Cognitive-Behavioral Treatment of Borderline Personality Disorder

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Overview

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 outline for 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

This book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher

"The bible of DBT. Over two decades later, Linehan’s comprehensive treatment manual still stands without peer as the complete and lucid introduction to DBT as well as the in-depth text for the advanced practitioner. DBT’s skills are effective and potent if delivered in the context of the theory, principles, protocols, and strategies of the treatment, all of which are presented in this book. It is essential reading for therapists delivering the significantly upgraded skills in DBT Skills Training Manual, Second Edition."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts School of Medicine

"Every once in a very long while in our field, a clinical innovation is introduced that profoundly improves patient care. Marsha Linehan's development of a cognitive-behavioral approach to borderline personality disorder is such a rare innovation....Her techniques are clear, teachable, and learnable, and make good common sense to the therapist and the patient. Dr. Linehan's methods have greatly improved my treatment of borderline individuals and my teaching of others in how best to understand and treat these patients.''--Allen Frances, MD

"Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients."--Lester Luborsky, PhD

"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny."--Gerald Davison, PhD, University of Southern California

"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results."--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center

 

Bulletin of the Menninger Clinic

"We highly recommend this text and its companion training manual...."--Bulletin of the Menninger Clinic
Behaviour Research and Therapy

"...represents a gold standard" for treatment of this diagnostic category."--Behaviour Research and Therapy
Journal of Family Violence

"It is the most exacting and well thought out treatment plan I have ever seen written for any disorder....I have tried to find shortcomings with this book. I can find none. It is one of the best pieces of clinical work ever written. No matter what your clinical or research focus of interest, you will gain immensely from reading Cognitive-Behavioral Treatment of Borderline Personality Disorder."--Journal of Family Violence
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Product Details

Meet the Author


Marsha M. Linehan, PhD, ABPP, is the developer of dialectical behavior therapy (DBT) and Professor of Psychology and of Psychiatry and Behavioral Sciences and Director of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders.

Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior.

She is a Zen master and teaches mindfulness and contemplative practices via workshops and retreats for health care providers.

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Read an Excerpt

I. THEORY AND CONCEPTS.
1. Borderline Personality Disorder: Concepts, Controversies, and Definitions.
2. Dialectical and Biosocial Underpinnings of Treatment.
3. Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients.
II. TREATMENT OVERVIEW AND GOALS.
4. Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell.
5. Behavioral Targets in Treatment: Behaviors to Increase and Decrease.
6. Structuring Treatment Around Target Behaviors: Who Treats What and When.
III. BASIC TREATMENT STRATEGIES.
7. Dialectical Treatment Strategies.
8. Core Strategies: Part I. Validation.
9. Core Strategies: Part II. Problem Solving.
10. Change Procedures: Part I. Contingency Procedures (Managing Contingencies and Observing Limits.
11. Change Procedures: Part II. Skill Training, Exposure, Cognitive Modification.
12. Stylistic Strategies: Balancing Communication.
13. Case Management Strategies: Interacting with the Community.
IV. STRATEGIES FOR SPECIFIC TASKS.
14. Structural Strategies.
15. Special Treatment Strategies.
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Table of Contents


I. THEORY AND CONCEPTS.
1. Borderline Personality Disorder: Concepts, Controversies, and Definitions.
2. Dialectical and Biosocial Underpinnings of Treatment.
3. Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients.
II. TREATMENT OVERVIEW AND GOALS.
4. Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell.
5. Behavioral Targets in Treatment: Behaviors to Increase and Decrease.
6. Structuring Treatment Around Target Behaviors: Who Treats What and When.
III. BASIC TREATMENT STRATEGIES.
7. Dialectical Treatment Strategies.
8. Core Strategies: Part I. Validation.
9. Core Strategies: Part II. Problem Solving.
10. Change Procedures: Part I. Contingency Procedures (Managing Contingencies and Observing Limits.
11. Change Procedures: Part II. Skill Training, Exposure, Cognitive Modification.
12. Stylistic Strategies: Balancing Communication.
13. Case Management Strategies: Interacting with the Community.
IV. STRATEGIES FOR SPECIFIC TASKS.
14. Structural Strategies.
15. Special Treatment Strategies.
Read More Show Less

Customer Reviews

Average Rating 3.5
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Sort by: Showing all of 3 Customer Reviews
  • Anonymous

    Posted February 18, 2013

    I have used this book in one on one therapy and it was also use

    I have used this book in one on one therapy and it was also used in a group setting. It is a great book and I think Dr. Linehan definitely deserved the APF Gold Medal Award for Life Achievement in the Application of Psychology. I just wish they would form a group where I live because we got so much further in a dedicated group than just on a one to one basis.

    2 out of 2 people found this review helpful.

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  • Anonymous

    Posted February 8, 2013

    Piece of crap

    Horrible

    0 out of 6 people found this review helpful.

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  • Anonymous

    Posted May 30, 2012

    No text was provided for this review.

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