Using actual case material from the psychiatric hospital setting, the principal setting in which psychological assessments are conducted, this volume shows how psychological assessment contributes to the clarification of diagnostic issues and the development of an optimal treatment plan. Beginning with disorders usually first evident in infancy, childhood, or adolescence and ending with the Axis II personality disorders, the book presents an array of case material to reflect the range of DSM-III-R categories. Few changes have been made in the original test materials provided or in the clinical situations presented. The authors examine the relationship between the psychological assessments implemented by clinical psychologists and the treatment planning situation faced by the provider of clinical services. This volume should be a valuable resource for psychologists, psychiatrists, nurses, social workers, counsellors, and other mental health professionals.

First published in 1990. Routledge is an imprint of Taylor & Francis, an informa company.

First published in 1991. Using actual case material, this text shows how psychological assessment contributes to the clarification of diagnostic issues and the development of an optimal treatment plan. It covers disorders usually first evident in childhood and ends with the Axis II personality disorders.

This essential guide to the prescriptive selection of psychosocial interventions is founded on a research?based model that sequentially considers patient dimensions, environments, settings, therapists, and therapies. It covers the development of a prescriptive decision model, patient predisposing variables, and more.

"OPD-2" is a new edition of the multiaxial diagnostic system for psychodynamically oriented therapists and psychiatrists, now with practical tools and procedures for treatment planning and for measuring change.Operationalized Psychodynamic Diagnosis (OPD) is a form of multiaxial diagnostic and classification system based on psychodynamic principles, analogous to those based on other principles such as DSM-IV and ICD-10. The OPD is based on five axes: I - experience of illness and prerequisites for treatment, II - interpersonal relations, III - conflict, IV - structure, and V - mental and psychosomatic disorders (in line with Chapter V (F) of the ICD-10). After an initial interview lasting 1-2 hours, the clinician (or researcher) can evaluate the patient's psychodynamics according to these axes and enter them in the checklists and evaluation forms provided. The new version, OPD-2, has been developed from a purely diagnostic system to include a set of tools and procedures for treatment planning and for measuring change, as well as for determining the appropriate main focuses of treatment and developing appropriate treatment strategies.

Rather than arguing for one best approach for treating personality disorder, this pragmatic book emphasizes the benefits of weaving together multiple well-established intervention strategies to meet each patient's needs. A framework is provided for constructing a comprehensive case formulation, planning treatment, and developing a strong therapeutic alliance. The clinician is guided to utilize techniques from all major therapeutic orientations to address transdiagnostic personality symptoms and problems involving emotion regulation, interpersonal functioning, and self and identity. Showing how to pick and choose from "what works" in a thoughtful, coordinated fashion, the book features rich clinical illustrations, including a chapter-length case example. See also Handbook of Personality Disorders, Second Edition, edited by W. John Livesley and Roseann Larstone, the leading reference that surveys theory, research, and evidence-based treatments.

Now in a fully revised and expanded second edition, this title brings together in one volume the most important current perspectives on personality pathology. Chapters from leading experts have been extensively rewritten to reflect a decade's worth of significant theoretical, empirical, and clinical developments, and two entirely new chapters have been added.

Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide presents a model of borderline personality disorder (BPD) and its treatment that is based on contemporary psychoanalytic object relations theory as developed by the leading thinker in the field, Otto Kernberg, M.D., who is also one of the authors of this insightful manual. The model is supported and enhanced by material on current phenomenological and neurobiological research and is grounded in real-world cases that deftly illustrate principles of intervention in ways that mental health professionals can use with their patients. The book first provides clinicians with a model of borderline pathology that is essential for expert assessment and treatment planning and then addresses the empirical underpinnings and specific therapeutic strategies of transference-focused psychotherapy (TFP). * From the chapter on clinical assessment, the clinician learns how to select the type of treatment on the basis of the level of personality organization, the symptoms the patient experiences, and the areas of compromised functioning. In order to decide on the type of treatment, the clinician must examine the patient's subjective experience (such as symptoms of anxiety or depression), observable behaviors (such as investments in relationships and deficits in functioning), and psychological structures (such as identity, defenses, and reality testing). * Next, the clinician learns to establish the conditions of treatment through negotiating a verbal treatment contract or understanding with the patient. The contract defines the responsibilities of each of the participants and defines what the reality of the therapeutic relationship is. * Techniques of treatment interventions and tactics to address particularly difficult clinical challenges are addressed next, equipping the therapist to employ the four primary techniques of TFP (interpretation, transference analysis, technical neutrality, and use of countertransference) and setting the stage for and guiding the proper use of those techniques within the individual session.* What to expect in the course of long-term treatment to ameliorate symptoms and to effect personality change is covered, with sections on the early, middle, and late phases of treatment. This material prepares the clinician to deal with predictable phases, such as tests of the frame, impulse containment, movement toward integration, episodes of regression, and termination.* Finally, the text is accompanied by supremely instructive online videos that demonstrate a variety of clinical situations, helping the clinician with assessment and modeling critical therapeutic strategies. The book recognizes that each BPD patient presents a unique treatment challenge. Grounded in the latest research and rich with clinical insight, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide will prove indispensable to mental health professionals seeking to provide thoughtful, effective care to these patients.

