The Personality Disorders Treatment Planner: Includes DSM-5 Updates

by Neil R. Bockian, Julia C. Smith, Arthur E. Jongsma Jr.

Overview

Psychologists, therapists, and other mental health professionals who treat clients with personality disorders need to develop formal treatment plans. These time-consuming plans must conform to requirements of managed care organizations and other third party payers.

Product Details

ISBN-13:	9781119101765
Publisher:	Wiley
Publication date:	02/04/2016
Series:	PracticePlanners
Sold by:	JOHN WILEY & SONS
Format:	eBook
Pages:	400
File size:	2 MB

About the Author

NEIL R. BOCKIAN, PhD, is a Professor at Adler University in Chicago. He studied personality disorders with Dr. Theodore Millon and mindfulness meditation with Jon Kabat-Zinn. He is the lead author of two other books on personality disorders and has extensive experience treating individuals with personality disorders and individuals with medical conditions such as spinal cord injuries and chronic pain. He utilizes individual, couples, and group therapy, as well as hypnosis, relaxation training, neurofeedback, and mindfulness meditation in his practice.

JULIA C. SMITH, Psy.D, is a Staff Psychologist for the Department of Veterans Affairs, an Assistant Professor in the Department of Psychiatry at University of Texas Southwestern Medical Center, and the Assistant Training Director for psychology training programs offered through the VA North Texas Health Care System. She specializes in the treatment of PTSD and co-occurring substance use disorders.

ARTHUR E. JONGSMA, Jr., PhD, is the Series Editor for the bestselling Wiley PracticePlanners^®. Since 1971, he has provided professional mental health services to both inpatient and outpatient clients. He was the founder and director of Psychological Consultants, a group private practice in Grand Rapids, Michigan for 25 years. He is the author or coauthor of over 50 books and conducts training workshops for mental health professionals around the world.

Read an Excerpt

ANTISOCIAL

BEHAVIORAL DEFINITIONS

1. 1. Persistently breaks the law.
2. 2. Is deceitful, and uses aliases, lies, or cons people to get what is wanted.
3. 3. Acts on impulse, without giving much thought to future consequences.
4. 4. Is aggressive and irritable, with a history of fights or assaults.
5. 5. Engages in reckless behaviors that create dangerous situations for self or others.
6. 6. Is irresponsible with regard to work, financial, and family obligations.
7. 7. Lacks remorse, as shown by indifference to (or rationalizing of) harm he/she has caused.
8. 8. Has a history of antisocial behaviors (rule breaking, lying, physical aggression, disrespect for others and property, substance abuse, etc.) since adolescence.

LONG-TERM GOALS

1. 1. Demonstrate increased sensitivity to the needs of others rather than displaying only selfish concerns.
2. 2. Improve impulse control and reduce reckless, shortsighted behavior.
3. 3. Decrease excessive anger and irritability while learning to handle everyday anger appropriately.
4. 4. Learn to view affection and cooperation positively.
5. 5. Exhibit interpersonally responsible conduct.
6. 6. Accept that ordinary rules of law and conduct apply to everyone.

DIAGNOSTIC SUGGESTIONS

ANTISOCIAL--MALEVOLENT

BEHAVIORAL DEFINITIONS

1. 1. Is belligerent and at times vicious, brutal, and violent.
2. 2. Is resentful and distrustful of authority figures.
3. 3. Anticipates betrayal and punishment from others.
4. 4. Lacks the capacity to experience guilt.
5. 5. Is callous, fearless, impulsive, and often commits unlawful acts.
6. 6. Displays self-serving, manipulative, deceitful, and uncooperative attitudes and behaviors.
7. 7. Is irresponsible, failing to live up to obligations such as providing child care or fulfilling job obligations.
8. 8. Lies to avoid taking responsibility for behavior or to gain own ends at others' expense.
9. 9. Has a childhood history of family chaos, abuse, and neglect.
10. 10. Breaks laws and rules without guilt or remorse, regardless of the pain inflicted on others.

LONG-TERM GOALS

1. 1. Reduce hostile, aggressive, belligerent behavior, including both verbal and physical abuse.
2. 2. Maintain lawful and/or responsible behavior.
3. 3. Improve ability to tolerate authority relationships appropriately.
4. 4. Increase capacity to delay gratification in order to achieve long-term objectives.
5. 5. Improve capacity to see how own behaviors are harmful to others.
6. 6. Establish at least one relationship that involves, at minimum, a modest degree of trust.

