Chapter
Conceptual and Practical Limitations of Specialized Therapies
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
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
4. Formulation and Treatment Planning
5. Establishing a Treatment Framework and Therapeutic Alliance
Dialectical Behavior Therapy
General Psychiatric Management
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
Ruptures in the Therapeutic Alliance
Ruptures and Personality Disorder
Rupture Resolution as Change Event
Rupture Resolution Interventions
Implications for Training
7. The Role of Mentalization in Treatments for Personality Disorder
Specialist Treatments for BPD
Nonspecialist Treatments for BPD
8. Improving Metacognition by Accessing Autobiographical Memories
Metacognitive Dysfunctions
Poor Self-Narratives and Impaired Metacognition as Barriers to Treatment
Step-by-Step Procedures for Enriching Self-Narratives and Fostering Metacognition
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
10. Psychopharmacological Considerations in Integrated Modular Treatment
Response to Pharmacological Treatment
Pharmacological Treatment of BPD
Guidelines for the Integrated Use of Medications and Psychotherapy
11. A Modular Strategy for Treating Emotional Dysregulation
Nature and Structure of Emotion Dysregulation
A General Framework for Treating Emotional Dysregulation
Specific Treatment Modules
12. Treating Emotional Schemas
A Meta-Experiential Model of Emotion
Empirical Support for the Emotional Schema Model
Emotional Schema Therapy: Conceptualization, Strategies, and Techniques
13. Adapting Mindfulness for Treating Personality Disorder
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
Part V. Treating Interpersonal and Self Functioning
14. Treating Maladaptive Interpersonal Signatures
Contemporary Integrative Interpersonal Theory
Treatment Strategies and a Clinical Example
15. Promoting Radical Openness and Flexible Control
Overcontrolled Personality Disorders
Social Signaling and Biotemperamental Deficits
16. Treatment of Violence-Prone Individuals with Psychopathic Personality Traits
Assessment of Psychopathy
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
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
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
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
20. A Case Study of Integrated Treatment
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