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Cognitive-Behavioral Treatment of Borderline Personality Disorder

by Marsha M Linehan Guilford Publications
Pub Date:
Hbk 558 pages
AU$152.00 NZ$154.78
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The two volumes in Dr. Linehan's program cover the full range of borderline conditions. In her far-reaching classic, 'Cognitive-Behavioral Treatment of Borderline Personality Disorder', Linehan describes in persuasive clinical detail the development and implementation of DBT. Because the behavioral skills training element of her program is so critical for working with borderline individuals, the companion Skills Training Manual presents session-by-session guidelines for imparting and integrating into the patient's repertoire four key psychosocial skills notably absent in borderlines. A previous version of this manual has been successfully used in psychiatric hospitals, community health centers, and other settings. Together, the two pieces add up to new promise for respectful, sustained, effective work with this growing patient group. For the average clinician, clinic, or inpatient facility, individuals with borderline personality disorder often represent the most difficult and insoluble cases. Now, set against the backdrop of intense patient pain, and intense frustration (and often anger) on the part of therapists enlisted to help, comes unexpected new hope in the form of Marsha Linehan's integrative, biosocial approach to borderlines, which she calls Dialectical Behavior Therapy.

At once firmly rooted in cognitive-behavioral strategies for change and specifically targeted at the cluster of behavioral problems of most immediate concern (the suicidal and other therapy-interfering behaviors), this is the only approach to date which has been empirically verified in controlled clinical studies. And it is the only approach which simultaneously addresses the BPD's profound skills deficits, characteristic dichotomous thought and behavior patterns, and extreme relationship needs. Touching on everything from how to decrease post-traumatic stress-related behaviors to how to handle the between-session phone call, from how to begin and end sessions to how to avert a suicide, Linehan's outstanding new text provides genuine hope for a population that has until now challenged clinicians of every orientation.


'We highly recommend this text and its companion training manual....' --- Bulletin of the Menninger Clinic '...represents a 'gold standard' for treatment of this diagnostic category.' --- Behaviour Research and Therapy

'It is the most exacting and well thought out treatment plan I have ever seen written for any disorder....I ha ve 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 11:4 (1996)

'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.....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

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.

Marsha M. Linehan, PhD, is Professor of Psychology and Adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington and Director of the Behavioral Research and Therapy Clinics, a consortium of research projects developing new treatments and evaluating their efficacy for persons with severe mental disorders and multiple diagnoses. Her primary research is in the application of behavioral models to suicidal behaviors, drug abuse, and borderline personality disorder. She is Past President of AABT.