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Treating Personality Disorders In Children And Adolescents

Overview

This groundbreaking volume presents a framework for understanding personality disorders in children, distinguishing them from more frequently diagnosed problems, and delivering effective interventions. Efrain Bleiberg draws on extensive clinical experience and cutting-edge neurobiological research to illuminate how specific personality disorders develop when children--and caregivers--become trapped in rigid, maladaptive patterns of feeling, coping, and relating. Strategies are described for integrating individual...
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Overview

This groundbreaking volume presents a framework for understanding personality disorders in children, distinguishing them from more frequently diagnosed problems, and delivering effective interventions. Efrain Bleiberg draws on extensive clinical experience and cutting-edge neurobiological research to illuminate how specific personality disorders develop when children--and caregivers--become trapped in rigid, maladaptive patterns of feeling, coping, and relating. Strategies are described for integrating individual psychotherapy, family treatment, and pharmacotherapy to provide meaningful help to this highly challenging population. With particular attention to building and maintaining a strong therapeutic alliance, the book includes case vignettes and transcripts that bring each stage of treatment to life.
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Editorial Reviews

From the Publisher
"Bleiberg has produced a brilliant, comprehensive, and genuinely innovative work. Presenting an integrated framework for treatment of a complex population of young people, this book retains the most important aspects of the old while presenting exhilarating new perspectives and powerful technical innovations. It offers a rare combination of originality, breadth, conceptual coherence, and clinical wisdom. An immensely valuable and lasting contribution."—Peter Fonagy, PhD, FBA, University of London and The Menninger Clinic

"Drawing on the clinical wisdom of psychoanalysis, and blending it with current progress in developmental science, this book reminds us that personality can become disordered at a very early age, with devastating consequences. Treatment requires the skillful blending of a multiplicity of intervention approaches, centered on the therapeutic relationship. This book demonstrates—in the best Menninger tradition—how we can approach such problems effectively from a modern developmental perspective."—Hans Steiner, MD, Stanford University School of Medicine

"This rewarding text offers practical strategies for clinical work with children and adolescents imprisoned by severe personality disturbances. Bleiberg provides a unique synthesis and application of current thinking about development and interpersonal relationships, incorporating attachment research as well as exciting recent neurobiological findings. In doing so, he lays the foundations for psychotherapeutic and psychopharmacological interventions that can help young people achieve a more reflective and interpersonally rewarding way of living. The book is comprehensive in its discussion of the phases of treatment, and offers insightful perspectives on crucial countertransference issues. Bleiberg has made an important contribution to theory and practice. I highly recommend this book."—Daniel J. Siegel, MD, Department of Psychiatry, UCLA School of Medicine

Psychologist-Psychoanalyst APA Division 39 Newsletter
"A feast of ideas and possibilities....Any therapist who works with children with serious problems...will be enriched by reading it."—Psychologist-Psychoanalyst APA Division 39 Newsletter
Doody's Review Service
Reviewer: Rajitha Avva, BS, MD (Rush University Medical Center)
Description: This book covers the development and treatment of personality disorders in children and adolescents
Purpose: The purpose is twofold-first to gain an understanding of children who are in the process of developing personality disorders; and second, to discuss an approach to treatment. This is a very necessary book with worthy objectives. The author clearly discusses attachment and reflective function, important to understand to gain insight into the development of personality disorders. The book meets the author's objectives.
Audience: The book is written for clinicians who see patients for therapy. It takes the clinician through multiple interventions in treating the personality disordered child or adolescent. The author has an impressive background and is credible in the field of personality disorders and child and adolescent psychopathology.
Features: There are two main parts to this book. The first part focuses on how personality disorders become organized in children. The author pays special attention to antisocial, narcissistic, histrionic, and borderline personality disorders. The second part discusses the treatment approach to enable healing and sustained connections for the child or adolescent. The author uses clinical vignettes to illustrate the development of severe personality disorders and to help the clinician understand the steps needed to incorporate individual psychotherapy, family therapy, and pharmacotherapy.
Assessment: This excellent book provides insight into the formation of personality disorders in children. It is useful for the clinician, providing techniques to use in therapy to help the child or adolescent develop meaningful relationships.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781572306981
  • Publisher: Guilford Publications, Inc.
  • Publication date: 9/1/2001
  • Pages: 368
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.94 (d)

Meet the Author

Efrain Bleiberg, MD, was born in Monterrey, Mexico. He is a graduate of the School of Medicine of the University of Nuevo Leon, the School of Psychology of the University of Monterrey, the Psychiatry and Child Psychiatry residency programs of the Karl Menninger School of Psychiatry and Mental Health Sciences, and the Topeka Institute for Psychoanalysis (adult and child psychoanalysis). He has served as Unit Director, Director of the Child Psychiatry Training Program, Director of the General Psychiatry Residency Program, Dean of the Karl Menninger School of Psychiatry and Mental Health Sciences, Vice-President for Education and Research, Vice President and Director of the Children's Division, and Chief of Staff and President of the Menninger Clinic in Topeka, Kansas. He is currently Senior Executive Vice President of Menninger, the Alice Friedman Professor of Psychiatry and Developmental Psychopathology at the Karl Menninger School of Psychiatry and Mental Health Sciences and Training, and Supervising Psychoanalyst at the Topeka Institute for Psychoanalysis.

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Table of Contents

Contents
1. Introduction
2. Attachment and Reflective Function
3. Psychological Organization and the World of Mental Representations
4. Trauma, Vulnerability, and the Development of Severe Personality Disorders
5. Antisocial and Narcissistic Children and Adolescents
6. Histrionic and Borderline Children and Adolescents
7. Beginning Treatment: Creating a Secure Base and a Representational Mismatch
8. Early Stages of Treatment: Forming the Alliance and Enhancing Reflective Function
9. Middle and Late Stages of Treatment: Using Connection to Move toward Integration
10. Residential Treatment and the Continuum of Services
11. Pharmacological Treatment

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