Borderline Personality Disorder

An Evidence-based Guide for Generalist Mental Health Professionals

Author: Anthony W. Bateman,Roy Krawitz

Publisher: Oxford University Press

ISBN: 0199644209

Category: Medical

Page: 240

View: 7912

Though much progress has been made in developing specialist psychosocial treatments for borderline personality disorder (BPD), the majority of people with BPD receive treatment within generalist mental health services. This is a practical evidence-based guide on how to help people with BPD with advice based on research evidence.
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Mentalization Based Treatment for Personality Disorders

A Practical Guide

Author: Anthony Bateman,Peter Fonagy

Publisher: Oxford University Press

ISBN: 019968037X

Category: Personality disorders

Page: 480

View: 1233

This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizing practice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so thattheir personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged, and systematically describes the process of treatment in both group andindividual therapy to support more stable mentalizing.
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Handbook of Good Psychiatric Management for Borderline Personality Disorder

Author: John G. Gunderson

Publisher: American Psychiatric Pub

ISBN: 1585625302

Category: Medical

Page: 180

View: 2119

The diagnosis and treatment of patients with BPD can be fraught with anxiety, uncertainty, and complexity. How welcome, then, is the Handbook of Good Psychiatric Management for Borderline Personality Disorder, which teaches clinicians what to do and how to do it, as well as what not to do and how to avoid it. The author, a renowned researcher and clinician, has developed a new evidence-based treatment, Good Psychiatric Management (GPM) that comfortably utilizes cognitive, behavioral, and psychodynamic interventions that are practical and simple to implement. Because psychoeducation is an important component of GPM, the book teaches clinicians how to educate their patients about BPD, including the role of genetics and the expected course of the disease. This approach offers advantages both to practitioners, who become more adept at honest communication, and to patients, who are encouraged to have realistic hopes and to focus on strategies for coping with BPD in daily life. The book is structured for maximum learning, convenience, and utility, with an impressive array of features. Section I provides background on BPD, including the myths that sometimes discourage clinicians from treating these patients and that hamper the effective treatment of the disorder. Section II, the GPM Manual, provides a condensed and clear description of the most essential and specific GPM interventions that clinicians can learn from and use in everyday practice. Section III, the GPM Workbook, offers case vignettes which reference chapters from the manual. Each vignette has a number of "decision points" where alternative interventions are proposed and discussed. To further facilitate learning, a set of nine interactions is found in a series of online video demonstrations. Here, readers can see in vivo illustrations of the GPM model in practice. Finally, a set of appendices provides critical information, such as a comparison of GPM with other evidence-based treatments of BPD, scaling risk and response strategies, and family guidelines. Designed to be a basic case management text for all hospital, outpatient clinic, or office-based psychiatrists or mental health professionals who assume primary responsibility for the treatment of those with BPD, the Handbook of Good Psychiatric Management for Borderline Personality Disorder constitutes a breakthrough in the treatment of these often misunderstood patients.
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Psychotherapy for Borderline Personality Disorder

Mentalization-based Treatment

Author: Anthony Bateman,Peter Fonagy

Publisher: Oxford University Press, USA

ISBN: 9780198527664

Category: Medical

Page: 381

View: 1107

Borderline Personality disorder is a severe personality dysfunction characterized by behavioural features such as impulsivity, identity disturbance, suicidal behaviour, emptiness, and intense and unstable relationships. Approximately 2% of the population are thought to meet the criteria for BPD. The authors of this volume - Anthony Bateman and Peter Fonagy - have developed a psychoanalytically oriented treatment to BPD known as mentalization treatment. With randomised controlled trialshaving shown this method to be effective, this book presents the first account of mentalization treatment for BPD. The first section gives an overview of BPD, including discussion of nosology, epidemiology, natural history, and psychosocial aetiology. It additionally summarises the present state of our research knowledge about effective psychotherapeutic treatments and use of medication. The second section outlines the authors' theoretical approach and contrasts it with other well known methods, including DBT, CAT, and CBT. In the extensive final section, the authors outline their clinical approach starting with how treatment is organised. A detailed account of the transferable features of the model is provided along with the main strategies and techniques of treatment. Numerous clinical examples are given to illustrate the core techniques and detailed information provided about how to apply aspects of the mentalization based treatment approach in everyday practice. Aimedat mental health professionals, along with counsellors, psychotherapists, and psychoanalysts, the book will be a valuable tool, providing an effective means of treating those suffering from Borderline Personality Disorder.
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Half in Love With Death

