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Cognitive-Behavioral Treatment of Borderline Personality Disorder de Marsha M. Linehan

Cognitive-Behavioral Treatment of Borderline Personality Disorder: Diagnosis and Treatment of Mental Disorders

Autor Marsha M. Linehan
en Limba Engleză Hardback – 28 iun 1993
In this work, Marsha M. Linehan not only provides specific guidelines that creatively combine the best elements of behavioral, personality, psychoanalytic, strategic and other commonly employed modalities, but helps the therapist survive the process.
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Specificații

ISBN-13: 9780898621839
ISBN-10: 0898621836
Pagini: 558
Ilustrații: illustrations
Dimensiuni: 156 x 234 x 36 mm
Greutate: 0.93 kg
Ediția:New.
Editura: Guilford Publications
Colecția Guilford Press
Seria Diagnosis and Treatment of Mental Disorders

Public țintă

Postgraduate, Professional, Professional Practice & Development, and Undergraduate

Cuprins

Part I: Theory and Concepts. Borderline Personality Disorder: Concepts, Controversies, and Definitions. Dialectical and Biosocial Underpinnings of Treatment. Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients. Part II: Treatment Overview and Goals. Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell. Behavioral Targets in Treatment: Behaviors to Increase and Decrease. Structuring Treatment around Target Behaviors: Who Treats What and When. Part III: Basic Treatment Strategies. Dialectical Treatment Strategies. Core Strategies: Validation. Core Strategies: Problem Solving. Change Procedures: Contingency Procedures of Managing Contingencies and Observing Limits. Change Procedures: Skills Training, Exposure, Cognitive Modification. Stylistic Strategies: Balancing Communication. Case Management Strategies: Interacting with the Community. Part IV: Strategies for Specific Tasks. Structural Strategies. Special Treatment Strategies. Appendix: Suggesting Reading. References. Index.

Notă biografică

Marsha M. Linehan, PhD, is a professor of psychology and an adjunct professor of psychiatry and behavioral sciences at the University of Washington. She is also Principal Investigator and Director of the Suicidal Behaviors Research Clinic, a federally financed research program for evaluating treatments of suicidal behaviors. She has an on-going clinical practice and is active in clinical consultation, supervision, and training of mental health professionals in the United States and Europe.

Recenzii

"The bible of DBT. Over two decades later, Linehan’s comprehensive treatment manual still stands without peer as the complete and lucid introduction to DBT as well as the in-depth text for the advanced practitioner. DBT’s skills are effective and potent if delivered in the context of the theory, principles, protocols, and strategies of the treatment, all of which are presented in this book. It is essential reading for therapists delivering the significantly upgraded skills in DBT Skills Training Manual, Second Edition."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts School of Medicine

"Every once in a very long while in our field, a clinical innovation is introduced that profoundly improves patient care. Marsha Linehan's development of a cognitive-behavioral approach to borderline personality disorder is such a rare innovation....Her techniques are clear, teachable, and learnable, and make good common sense to the therapist and the patient. Dr. Linehan's methods have greatly improved my treatment of borderline individuals and my teaching of others in how best to understand and treat these patients.''--Allen Frances, MD

"Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients."--Lester Luborsky, PhD

"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny."--Gerald Davison, PhD, University of Southern California

"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results."--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center

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We highly recommend this text and its companion training manual....
--Bulletin of the Menninger Clinic, 5/16/1993ƒƒ
...represents a gold standard for treatment of this diagnostic category.
--Behaviour Research and Therapy, 5/16/1993ƒƒ
It is the most exacting and well thought out treatment plan I have ever seen written for any disorder....I have tried to find shortcomings with this book. I can find none. It is one of the best pieces of clinical work ever written. No matter what your clinical or research focus of interest, you will gain immensely from reading Cognitive-Behavioral Treatment of Borderline Personality Disorder.
--Journal of Family Violence, 5/16/1993
'Linehan is a brilliant, compassionate, and rigorous therapist for borderline patients. What's more, and what is most unusual for master therapists, she has proven its efficacy in published randomized, controlled trials. What is fortuitous for borderline patients and their therapists is that she has painstakingly crafted a wise book and user-friendly manual well grounded in principle, detailed in its strategies, and exportable to a wide range of treatment settings... Linehan has set a high standard of treatment for borderlines in the 1990s; the patients will be the ultimate beneficiaries.' - Charles R. Swenson, MD, New York Hospital, Westchester Division, USA

Textul de pe ultima copertă

For the average clinician, clinic, or inpatient facility, individuals with borderline personality disorder often represent the most difficult and insoluble cases. The first volume to provide strategies proven effective in controlled clinical trials, this book is a comprehensive, integrated approach to therapy with this population. Marsha Linehan presents specific guidelines that creatively combine the best elements of behavioral, psychoanalytic, strategic, and other commonly employed modalities. A clinical innovator, she has analyzed the aspects of borderline into their component parts and developed a systematized approach to each of them. The first section of the book presents an overview of the disorder and lays out a theoretical framework to guide the therapy. The second describes in detail how to assess borderline patients and how to organize and prioritize treatment goals and behavioral targets. The core of the treatment is the balance of acceptance and change strategies, both within each therapy interaction and over time. For problem solving with borderline personality disorder, the book provides specific strategies for contingency management, exposure, cognitive modification, and skills training. The last component is further elucidated in the companion Skills Training Manual, which programmatically details procedures and includes client handouts for step-by-step implementation. Finally, to enhance interpersonal communication, Dr. Linehan presents three case management sets: consultation to the patient, environmental intervention, and consultation to the therapist. Addressing the most stressful patient behaviors that clinicians encounter, the book includes a step-by-step outlinefor assessing suicide risk, managing suicide threats, and working with chronic suicidal behavior. Integrative approaches for such specific problems as crises, noncompliance, and breakdowns in the therapeutic relationship are also discussed. Lucidly detailing effective techniques that can be replicated in clinical practice, this volume illuminates the internal experience of borderline individuals and provides clinicians with practical clinical tools for working with them. As such, it is an invaluable resource for all professionals who work with this difficult-to-treat population.

Descriere

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.