DIAGNOSTIC SUGGESTIONS

ANTISOCIAL--REPUTATION DEFENDING

BEHAVIORAL DEFINITIONS

1. 1. Expresses need to be thought of as unflawed.
2. 2. Presents an image of being tough, indomitable, and formidable.
3. 3. Becomes angry and defensive when status is questioned.
4. 4. Is highly overreactive to slights.
5. 5. Is irritable and aggressive.
6. 6. Is extremely concerned with or obsessed with enhancing or defending his/her own or his/her family's reputation.
7. 7. Consistently presses to be in the dominant position in relationships and/or work settings.
8. 8. Lacks remorse, as shown by indifference to (or rationalizing of) the harm he/she has caused.

LONG-TERM GOALS

1. 1. Reduce the need to be dominant in all circumstances.
2. 2. Increase flexibility and acceptance of a variety of roles, including equal and subordinate relationships.
3. 3. Soften tough, indomitable image.
4. 4. Reduce defensiveness regarding slights.
5. 5. Decrease aggressiveness and irritability.
6. 6. Increase acceptance of own flaws.

ideas.

DIAGNOSTIC SUGGESTIONS

AVOIDANT

BEHAVIORAL DEFINITIONS

1. 1. Avoids others due to fears of criticism, disapproval, or rejection.
2. 2. Does not get involved with people unless certain of being liked.
3. 3. Is afraid of being shamed or ridiculed in intimate relationships.
4. 4. Is extremely fearful of criticism and rejection.
5. 5. Is quiet during interpersonal situations due to feelings of inadequacy.
6. 6. Views self as inferior and socially awkward.
7. 7. Inhibits activities due to fear of embarrassment.

LONG-TERM GOALS

1. 1. Reduce social withdrawal and loneliness due to social anxiety.
2. 2. Improve conversational behaviors and other interpersonal skills, thereby decreasing social isolation.
3. 3. Improve self-esteem and reduce self-criticism.
4. 4. Increase active focus on pleasurable stimuli and decrease focus on painful stimuli.
5. 5. Increase willingness to take risks in interpersonal contexts.
6. 6. Reduce fears and ruminations regarding rejection and humiliation.
7. 7. Improve intimacy in relationships.

DIAGNOSTIC SUGGESTIONS

Table of Contents

Foreword xi

Acknowledgments xiii

Introduction 1

Sample Treatment Plan 18

Aggressive/Sadistic 22

Antisocial* 35

Antisocial—Malevolent 48

Avoidant* 59

Avoidant—Conflicted 70

Avoidant—Hypersensitive 81

Borderline* 92

Borderline—Petulant 107

Borderline—Self-Destructive 121

Dependent* 135

Dependent—Selfless 148

Depressive* 160

Histrionic* 173

Histrionic—Disingenuous 185

Intropunitive/Guilty 197

Narcissistic* 212

Narcissistic—Compensatory 225

Narcissistic—Unprincipled 237

Obsessive-Compulsive* 249

Obsessive-Compulsive—Bedeviled 261

Paranoid* 273

Paranoid—Fanatic 286

Paranoid—Malignant 297

Passive-Aggressive (Negativistic)* 308

Schizoid* 320

Schizotypal* 331

*Denotes Elaboration of Dimensional Structure in Appendix A.

Indicates that selected Objectives/Interventions are consistent with those found in evidencebased treatments.

Appendix A Proposed Dimensions for Personality Disorders Applied to Presenting Problem Behavioral Definitions (Symptoms) for Selected Chapters 343

Appendix B Bibliotherapy/Self-Help References 365

Appendix C Professional References 370

Appendix D Recovery Model Objectives and Interventions 374

Editorial Reviews

This book provides all the elements necessary to develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payers, and state and federal review agencies. Organized around 32 main presenting problems, from antisocial- malevolent and borderline-petulant to histrionic-appeasing, obsessive- compulsive, and paranoid-frantic, approximately 1,000 statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and treatment options. A sample treatment plan is included. Jongsma as a psychological consultant; Bockian is an author. Annotation c. Book News, Inc., Portland, OR (booknews.com)

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