Another Chance to be Real

Author: Donald D. Roberts
Publisher: Jason Aronson
ISBN: 9780765705549
Format: PDF, ePub, Docs
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Object relations theory has been useful in understanding borderline personality disorder, and from this theoretical orientation have emerged effective approaches to its treatment. However, treatment based on the object relations model has tended to emphasize only the structural and technical facets of the psychotherapy enterprise, i.e., the frame of therapy, therapeutic neutrality, and interventions strategies, etc. In Another Chance to Be Real, Donald and Deanda Roberts argue that the incorporation of attachment theory and research enhances the effectiveness of treatment by expanding the clinical focus to include relational and process factors.

Letting Go and Taking the Chance to be Real

Author: Sherron Lewis, LMFT
Publisher: Page Publishing Inc
ISBN: 163568708X
Format: PDF
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Who are we really? The image we have of our “self” is derived largely from our experiences of who we are, from who we would like to be, and from who we are told we are by others. It is a sense that changes over the years that begins to develop in early childhood and grows (or is stunted) through experimenting and testing in early relationships and later relationships in life, composed of various images which we strive to integrate over time. It is that core “someone” who we often may suppress for fear of ridicule, or loss of support, or fear of failure. Lack of active support for us to express our “real-self”, especially in our early years, often leads us, as adults, to feeling unsatisfied, frustrated, and neglected--trying “so hard to be all things to all people,” “doing what is expected or required”—and no longer being sure of what is personally meaningful. And we fail to realize that expressing our real feelings and needs is not the same as being narcissistically entitled. Thus, expressing the real self takes courage and requires a healthy sense of self-esteem, self-efficacy, and agency, and involves capacities for closeness, intimacy, creativity, self-soothing, and repair. Many of us are afraid to take the chance. That is why this book was written. Letting Go and Taking the Chance to be Real is about the processes involved in becoming real again or perhaps for the first time. Sherron Lewis, LMFT and Shelley Stokes, Ph.D. “Sherron Lewis LMFT and Shelley Stokes Ph.D. have accomplished what few other authors have, namely, they have written a book that is at once both profoundly practical and, at the same time, firmly anchored in rigorous psychoanalytic theory regarding disorders of the self. Their work is replete not only with insightful clinical anecdotes, but also with courageous and deeply illuminating revelations of their own emotional lives, by which they model for their readers that authenticity which is an antidote to the toxic shame both which keeps our patients’ false selves perched precariously in place and which makes us less effective as therapists. This product of their collaboration, a combination of many years of experience and clinical wisdom by two master clinicians, is a superb gift to the psychotherapy community and is essential reading for every therapist.” Avak Howsepian, MD, Ph.D., Psychiatry and Neurology, Veterans Affairs Central California, Assistant Professor of Psychiatry, Univ. of California, San Francisco “This new book by Sherron Lewis and Shelley Stokes represents the latest synthesis of James Masterson’s work, integrating it with other contemporary writers in a way that results in a practical guide for both the lay person interested in personal growth or the clinician on the critical subject of becoming your real self. It’s a very engaging and meaningful book, a must read!” Joseph P. Farley, MFT, Director of the Masterson Institute

Fairbairn s Object Relations Theory in the Clinical Setting

Author: David P. Celani
Publisher: Columbia University Press
ISBN: 0231149077
Format: PDF, Mobi
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W. R. D. Fairbairn (1889-1964) challenged the dominance of Freud's drive theory with a psychoanalytic theory based on the internalization of human relationships. Fairbairn assumed that the unconscious develops in childhood and contains dissociated memories of parental neglect, insensitivity, and outright abuse that are impossible the children to tolerate consciously. In Fairbairn's model, these dissociated memories protect developing children from recognizing how badly they are being treated and allow them to remain attached even to physically abusive parents. Attachment is paramount in Fairbairn's model, as he recognized that children are absolutely and unconditionally dependent on their parents. Kidnapped children who remain attached to their abusive captors despite opportunities to escape illustrate this intense dependency, even into adolescence. At the heart of Fairbairn's model is a structural theory that organizes actual relational events into three self-and-object pairs: one conscious pair (the central ego, which relates exclusively to the ideal object in the external world) and two mostly unconscious pairs (the child's antilibidinal ego, which relates exclusively to the rejecting parts of the object, and the child's libidinal ego, which relates exclusively to the exciting parts of the object). The two dissociated self-and-object pairs remain in the unconscious but can emerge and suddenly take over the individual's central ego. When they emerge, the "other" is misperceived as either an exciting or a rejecting object, thus turning these internal structures into a source of transferences and reenactments. Fairbairn's central defense mechanism, splitting, is the fast shift from central ego dominance to either the libidinal ego or the antilibidinal ego-a near perfect model of the borderline personality disorder. In this book, David Celani reviews Fairbairn's five foundational papers and outlines their application in the clinical setting. He discusses the four unconscious structures and offers the clinician concrete suggestions on how to recognize and respond to them effectively in the heat of the clinical interview. Incorporating decades of experience into his analysis, Celani emphasizes the internalization of the therapist as a new "good" object and devotes entire sections to the treatment of histrionic, obsessive, and borderline personality disorders.

The Personality Disorders

Author: James F. Masterson
Publisher: Zeig Tucker & Theisen Publishers
ISBN: 9781891944338
Format: PDF, Docs
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The author reflects on his 25 years of work in the personality disorders. He reviews some of the most significant ideas be set forth and wonders out loud how they will cross over into the new millennium. Most have stood the test of time and indeed will serve as a strong foundation for the work that is to come; some have gone through a healthy evolution. A unique highlight is the inclusion of a comprehensive report of a six-year course of psychoanalytic psychotherapy with a patient who has a closet narcissistic defence against neurosis.

