Management of Countertransference with Borderline Patients

Management of Countertransference with Borderline Patients PDF Author: Glen O. Gabbard
Publisher: American Psychiatric Pub
ISBN: 9780880485630
Category : Medical
Languages : en
Pages : 272

Book Description
Management of Countertransference With Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient. This comprehensive volume * includes an overview of common countertransference feelings that arise in treating borderline patients* describes various aspects of countertransference management* illustrates these aspects with detailed clinical vignettes* covers gender issues in countertransference* presents a detailed examination of countertransference when the therapist is pregnant Management of Countertransference With Borderline Patients serves as a clinical guide for all mental health professionals seeking to avoid boundary violations in their clinical work.

Management of Countertransference with Borderline Patients

Management of Countertransference with Borderline Patients PDF Author: Glen O. Gabbard
Publisher: Jason Aronson
ISBN: 1461629462
Category : Psychology
Languages : en
Pages : 270

Book Description
Management of Countertransference with Borderline Patients is an open and detailed discussion of the emotional reactions that clinicians experience when treating borderline patients. This book provides a systematic approach to managing countertransference that legitimizes the therapist's reactions and shows ways to use them therapeutically with the patient.

Transference-Focused Psychotherapy for Borderline Personality Disorder

Transference-Focused Psychotherapy for Borderline Personality Disorder PDF Author: Frank E. Yeomans
Publisher: American Psychiatric Pub
ISBN: 1585625434
Category : Medical
Languages : en
Pages : 430

Book Description
Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide presents a model of borderline personality disorder (BPD) and its treatment that is based on contemporary psychoanalytic object relations theory as developed by the leading thinker in the field, Otto Kernberg, M.D., who is also one of the authors of this insightful manual. The model is supported and enhanced by material on current phenomenological and neurobiological research and is grounded in real-world cases that deftly illustrate principles of intervention in ways that mental health professionals can use with their patients. The book first provides clinicians with a model of borderline pathology that is essential for expert assessment and treatment planning and then addresses the empirical underpinnings and specific therapeutic strategies of transference-focused psychotherapy (TFP). From the chapter on clinical assessment, the clinician learns how to select the type of treatment on the basis of the level of personality organization, the symptoms the patient experiences, and the areas of compromised functioning. In order to decide on the type of treatment, the clinician must examine the patient's subjective experience (such as symptoms of anxiety or depression), observable behaviors (such as investments in relationships and deficits in functioning), and psychological structures (such as identity, defenses, and reality testing). Next, the clinician learns to establish the conditions of treatment through negotiating a verbal treatment contract or understanding with the patient. The contract defines the responsibilities of each of the participants and defines what the reality of the therapeutic relationship is. Techniques of treatment interventions and tactics to address particularly difficult clinical challenges are addressed next, equipping the therapist to employ the four primary techniques of TFP (interpretation, transference analysis, technical neutrality, and use of countertransference) and setting the stage for and guiding the proper use of those techniques within the individual session. What to expect in the course of long-term treatment to ameliorate symptoms and to effect personality change is covered, with sections on the early, middle, and late phases of treatment. This material prepares the clinician to deal with predictable phases, such as tests of the frame, impulse containment, movement toward integration, episodes of regression, and termination. Finally, the text is accompanied by supremely instructive online videos that demonstrate a variety of clinical situations, helping the clinician with assessment and modeling critical therapeutic strategies. The book recognizes that each BPD patient presents a unique treatment challenge. Grounded in the latest research and rich with clinical insight, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide will prove indispensable to mental health professionals seeking to provide thoughtful, effective care to these patients.

Six Steps in the Treatment of Borderline Personality Organization

Six Steps in the Treatment of Borderline Personality Organization PDF Author: Vamik D. Volkan
Publisher: Jason Aronson
ISBN:
Category : Psychology
Languages : en
Pages : 254

Book Description
In this volume, Dr Volkan uses precise, strong and sometimes poetic language to present a treatment approach for work with borderline patients. His entire treatment method is set forth in six steps that reflect the patient's actual sequential experience in the therapeutic process. Unlike many therapists who write about therapy approaches, Volkman presents his work with nine psychosis-prone borderline patients who underwent his specific treatment plan, as well as a detailed account of a six-year, seven-month analysis of Pattie, which the author described as a long journey into an intrapsychic world.

