Integrated Treatment for Personality Disorder :A Modular Approach

Publication subTitle :A Modular Approach

Author: Livesley> W. John  

Publisher: Guilford Publications Inc‎

Publication year: 2015

E-ISBN: 9781462522927

P-ISBN(Paperback): 9781462522880

Subject: R749.055 psychological therapy

Keyword: 神经病学与精神病学,个性心理学(人格心理学),心理学,社会学

Language: ENG

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Description

Rather than arguing for one best approach for treating personality disorder, this pragmatic book emphasizes the benefits of weaving together multiple well-established intervention strategies to meet each patient's needs. A framework is provided for constructing a comprehensive case formulation, planning treatment, and developing a strong therapeutic alliance. The clinician is guided to utilize techniques from all major therapeutic orientations to address transdiagnostic personality symptoms and problems involving emotion regulation, interpersonal functioning, and self and identity. Showing how to pick and choose from "what works" in a thoughtful, coordinated fashion, the book features rich clinical illustrations, including a chapter-length case example.

Chapter

Conceptual and Practical Limitations of Specialized Therapies

Pathways to Integration

Overview of the Volume

2. A General Framework for Integrated Modular Treatment

A Framework for Conceptualizing Personality Disorder

A Framework for Conceptualizing Therapeutic Change

The Concept of Treatment Modules

General Treatment Modules

Specific Treatment Modules and Phases of Change

Hierarchy of Treatment Foci

Concluding Comments

Part II. Assessment, Treatment Planning, and the Treatment Contract

3. Diagnosis and Assessment

Heterogeneity of Personality Disorder

Review of Other Recommendations

Recommendations for Assessment

Assessing Personality Disorder and Severity

Assessing Trait Constellations and Primary Traits

Domains of Psychopathology

The Treatment Alliance during the Assessment Process

Concluding Comments

4. Formulation and Treatment Planning

Formulation

Treatment Planning

Case Examples

Concluding Comments

5. Establishing a Treatment Framework and Therapeutic Alliance

Definitions

Dialectical Behavior Therapy

General Psychiatric Management

Common Strategies

Concluding Comments

Part III. General Change Principles and Mechanisms

6. A Relational Approach to Personality Disorder and Alliance Rupture

A Relational Theory of Person and Personality Disorder

The Therapeutic Alliance

Ruptures in the Therapeutic Alliance

Ruptures and Personality Disorder

Rupture Resolution as Change Event

Rupture Resolution Interventions

Implications for Training

Concluding Comments

7. The Role of Mentalization in Treatments for Personality Disorder

Specialist Treatments for BPD

Nonspecialist Treatments for BPD

Effecting Change

Mentalizing

Concluding Comments

8. Improving Metacognition by Accessing Autobiographical Memories

Narrative Impoverishment

Metacognitive Dysfunctions

Poor Self-Narratives and Impaired Metacognition as Barriers to Treatment

Step-by-Step Procedures for Enriching Self-Narratives and Fostering Metacognition

Concluding Comments

Part IV. Treating Symptoms and Dysregulated Emotions

9. Managing Suicidal and Other Crises

Potential for Suicide and Other Crises

Strategies for Reducing and Preventing Crises

Concluding Comments

10. Psychopharmacological Considerations in Integrated Modular Treatment

Response to Pharmacological Treatment

Pharmacological Treatment of BPD

Guidelines for the Integrated Use of Medications and Psychotherapy

Case Example

Concluding Comments

11. A Modular Strategy for Treating Emotional Dysregulation

Nature and Structure of Emotion Dysregulation

A General Framework for Treating Emotional Dysregulation

Specific Treatment Modules

Concluding Comments

12. Treating Emotional Schemas

A Meta-Experiential Model of Emotion

Empirical Support for the Emotional Schema Model

Emotional Schema Therapy: Conceptualization, Strategies, and Techniques

Application to BPD

Concluding Comments

13. Adapting Mindfulness for Treating Personality Disorder

What Is “Mindfulness”?

Mindfulness Symptom Protocols

Practicing Mindfulness and Personality Disorders

Interpersonal Rumination in Personality Disorders

Adapting Mindfulness to Personality Disorders: Rationale

Specific Techniques for Adapting Mindfulness to Personality Disorders

Adapted Mindfulness for Personality Disorder: Characteristics and Structure of Training

Case Example

Concluding Comments

Part V. Treating Interpersonal and Self Functioning

14. Treating Maladaptive Interpersonal Signatures

Contemporary Integrative Interpersonal Theory

Treatment Strategies and a Clinical Example

Concluding Comments

15. Promoting Radical Openness and Flexible Control

Overcontrolled Personality Disorders

Targeting OC Tendencies

Radical Openness

Social Signaling and Biotemperamental Deficits

Concluding Comments

16. Treatment of Violence-Prone Individuals with Psychopathic Personality Traits

Assessment of Psychopathy

Definition of Violence

A Brief Overview of Psychopathy Treatment Literature

Treatment of Personality Disorder: The Generic–Specific Factors

Psychopathy, Violence, and Violence Reduction Treatment

A Model for Violence Reduction Treatment of Individuals with Psychopathic Traits

Organizing Treatment Delivery

Assessing Treatment Effectiveness

Concluding Comments

17. Enriching Self-Narratives: Advanced Phases of Treatment

The Need for a Life Script

The Need for Multiple Life Scripts

Dysfunctions in Life Scripts in Personality Disorders

Self-Narratives as a Target for Psychotherapy

When to Try to Enrich the Self-Narrative

Negotiating a Revised Treatment Contract

Promoting Enriched Self-Narratives: Behavioral Exposure and Metacognitive Reflection

Planning Behavioral Experiments

Three Avenues to Enriched Self-Narratives: The Aims of Exploration/Behavioral Exposure

Further Eliciting Maladaptive Scripts and Overcoming Behavioral Avoidance

Ongoing Reflection and Integration of New Material in the Self-Narrative

Concluding Comments

18. Strategies for Constructing a More Adaptive Self-System

Normal and Personality-Disturbed Representations

Social-Neurocognitive Advances

Therapeutic Approaches to Representations of Self and Others

Case Example

Concluding Comments

19. Promoting Integration between Different Self-States through Ongoing Reformulation

Lack of Different Self-States in Personality Disorders

Promoting Coherence among Self-States in the Psychotherapy of Personality Disorders

Formulation and Reformulation

Case Example

Concluding Comments

Part VI. Integration

20. A Case Study of Integrated Treatment

Assessment

Phases of Treatment

Discussion

Concluding Comments

21. A Final Review of Integrated Modular Treatment for Personality Disorders

The Structure of Integrated Modular Treatment

Barriers to an Integrated Treatment

Integration as a Treatment Goal

Concluding Comments

Index

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