Managing the Chronically Suicidal Patient

Author: Joel Paris

Publisher: Routledge

ISBN: 1351564692

Category: Psychology

Page: 246

View: 3218

Half in Love With Death presents a new way for therapists to manage chronically suicidal patients, an incredibly challenging task for clinicians and one where an insufficient amount of literature exists to guide professionals. Author Joel Paris suggests an approach that defies conventional wisdoms about whether suicide can be predicted or prevented. He asserts that managing chronically suicidal patients begins with tolerating suicidality, understanding the inner world of patients, avoiding repeated hospitalizations, and focusing on life situations that maintain suicidal ideas and behaviors. Each chapter in the book develops a theoretical perspective based on empirical data, and many are illustrated by clinical examples. Topics addressed throughout the text include: *distinctions among various types of suicidality; *the inner world of the chronically suicidal patient, with a particular focus on pain, emptiness, and hopelessness; *the relationship between chronic suicidality and personality disorders, especially the category of borderline personality; *the effectiveness of psychotherapy and pharmacotherapy for chronically suicidal patients; and *the risks of litigation in managing this patient population. This volume is a crucially important resource for clinicians who treat chronically suicidal patients, as it fills a gap in existing literature and provides enlightened guidelines that stem from a large body of research in the field.
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Dramatherapy for Borderline Personality Disorder

Empowering and Nurturing people through Creativity

Author: Nicky Morris

Publisher: Routledge

ISBN: 1351811134

Category: Psychology

Page: 162

View: 1627

Dramatherapy for Borderline Personality Disorder: Empowering and Nurturing People Through Creativity demonstrates how dramatherapy can empower those individuals struggling to live with borderline personality disorder, and help them embrace and control the emotional inner chaos they experience. ? Based on current research into the aetiology, symptoms and co-morbid disorders associated with BPD (and emotionally unstable personality disorder), this book demonstrates the effectiveness of dramatherapy for individuals and groups on specialist personality disorder wards and in mixed diagnosis rehabilitation units. It also reveals a creative approach for making dramatherapy work in harmony with approaches such as dialectical behaviour therapy and cognitive behaviour therapy. ? Aimed at those working with service users, and utilising a range of case studies and clinical vignettes, Dramatherapy for Borderline Personality Disorder provides an insight into the potential of dramatherapy, which will be welcomed by mental health professionals.
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Mentalization-Based Treatment for Personality Disorders

A Practical Guide

Author: Anthony Bateman,Peter Fonagy

Publisher: Oxford University Press

ISBN: 0191669911

Category: Medical

Page: 480

View: 9307

Mentalizing - the ability to understand oneself and others by inferring mental states that lie behind overt behaviour - develops within the context of attachment relationships. It is crucial to self-regulation and constructive, intimate relationships, both of which are impaired in personality disorders because of sensitivity to losing mentalizing at times of anxiety and attachment stress. Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence. This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizing practice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so that their personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged, and systematically describes the process of treatment in both group and individual therapy to support more stable mentalizing. People with personality disorders commonly have comorbid mental health problems, such as depression and eating disorders, which complicate clinical treatment. Therefore, the book advises the clinician on how to manage comorbidity in treatment. In addition, mentalizing problems in families and social systems, for example, schools and mental health services are also covered. A families and carers training and support guide is provided as families and others are often neglected during the treatment of people with personality disorder. The book is a valuable guide for all mental health workers on how to effectively treat personality disorders.
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Person-Centered Diagnosis and Treatment in Mental Health

A Model for Empowering Clients

Author: Peter Ladd,AnnMarie Churchill

Publisher: Jessica Kingsley Publishers

ISBN: 9780857005908

Category: Psychology

Page: 352

View: 3520

Clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis, with little input from the client themselves. This reference manual takes a person-centered, holistic approach to diagnosis and treatment, seeing the client as the unrecognized expert on their condition and encouraging their collaboration. This qualitative approach aims to find meaning in the experiences of the client, exploring the reasons behind their feelings and behaviour and taking the whole person into account. Designed to complement DSM assessments, the manual covers several different conditions including ADHD, depression, bulimia, and OCD, as well as mental health 'patterns' such as abuse, bullying, violence and loss. In each case, the client is involved in the diagnosis and treatment plan. The book features extended case studies, sample questions and treatment plans throughout. This will be an essential reference book for all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counselors, clinical social workers, school counselors and therapists.
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Sex Offender Treatment

