Cognitive-Behavioral Treatment of Borderline Personality Disorder

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Cognitive-Behavioral Treatment of Borderline Personality Disorder

by Marsha M. Linehan

Guilford Publications | May 14, 1993 | Hardcover

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This volume is the authoritative presentation of Dialectical Behavior Therapy DBT , Linehan''s comprehensive, integrated approach to treating individuals with borderline personality disorder. DBT--which has since been adapted for other difficult-to-treat disorders involving emotion dysregulation--combines cognitive and behavioral strategies with elements of psychodynamic, strategic, and other modalities. Delineated are specific strategies for contingency management, exposure, cognitive modification, and skills training. See also Linehan''s Skills Training Manual for Treating Borderline Personality Disorder, which provides essential materials for implementing DBT skills training. Also available: 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.

Format: Hardcover

Dimensions: 558 Pages, 5.91 × 9.06 × 0.79 in

Published: May 14, 1993

Publisher: Guilford Publications

Language: English

The following ISBNs are associated with this title:

ISBN - 10: 0898621836

ISBN - 13: 9780898621839

Found in: Mental Illness

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– More About This Product –

Cognitive-Behavioral Treatment of Borderline Personality Disorder

Cognitive-Behavioral Treatment of Borderline Personality Disorder

by Marsha M. Linehan

Format: Hardcover

Dimensions: 558 Pages, 5.91 × 9.06 × 0.79 in

Published: May 14, 1993

Publisher: Guilford Publications

Language: English

The following ISBNs are associated with this title:

ISBN - 10: 0898621836

ISBN - 13: 9780898621839

About the Book

This volume is the authoritative presentation of Dialectical Behavior Therapy (DBT), Linehan's comprehensive, integrated approach to treating individuals with borderline personality disorder. DBT--which has since been adapted for other difficult-to-treat disorders involving emotion dysregulation--combines cognitive and behavioral strategies with elements of psychodynamic, strategic, and other modalities. Delineated are specific strategies for contingency management, exposure, cognitive modification, and skills training. In-depth descriptions of skills training procedures are provided in the companion manual. Core emotion regulation skills are also taught directly to clients in Linehan's skills training videos.

Table of Contents

I. THEORY AND CONCEPTS.
1. Borderline Personality Disorder: Concepts, Controversies, and Definitions.
2. Dialectical and Biosocial Underpinnings of Treatment.
3. Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients.
II. TREATMENT OVERVIEW AND GOALS.
4. Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell.
5. Behavioral Targets in Treatment: Behaviors to Increase and Decrease.
6. Structuring Treatment Around Target Behaviors: Who Treats What and When.
III. BASIC TREATMENT STRATEGIES.
7. Dialectical Treatment Strategies.
8. Core Strategies: Part I. Validation.
9. Core Strategies: Part II. Problem Solving.
10. Change Procedures: Part I. Contingency Procedures (Managing Contingencies and Observing Limits.
11. Change Procedures: Part II. Skill Training, Exposure, Cognitive Modification.
12. Stylistic Strategies: Balancing Communication.
13. Case Management Strategies: Interacting with the Community.
IV. STRATEGIES FOR SPECIFIC TASKS.
14. Structural Strategies.
15. Special Treatment Strategies.

From the Publisher

This volume is the authoritative presentation of Dialectical Behavior Therapy DBT , Linehan''s comprehensive, integrated approach to treating individuals with borderline personality disorder. DBT--which has since been adapted for other difficult-to-treat disorders involving emotion dysregulation--combines cognitive and behavioral strategies with elements of psychodynamic, strategic, and other modalities. Delineated are specific strategies for contingency management, exposure, cognitive modification, and skills training. See also Linehan''s Skills Training Manual for Treating Borderline Personality Disorder, which provides essential materials for implementing DBT skills training. Also available: 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.

From the Jacket

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.

About the Author

Marsha M. Linehan, PhD, ABPP, is Professor of Psychology and Adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington and Director of the Behavioral Research and Therapy Clinics, a consortium of research projects developing new treatments and evaluating their efficacy for persons with severe mental disorders and multiple diagnoses. Her primary research is in the application of behavioral models to suicidal behaviors, drug abuse, and borderline personality disorder. Dr. Linehan is the recipient of the 2012 American Psychological Foundation (APF) Gold Medal Award for Life Achievement in the Application of Psychology.

From Our Editors

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

Editorial Reviews

"These two companion volumes are an impressive summary of Marsha Linehan''s work which is increasingly well-known on both sides of the Atlantic....The book is also an encyclopaedia of all problems ever encountered wih borderline patients, offering usually well thought-out therapeutic strategies....I would warmly recommend these books to anyone who is involved in treating borderline patients or is interested in innovative cognitive-behavioural approaches..."--"British Journal of Guidance and Counseling" ., ."If you decide to expand your knowledge of this interesting linkage [between BPD and family violence], this is the only book you will need to read. Marsha Linehan''s Cognitive-Behavioral Treatment of Borderline Personality Disorder is the very best work done on the topic to date. It is extraordinarily well written. The examples are well chosen. The documentation is superb...The last section of the book describes specific therapeutic strategies for structuring the treatment plan. Nothing is forgotten, nor left undone in these sections. It is the most exacting and well thought out treatment plan I have ever seen written for any disorder. From this perspective, it is a useful book to read for guidance or insight on treating any mental health 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 "Cog
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