Cognitive-Behavioral Treatment of Borderline Personality Disorder (Diagnosis and Treatment of Mental

Editorial Reviews. Review. "The bible of DBT. Over two decades later, Linehan's of Borderline Personality Disorder (Diagnosis and Treatment of Mental.
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Guilford Press Bolero Ozon. Cognitive-behavioral Treatment of Borderline Personality Disorder. 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: Addressing the most stressful patient behaviors that clinicians encounter, the book includes a step-by-step outlinefor assessing suicide risk, managing suicide threats, and working with chronic suicidal behavior.

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For the average clinician, individuals with borderline personality disorder BPD often represent the most challenging, seemingly insoluble cases. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled tr For the average clinician, individuals with borderline personality disorder BPD often represent the most challenging, seemingly insoluble cases.

Cognitive-behavioral treatment of borderline personality disorder

It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems. Linehan's instructive skills training videos for clients-- Crisis Survival Skills: Part One, Crisis Survival Skills: Hardcover , pages. To see what your friends thought of this book, please sign up. To ask other readers questions about Cognitive-Behavioral Treatment of Borderline Personality Disorder , please sign up.

Lists with This Book. Apr 11, Wendy Reiersen rated it it was amazing Shelves: This book is not an easy read, but is well worth the effort. Linehan understands people with Borderline Personality Disorder, and how they got that way. If more of us understood emotional invalidation, and knew how to validate our children, ourselves, and each other, most mental illnesses as we know them would not exist.

Sep 17, Julie is currently reading it. Just started reading this book.

Cognitive-behavioral Treatment of Borderline Personality Disorder - Marsha Linehan - Google Книги

However, it's interesting to note that Dr. Marsha Linehan developed this style of therapy because she herself suffered from Borderline Personality Disorder. The fundamental biological disorder is in the emotion regulation system and may be Just started reading this book. The fundamental biological disorder is in the emotion regulation system and may be due to genetics, intrauterine factors before birth, traumatic events in early development that permanently affect the brain, or some combination of these factors.

The environmental disorder is any set of circumstances that pervasively punish, traumatize, or neglect this emotional vulnerability specifically, or the individual's emotional self generally, termed the invalidating environment. The model hypothesizes that BPD results from a transaction over time that can follow several different pathways, with the initial degree of disorder more on the biological side in some cases and more on the environmental side in others.

The main point is that the final result, BPD, is due to a transaction where both the individual and the environment co-create each other over time with the individual becoming progressively more emotionally unregulated and the environment becoming progressively more invalidating. Emotional difficulties in BPD individuals consists of two factors, emotional vulnerability plus deficits in skills needed to regulate emotions. The components of emotion vulnerability are sensitivity to emotional stimuli, emotional intensity, and slow return to emotional baseline.

In other words, it does not take much to provoke an emotional reaction. An important feature of DBT is the assumption that it is the emotional regulation system itself that is disordered, not only specific emotions of fear, anger, or shame. Thus, BPD individuals may also experience intense and unregulated positive emotions such as love and interest. All problematic behaviors of BPD individuals are seen as related to re-regulating out of control emotions or as natural outcomes of unregulated emotions. First, they do not have many very important capabilities, including sufficient interpersonal skills, emotional and self regulation capacities including the ability to self regulate biological systems and the ability to tolerate distress.

Second, personal and environmental factors block coping skills and interfere with self regulation abilities the individual does have, often reinforce maladaptive behavioral patterns, and punish improved adaptive behaviors. Helping the BPD individual make therapeutic changes is extraordinarily difficult, however, for at least two reasons. First, focusing on patient change, either of motivation or by teaching new behavioral skills, is often experienced as invalidating by traumatized individuals and can precipitate withdrawal, noncompliance, and early drop out from treatment, on the one hand, or anger, aggression, and attack, on the other.

Second, ignoring the need for the patient to change and thereby, not promoting needed change is also experienced as invalidating.

