This volume gives psychodynamic psychotherapists a view of how their colleagues actually treat severely disturbed borderline patients and how treatments proceed over the course of several years.

Effective Psychotherapy With Borderline Patients

Health, Fitness & Dieting

Gunderson, John G.

Waldinger, Robert J.

Psychology & Counseling

Macmillan USA

Borderline Personality Disorder

Mental Health

Cambridge University Press

Principles and Practice of Milieu Therapy

Will, O. A.

Mosher, Loren R.

Jason Aronson, Inc.

Borderline personality disorder is easily the most widely and commonly used diagnosis for personality disorders in clinical practice today--affecting about 2%--3% of the general population, 25% of the inpatient population, and 15% of the outpatient population.
This sequel to Gunderson's 1984 Borderline Personality Disorder reflects the explosion of information, expertise, and specialization in borderline personality disorder, covering all recognized treatments for the clinical care of borderline patients in today's managed care environment. Integrating scientific advances with clinical lore, it offers a sophisticated--and uniquely comprehensive--look at treatment literature, clinical perspectives, and modalities.
Beginning with the diagnosis itself (with special attention to the borderline patient's specialty, self-destructiveness), this remarkable volume presents the following topics: 
<ul>? The author's empirically and clinically anchored theory on the sequencing of goals (i.e., the targets for intervention), processes of change, and modalities best suited for a patient's changing needs. This theory superimposes a logic on treatment planning and anticipates the sequence of subsequent chapters on specific treatment modalities.? The importance of the primary clinician, easily overlooked because borderline patients receive care in multiple settings, further complicating the already difficult process of obtaining the critical treatment authorizations mandated by managed care. Treatment split among caregivers, made necessary by today's managed care environment, is here elevated to a virtue because multiple caregivers add breadth to treatment goals and help prevent flight from treatment by these patients.? The different goals, directions, structure, and staffing of the four levels of care: hospitalization, residential/partial hospital care, intensive outpatient programs, and outpatient programs.? Two seemingly conflicting aspects of psychopharmacology: 1) a guide to selecting medication (the single most widely and uniformly used treatment), and 2) the real-life complexities of prescribing medications and evaluating their effectiveness? Cognitive-behavioral therapies (the major therapeutic advance of the 1990s), especially dialectical behavior therapy; family involvement; and interpersonal group treatment. ? An in-depth exploration of psychoanalytic psychotherapy, in which the author argues that this modality (until recently, the treatment of choice for borderline patients) should be used selectively because of the motivation and aptitude required by both patients and therapists. </ul>
Enhanced by both case reports and sidebars that detail newsworthy, timely--and controversial--topics found nowhere else in the literature, this captivating text concludes with a refreshingly optimistic look at the future of effectively treating borderline patients. It will prove an invaluable reference for clinicians, patients' families, health care administrators, and instructors in psychotherapy, psychopathology, and integrated treatment.

Amer Psychiatric Pub Inc

This volume gives psychodynamic psychotherapists a view of how their colleagues actually treat severely disturbed borderline patients and how treatments proceed over the course of several years.

Effective Psychotherapy with Borderline Patients: Case Studies

Waldinger M.D., Dr Robert J

American Psychiatric Association Publishing

Defined by stable, long-term, subjective distress and/or social impairment, personality disorders affect up to 18% of the population. Social impairment and health care usage are far more prevalent among people with personality disorders than among people with major depressive disorders. Personality disorders are highly prevalent, variable, and notoriously difficult to treat, and they continue to challenge the therapeutic community and represent a formidable public health concern.
This volume ably addresses personality disorders as one of the top priorities of psychiatry for the new millennium, offering a thorough and updated review and analysis of empirical work to point up the issues central to developing a therapeutic model for treatment as well as current research challenges. A review of extant research yields the heartening conclusion that psychotherapy remains an effective treatment for people with personality disorders. An examination of psychodynamic treatment for borderline personality disorder speaks to its efficacy. An analysis of the rationale for combining psychotherapy and psychopharmacology emphasizes the importance of identifying temperament and target conditions. A well-documented and reasoned treatise on antisocial personality disorder makes the crucial point that clinicians must acquire a depth of understanding and skill sufficient to determine what the cut-off point is for treatable versus nontreatable gradations. With the caveat that evidence supporting the efficacy of cognitive treatments for personality disorders is slight and that such approaches require tailoring, a strong case is made for their validity.
This timely volume both answers and reframes many stubborn questions about the efficacy of psychotherapy for treating personality disorders.

Psychotherapy for Personality Disorders Volume 19#3 (Review of Psychiatry)

Gabbard, Glen O.

Get That Interview

Focus Pub. Co

Write a Winning Resume

Business & Money

Job Hunting & Careers

Borderline personality disorder is easily the most widely and commonly used diagnosis for personality disorders in clinical practice today--affecting about 2%--3% of the general population, 25% of the inpatient population, and 15% of the outpatient population.
This sequel to Gunderson's 1984 Borderline Personality Disorder reflects the explosion of information, expertise, and specialization in borderline personality disorder, covering all recognized treatments for the clinical care of borderline patients in today's managed care environment. Integrating scientific advances with clinical lore, it offers a sophisticated--and uniquely comprehensive--look at treatment literature, clinical perspectives, and modalities.
Beginning with the diagnosis itself (with special attention to the borderline patient's specialty, self-destructiveness), this remarkable volume presents the following topics: 
<ul>Â• The author's empirically and clinically anchored theory on the sequencing of goals (i.e., the targets for intervention), processes of change, and modalities best suited for a patient's changing needs. This theory superimposes a logic on treatment planning and anticipates the sequence of subsequent chapters on specific treatment modalities.Â• The importance of the primary clinician, easily overlooked because borderline patients receive care in multiple settings, further complicating the already difficult process of obtaining the critical treatment authorizations mandated by managed care. Treatment split among caregivers, made necessary by today's managed care environment, is here elevated to a virtue because multiple caregivers add breadth to treatment goals and help prevent flight from treatment by these patients.Â• The different goals, directions, structure, and staffing of the four levels of care: hospitalization, residential/partial hospital care, intensive outpatient programs, and outpatient programs.Â• Two seemingly conflicting aspects of psychopharmacology: 1) a guide to selecting medication (the single most widely and uniformly used treatment), and 2) the real-life complexities of prescribing medications and evaluating their effectivenessÂ• Cognitive-behavioral therapies (the major therapeutic advance of the 1990s), especially dialectical behavior therapy; family involvement; and interpersonal group treatment. Â• An in-depth exploration of psychoanalytic psychotherapy, in which the author argues that this modality (until recently, the treatment of choice for borderline patients) should be used selectively because of the motivation and aptitude required by both patients and therapists. </ul>
Enhanced by both case reports and sidebars that detail newsworthy, timely--and controversial--topics found nowhere else in the literature, this captivating text concludes with a refreshingly optimistic look at the future of effectively treating borderline patients. It will prove an invaluable reference for clinicians, patients' families, health care administrators, and instructors in psychotherapy, psychopathology, and integrated treatment.

Borderline Personality Disorder: A Clinical Guide

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