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Treating Personality Disorders in Children and Adolescents - A Relational Approach (Paperback, New In Paperback)
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Treating Personality Disorders in Children and Adolescents - A Relational Approach (Paperback, New In Paperback)
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While personality disorders traditionally have been conceptualized
only in adults, it is not uncommon to encounter children and
adolescents with the classic diagnostic signs. Youngsters with
personality disorders may come across as strikingly arrogant,
defiant, and manipulative, yet their demeanor typically masks
devastating experiences of vulnerability and pain. This
groundbreaking volume offers a framework to make sense of childhood
personality disorders, distinguish them from more frequently
diagnosed childhood conditions, and respond appropriately to the
challenges this population presents. Interweaving neurobiological,
psychodynamic, and developmental perspectives, Efrain Bleiberg
presents an effective treatment model grounded in research and
extensive clinical experience. All therapists working with children
and adolescents will find vital insights and strategies in this
lucidly written book.
The author first explores the nature and clinical presentation of
childhood personality disorders. Diverse theoretical and empirical
literatures are integrated to show how a combination of
constitutional vulnerability, attachment difficulties, and trauma
may impair the child's capacity to interpret and respond to the
world in human, meaningful terms. Elucidated are the processes by
which specific personality disorders develop when children--and
caregivers--become trapped in rigid, maladaptive patterns of
feeling, coping, and relating. The book then takes the clinician
step-by-step through offering multimodal interventions that
incorporate individual psychotherapy, family treatment, and
pharmacotherapy. Compelling case vignettes and transcripts bring to
life the inner worlds of thesefrightened young people and the
clinicians who work with them, showing how treatment can help
achieve intrapsychic change, free inhibited development, and modify
the child's family context. Emphasizing the importance of the
therapeutic alliance, the book gives particular attention to ways
that therapists can understand and work with their own emotional
reactions in highly charged clinical situations.
Providing a unique, research-based approach to working with a
notably difficult-to-treat population, this book belongs on the
desks of psychologists, psychiatrists, social workers, and other
clinicians working with children and adolescents. Rendering complex
ideas accessible, it will also be an invaluable resource for
graduate-level students and trainees in these fields.
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