Borderline Personality Disorder: A Therapist's Guide to Taking Control

by Arthur Freeman, Gina M. Fusco Psy. D.

Overview

BPD presents with so many clinical permutations that clinicians are often at a loss when trying to address the unique and varied needs of their clients. Neither clinician nor client is in a position to establish the control the client so desperately needs.

In Borderline Personality Disorder: A Therapist’s Guide to Taking Control, Freeman and Fusco offer the means by which clinicians can get a hold of BPD in the therapeutic situation and, most importantly, in their clients’ lives. Organized in chapters that correspond to each of the nine criteria for BPD the Therapist’s Guide is designed to aid the experienced therapist in performing the focused, structured work necessary with patients. This book lays out a constructive program for organizing effective therapy by moving through each criterion, examining it and whether it is manifested in clients’ life, and, then, providing critical, reflective, and calming strategies by which clients can begin to take control of their lives. The Therapist’s Guide provides the basic structure of the detailed therapeutic exercises that the Patient’s Guide establishes for the client’s use both in therapy and at home in between sessions.

Product Details

ISBN-13:	9780393703528
Publisher:	Norton, W. W. & Company, Inc.
Publication date:	11/17/2003
Series:	Norton Professional Books (Hardcover)
Edition description:	First Edition
Pages:	254
Product dimensions:	6.10(w) x 9.30(h) x 0.60(d)

About the Author

Arthur Freeman, EdD, is chief psychologist and director of training at Sheridan Shores Care and Rehabilitation Center, Chicago. He lives in Fort Wayne, Indiana.

Gina M. Fusco, Psy. D., is a licensed psychologist in Philadelphia. She is a System of Care Clinical Director for Alternative Behavioral Services, a comprehensive behavioral healthcare program for high-risk adolescents. She has led clinical diagnostic teams for juvenile detention centers, and has created several crisis intervention programs for psychiatric hospitals. She has authored and coauthored chapters on the treatment of crisis-prone patients, crisis intervention, and personality disorders. She lectures at The Philadelphia College of Osteopathic Medicine, and Chestnut Hill College in Philadelphia.

Table of Contents

	Acknowledgments	viii
	Introduction	3
	What is Borderline Personality Disorder?	4
	Taking Control of Borderline Personality Disorder: The Cognitive-Behavioral Treatment Strategy	8
	The Structure of Therapeutic Sessions	14
	Some Basic Tools and Principles of Cognitive-Behavioral Therapy	15
	Overview of the Method: The Taking Control Program	18
	Early Sessions	20
	Subsequent Sessions	22
	Summary	77
Chapter 1	Frantic Efforts to Avoid Real or Imagined Abandonment	79
	Vignettes	80
	Applying Typical BPD Schemas & Distortions to the Criterion	82
	Worksheets One & Two: Assessment & Assignment	83
	Sensitivity & Abandonment	85
	Worksheets Three to Six, & Eighteen: Treatment Goals	85
	Worksheets Seven to Seventeen: Suggested Interventions	86
	Worksheet Eighteen: The DPS	91
	Case Example	92
Chapter 2	Unstable Relationships Characterized by Idealization & Devaluation	93
	Combination of Definitions	95
	Vignettes	95
	Applying Typical BPD Schemas & Distortions to the Criterion	97
	Worksheets One & Two: Assessment & Assignment	97
	Sensitivity & Unstable Relationships	99
	Worksheets Three to Six, & Eighteen: Treatment Goals	99
	Worksheets Seven to Seventeen: Suggested Interventions	100
	Worksheet Eighteen: The DPS	105
	Case Example	105
Chapter 3	Identity Disturbance	106
	Combination of Definitions	106
	Vignettes	108
	Applying Typical BPD Schemas & Distortions to the Criterion	110
	Worksheets One & Two: Assesment & Assignment	111
	Sensitivity & Identity Disturbance	113
	Worksheets Three to Six, & Eighteen: Treatment Goals	113
	Worksheets Seven to Seventeen: Suggested Interventions	114
	Worksheet Eighteen: The DPS	119
	Case Example	119
Chapter 4	Impulsivity	121
	Vignettes	122
	Applying Typical BPD Schemas & Distortions to the Criterion	124
	Worksheets One & Two: Assessment & Assignment	125
	Sensitivity & Impulsivity	127
	Worksheets Three to Six, & Eighteen: Treatment Goals	127
	Worksheets Seven to Seventeen: Suggested Interventions	128
	Worksheet Eighteen: The DPS	134
	Case Example	134
Chapter 5	Recurrent Suicidal Behavior, Gestures, & Self-Mutilating Behavior	136
	Vignettes	140
	Applying Typical BPD Schemas & Distortions to the Criterion	141
	Worksheets One & Two: The Assessment & Assignment	142
	Sensitivity & Suicidal or Self-Harming Behavior	145
	Worksheets Three to Six, & Eighteen: Treatment Goals	145
	Worksheets Seven to Seventeen: Suggested Interventions	146
	Worksheet Eighteen: The DPS	154
	Case Example	155
Chapter 6	Affective Instability	156
	Vignettes	157
	Applying Typical BPD Schemas & Distortions to the Criterion	159
	Worksheets One & Two: Assessment & Assignment	159
	Sensitivity & Affective Instability	161
	Worksheets Three to Six, & Eighteen: Treatment Goals	161
	Worksheets Seven to Seventeen: Suggested Interventions	162
	Worksheet Eighteen: The DPS	168
	Case Example	169
Chapter 7	Chronic Feelings of Emptiness	170
	Vignettes	171
	Applying Typical BPD Schemas & Distortions to the Criterion	173
	Worksheets One & Two: Assessment & Assignment	173
	Sensitivity & Chronic Feelings of Emptiness	175
	Worksheets Three to Six, & Eighteen: Treatment Goals	175
	Worksheets Seven to Seventeen: Suggested Interventions	177
	Worksheet Eighteen: The DPS	183
	Case Example	183
Chapter 8	Inappropriate & Intense Anger	185
	Vignettes	186
	Applying Typical BPD Schemas & Distortions to the Criterion	188
	Worksheets One & Two: Assessment & Assignment	188
	Sensitivity & Anger	190
	Worksheets Three to Six, & Eighteen: Treatment Goals	190
	Worksheets Seven to Seventeen: Suggested Interventions	191
	Worksheet Eighteen: The DPS	197
	Case Example	197
Chapter 9	Transient, Stress-Related Paranoid Ideation	199
	Vignettes	199
	Applying Typical BPD Schemas and Distortions to the Criterion	202
	Worksheets One & Two: Assessment & Assignment	203
	Sensitivity & Paranoia	205
	Worksheets Three to Six, & Eighteen: Treatment Goals	205
	Worksheets Seven to Seventeen: Suggested Interventions	206
	Worksheet Eighteen: The DPS	210
	Case Example	211
Chapter 10	Severe Dissociative Symptoms	212
	Vignettes	213
	Applying Typical BPD Schemas & Distortions to the Criterion	215
	Worksheets One & Two: Assessment & Assignment	215
	Sensitivity & Dissociation	218
	Worksheets Three to Six, & Eighteen: Treatment Goals	218
	Worksheets Seven to Seventeen: Suggested Interventions	219
	Worksheet Eighteen: The DPS	223
	Case Example	223
	Wrapping Up	225
	References	227
	Index	231