Personality Disordered Patients
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Author | : Michael H. Stone |
Publisher | : American Psychiatric Pub |
Total Pages | : 286 |
Release | : 2007-05-03 |
Genre | : Medical |
ISBN | : 1585627054 |
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.
Author | : American Psychiatric Association |
Publisher | : American Psychiatric Publishing |
Total Pages | : |
Release | : 2021-09-24 |
Genre | : |
ISBN | : 9781955245180 |
Author | : John G. Gunderson, M.D. |
Publisher | : American Psychiatric Pub |
Total Pages | : 182 |
Release | : 2014-01-15 |
Genre | : Medical |
ISBN | : 1585624608 |
This book is a complete guide to using the evidence-based Good Psychiatric Management (GPM) approach for the treatment of BPD. The book demystifies the disorder, supplying treatment guidelines, case studies, and online video demonstrations of core techniques needed to deliver effective short-term, intermittent, and non-intensive therapeutic care.
Author | : Leonard Horwitz |
Publisher | : American Psychiatric Pub |
Total Pages | : 278 |
Release | : 1996 |
Genre | : Medical |
ISBN | : 9780880486897 |
Borderline Personality Disorder: Tailoring the Psychotherapy to the Patient explores the challenge of treating patients with borderline personality disorder. These patients make up a large segment of the difficult-to-treat population. The instability of their relationships, the intensity of their affective responses, and their proneness to paranoid reactions all contribute to their difficulty in working consistently and constructively in the psychotherapeutic situation. When one adds these difficult patient problems to the therapist's quandary about how expressive or supportive to be, therapists are indeed often confronted with a challenging therapeutic task. The book begins with a review of the clinical and research literature pertaining to the treatment of borderline patients. It presents a unique, empirically based intensive study of three borderline patients, based on transcripts of audiotaped therapy sessions. The research methodology is reviewed, and clinically oriented descriptions of the three patients, their psychotherapy processes, and their outcomes are included. Following an overall summary of results, conclusions regarding the differential indications for supportive versus expressive emphasis in psychotherapy are discussed. In their research, the authors recorded every psychotherapy session and studied a randomly selected group of sessions. Therefore, the reader is provided with increased insight into what is most effective with what kind of patient at a given point in the therapy process.
Author | : |
Publisher | : |
Total Pages | : 0 |
Release | : 1993 |
Genre | : |
ISBN | : |
Author | : Andrew E. Skodol, M.D. |
Publisher | : American Psychiatric Pub |
Total Pages | : 762 |
Release | : 2021-03-31 |
Genre | : Medical |
ISBN | : 161537339X |
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.
Author | : Antonino Carcione |
Publisher | : Springer Nature |
Total Pages | : 254 |
Release | : 2021-06-29 |
Genre | : Psychology |
ISBN | : 3030704556 |
This book proposes an integrated model of treatment for Personality Disorders (PDs) that goes beyond outdated categorical diagnoses, aiming to treat the general factors underlying the pathology of personality. The authors emphasize the development of metacognitive functions and the integration of procedures and techniques of different psychotherapies. The book addresses the treatment of complex cases that present with multiform psychopathological features, outlining clinical interventions that focus on structures of personal meaning, metacognition and interpersonal processes. In addition, this book: Provides an overview of pre-treatment phase procedures such as assessment interviews Explains the Metacognitive Interpersonal Therapy (MIT) approach and summarizes MIT clinical guidelines Outlines pharmacological treatment for patients with PDs Includes checklists and other useful resources for therapists evaluating their adherence to the treatment method Complex Cases of Personality Disorders: Metacognitive and Interpersonal Therapy is both an insightful reexamining of the theoretical underpinnings of personality disorder treatment and a practical resource for clinicians.
Author | : Otto F. Kernberg |
Publisher | : Yale University Press |
Total Pages | : 402 |
Release | : 1993-01-01 |
Genre | : Psychology |
ISBN | : 9780300053494 |
In this important book, one of the world's foremost psychoanalysts provides the clinician with tools to diagnose and treat severe cases of personality disorder, including borderline and narcissistic structures. Dr. Kernberg not only describes techniques he has found useful in clinical practice but also further develops theories formulated in his previous work and critically reviews other recent contributions. "A splendid book . . . of great value for anyone involved in psychotherapy with patients suffering from one or another variety of personality disorder, as well as for anyone who is teaching or doing research in this field. . . . An outstandingly fine and valuable book.--Harold F. Searles, M.D., Journal of Nervous and Mental Disease "Kernberg is a synthesizing, creative eclectic on the contemporary psychoanalytic and psychodynamic scene, broadly based in theory and in practice, a powerful intelligence, a prolific writer, and a man of ideas....This is a challenging and provocative book."--Alan A. Stone, M.D., American Journal of Psychiatry "A major work that brings together in one volume a host of clinical insights into people with a variety of severe personality disorders.... Anyone who has attempted to work with patients with severe personality disorders will be rewarding by studying this book." --Robert D. Gillman, Psychoanalytic Quarterly
Author | : Marsha M. Linehan |
Publisher | : Guilford Press |
Total Pages | : 584 |
Release | : 1993-05-14 |
Genre | : Psychology |
ISBN | : 1606237780 |
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 | : Randy A. Sansone |
Publisher | : Routledge |
Total Pages | : 322 |
Release | : 2013-08-21 |
Genre | : Psychology |
ISBN | : 1135442878 |
Personality Disorders and Eating Disorders explores and defines the multifaceted relationship between these two fields in a cogent synthesis of prevalence, etiology, and treatment. The book brings together leading specialists in both fields, with a clinical focus on such topical issues as genetics, drug abuse, and childhood trauma—as they relate to each field and as they affect the relationship between the two disorders. Therapists who treat eating disorders will find the material on treatment approaches especially helpful in formulating interventions with particularly difficult patients. Therapists who work with patients with personality disorders will find that the interface between personality and eating disorders is relevant to various aspects of self-destructive behavior observed in these individuals. This unique book enhances the assessment and treatment of individuals suffering from personality disorders and eating disorders, and it augments the understanding of both populations, while establishing a foundation for discussing each as they interface with one another.