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COGNITIVE-BEHAVORIAL TREATMENT OF BORDERLINE PERSONALIT
  • COGNITIVE-BEHAVORIAL TREATMENT OF BORDERLINE PERSONALIT

COGNITIVE-BEHAVORIAL TREATMENT OF BORDERLINE PERSONALIT

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"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 bord ...

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"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 to 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." ?From the Foreword by Alien Frances, M.D.
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 M. 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 disorder 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 outline for assessing suicide risk, managing suicide threats, and working with chronic suicidal behavior. Integrative approaches for such specific problems as crises, noncompli-ance, 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, Ph.D.,
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 pro-
gram for evaluating treatments of suicidal behaviors. She has an ongoing clinical practice and is active in clinical consultation, supervision, and training of mental health professionals in the United States and Europe.

9780898621839

Data sheet

Auteur
LINEHAN M. M.
Editeur
THE GUILFORD PRESS
Published
1993
Pages
558
Language
English

Specific References

EAN13
9780898621839
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