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Author: Lawrence H. Rockland
Publisher: Guilford Publication
ISBN: 9780898621822
Category : Psychology
Languages : en
Pages : 308
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Book Description
``I have become convinced that many borderline patients are not helped by the psychiatric treatment they receive and even more troubling, that a fair percentage of them are made worse by it....Dr. Rockland's approach makes sense to me at a time when much of the literature on the psychotherapy of borderline personality does not....I have learned a great deal from this book and feel confident that it will have a pronounced beneficial effect on clinical practice.' --From the Foreword by Allen J. Frances Noting the potential dangers of uncovering approaches, early writers on borderline personality emphasized the value of supportive therapy. Despite these warnings, the preponderance of the current literature on borderline disorder is confined to exploratory psychotherapy and psychoanalysis. Redressing this imbalance in the literature, this important new work is the first to present an organized and detailed description of how supportive interventions are accomplished with borderline patients. With a uniquely practical focus on ``how to do it,' Lawrence H. Rockland applies the principles of Psychodynamically Oriented Supportive Therapy (POST)--an approach that he formulated--to patients with Borderline Personality Disorder (BPD). Divided in three sections, the book's opening chapters review the changing concepts of the borderline, vicissitudes in treatment recommendations, the general principles of POST, and the indications for applying this approach to BPD. The second section presents the 2 1/2-year psychodynamic supportive treatment of a patient with BPD. The four phases of treatment--evaluation and treatment planning, early phase, middle phase, and termination--are discussed in detail and illustrated with session dialogue and critical commentary by the author. The final section addresses two major problems--therapist countertransference and patient acting out. Other topics include continuous/intermittent supportive therapy, psychopharmacology in supportive therapy, and supportive aspects of inpatient treatments. Filling a significant gap in the literature, this important new volume's systematic and comprehensive exposition of supportive therapy for borderline patients makes it an invaluable resource for all practitioners who work with this difficult population. Replete with clinically useful suggestions and guidelines, it is ideal for trainees in all mental health disciplines. It is relevant to any course on dynamic psychotherapy, and serves as a text for all students of borderline pathology and its treatment.
Author: Lawrence H. Rockland
Publisher: Guilford Publication
ISBN: 9780898621822
Category : Psychology
Languages : en
Pages : 308
Get Book Here
Book Description
``I have become convinced that many borderline patients are not helped by the psychiatric treatment they receive and even more troubling, that a fair percentage of them are made worse by it....Dr. Rockland's approach makes sense to me at a time when much of the literature on the psychotherapy of borderline personality does not....I have learned a great deal from this book and feel confident that it will have a pronounced beneficial effect on clinical practice.' --From the Foreword by Allen J. Frances Noting the potential dangers of uncovering approaches, early writers on borderline personality emphasized the value of supportive therapy. Despite these warnings, the preponderance of the current literature on borderline disorder is confined to exploratory psychotherapy and psychoanalysis. Redressing this imbalance in the literature, this important new work is the first to present an organized and detailed description of how supportive interventions are accomplished with borderline patients. With a uniquely practical focus on ``how to do it,' Lawrence H. Rockland applies the principles of Psychodynamically Oriented Supportive Therapy (POST)--an approach that he formulated--to patients with Borderline Personality Disorder (BPD). Divided in three sections, the book's opening chapters review the changing concepts of the borderline, vicissitudes in treatment recommendations, the general principles of POST, and the indications for applying this approach to BPD. The second section presents the 2 1/2-year psychodynamic supportive treatment of a patient with BPD. The four phases of treatment--evaluation and treatment planning, early phase, middle phase, and termination--are discussed in detail and illustrated with session dialogue and critical commentary by the author. The final section addresses two major problems--therapist countertransference and patient acting out. Other topics include continuous/intermittent supportive therapy, psychopharmacology in supportive therapy, and supportive aspects of inpatient treatments. Filling a significant gap in the literature, this important new volume's systematic and comprehensive exposition of supportive therapy for borderline patients makes it an invaluable resource for all practitioners who work with this difficult population. Replete with clinically useful suggestions and guidelines, it is ideal for trainees in all mental health disciplines. It is relevant to any course on dynamic psychotherapy, and serves as a text for all students of borderline pathology and its treatment.
