An important breakthrough in the treatment of one of the most challenging classes of psychological disorders This book introduces psychotherapists to Integrative Relational Psychotherapy (IRP), a dynamic new approach to the diagnosis and treatment of personality disorders that capitalizes on recent major advances in the fields of personology and therapy systems theory. Combining a rigorous biopsychosocial model of personality with a relational framework for patient assessment and treatment planning, IRP is designed to produce rapid and sustained systemic change in patients suffering from virtually all DSM-identified personality disorders. With the help of numerous case studies and vignettes drawn from his own practice, Dr. Jeffrey Magnavita provides a remarkably lucid, fully referenced presentation of the theoretical underpinnings of IRP. He arms you with tested relational assessment tools, psychometrics, and interviewing techniques that can easily be incorporated into individual, couples, and family therapy practices. And he develops clear guidelines for creating customized, highly focused treatment strategies--for individual clients or families--that integrate an array of systemic intervention modalities to be administered sequentially or in combination.

Patients with personality disorders need targeted treatments which are able to deal with the specific aspects of the core pathology and to tackle the challenges they present to the treatment clinicians. Such patients, however, are often difficult to engage, are prone to ruptures in the therapeutic alliance, and have difficulty adhering to a manualized treatment. Giancarlo Dimaggio, Antonella Montano, Raffaele Popolo and Giampaolo Salvatore aim to change this, and have developed a practical and systematic manual for the clinician, using Metacognitive Interpersonal Therapy (MIT), and including detailed procedures for dealing with a range of personality disorders. The book is divided into two parts, Pathology, and Treatment, and provides precise instructions on how to move from the basic steps of forming an alliance, drafting a therapy contract and promoting self-reflections, to the more advanced steps of promoting change and helping the patient move toward health and adaptation. With clinical examples, summaries of therapies, and excerpts of session transcripts, Metacognitive Interpersonal Therapy for Personality Disorders will be welcomed by psychotherapists, clinical psychologists and other mental health professionals involved in the treatment of personality disorders.

This [book] offers a framework to make sense of childhood personality disorders, distinguish them from more frequently diagnosed childhood conditions, and respond appropriately to neurobiological, psychodynamic, and developmental perspectives. [The author] presents an effective treatment model grounded in research and ... clinical experience ... The author first explores the nature and clinical presentation of childhood personality disorders ... The book then takes the clinician step-by-step through offering multimodal interventions that incorporate individual psychotherapy, family treatment, and pharmacotherapy ... Emphasizing the importance of the therapeutic alliance, the book gives particular attention to ways that therapists can understand and work with their own emotional reactions in highly charged clinical situations.-Dust jacket.

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.

Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy -- Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders -- and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: A coherent model of personality functioning and disorders based in psychodynamic object relations theory A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.

A bold look at the body as a source of contention for those who suffer from personality disorders. This work connects interpersonal neurobiology, attachment theory, and psychoanalytic theory with cognitive and neuroscientific work on implicit memory, trauma theory, and dissociation to propose an integrated method for treating severe borderline and narcissistic disorders, with the prime aim of resolving the affect dysregulation that affects the various realms of bodily discomfort and existential pain. Each chapter presents a particular case and illustrates the methods for working with the specific problems that arise: from bulimia to self-cutting to sexual identity diffusion to suicidality. Treatment is illustrated from the initial level of careful diagnosis to the first stages of the interaction to the further steps and development of the interpersonal work of the dyad patient-therapist, including powerful enactments. In accessible language that references psychodynamic and relational psychoanalytic theory, the book proposes a revision of the etiopathogenesis of personality disorders, starting from the traumatic interpersonal exchanges (early relational trauma, maltreatment, deprivation, and abuse). The book breaks new ground on several levels. For the first time the body is accorded full attention in the treatment: developmentally and epigenetically situation as it is "in-between" the self and the other (at first, the caregiver, then in other circumstances of upbringing and traumatic personal relationships). The body is viewed as the main vehicle of this dysfunctional development, so that both the body and the subject are at once the "victim"—the recipient of the dysregulation resulting in impulsivity, destructiveness, self-harm, or eating disorders—and the internalized persecutor, i.e. the abuser of one's own body that sometimes also becomes the aggressor of others. Profoundly humane and scientifically sound, this book is a must-read for professionals, clients, and families involved in the difficult task of relieving the symptoms and reorganizing the personalities of subjects living in "borderline bodies."

This manual provides comprehensive guidelines on psychotherapy for DSM -IV Axis I (psychological) and II (personality) disorders. Each chapter examines a specific disorder (e.g. depression, anxiety, antisocial) and contains detailed instruction on using the treatment model and case examples to help illustrate techniques.