Fundamentals of Transference-Focused Psychotherapy

Fundamentals of Transference-Focused Psychotherapy PDF Author: Richard G. Hersh
Publisher: Springer
ISBN: 3319440918
Category : Medical
Languages : en
Pages : 276

Book Description
This book offers clear, practical, and simple recommendations for treating patients with personality disorders. The goals of the book are twofold: 1) to describe the essential elements of Transference-Focused Psychotherapy (TFP), an evidence-based treatment for Borderline Personality Disorder, and 2) to describe how core principles and techniques of TFP can be used in a variety of settings to improve clinical management of patients with a broad spectrum of personality pathology, even when patients are not engaged in individual psychotherapy. A short introduction outlines in concise language the core elements of TFP and its origins in object relations theory. The book then takes the clinician through the process of: 1) comprehensive diagnosis, 2) negotiation of the treatment frame, and 3) the overarching strategies, techniques, and tactics used in the individual treatment, including helpful, accessible clinical vignettes. Subsequent chapters build on the literature of TFP in individual psychotherapy, broadening its applications to include crisis management, family engagement, inpatient psychiatry, pharmacotherapy, medical settings, psychiatry residency training. Fundamentals of Transference-Focused Psychotherapy is a valuable resource for psychiatrists, psychologists, and all other medical professionals treating patients suffering from Borderline Personality Disorder, and other severe personality disorder presentations.

The Borderline Patient

The Borderline Patient PDF Author: James S. Grotstein
Publisher: Routledge
ISBN: 1317771702
Category : Psychology
Languages : en
Pages : 360

Book Description
This volume focuses on treatment issues pertaining to patients with borderline psychopathology. A section on psychoanalysis and psychoanalytic psychotherapy (with contributors by V. Volkan, H. Searles, O. Kernberg, L. B. Boyer, and J. Oremland, among others) is followed by a section exploring a variety of alternative approaches. The latter include psychopharmacology, family therapy, milieu treatment, and hospitalization. The editors' concluding essay discusses the controversies and convergences among the different treatment approaches.

Becoming a Constant Object in Psychotherapy with the Borderline Patient

Becoming a Constant Object in Psychotherapy with the Borderline Patient PDF Author: Charles P. Cohen
Publisher: Jason Aronson
ISBN: 9780765700056
Category : Medical
Languages : en
Pages : 350

Book Description
1. standing still 2. The state of the art 3. major issues in treatment of the borderline patient 4. perpetual fear and abandonment 5. inability to modulate affect 6. intolerance of separateness 7. adaptive matrix constancy 8. differentiating constancy 9. reparation constancy.

Transference-Focused Psychotherapy for Adolescents With Severe Personality Disorders

Transference-Focused Psychotherapy for Adolescents With Severe Personality Disorders PDF Author: Lina Normandin, Ph.D.
Publisher: American Psychiatric Pub
ISBN: 1615373144
Category : Medical
Languages : en
Pages : 278

Book Description
Transference-Focused Psychotherapy for Adolescents With Severe Personality Disorders is a manual for clinicians who wish to learn an effective psychodynamic treatment for young people with personality disorders (PDs). Despite converging evidence that PDs emerge in childhood and are clearly evident in adolescence, research on effective treatments has been limited. The editors have therefore created a book that details treatment models with strong theoretical foundations and examines systematic interventions designed to explore and resolve the conflicts and behaviors, common to PDs, that impede normal adolescent development. The book begins with an overview of psychopathology and normal adolescent development from a psychodynamic perspective. The next section offers therapeutic approaches, including a discussion of the major goals and strategies of TFP-A, the clinical evaluation and assessment process, establishment of the treatment framework and collaboration with parents, and finally, the techniques and tactics of TFP-A. The last section of the book reviews the phases of treatment and discusses the strengths and competencies a therapist must have to successfully conduct transference-based therapy. Authored by experts in the field (including Dr. Kernberg, a pioneer in object relations), Transference-Focused Psychotherapy for Adolescents (TFP-A) with Severe Personality Disorders teaches clinicians how to conduct TFP-A, with the ultimate goal of resolving the intrapsychic restrictions that interfere with normal adolescent development.