A Case Study Approach to Issues and Interventions

Author: Daniel T. Wilcox,Tanya Garrett,Leigh Harkins

Publisher: John Wiley & Sons

ISBN: 1118674391

Category: Psychology

Page: 424

View: 6768

Sex Offender Treatment is an innovative case study-based guide to the treatment of sexual offenders, offering direct access to the insights and experience of experts in the field. The book describes case formulations, assessment processes, and treatment undertaken with specific sexual offender types. Takes an innovative case study approach to sexual offender assessment and treatment, sharing practical insights and real-world experience in a challenging field Coverage is organized by key offender populations and includes bipolar offenders, child sexual abusers, Internet offenders, psychopathic offenders, personality disordered offenders and female offenders This distinctive approach aids trainee and novice workers to recognise key treatment issues, and plan and implement courses of therapeutic engagement and intervention to improve offender self-control Contributors include Bill Marshall, Leam Craig, Phil Rich, Bill Lindsay and Tony Ward
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Systems Training for Emotional Predictability and Problem Solving for Borderline Personality Disorder

Implementing STEPPS Around the Globe

Author: Donald W. Black,Nancee Blum,Adjunct Instructor of Psychiatry Nancee Blum, MSW

Publisher: Oxford University Press

ISBN: 0199384428

Category:

Page: 224

View: 2833

Borderline personality disorder (BPD) is a potentially severely debilitating psychiatric diagnosis that may affect up to 2% of the general population. Hallmarks of BPD include impulsivity, emotional instability, and poor self-image, and those with BPD have increased risk for self-harm and suicide. Systems Training for Emotional Predictability and Problem Solving (STEPPS) brings together research findings and information on implementation and best practices for a group treatment program for outpatients with BPD. A five-month long program easily learned and delivered by therapists from a wide range of theoretical orientations, STEPPS combines cognitive behavioral therapy, emotion management and behavioral skills training, and psychoeducation with a systems component that involves professional care providers, family, friends, and significant others of persons with BPD. The book provides a detailed description of the program, reviews the body of evidence supporting its use and implementation, and describes its dissemination worldwide and in different settings. Empirical data show that STEPPS is effective and produces clinically important improvement in mood and behavior, while reducing health care utilization. Unique among programs for BPD, STEPPS has been exhaustively studied in correctional systems (both prisons and community corrections), where it is shown to be as effective as in community settings. This volume will be a valuable guide to those in psychiatry, psychology, social work, nursing, and the counseling professions who treat people with BPD.
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Overcoming Borderline Personality Disorder

A Family Guide for Healing and Change

Author: Valerie Porr, M.A.

Publisher: Oxford University Press

ISBN: 9780199752508

Category: Psychology

Page: 424

View: 4483

Borderline personality disorder (BPD) is characterized by unstable moods, negative self-image, dangerous impulsivity, and tumultuous relationships. Many people with BPD excel in academics and careers while revealing erratic, self-destructive, and sometimes violent behavior only to those with whom they are intimate. Others have trouble simply holding down a job or staying in school. Overcoming Borderline Personality Disorder is a compassionate and informative guide to understanding this profoundly unsettling--and widely misunderstood--mental illness, believed to affect approximately 6% of the general population. Rather than viewing people with BPD as manipulative opponents in a bitter struggle, or pitying them as emotional invalids, Valerie Porr cites cutting-edge science to show that BPD is a true neurobiological disorder and not, as many come to believe, a character flaw or the result of bad parenting. Porr then clearly and accessibly explains what BPD is, which therapies have proven effective, and how to rise above the weighty stigma associated with the disorder. Offering families and loved ones supportive guidance that both acknowledges the difficulties they face and shows how they can be overcome, Porr teaches empirically-supported and effective coping behaviors and interpersonal skills, such as new ways of talking about emotions, how to be aware of nonverbal communication, and validating difficult experiences. These skills are derived from Dialectical Behavior Therapy and Mentalization-based Therapy, two evidence-based treatments that have proven highly successful in reducing family conflict while increasing trust. Overcoming Borderline Personality Disorder is an empowering and hopeful resource for those who wish to gain better understanding of the BPD experience--and to make use of these insights in day-to-day family interactions. Winner of the ABCT Self Help Book Seal of Merit Award 2011
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Handbook of Diagnosis and Treatment of DSM-5 Personality Disorders