Rather than arguing for one best approach for treating personality disorder, this pragmatic book emphasizes the benefits of weaving together multiple well-established intervention strategies to meet each patient's needs. A framework is provided for constructing a comprehensive case formulation, planning treatment, and developing a strong therapeutic alliance. The clinician is guided to utilize techniques from all major therapeutic orientations to address transdiagnostic personality symptoms and problems involving emotion regulation, interpersonal functioning, and self and identity. Showing how to pick and choose from "what works" in a thoughtful, coordinated fashion, the book features rich clinical illustrations, including a chapter-length case example. See also Handbook of Personality Disorders, Second Edition, edited by W. John Livesley and Roseann Larstone, the leading reference that surveys theory, research, and evidence-based treatments.

This handbook is intended for clinicians with a range of expertise who employ a psychodynamic orientation in the assessment and/or treatment of patients with personality pathology. Well documented and articulate, this manual is appropriate for everyone from students of psychotherapy to experienced clinicians seeking to refine their practice. Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook gathers in one place the psychodynamic psychotherapy thinking on each of the Axis II personality disorders. This includes the work of 22 contributing writers in addition to the three primary authors, John F. Clarkin, Ph.D., Peter Fonagy, Ph.D., and Glen O. Gabbard, M.D. The material presented here is available elsewhere but, until now, not all in one place.

The focus of the book is the psychodynamic conceptualization, assessment, and treatment of the personality disorders as currently described in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Included are 16 chapters in three sections: Defining Personality Pathology, Treatment Approaches, and Research for Future Directions. The background of models of personality and its pathology comprises Section I. Section II contains chapters on the treatment of specific personality disorder constellations. These treatment chapters provide information on the relevant empirical research, patient phenomenology and psychodynamics, treatment strategies, and techniques, woven together with clinical illustrations and vignettes. Section III includes a summary of the existing treatment outcome research and a glimpse of the diagnostic procedures in the near future. Each of the chapter authors has had extensive clinical, and sometimes research, experience with the assessment and treatment of one of the personality disorders described.

Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook is, as titled, a practical handbook and guide to clinicians with real-world applications. - Every patient a clinician treats has personality issues, if not a personality disorder. This book provides strategies and techniques for addressing personality issues- DSM-IV-TR is proceeding to DSM-V. This collection of papers provides up-to-date information on how the personality disorders will be handled in the upcoming DSM-V- The authors provide summaries of key concepts and suggested readings of particular value to residents and students in other disciplines

The authors suggest that new research and reviews indicate, to the surprise of many, that psychodynamic treatments are effective for these personality disorders, and its impact is as great as, that of cognitive-behavioral treatments.

Offering a sophisticated introduction to a contemporary psychodynamic model of the mind and treatment, this book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called "dynamic psychotherapy for higher level personality pathology" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Based on psychodynamic object relations theory, DPHP is an outgrowth of transference-focused psychotherapy (TFP) and is part of an integrated approach to psychodynamic treatment of personality pathology across the spectrum of severity -- from higher level personality pathology, described in this volume, to severe personality pathology, described in a companion volume, Psychotherapy for Borderline Personality: Focusing on Object Relations. Together, they provide a comprehensive description of an object relations theory-based approach to treatment of personality disorders, embedded in an integrated model of personality.

As a guide to treatment, Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. The authors offer a comprehensive description of psychodynamic consultation that includes sharing the diagnostic impression, establishing treatment goals, discussing treatment options, obtaining informed consent, and establishing treatment frame. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of the treatment. Among the book's benefits: - Takes a diagnosis-driven approach, presenting a clear model of both the psychopathology and its treatment;- Explains underlying theory and basic elements of DPHP for those first learning dynamic therapy;- Offers an integrated, innovative synthesis of contemporary psychodynamic approaches to personality pathology and psychodynamic psychotherapy;- Describes goals, strategies, tactics, and techniques of the treatment to demonstrate its flexibility over a relatively long course of treatment;- Provides sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment.

DPHP offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides experienced clinicians with a hands-on approach to that method, and is also useful as a primary textbook in courses focusing on the technique of dynamic psychotherapy or in courses on psychodynamics.

Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy-Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders-and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: * A coherent model of personality functioning and disorders based in psychodynamic object relations theory* A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment* An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders* An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology* Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.

Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.