This is the perfect handbook for any therapist who works with BPD or with people who have a difficult time regulating their emotional world. Jul 05, stephanie rated it it was amazing Shelves: Apr 15, Angela added it. How can I begin to describe the importance of this book and it's workbook of the same title? It's nothing less than revolutionary. Linehan is making a life of the seminal Buddhist prayer "May all sentient beings be freed from suffering" And this is the key to the cage.

Marsha, Sister of Mercy, She can bring you back from hell, thro How can I begin to describe the importance of this book and it's workbook of the same title? Marsha, Sister of Mercy, She can bring you back from hell, through purgatory, and leave you standing once again on the green and solid Earth. If the old saints' battle cry was "Save souls" this saint's mantra is "Save Lives" She asks us only to accept reality, and teaches us all that can mean for our lives. What an extraordinary challenge. May 13, Matt rated it really liked it Shelves: It almost took me ten months to finish this book. It is fairly dry and tedious, although the points that Linehan makes are excellent.

Throughout the book you can feel the empathy and compassion she has for some of the most troubled people in the world. I think she does a nice job of taking some dry behavioral research operant conditioning, classical conditioning and explaining how to apply it to humans. Throughout the book, you get the sense that DBT in itself is really a synthesis between the It almost took me ten months to finish this book. Throughout the book, you get the sense that DBT in itself is really a synthesis between the clinical behaviorism of Skinner and the empathic client-centered humanism of Rogers.

As a therapist who practices relational therapy influenced by psychodynamic and existential tenets , I struggled at times with the more behavioral end of Linehan's paradigm. That being said, it does seem helpful in providing containment, and behavioral shifts for the most traumatized patients. As a whole, I tend to reject the medical model, but believe that LInehan's treatments can inform any good therapy for someone that is chronically distressed.

One of the things I like the most about the model is the therapist serving as a consultant to the patient, and helping them learn to maneuver through systems and manage their affect when these systems tend to be unhelpful and nonresponsive as systems often are. I do have questions about how one manages to do this when systems are both unhelpful and nonresponsive, and are partly in place to keep the status quo i.

Perhaps this is a pessimistic view of systems. Linehan does acknowledge that invalidation is largely a part of the person who has Borderline Personality Disorder's experience particularly when it comes to family of origin, sexism and other larger systems, but I am curious when we stop helping clients to manage challenging systems, and begin to create a more humane society. Aug 29, Devon rated it it was amazing Shelves: This is an academic text and is heavy, ponderous, and dry in many places.

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Other readers might find it hard to get through because of this alone. The second half becomes a bit repetitive, and the text very clearly addresses psychologists in detailing treatment approaches specific to DBT. I found the first part of the book — which describes BPD and its symptoms, and the philosophy and skeleton of DBT — to be the most useful.

Dec 18, Julia rated it liked it Shelves: This book was fine, and DBT is obviously an enourmously effective therapy. I just wish that Linehan had put "manual" somewhere in the title, so I wouldn't have held out hope for so long that it would suddenly turn more fascinating than instructive I probably unfairly judge fascination level by amount of clinical examples. She does, however, excel at writing clearly and without jargon.

Jun 01, Johna rated it really liked it Shelves: Marsha Linehan has articulated a very extraordinary mental disorder and the ways to overcome it in this ground breaking book. If one is unable to find trained mental health professionals for this particular problem, this book will help guide the untrained practitioner.

Cognitive-Behavioral Treatment of Borderline Personality Disorder

Jan 27, Marilee rated it did not like it. I just ordered this from Amazon. I'm hoping it will give me some insite on a person I know who I'm convinced has borderline personality disorder. This book was recommended to my by a professional psychologist. View all 3 comments. Dec 07, Juletta Gilge rated it really liked it. I read this one for school, but this was an amazing read to gain insight into this therapy. Jan 24, Peggy Rimbey stark rated it it was amazing.

DBT is an essential tool for your toolbox when dealing with individuals who have Borderline Personality. Aug 23, Morgan rated it liked it. Extremely detailed and exhaustive yet informative. No need to read this unless it's your job. Feb 18, McKnight rated it liked it.