Assessment, Case Conceptualization, and Treatment, Third Edition

Author: Len Sperry

Publisher: Routledge

ISBN: 1135019231

Category: Psychology

Page: 298

View: 5899

Since the publication of the acclaimed second edition of Handbook of Diagnosis and Treatment of DSM-IV-TR Personality Disorders, much has changed in how the personality disorders are understood and treated. However, like its previous editions, this new edition is a hands-on manual of the most current and effective, evidence-based assessment and treatment interventions for these challenging disorders. The beginning chapters describes several cutting-edge trends in the diagnosis, case conceptualization, and treatment of them. Then, specific chapters focus on evidence-based diagnosis and treatment interventions for each of the 10 DSM-5 personality disorders. Emphasized are the most recent developments from Cognitive Behavior Therapies, Dialectical Behavior Therapy, Cognitive Behavior Analysis System of Psychotherapy, Pattern-Focused Psychotherapy, Mindfulness, Schema Therapy, Transference Focused Psychotherapy, and Mentalization-Based Treatment. As in previous editions, extensive case material is used to illustrate key points of diagnosis and treatment.
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Working with Goals in Psychotherapy and Counselling

Author: Duncan Law,Mick Cooper

Publisher: Oxford University Press

ISBN: 0192512374

Category:

Page: 224

View: 2071

Recent evidence has shown that the successful setting of goals brings about positive outcomes in psychological therapy. Goals help to focus and direct clients' and therapists' attention in therapeutic work. They also engender hope and help energise clients. No longer are clients victims of their circumstances, but through goal setting they become people who have the potential to act towards and achieve their desired futures. Through the discussing and setting of goals, clients develop a deeper insight into what it is that they really want in life: a crucial first step towards being able to get there. Recent policies in both child and adult mental health services have supported the use of goals in therapy. However, the differing cultures, histories, psychologies, and philosophical assumptions of each form of therapy has brought about varying attitudes and approaches to goal setting. Working with Goals in Counselling and Psychotherapy brings all those attitudes and approaches together in one volume making it the definitive, practical, and critical guide for therapists working in any of the psychological therapies.
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Mentalizing in Clinical Practice

Author: Jon G. Allen,Peter Fonagy,Anthony Bateman

Publisher: American Psychiatric Pub

ISBN: 1585623067

Category: Medical

Page: 403

View: 9788

This timely and ambitious book helps clarify the meaning and clinical applications of the mentalization construct. The authors propose that mentalizing is the central corrective process of all psychotherapies.
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Borderline Personality and Mood Disorders

Comorbidity and Controversy

Author: Lois W. Choi-Kain,John G. Gunderson

Publisher: Springer

ISBN: 149391314X

Category: Medical

Page: 278

View: 6917

In Borderline Personality and Mood Disorders: Comorbidity and Controversy, a panel of distinguished experts reviews the last two decades of progress in scientific inquiry about the relationship between mood and personality disorders and the influence of this empirical data on our ways of conceptualizing and treating them. This comprehensive title opens with an introduction defining general trends both influencing the expansion of the mood disorder spectrum and undermining clinical recognition and focus on personality disorders. The overlaps and differences between MDD and BPD in phenomenology and biological markers are then reviewed, followed by a review of the overlaps and distinctions between more atypical mood disorder variants. Further chapters review the current state of thinking on the distinctions between bipolar disorder and BPD, with attention to problems of misdiagnosis and use of clinical vignettes to illustrate important distinguishing features. Two models explaining the relationship between mood, temperament, and personality are offered, followed by a review of the literature on risk factors and early signs of BPD and mood disorders in childhood through young adulthood as well as a review of the longitudinal studies on BPD and mood disorders. The last segment of the book includes three chapters on treatment. The book closes with a conclusion with a synthesis of the current status of thinking on the relationship between mood and borderline personality disorder. An invaluable contribution to the literature, Borderline Personality and Mood Disorders: Comorbidity and Controversy insightfully addresses the mood and personality disorders realms of psychiatry and outlines that it has moved away from contentious debate and toward the possibility of synthesis, providing increasing clarity on the relationship between mood and personality to inform improvements in clinical management of the convergence of these psychiatric domains in common practice.
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Motivational Interviewing in the Treatment of Psychological Problems, Second Edition