The Dialectical Behavior Therapy Primer

The Dialectical Behavior Therapy Primer PDF Author: Beth S. Brodsky
Publisher: John Wiley & Sons
ISBN: 1118556615
Category : Psychology
Languages : en
Pages : 365

Book Description
Dialectical Behavior Therapy (DBT) has quickly become a treatment of choice for individuals with borderline personality disorder and other complicated psychiatric conditions. Becoming proficient in standard DBT requires intensive training and extensive supervised experience. However, there are many DBT principles and procedures that can be readily adapted for therapists conducting supportive, psychodynamic, and even other forms of cognitive behavioral treatments.Despite this, there is a dearth of easily accessible reading material for the busy clinician or novice. This new book provides a clinically oriented, user-friendly guide to understanding and utilizing the principles and techniques of DBT for non-DBT-trained mental health practitioners and is an ideal guide to DBT for clinicians at all levels of experience. Written by internationally recognized experts in suicide, self injury and borderline personality disorder, it features clinical vignettes, following patients through a series of chapters, clearly illustrating both the therapeutic principles and interventions.

Treatment of Severe Personality Disorders

Treatment of Severe Personality Disorders PDF Author: Otto F. Kernberg, M.D.
Publisher: American Psychiatric Pub
ISBN: 1615371435
Category : Medical
Languages : en
Pages : 322

Book Description
In Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism, the influential psychoanalyst and psychiatrist Otto Kernberg presents an integrated update of the current knowledge of personality disorders, their neurobiological and psychodynamic determinants, and a specific psychodynamic psychotherapy geared to resolve the psychopathology of these conditions -- namely, the syndrome of identity diffusion and its influence on the capacity for emotional wellbeing and gratifying relationships with significant others. The author updates the findings of the Personality Disorders Institute of the Weill Cornell Medical College Department of Psychiatry, which are derived from the empirical research and clinical investigation of severe personality disorders, and addresses the effectiveness of transference-focused psychotherapy, a specific psychodynamic treatment for these disorders developed at the Institute. The volume focuses particularly on an essential group of techniques common to all psychoanalytically derived treatments and clarifies the corresponding differential features of various psychodynamic treatment approaches. In prose both precise and evocative, the author: Examines the classification of personality disorders, the way competing viewpoints have influenced the evolution of DSM-III and DSM-IV, and the impact of new knowledge on the classification of DSM-5, with emphasis on how conflicts between scientific and political considerations have hindered the classification of personality disorders in the past. Illustrates in detail how present knowledge of neurobiological structures and neurotransmitters intertwines with the psychodynamic determinants of how psychic experience is organized. Explores psychodynamic psychotherapies and contemporary developments and controversies in the field. For example, the role of interpretation in borderline pathology is examined using a clinical case, and a new formulation of supportive psychodynamic psychotherapy is described. Addresses severe narcissistic pathology -- its diagnosis, prognosis, and treatment. Specifically, the book presents an overview of treatment options for severe narcissistic personality disorder, explores the distortions in verbal communication that may arise during psychotherapy with these patients, and focuses on the differential diagnosis of antisocial behavior. Examines the diagnosis and treatment of sexual pathology, and explores the vicissitudes of the love lives of patients with severe personality disorders. Concludes with a chapter on the essential preconditions in the education of psychodynamic psychotherapists to carry out the challenging and complex psychotherapeutic work in this field. In describing both the limits and the advances in therapeutic effectiveness, the Treatment of Severe Personality Disorders: Resolution of Aggression and Recovery of Eroticism performs a great service, and it will surely become a classic of the psychoanalytic literature.
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