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Integrated Treatment for Personality Disorder: A Modular Approach

by W Livesley, Giancarlo Dimaggio and John Clarkin Guilford Publications
Pub Date:
Pbk 478 pages
AU$74.00 NZ$77.39
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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.

I. Conceptual Framework and Treatment Principles
1. Why Integrated Treatment?: General Principles of Therapeutic Change, W. John Livesley, Giancarlo Dimaggio, & John F. Clarkin
2. A General Framework for Integrated Modular Treatment, W. John Livesley & John F. Clarkin
II. Assessment, Treatment Planning, and the Treatment Contract
3. Diagnosis and Assessment, W. John Livesley & John F. Clarkin
4. Formulation and Treatment Planning, John F. Clarkin & W. John Livesley
5. Establishing a Treatment Framework and Therapeutic Alliance, Paul S. Links, Deanna Mercer, & Jon Novick
III. General Change Principles and Mechanisms
6.  A Relational Approach to Personality Disorder and Alliance Rupture, Sumru Tufekcioglu & J. Christopher Muran
7. The Role of Mentalization in Treatments for Personality Disorder, Anthony W. Bateman & Peter Fonagy
8. Improving Metacognition by Accessing Autobiographical Memories, Giancarlo Dimaggio, Raffaele Popolo, Antonino Carcione, & Giampaolo Salvatore
IV. Treating Symptoms and Dysregulated Emotions
9. Managing Suicidal and Other Crises, Paul S. Links & Yvonne Bergmans
10. Psychopharmacological Considerations in Integrated Modular Treatment, Kenneth R. Silk & Robert O. Friedel
11. A Modular Strategy for Treating Emotional Dysregulation, W. John Livesley
12. Treating Emotional Schemas, Robert L. Leahy
13. Adapting Mindfulness for Treating Personality Disorder, Paolo Ottavi, Tiziana Passarella, Manuela Pasinetti, Giampaolo Salvatore, & Giancarlo Dimaggio
V. Treating Interpersonal and Self Functioning
14. Treating Maladaptive Interpersonal Signatures, Nicole M. Cain & Aaron L. Pincus
15. Promoting Radical Openness and Flexible Control, Thomas R. Lynch, Roelie J. Hempel, & Lee Anna Clark
16. Treatment of Violence-Prone Individuals with Psychopathic Personality Traits, Stephen C. P. Wong
17. Enriching Self-Narratives: Advanced Phases of Treatment, Giancarlo Dimaggio, Raffaele Popolo,  Antonino Carcione, Giampaolo Salvatore, & William B. Stiles
18. Strategies for Constructing a More Adaptive Self-System, John F. Clarkin, Frank Yeomans, Chiara De Panfilis, & Kenneth N. Levy
19. Promoting Integration between Different Self-States through Ongoing Reformulation, Giampaolo Salvatore, Raffaele Popolo, & Giancarlo Dimaggio
VI. Integration
20. A Case Study of Integrated Treatment, John F. Clarkin, W. John Livesley, & Giancarlo Dimaggio
21. A Final Review of Integrated Modular Treatment for Personality Disorders, John F. Clarkin, W. John Livesley, & Giancarlo Dimaggio

“This is the most important book on the treatment of personality disorder to be published in many years. Clinicians have been confused by conflicting claims for unique efficacy, but research shows that all successful approaches are based on the same principles. We need one method combining the best ideas of all the others, and based on a broad theory of psychopathology. This volume shows, in clear prose, how that can be accomplished.” — Joel Paris, MD, Department of Psychiatry, McGill University, Montréal, Québec, Canada


“Integrative treatment of personality disorders has finally come of age with this spectacular book! Following the early therapeutic nihilism of treating personality disorders and the subsequent profusion of theoretical models, we end with the predictable result that disparate structured treatments produce comparable outcomes, for the most part. It is high time to systematically integrate principles from all effective therapies into learnable modules, as done here. Three master scientist-practitioners deliver the best psychotherapy book I have read this year. A game-changer for clinicians treating personality disorders.”

—John C. Norcross, PhD, ABPP, Distinguished Professor of Psychology, University of Scranton
W. John Livesley, MD, PhD, is Professor Emeritus in the Department of Psychiatry at the University of British Columbia, Canada. His research focuses on the structure, classification, and origins of personality disorder, and on constructing an integrated framework for describing and conceptualizing personality pathology. His clinical interests are directed toward developing a unified approach to treatment. Dr. Livesley is a Fellow of the Royal Society of Canada. He is coeditor of the color=blue>Journal of Personality Disorders.

Giancarlo Dimaggio, MD, a psychiatrist and psychotherapist, is a co-founding member of the Center for Metacognitive Interpersonal Therapy in Rome, Italy. His primary interest is in metacognitive processes and mental disorders. He has published four books, including the coauthored Metacognitive Interpersonal Therapy for Personality Disorders, and more than 120 papers in scientific journals. Dr. Dimaggio is an associate editor of Psychology and Psychotherapy and the Journal of Psychotherapy Integration, and serves on the editorial board of the Journal of Personality Disorders. He has guest-edited many journal special issues on research and treatment for personality disorder.

John F. Clarkin, PhD, is Clinical Professor of Psychology in Psychiatry at Weill Cornell Medical College and Co-Director of the Personality Disorders Institute at New York Presbyterian Hospital. His research focuses on the phenomenology of personality disorder and treatment of patients with borderline personality disorder and bipolar disorder. Past president of the Society for Psychotherapy Research, Dr. Clarkin has published numerous articles and books on psychopathology, differential treatment planning, and personality disorder.