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Diagnosing Borderline Personality Disorder (BPD) in young people has long been a tough call for clinicians, either for fear of stigmatizing the child or confusing the normal mood shifts of adolescence with pathology. Now, a recent upsurge in relevant research into early-onset BPD is inspiring the field to move beyond this hesitance toward a developmentally nuanced understanding of the disorder. The "Handbook of Borderline Personality Disorder in Children and Adolescents" reflects the broad scope and empirical strengths of current research as well as promising advances in treatment. This comprehensive resource is authored by veteran and emerging names across disciplines, including developmental psychopathology, clinical psychology, child psychiatry, genetics and neuroscience in order to organize the field for an integrative future. Leading-edge topics range from the role of parenting in the development of BPD to trait-based versus symptom-based assessment approaches, from the life-course trajectory of BPD to the impact of the DSM-5 on diagnosis. And of particular interest are the data on youth modifications of widely used adult interventions, with session excerpts. Key areas featured in the "Handbook" The history of research on BPD in childhood and adolescence.Conceptualization and assessment issues.Etiology and core components of BPD.Developmental course and psychosocial correlates.Empirically supported treatment methods.Implications for future research, assessment and intervention. The "Handbook of Borderline Personality Disorder in Children and Adolescents" is a breakthrough reference for researchers and clinicians in a wide range of disciplines, including child and school psychology and psychiatry, social work, psychotherapy and counseling, nursing management and research and personality and social psychology.
Somewhere between 11% and 22% of adolescents seeking mental health care in outpatient clinics-and between 33% and 49% of those in inpatient units-meet the diagnostic criteria for borderline personality disorder (BPD). Despite its high prevalence, however, and the high social and economic costs that it entails, BPD remains underdiagnosed, and sufficient training regarding its fundamentals and clinical management is largely unavailable for mental health professionals treating adolescents. It is precisely these essential guidelines that clinicians will find in the Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder. Adapted from Dr. John Gunderson's good psychiatric management (GPM), a resource-efficient generalist treatment for adults with BPD, this manual uses GPM for adolescents (GPM-A) to demystify BPD in young people, describing common problems that arise during each phase or aspect of treatment, from patient rejection of diagnosis and conflicts among clinicians providing care to nonadherence to medications and concerns about stigma. Case vignettes that feature key decision points propose alternative interventions and demonstrate how to apply the book's concepts in a variety of settings. Additionally, speech bubbles throughout the handbook offer suggestions for how to phrase explanations and interventions to communicate effectively with adolescent patients at an appropriate level. Although the pragmatic GPM-A principles outlined in this book are based on real-world experience and bolstered by scientific evidence, they are not intended to be an end point for treatment. They are, rather, a road map to provide "good enough" care even in the absence of specialized treatments, and clinicians are encouraged to adjust the lessons as needed for their practice. The education provided in the handbook is meant to be shared with patients, their families, schools, clinical teams, and trainees as a resource for motivation in persevering with the difficult but worthwhile investments in treatment.
It is universally accepted that sensitive and responsive caregiving leads to positive cognitive and socio-emotional outcomes for children. While several intervention approaches exist, this text brings together the rationale and current evidence base for one such approach-the Mediational Intervention for Sensitizing Caregivers (MISC). MISC integrates aspects of socio-emotional health and cognitive development as well as being less culturally intrusive than existing approaches. It is a strengths-based program complementing existing practices and cultures. Editors bring together in one volume the theory and research from the last decade supporting the MISC approach. Chapters focus on a range of topics, such as training the trainer, maternal depression and MISC, applying MISC to families reunited after migration-related separation and more. The book also focuses on several country-specific cases, such as applying MISC to HIV/AIDS-affected children in South Africa or in early childhood care settings in Israel. This book is essential reading for those working in early educational or clinical settings tasked with developing policy to ensure optimal child developmental outcomes. The book is applicable to professionals from a wide variety of disciplines including clinical, counselling, educational, psychology, psychiatry, paediatrics, nursing, social work and public health.
It is universally accepted that sensitive and responsive caregiving leads to positive cognitive and socio-emotional outcomes for children. While several intervention approaches exist, this text brings together the rationale and current evidence base for one such approach-the Mediational Intervention for Sensitizing Caregivers (MISC). MISC integrates aspects of socio-emotional health and cognitive development as well as being less culturally intrusive than existing approaches. It is a strengths-based program complementing existing practices and cultures. Editors bring together in one volume the theory and research from the last decade supporting the MISC approach. Chapters focus on a range of topics, such as training the trainer, maternal depression and MISC, applying MISC to families reunited after migration-related separation and more. The book also focuses on several country-specific cases, such as applying MISC to HIV/AIDS-affected children in South Africa or in early childhood care settings in Israel. This book is essential reading for those working in early educational or clinical settings tasked with developing policy to ensure optimal child developmental outcomes. The book is applicable to professionals from a wide variety of disciplines including clinical, counselling, educational, psychology, psychiatry, paediatrics, nursing, social work and public health.
Diagnosing Borderline Personality Disorder (BPD) in young people has long been a tough call for clinicians, either for fear of stigmatizing the child or confusing the normal mood shifts of adolescence with pathology. Now, a recent upsurge in relevant research into early-onset BPD is inspiring the field to move beyond this hesitance toward a developmentally nuanced understanding of the disorder. The Handbook of Borderline Personality Disorder in Children and Adolescents reflects the broad scope and empirical strengths of current research as well as promising advances in treatment. This comprehensive resource is authored by veteran and emerging names across disciplines, including developmental psychopathology, clinical psychology, child psychiatry, genetics and neuroscience in order to organize the field for an integrative future. Leading-edge topics range from the role of parenting in the development of BPD to trait-based versus symptom-based assessment approaches, from the life-course trajectory of BPD to the impact of the DSM-5 on diagnosis. And of particular interest are the data on youth modifications of widely used adult interventions, with session excerpts. Key areas featured in the Handbook: The history of research on BPD in childhood and adolescence. Conceptualization and assessment issues. Etiology and core components of BPD. Developmental course and psychosocial correlates. Empirically supported treatment methods. Implications for future research, assessment and intervention. The Handbook of Borderline Personality Disorder in Children and Adolescents is a breakthrough reference for researchers and clinicians in a wide range of disciplines, including child and school psychology and psychiatry, social work, psychotherapy and counseling, nursing management and research and personality and social psychology.
How can therapists help clients reflect more deeply on their own--and other people's--thoughts and emotions? How can the therapeutic relationship be leveraged effectively to create change? This concise book guides therapists of any orientation to incorporate innovative mentalization-based strategies into assessment and intervention. Complex ideas are clearly explained and illustrated with extensive session transcripts and vignettes. Ways to help clients struggling with dysregulated emotions and behavior are highlighted. Compelling topics include the role of mentalization difficulties in personality disorders, special concerns in working with adolescents, and how clinicians can improve their own mentalizing capacities.
Social cognition refers to the capacity to think about others'
thoughts, intentions, feelings, attitudes and perspectives and
enables us to engage in the activities that humans value most, such
as family, friendship, love, cooperation, play, and community.
These processes form such an essential and natural part of our
functioning as human beings that it is easy to assume that all
humans possess the capacity in equal measure. However, it has been
shown by research over the last 20 years that children with a wide
variety of psychiatric disorders have problems in social cognition.
For instance, children with autism have clear deficits in thinking
what others might be thinking. In contrast, children with
psychopathic traits are very good at reading the minds of others,
but may use this knowledge to manipulate or mistreat individuals.
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