. Within these pages, the author brings to life the psychopathologies of personality and character disorders through vivid vignettes based on composites of his many patients and their most important relationships -- while meticulously changing the identifying facts and relevant details to protect confidentiality. Covering the clinical course, treatment, genetics, biology, psychology, and destructive consequences of hysterical (histrionic), narcissistic, antisocial, paranoid, obsessive-compulsive, addictive, borderline, and schizotypal personality disorders, Fatal Flaws stands out in the literature for these powerful reasons: It is written for an unusually broad audience, from mental health students and trainees of all disciplines, to highly experienced clinicians, to patients who suffer from or are in destructive relationships with people with personality disorders. It is a hybrid -- part psychiatric textbook for clinicians and part self-help manual for patients and clients with personality and character disorders. It is designed to supplement treatment by providing patients with practical, evidence-based information about personality disorders and character flaws. It is particularly valuable to patients who are in psychotherapy, in part, because they are entangled in destructive relationships with people with disorders of personality and/or character. It is written in the first person, with the author directly communicating with a patient who either has a personality or character disorder or is in an important relationship with a person who has such a disorder. It is useful for people who are uncertain whether they or their loved ones have personality or character disorders, and who want to know more about these conditions and their treatments before making a decision about securing the help of a mental health professional. Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character is a compelling volume that provides the essential information and a realistic sense of the clinical experience required to inform, orient, and support novice mental health professionals and seasoned practitioners alike as they face the ongoing challenges of treating patients or clients with personality or character disorders. It should also prove to be an invaluable resource for those who wish practical and effective help in understanding and changing their destructive relationships with people who have severe and persistent disorders of personality and/or character.
Adolescent Identity Treatment
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Author : Pamela A. Foelsch
language : en
Publisher: Springer
Release Date : 2014-07-29
Adolescent Identity Treatment written by Pamela A. Foelsch and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-29 with Psychology categories.
Adolescent Identity Treatment: An Integrative Approach for Personality Pathology is a ground breaking title that provides general and specific clinical strategies to help adolescents who lack an integrated identity. The authors have developed a treatment based on the integration of object relations theory, family systems, attachment, developmental neurobiology and cognitive behavioral approaches that focuses on clearing blockages to normal identity development and adaptive functioning. While most adolescents build satisfying interpersonal relationships, are successful in school and work and begin romantic relationships, there is a minority of adolescents who do not succeed in this and are at a high risk of developing problems in school, work and relationships, problems with affect regulation as well as engaging in a wide range of self-destructive behaviors. In addition to a description of the disorder and assessment, this manual offers extensive clinical examples and concrete interventions, with phase-specific treatment components, including a clear treatment frame, psychoeducation, environmental interventions (with a "Home Plan" that addresses self-care behaviors, responsibilities and improved boundaries that fosters the development of better relationships between the adolescent and family) and parenting strategies, all in the service of creating a space for the individual work with the adolescent.
Rethinking Mental Health And Disorder
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Author : Mary B. Ballou
language : en
Publisher: Guilford Press
Release Date : 2002-09-26
Rethinking Mental Health And Disorder written by Mary B. Ballou and has been published by Guilford Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-09-26 with Psychology categories.
This volume presents work at the interface of feminist theory and mental health. The editors a stellar array of contributors to continue the vital process of feminist theory building and critique.
Borderline Personality Disorder
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Author : Perry D Hoffman
language : en
Publisher: Routledge
Release Date : 2020-08-26
Borderline Personality Disorder written by Perry D Hoffman and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-08-26 with Medical categories.
Explore and understand new approaches in Borderline therapy. Borderline Personality Disorder (BPD) lags far behind other disorders such as schizophrenia in terms of research and treatment interventions. Debates about diagnosis, etiology, neurobiology, genetics, medication, and treatment still persist. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment brings together over two dozen of the field’s leading experts in one enlightening text. The book also offers mental health providers a view of BPD from the perspectives of sufferers as well as family members to foster an understanding of the experiences of relatives who are often devastated by their loved ones’ struggles with this common disorder. Although there has been an increasing interest in BPD in terms of research funding, treatment advancement, and acknowledgment of family perspective over the last decade, the fact remains that the disorder is still highly stigmatized. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment provides social workers and other mental health clinicians with practical access to the knowledge necessary for effective treatment in a single volume of the most current research, information, and management considerations. This important collection explores the latest methods and approaches to treating BPD patients and supporting their families. This useful text also features handy worksheets and numerous tables that present pertinent information clearly. Chapters in Borderline Personality Disorder: Meeting the Challenges to Successful Treatment include: an overview of Borderline Personality Disorder confronting myths and stereotypes about BPD biological underpinnings of BPD BPD and the need for community - a social worker’s perspective on an evidence-based approach to managing suicidal behavior in BPD patients Dialectical Behavior Therapy supportive psychotherapy for borderline patients Systems Training for Emotional Predictability and Problem Solving (STEPPS) Mentalization-based Treatment fostering validating responses in families Family Connections: an education and skills training program for family member wellbeing and much more! Full of practical, useable ideas for the betterment of those affected by BPD, Borderline Personality Disorder: Meeting the Challenges to Successful Treatment is a valuable resource for social workers, psychologists, psychiatrists, and counselors, as well as students, researchers, and academics in the mental health field, family members, loved ones, and anyone directly affected by BPD.