Cognitive-Behavioral Treatment of Borderline Personality Disorder

Front Cover
Guilford Press, May 14, 1993 - Psychology - 558 pages
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.
 

Contents

I
4
The Concept of Parasuicidal Behaviors
13
A Preview
19
Concluding Comments
25
Dialectical Dilemmas
67
Active Passivity versus Apparent Competence
78
Unrelenting Crises versus Inhibited Grieving
85
Concluding Comments
93
BEHAVIORAL VALIDATION STRATEGIES
235
Part II Problem Solving
250
Part I Contingency Procedures
292
Part II Skills Training Exposure
329
Balancing Communication
371
Interacting
399
Structural Strategies
437
Special Treatment Strategies
462

Targets Strategies
97
Dialectical Treatment Strategies
199
Part I Validation
221
Suggested Reading
524
Index
547
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About the author (1993)

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor Emeritus of Psychology and Director Emeritus of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the University of Louisville Grawemeyer Award for Psychology and the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies. She is also a recipient of the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. She is a Zen master.

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