Author: Hal Arkowitz,William R. Miller,Stephen Rollnick

Publisher: Guilford Publications

ISBN: 1462521037

Category: Psychology

Page: 400

View: 9457

This authoritative guide has given tens of thousands of clinicians proven tools for helping clients resolve ambivalence and mobilize their energy, commitment, and personal resources for change. Leading experts describe ways to combine motivational interviewing (MI) with other treatments for a wide range of psychological problems, including depression, anxiety disorders, eating disorders, posttraumatic stress disorder, and others. Chapters illustrate the nuts and bolts of intervention, using vivid clinical examples, and review the empirical evidence base. Contributors show how to tailor MI to each population's needs, whether used as a pretreatment or throughout the course of therapy. New to This Edition *Many new authors; extensively revised with the latest theory, practices, and research. *Chapters on domestic violence, addictions, and smoking cessation with adolescents. *Chapter on transdiagnostic treatment.
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Borderline Personality Disorder and Emdr Therapy

Author: Dolores Mosquera

Publisher: N.A

ISBN: 9788461712762

Category:

Page: 314

View: 5471

Borderline Personality Disorder and EMDR proposes a comprehensive framework for working with this complex group of clients. The theoretical background integrates attachment theory, structural dissociation, and the adaptive information processing model. Written in a very practical and clinically oriented style, BPD and EMDR covers different situations such as defensive strategies, unhealthy self-care patterns, rigid core beliefs, emotional dysregulation, self-harming behaviors, and relational problems. Therapists should address these issues in order to prepare clients for effective processing of traumatic memories. Working through the different phases of EMDR is described as a therapeutic alternative for borderline clients.
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The Personality Disorders

A New Look at the Developmental Self and Object Relations Approach : Theory, Diagnosis, Treatment

Author: James F. Masterson

Publisher: Zeig Tucker & Theisen Publishers

ISBN: 9781891944338

Category: Psychology

Page: 276

View: 1251

The author reflects on his 25 years of work in the personality disorders. He reviews some of the most significant ideas be set forth and wonders out loud how they will cross over into the new millennium. Most have stood the test of time and indeed will serve as a strong foundation for the work that is to come; some have gone through a healthy evolution. A unique highlight is the inclusion of a comprehensive report of a six-year course of psychoanalytic psychotherapy with a patient who has a closet narcissistic defence against neurosis.
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Diagnostic Interviewing

Author: Michel Hersen,Samuel M. Turner

Publisher: Springer Science & Business Media

ISBN: 1475723237

Category: Psychology

Page: 401

View: 4960

Perhaps the most difficult milestone in a young clinician's career is the completion of the first interview. For the typical trainee, the endeavor is fraught with apprehen sion and with some degree of dread. If the interview goes weIl, there is consider able rejoicing; if it goes badly, much consternation results. Irrespective of the amount of preparation that has taken place before the interview, the neophyte will justifiably remain nervous about this endeavor. Thus, the first edition of Diagnostic Interviewing was devoted to providing a clear outline for the student in tackling a large variety of patients in the interview setting. In consideration of the positive response to the first edition of Diagnostic Interviewing, published in 1985, we and our editor at Plenum Press, Eliot Werner, decided that it was time to update the material. However, the basic premise that a book of this nature needs to encompass theoretical rationale, clinical description, and the pragmatics of "how to" once again has been followed. And, as in the case of the first edition, this second edition does not represent the cat's being skinned in yet another way. Quite to the contrary, we still believe that our students truly need to read the material covered herein with considerable care, and once again the book is dedicated to them. We are particularly concerned that in the clinieal education of our graduate students, interviewing has been given short shrift.
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Psychiatric Nursing Certification Review Guide for the Generalist and Advanced Practice Psychiatric and Mental Health Nurse

Author: Victoria Mosack

Publisher: Jones & Bartlett Publishers

ISBN: 1449610935

Category: Medical

Page: 290

View: 696

Developed especially for practicing nurses preparing for the certification examination offered by the American Nurses Credentialing Center (ANCC), the Psychiatric Nursing Certification Review Guide for the Generalist and Advanced Practice Psychiatric and Mental Health Nurse provides a succinct, yet comprehensive review of the core material. This book has been organized to give the reviewer test taking strategies and techniques and sample test questions, which are intended to serve as an introduction to the testing arena. In addition, a bibliography is included for those who need a more in depth discussion of the subject matter in each chapter. The Third Edition has been completely revised and updated to reflect current guidelines and information from the latest version of the DSM IV-TR. The medications and use of medications has also been updated to reflect proper usage and doses.
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