Sinopsis
The term personality remains one of the most confused and
abstract ideas within psychiatry and psychology and there are frequent attempts
to discard the concept altogether. Yet each generation of academics and
practitioners seem to have to rediscover its significance in clinical practice
(Livesley 2001) and over the last decade there has been increasing interest in
the notion of personality disorder both in its own right (Rutter 1987; Clarkin
and Lenzenweger 1996) and as a problem that interferes with treatment of other
mental health problems. The result has been the development of multifaceted
treatments which have led to a guarded optimism (Higgitt and Fonagy 1992 b; Pilkonis et al. 1997) that
personality is changeable and treatable.
This manual has been developed within this positive climate.
Yet, despite the present zeitgeist, considerable problems remain in writing a
manual for the treatment of borderline personality disorder. The aim of a manual
is to help practitioners organize their thinking about a specific group of
patients and to advise them what they need to do to treat them effectively. But
even in short-term treatments lasting 12–16 sessions, no manual can cover all
the clinical events that may occur during treatment. This is all the more so
with this manual which is about a long-term treatment for patients with
personality disorder.
Manuals addressing long-term treatment are rare and cannot
provide adequate detail about every clinical situation. This manual is no
exception and you, the practitioner, will have to use discretion and ingenuity.
Content
- Epidemiological and etiological research on borderline personality disorder
- Therapy research and outcome
- Mentalization-based understanding of borderline personality disorder
- Current models of treatment for borderline personality disorder
- Treatment organization
- Transferable features of the MBT model
- Strategies of treatment
- Techniques of treatment
- Implementation pathway
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