John F. Clarkin - Böcker

The book is a treatment manual designed for mental health professionals who work with individuals presenting with moderate to severe forms of personality disorder. The book focuses on the broader group of patients with borderline personality organization, expanding the reach and utility of this volume.

Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.

This essential guide to the prescriptive selection of psychosocial interventions is founded on a research?based model that sequentially considers patient dimensions, environments, settings, therapists, and therapies. It covers the development of a prescriptive decision model, patient predisposing variables, and more.

First published in 1991. Using actual case material, this text shows how psychological assessment contributes to the clarification of diagnostic issues and the development of an optimal treatment plan. It covers disorders usually first evident in childhood and ends with the Axis II personality disorders.

This essential guide to the prescriptive selection of psychosocial interventions is founded on a research?based model that sequentially considers patient dimensions, environments, settings, therapists, and therapies. It covers the development of a prescriptive decision model, patient predisposing variables, and more.

First published in 1991. Using actual case material, this text shows how psychological assessment contributes to the clarification of diagnostic issues and the development of an optimal treatment plan. It covers disorders usually first evident in childhood and ends with the Axis II personality disorders.

Rather than arguing for one best approach for treating personality disorder, this pragmatic book emphasizes the benefits of weaving together multiple well-established intervention strategies to meet each patient's needs. A framework is provided for constructing a comprehensive case formulation, planning treatment, and developing a strong therapeutic alliance. The clinician is guided to utilize techniques from all major therapeutic orientations to address transdiagnostic personality symptoms and problems involving emotion regulation, interpersonal functioning, and self and identity. Showing how to pick and choose from "what works" in a thoughtful, coordinated fashion, the book features rich clinical illustrations, including a chapter-length case example.See also Handbook of Personality Disorders, Second Edition, edited by W. John Livesley and Roseann Larstone, the leading reference that surveys theory, research, and evidence-based treatments.

Rather than arguing for one best approach for treating personality disorder, this pragmatic book emphasizes the benefits of weaving together multiple well-established intervention strategies to meet each patient's needs. A framework is provided for constructing a comprehensive case formulation, planning treatment, and developing a strong therapeutic alliance. The clinician is guided to utilize techniques from all major therapeutic orientations to address transdiagnostic personality symptoms and problems involving emotion regulation, interpersonal functioning, and self and identity. Showing how to pick and choose from "what works" in a thoughtful, coordinated fashion, the book features rich clinical illustrations, including a chapter-length case example.See also Handbook of Personality Disorders, Second Edition, edited by W. John Livesley and Roseann Larstone, the leading reference that surveys theory, research, and evidence-based treatments.

Offering a sophisticated introduction to a contemporary psychodynamic model of the mind and treatment, this book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called ""dynamic psychotherapy for higher level personality pathology"" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Based on psychodynamic object relations theory, DPHP is an outgrowth of transference-focused psychotherapy (TFP) and is part of an integrated approach to psychodynamic treatment of personality pathology across the spectrum of severity - from higher level personality pathology, described in this volume, to severe personality pathology, described in a companion volume, Psychotherapy for Borderline Personality: Focusing on Object Relations. Together, they provide a comprehensive description of an object relations theory-based approach to treatment of personality disorders, embedded in an integrated model of personality.As a guide to treatment, Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. The authors offer a comprehensive description of psychodynamic consultation that includes sharing the diagnostic impression, establishing treatment goals, discussing treatment options, obtaining informed consent, and establishing treatment frame. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of the treatment. Among the book's benefits: ; Takes a diagnosis-driven approach, presenting a clear model of both the psychopathology and its treatment;; Explains underlying theory and basic elements of DPHP for those first learning dynamic therapy;; Offers an integrated, innovative synthesis of contemporary psychodynamic approaches to personality pathology and psychodynamic psychotherapy;; Describes goals, strategies, tactics, and techniques of the treatment to demonstrate its flexibility over a relatively long course of treatment;; Provides sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment. DPHP offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides experienced clinicians with a hands-on approach to that method, and is also useful as a primary textbook in courses focusing on the technique of dynamic psychotherapy or in courses on psychodynamics.

This handbook is intended for clinicians with a range of expertise who employ a psychodynamic orientation in the assessment and/or treatment of patients with personality pathology. Well documented and articulate, this manual is appropriate for everyone from students of psychotherapy to experienced clinicians seeking to refine their practice. Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook gathers in one place the psychodynamic psychotherapy thinking on each of the Axis II personality disorders. This includes the work of 22 contributing writers in addition to the three primary authors, John F. Clarkin, Ph.D., Peter Fonagy, Ph.D., and Glen O. Gabbard, M.D. The material presented here is available elsewhere but, until now, not all in one place.The focus of the book is the psychodynamic conceptualization, assessment, and treatment of the personality disorders as currently described in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Included are 16 chapters in three sections: Defining Personality Pathology, Treatment Approaches, and Research for Future Directions. The background of models of personality and its pathology comprises Section I. Section II contains chapters on the treatment of specific personality disorder constellations. These treatment chapters provide information on the relevant empirical research, patient phenomenology and psychodynamics, treatment strategies, and techniques, woven together with clinical illustrations and vignettes. Section III includes a summary of the existing treatment outcome research and a glimpse of the diagnostic procedures in the near future. Each of the chapter authors has had extensive clinical, and sometimes research, experience with the assessment and treatment of one of the personality disorders described. Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook is, as titled, a practical handbook and guide to clinicians with real-world applications. Every patient a clinician treats has personality issues, if not a personality disorder. This book provides strategies and techniques for addressing personality issues; DSM-IV-TR is proceeding to DSM-V. This collection of papers provides up-to-date information on how the personality disorders will be handled in the upcoming DSM-V; The authors provide summaries of key concepts and suggested readings of particular value to residents and students in other disciplines The authors suggest that new research and reviews indicate, to the surprise of many, that psychodynamic treatments are effective for these personality disorders, and its impact is as great as, that of cognitive-behavioral treatments.

This guide is both compatible with the DSM-5 Section III Alternative Model for Personality Disorders and elaborates on it, offering clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders.

Now in a fully revised and expanded second edition, this landmark work brings together in one volume the most important current perspectives on personality pathology. Chapters from leading experts have been extensively rewritten to reflect a decade's worth of significant theoretical, empirical, and clinical developments, and two entirely new chapters have been added. Coverage encompasses psychodynamic, interpersonal, attachment, ecological, psychometric, and neurobiological models, all presented in a consistent format to facilitate ready reference and comparison. The volume also explores similarities and differences among the various theories, identifies potential avenues of integration, and discusses key implications for research and clinical care.