This clinical guide describes a different way to treat borderline personality disorder. Rather than using the currently available therapies, the author presents a trans-theoretical approach that combines the essential elements of all effective treatments. The book offers a framework for understanding the nature and origins of borderline personality disorder that is used to define treatment targets and strategies. Building on this foundation, systems for organizing treatment are presented around change mechanisms common to all effective therapies. Interventions are presented in modules, allowing therapists to select treatment according to the needs of patients. Treatment is explained by dividing therapy into phases, each addressing different problems. Methods are described to promote engagement, manage suicidality, treat crises, improve emotional regulation, restructure maladaptive interpersonal behaviours, construct a new sense of self and identity, and build a life worth living. The volume will interest mental health professionals from all disciplines and different levels of expertise.
W. John Livesley is Professor Emeritus in the Department of Psychiatry at the University of British Columbia, Vancouver.
Preface; Part I. Introduction and Framework for Understanding Borderline Personality Disorder: 1. Introduction; 2. Understanding normal and disordered personality; 3. Understanding borderline personality disorder; 4. Origins and development; Part II. Assessment and Treatment Planning: 5. Diagnosis and assessment; 6. Formulation, treatment planning and the treatment contract; Part III. General Modules: Introduction to Part III; 7. General treatment module 1: structure; 8. General treatment module 2: treatment relationship; 9. General treatment module 3: consistency; 10. General treatment module 4: validation; 11. General treatment module 5: self-reflection; 12. General treatment module 6: motivation; Part IV. Safety, Containment, and Engagement: The Initial Phase of Treatment: Introduction to Part IV; 13. Managing crises and containing emotions and suicidality; 14. Managing the early sessions; Part V. Improving Emotional Regulation and Modulation: Introduction to Part V; 15. General principles for improving emotional stability; 16. Building emotional stability: psychoeducation, awareness and emotion regulation modules; 17. Improving emotional processing; Part VI. Exploration and Change: Treating Interpersonal Problems: Introduction to Part VI; 18. Principles for treating maladaptive schemas and interpersonal patterns; 19. Treating submissiveness and attachment insecurity; 20. Treating the core interpersonal conflict; Part VII. Constructing a More Adaptive Sense of Self: Introduction to Part VII; 21. Building a more coherent self; 22. Promoting an adaptive self-narrative and flexible working selves; 23. Getting a life: building a personal niche; Part VIII. Retrospect and Prospect: Introduction to Part VIII; 24. Summary and overview: the treatment process across time.