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Cognitive-Behavioral Treatment of Borderline Personality Disorder (Hardcover)
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Cognitive-Behavioral Treatment of Borderline Personality Disorder (Hardcover)
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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.
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