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Cognitive-Behavioral Treatment of Borderline Personality Disorder

by Marsha M. Linehan Guilford Publications
Pub Date:
05/1993
ISBN:
9781606237786
Format:
Ebk 558 pages
Price:
AU$147.00 NZ$153.91
Product Status: Available
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This volume is the authoritative presentation of Dialectical Behavior Therapy (DBT), Linehan's comprehensive, integrated approach to treating individuals with borderline personality disorder. DBT--which has since been adapted for other difficult-to-treat disorders involving emotion dysregulation--combines cognitive and behavioral strategies with elements of psychodynamic, strategic, and other modalities. Delineated are specific strategies for contingency management, exposure, cognitive modification, and skills training. See also Linehan's DBT Skills Training Manual, Second Edition, which provides essential materials for implementing DBT skills training, plus DBT Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action. Plus related DBT videos: DBT at a Glance: An Introduction to Dialectical Behavior Therapy, DBT at a Glance: The Role of the Psychiatrist on the DBT Team, and Getting a New Client Connected to DBT (Complete Series).

I. THEORY AND CONCEPTS.
1. Borderline Personality Disorder: Concepts, Controversies, and Definitions.
2. Dialectical and Biosocial Underpinnings of Treatment.
3. Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients.
II. TREATMENT OVERVIEW AND GOALS.
4. Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell.
5. Behavioral Targets in Treatment: Behaviors to Increase and Decrease.
6. Structuring Treatment Around Target Behaviors: Who Treats What and When.
III. BASIC TREATMENT STRATEGIES.
7. Dialectical Treatment Strategies.
8. Core Strategies: Part I. Validation.
9. Core Strategies: Part II. Problem Solving.
10. Change Procedures: Part I. Contingency Procedures (Managing Contingencies and Observing Limits.
11. Change Procedures: Part II. Skill Training, Exposure, Cognitive Modification.
12. Stylistic Strategies: Balancing Communication.
13. Case Management Strategies: Interacting with the Community.
IV. STRATEGIES FOR SPECIFIC TASKS.
14. Structural Strategies.
15. Special Treatment Strategies.

'We highly recommend this text and its companion training manual....'--Bulletin of the Menninger Clinic Bulletin of the Menninger Clinic 'Every once in a very long while in our field, a clinical innovation is introduced that profoundly improves patient care. Marsha Linehan's development of a cognitive-behavioral approach to borderline personality disorder is such a rare innovation....Her techniques are clear, teachable, and learnable, and make good common sense to the therapist and the patient. Dr. Linehan's methods have greatly improved my treatment of borderline individuals and my teaching of others in how best to understand and treat these patients.'--Allen Frances, MD 'Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients.'--Lester Luborsky, PhD 'Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny.'--Gerald Davison, PhD, University of Southern California 'Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results.'--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center 'Linehan is a brilliant, compassionate, and rigorous therapist for borderline patients. What's more, and what is most unusual for master therapists, she has proven its efficacy in published randomized, controlled trials. What is fortuitous for borderline patients and their therapists is that she has painstakingly crafted a wise book and user-friendly manual well grounded in principle, detailed in its strategies, and exportable to a wide range of treatment settings.Our hospital has applied Linehan's treatment in several settings over the past five years: acute inpatient, extended inpatient, day treatment, and outpatient. We have primarily worked with borderline clients, but have also had success with some schizophrenics. Patients, families, and staff have received this new approach with enthusiasm; it makes common sense to them and feels very practical. It's a treatment that integrates well with biological, rehabilitative, most psychodynamic, and family treatment modes, and parallels treatments for eating disorders, substance abuse, and PTSD from childhood abuse....Linehan has set a high standard of treatment for borderlines in the 1990s; the patients will be the ultimate beneficiaries.'--Charles R. Swenson, MD, New York Hospital, Westchester Division 'It is the most exacting and well thought out treatment plan I have ever seen written for any disorder....I have tried to find shortcomings with this book. I can find none. It is one of the best pieces of clinical work ever written. No matter what your clinical or research focus of interest, you will gain immensely from reading Cognitive-Behavioral Treatment of Borderline Personality Disorder.'--Journal of Family Violence Journal of Family Violence '...represents a gold standard' for treatment of this diagnostic category.'--Behaviour Research and Therapy Behaviour Research and Therapy
Marsha M. Linehan, PhD, ABPP, is the developer of dialectical behavior therapy (DBT) and Professor of Psychology and of Psychiatry and Behavioral Sciences and Director of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders.

Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior.

She is a Zen master and teaches mindfulness and contemplative practices via workshops and retreats for health care providers.