This clinical guide describes a different way to treat borderline personality disorder. Rather than using the currently available therapies, the author presents a trans-theoretical approach that combines the essential elements of all effective treatments. The book offers a framework for understanding the nature and origins of borderline personality disorder that is used to define treatment targets and strategies. Building on this foundation, systems for organizing treatment are presented around change mechanisms common to all effective therapies. Interventions are presented in modules, allowing therapists to select treatment according to the needs of patients. Treatment is explained by dividing therapy into phases, each addressing different problems. Methods are described to promote engagement, manage suicidality, treat crises, improve emotional regulation, restructure maladaptive interpersonal behaviours, construct a new sense of self and identity, and build a life worth living. The volume will interest mental health professionals from all disciplines and different levels of expertise. Table of Contents Preface Part I. Introduction and Framework for Understanding Borderline Personality Disorder: 1. Introduction 2. Understanding normal and disordered personality 3. Understanding borderline personality disorder 4. Origins and development Part II. Assessment and Treatment Planning: 5. Diagnosis and assessment 6. Formulation, treatment planning and the treatment contract Part III. General Modules: Introduction to Part III 7. General treatment module 1: structure 8. General treatment module 2: treatment relationship 9. General treatment module 3: consistency 10. General treatment module 4: validation 11. General treatment module 5: self-reflection 12. General treatment module 6: motivation Part IV. Safe, Containment and Engagement: The Initial Phase of Treatment: Introduction to Part IV 13. Managing crises and containing emotions and suicidality 14. Managing the early sessions Part V. Improving Emotional Regulation and Modulation: Introduction to Part V 15. General principles for improving emotional stability 16. Building emotional stability: psychoeducation, awareness and emotion regulation modules 17. Improving emotional processing Part VI. Exploration and Change: Treating Interpersonal Problems: Introduction to Part VI 18. Principles for treating maladaptive schemas and interpersonal patterns 19. Treating submissiveness and attachment insecurity 20. Treating the core interpersonal conflict Part VII. Constructing a More Adaptive Sense of Self: Introduction to Part VII 21. Building a more coherent self 22. Promoting an adaptive self-narrative and flexible working selves 23. Getting a life: building a personal niche Part VIII. Retrospect and Prospect: Introduction to Part VIII 24. Summary and overview: the treatment process across time. About the Author: W. John Livesley is Professor Emeritus in the Department of Psychiatry at the University of British Columbia, Vancouver.
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