Mentalization Based Treatment for Personality Disorders

Author: Anthony Bateman
Publisher: Oxford University Press
ISBN: 019968037X
Format: PDF, ePub
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This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizing practice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so thattheir personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged, and systematically describes the process of treatment in both group andindividual therapy to support more stable mentalizing.

Attachment Disturbances in Adults Treatment for Comprehensive Repair

Author: Daniel P. Brown
Publisher: W. W. Norton & Company
ISBN: 0393711536
Format: PDF, ePub, Mobi
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A comprehensive treatment approach for the repair and resolution of attachment disturbances in adults, for use in clinical settings. With contributions by Paula Morgan-Johnson, Paula Sacks, Caroline R. Baltzer, James Hickey, Andrea Cole, Jan Bloom, and Deirdre Fay. Attachment Disturbances in Adults is a landmark resource for (1) understanding attachment, its development, and the most clinically relevant findings from attachment research, and (2) using this understanding to inform systematic, comprehensive, and clinically effective and efficient treatment of attachment disturbances in adults. It offers an innovative therapeutic model and set of methods for treating adult patients with dismissing, anxious-preoccupied, or disorganized attachment. In rich detail, it integrates historical and leading-edge attachment research into practical, effective treatment protocols for each type of insecure attachment. Case transcripts and many sample therapist phrasings illustrate how to apply the methods in practice. Part I, "Foundational Concepts," features a comprehensive overview of the field of attachment, including its history, seminal ideas, and existing knowledge about the development of attachment bonds and behaviors. Part II, "Assessment," addresses the assessment of attachment disturbances. It includes an overview of attachment assessment for the clinician and a trove of practical recommendations for assessing patients' attachment behavior and status both outside of and within the therapeutic relationship. In Part III, "Treatment," the authors not only review existing treatment approaches for attachment disorders in adults, but also introduce an unprecedented, powerful new treatment method. This method, the "Three Pillars" model, is built on three essential clinical ingredients: Systematically utilizing ideal parent figure imagery to develop a new positive, stable internal working model of secure attachment Fostering a range of metacognitive skills Fostering nonverbal and verbal collaborative behavior in treatment Used together, these interdependent pillars form a unified and profoundly effective method of treatment for attachment disturbances in adults—a must for any clinician. In Part IV, "Type-Specific Treatment," readers will learn specific variations of the three treatment pillars to maximize efficacy with each type of insecure attachment. Finally, Part V, "A Treatment Guide and Expected Outcomes," describes treatment in a step-by-step format and provides a success-assessment guide for the Three Pillars approach. This book is a comprehensive educational resource and a deeply practical clinical guide. It offers clinicians a complete set of tools for effective and efficient treatment of adult patients with attachment disturbances.

Transference Focused Psychotherapy for Borderline Personality Disorder

Author: Frank E. Yeomans
Publisher: American Psychiatric Pub
ISBN: 1585625434
Format: PDF, Kindle
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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.

The Real Self

Author: James F. Masterson, M.D.
Publisher: Routledge
ISBN: 1134844344
Format: PDF, Docs
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First Published in 1985. Routledge is an imprint of Taylor & Francis, an informa company.

Psychotherapy for Borderline Personality

Author: John F. Clarkin
Publisher: American Psychiatric Pub
ISBN: 9781585626441
Format: PDF, Mobi
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For therapists treating patients with borderline personality organization, transference-focused psychotherapy (TFP) has proven to be a remarkably successful approach that effectively targets the pathology of character. The product of more than 25 years of development, it draws on advances in object relations theory and attachment theory with the goal of not merely treating symptoms but changing the patient's underlying personality and quality of life. Psychotherapy for Borderline Personality describes principles of intervention and contains a wealth of practical guidelines on how to apply TFP to individual patients on a session-by-session basis. This groundbreaking treatment manual focuses on the analysis of the transference, showing how to help patients relax their defenses and become active participants in the therapeutic process. The authors describe techniques for seeing past the wall of behavioral and cognitive dissonance typically thrown up by the borderline patient, identifying a patient's conflicting self-conceptions and object representations, and immersing oneself in the turbulent currents of the borderline narrative stream while maintaining the clinical distance required to be a constructive force in patients' lives. For each phase of treatment-assessment, early treatment, midphase, advanced phase, and termination-the authors describe the tasks of the therapist and the sequence of responses by the patients Session descriptions are included to illustrate treatment in progress A separate chapter addresses specific issues in treatment, including crisis management for suicide threats and aggressive behavior Recognizing that patients with BPO start treatment at different points of their pathology, the authors provide an expansive description of the treatment course with high-level and low-level BPO patients, making the book relevant to a wide range of clinical situations This volume also reflects not only the authors' ongoing experience with TFP in other clinical sites, showing how it can be used in diverse cultural settings, but also research that helps precisely identify the course and type of changes resulting from TFP. Brimming with insights garnered from years of successful clinical application, Psychotherapy for Borderline Personality will sharpen the skills of those already familiar with TFP and introduce others to a trailblazing approach to therapy.

Schema Therapy for Borderline Personality Disorder

Author: Arnoud Arntz
Publisher: John Wiley & Sons
ISBN: 1119965675
Format: PDF, Docs
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The book was first published in Dutch by Uitgeverij Nieuwezijds - this book is an English language translation, translated from the original Dutch Language version by Jolijn Drost. The book offers a conceptual model of BPD, a treatment model and an array of methods and techniques for treating BPD clients. It covers treatment planning, the therapeutic relationships, cognitive and behavioural techniques, specific strategies, behavioural pattern breaking and the termination of therapy. The appendices contain handouts for patients including a biographical diary, forms for homework assignments and problem solving and a positive self statement log.