1. Borderline patients and transference focused psychotherapy 2. factors that shape borderline personality disorder 3. treatment dilemmas arising from misdiagnoses 4. sadomasochism 5. narcissism and psychopathy 6. the impact of attachment status 7. schizoid states and paranoid regression 8. depression and suicidality 9. trauma, sexual pathology, and acting out 10. erotic transference and countertransference 11. using dream material 12. transference focused psychotherapy combined with parmacotherapy 13. transference focused psychotherapy in sequence with other modalities.

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.

For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems. Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT Skills Training Manual, Second Edition, and DBT Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.

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.

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.

The core of the treatment is the balance of acceptance and change strategies, both within each therapy interaction and over time. For problem solving with borderline personality disorder, the book provides specific strategies for contingency management, exposure, cognitive modification, and skills training. The last component is further elucidated in the companion Skills Training Manual, which programmatically details procedures and includes client handouts for step-by-step implementation. Finally, to enhance interpersonal communication, Dr. Linehan presents three case management sets: consultation to the patient, environmental intervention, and consultation to the therapist. Addressing the most stressful patient behaviors that clinicians encounter, the book includes a step-by-step outline for assessing suicide risk, managing suicide threats, and working with chronic suicidal behavior

Examine personality psychopathology from diverse perspectives and explore multiple research and treatment approaches with The American Psychiatric Publishing Textbook of Personality Disorders. Capture the multifaceted range of nonpathological human behavior and develop a judicious understanding of the extremes of behavior that are called personality disorders. No other textbook today matches the clinically useful scope and relevance of Textbook of Personality Disorders. Its comprehensive coverage of theory, research, and treatment of personality disorders, incorporating illustrative case examples to enhance understanding, reflects the work of more than 70 expert contributors who review the latest theories, research findings, and clinical expertise in the increasingly complex field of personality disorders. The deeply informative Textbook of Personality Disorders is organized into six main sections: Basic concepts -- Summarizes definitions and classifications of personality disorders, building on broader international concepts and theories of psychopathology and including categorical and dimensional models of personality disorders Clinical evaluation -- Discusses manifestations, problems in differential diagnosis, and patterns of comorbidity; the most widely used interviews and self-administered questionnaires; and the course and outcome of personality disorders. Etiology -- Includes an integrative perspective (personality disorders, personality traits, and temperament); epidemiology (one in ten people has a personality disorder) and genetics; neurobiology; antecedents of personality disorders in children and adolescents; attachment theory and mentalization therapy in borderline personality disorder; and the complex and variable interface between personality disorders and sociocultural factors Treatment -- Covers levels of care and the full range of therapies, from psychoanalysis to pharmacotherapy; includes detailed information on schema therapy, dialectical behavior therapy (specifically developed for self-injuring/suicidal patients with borderline personality disorder), interpersonal therapy, dynamically-informed supportive psychotherapy, group treatment, family therapy, psychoeducation, the therapeutic alliance, boundary issues, and collaborative treatment Special problems and populations -- Addresses suicide, substance abuse, violence, dissociative states, defensive functioning, gender and cross-cultural issues, and patients in correctional and medical settings New developments and future directions -- Offers perspectives on brain imaging and translational research and asserts that the closer working relationship between clinical psychiatrists and behavioral neuroscientists -- with neuroimaging techniques as the common ground -- will result in more promising models to enhance our understanding of the neuroscience and molecular biology of personality disorders Offering both a wealth of practical information that clinicians can use right away in their daily practice and an up-to-date review of empirical research, The American Psychiatric Publishing Textbook of Personality Disorders is the definitive reference and clinical guide not only for seasoned clinicians but also for psychiatry residents, psychology interns and graduate students, and social work, medical, and nursing students.