Author: Marsha M. Linehan
Publisher: Guilford Press
ISBN: 1606237780
Category : Psychology
Languages : en
Pages : 584
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Book Description
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.
Author: Perry D Hoffman
Publisher: Routledge
ISBN: 1000156885
Category : Medical
Languages : en
Pages : 248
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Book Description
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.
Author: Lawrence H. Rockland
Publisher:
ISBN: 0786752688
Category : Psychology
Languages : en
Pages : 325
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Book Description
The main goal of the therapy described here is to improve ego functions and adaptations rather than to explore unconscious conflicts. Thus, the emphasis is on strengthening reality testing, discouraging impulsivity, and clarifying confused thinking, while minimizing the regression and negative transference characteristic of exploratory therapy. In chapters richly illustrated with clinical material, the author details the strategies and rationales of this practice, covering such topics as transference and countertransference, resistance, working through, and the relationship between supportive therapy and psychopharmacology. Clinically sophisticated yet immensely practical, this valuable resource will enhance the skill and understanding of every therapist-student, clinician, or teacher-who practices supportive psychotherapy.
Author: Frank E. Yeomans
Publisher: American Psychiatric Pub
ISBN: 1585625434
Category : Medical
Languages : en
Pages : 430
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Book Description
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.
Author: Frank E. Yeomans
Publisher: Jason Aronson
ISBN: 9780765703552
Category : Medical
Languages : en
Pages : 308
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Book Description
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.
Author: Anthony Bateman
Publisher: Oxford University Press, USA
ISBN: 9780198527664
Category : Medical
Languages : en
Pages : 381
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Book Description
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.
Author: Henry Pinsker
Publisher: Routledge
ISBN: 1317771109
Category : Psychology
Languages : en
Pages : 304
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Book Description
For many patients, supportive therapy is the treatment of choice, and for many others, the use of medications or of more expressive techniques optimally occurs in the context of a supportive relationship. Yet, there is a paucity of literature expressly devoted to the techniques and aims of supportive psychotherapy. In A Primer of Supportive Psychotherapy, Henry Pinsker remedies this situation by focusing directly on the rationale for, and techniques of, supportive psychotherapy. He explores this modality as a form of dyadic intervention quite distinct from expressive psychotherapies, and also shows how, to varying extents, supportive psychotherapy makes use of patterns of relationships and behavior, past and present. Pinsker's writing is wise, human, and direct. The realities, ironies, conundrums, and opportunities of the therapeutic encounter are vividly portrayed in scores of illustrative dialogues drawn from actual treatments. Destined to become the classic introductory work in the field, A Primer of Supportive Psychotherapy will be valued by students and trainees in all mental health disciplines--and by their teachers--for its wealth of practical guidelines and explicit instruction on how to develop, maintain, and make optimal therapeutic use of a supportive relationship. Psychopharmacologists, counselors, nurse practitioners, and primary care physicians are among the helping professionals who will likewise benefit from Pinsker's clear presentation of the principles of supportive work. Beyond its didactic value, this text will be an indispensable conceptual touchstone for any clinician interested in understanding more clearly the differences among various interventional modalities as a preliminary step in optimal treatment planning.
Author: Glen O. Gabbard
Publisher: Jason Aronson
ISBN: 1461629462
Category : Psychology
Languages : en
Pages : 270
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Book Description
Management of Countertransference with Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient.
Author: Michael H. Stone
Publisher: Guilford Press
ISBN: 9780898623994
Category : Psychology
Languages : en
Pages : 390
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Book Description
Providing a cost-effective treatment model that is respectful of patients' needs, their strengths, and their limitations, this book presents the first dynamic and coherent approach to group treatment for the chronically mentally ill. By structuring members' variable attendance, the flexibly bound model, which utilizes group dynamic principles to maximize therapeutic opportunities, respects the actual behavior of many chronically ill persons, making this treatment format available to a broad portion of this population. Illustrated with numerous case vignettes, the book outlines the elements of supportive treatment and therapeutic goals and then describes in detail specific strategies and interventions.
