``I have become convinced that many borderline patients are not helped by the psychiatric treatment they receive and even more troubling, that a fair percentage of them are made worse by it....Dr. Rockland's approach makes sense to me at a time when much of the literature on the psychotherapy of borderline personality does not....I have learned a great deal from this book and feel confident that it will have a pronounced beneficial effect on clinical practice.' --From the Foreword by Allen J. Frances Noting the potential dangers of uncovering approaches, early writers on borderline personality emphasized the value of supportive therapy. Despite these warnings, the preponderance of the current literature on borderline disorder is confined to exploratory psychotherapy and psychoanalysis. Redressing this imbalance in the literature, this important new work is the first to present an organized and detailed description of how supportive interventions are accomplished with borderline patients. With a uniquely practical focus on ``how to do it,' Lawrence H. Rockland applies the principles of Psychodynamically Oriented Supportive Therapy (POST)--an approach that he formulated--to patients with Borderline Personality Disorder (BPD). Divided in three sections, the book's opening chapters review the changing concepts of the borderline, vicissitudes in treatment recommendations, the general principles of POST, and the indications for applying this approach to BPD. The second section presents the 2 1/2-year psychodynamic supportive treatment of a patient with BPD. The four phases of treatment--evaluation and treatment planning, early phase, middle phase, and termination--are discussed in detail and illustrated with session dialogue and critical commentary by the author. The final section addresses two major problems--therapist countertransference and patient acting out. Other topics include continuous/intermittent supportive therapy, psychopharmacology in supportive therapy, and supportive aspects of inpatient treatments. Filling a significant gap in the literature, this important new volume's systematic and comprehensive exposition of supportive therapy for borderline patients makes it an invaluable resource for all practitioners who work with this difficult population. Replete with clinically useful suggestions and guidelines, it is ideal for trainees in all mental health disciplines. It is relevant to any course on dynamic psychotherapy, and serves as a text for all students of borderline pathology and its treatment.

Explore and understand new approaches in Borderline therapy. Borderline Personality Disorder (BPD) lags far behind other disorders such as schizophrenia in terms of research and treatment interventions. Debates about diagnosis, etiology, neurobiology, genetics, medication, and treatment still persist. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment brings together over two dozen of the field’s leading experts in one enlightening text. The book also offers mental health providers a view of BPD from the perspectives of sufferers as well as family members to foster an understanding of the experiences of relatives who are often devastated by their loved ones’ struggles with this common disorder. Although there has been an increasing interest in BPD in terms of research funding, treatment advancement, and acknowledgment of family perspective over the last decade, the fact remains that the disorder is still highly stigmatized. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment provides social workers and other mental health clinicians with practical access to the knowledge necessary for effective treatment in a single volume of the most current research, information, and management considerations. This important collection explores the latest methods and approaches to treating BPD patients and supporting their families. This useful text also features handy worksheets and numerous tables that present pertinent information clearly. Chapters in Borderline Personality Disorder: Meeting the Challenges to Successful Treatment include: an overview of Borderline Personality Disorder confronting myths and stereotypes about BPD biological underpinnings of BPD BPD and the need for community - a social worker’s perspective on an evidence-based approach to managing suicidal behavior in BPD patients Dialectical Behavior Therapy supportive psychotherapy for borderline patients Systems Training for Emotional Predictability and Problem Solving (STEPPS) Mentalization-based Treatment fostering validating responses in families Family Connections: an education and skills training program for family member wellbeing and much more! Full of practical, useable ideas for the betterment of those affected by BPD, Borderline Personality Disorder: Meeting the Challenges to Successful Treatment is a valuable resource for social workers, psychologists, psychiatrists, and counselors, as well as students, researchers, and academics in the mental health field, family members, loved ones, and anyone directly affected by BPD.

This superb new book is the first to provide a carefully designed clinical approach to supportive psychotherapy that is rigorously connected to psychodynamic therapy. Notes and Index.

For many patients, supportive therapy is the treatment of choice, and for many others, the use of medications or of more expressive techniques optimally occurs in the context of a supportive relationship. Yet, there is a paucity of literature expressly devoted to the techniques and aims of supportive psychotherapy. In A Primer of Supportive Psychotherapy, Henry Pinsker remedies this situation by focusing directly on the rationale for, and techniques of, supportive psychotherapy. He explores this modality as a form of dyadic intervention quite distinct from expressive psychotherapies, and also shows how, to varying extents, supportive psychotherapy makes use of patterns of relationships and behavior, past and present. Pinsker's writing is wise, human, and direct. The realities, ironies, conundrums, and opportunities of the therapeutic encounter are vividly portrayed in scores of illustrative dialogues drawn from actual treatments. Destined to become the classic introductory work in the field, A Primer of Supportive Psychotherapy will be valued by students and trainees in all mental health disciplines--and by their teachers--for its wealth of practical guidelines and explicit instruction on how to develop, maintain, and make optimal therapeutic use of a supportive relationship. Psychopharmacologists, counselors, nurse practitioners, and primary care physicians are among the helping professionals who will likewise benefit from Pinsker's clear presentation of the principles of supportive work. Beyond its didactic value, this text will be an indispensable conceptual touchstone for any clinician interested in understanding more clearly the differences among various interventional modalities as a preliminary step in optimal treatment planning.

Literature Review from the year 2016 in the subject Psychology - Clinical Psychology, Psychopathology, Prevention, grade: A, , language: English, abstract: This paper presents 6 Theories, Therapies, and ideas to treat Borderline Personality Disorder (BPD) in a detailed annotated bibliography. The articles reviewed are "Dialectical Behavior Therapy (DBT) in the Treatment of Borderline Personality Disorder", "The Effectiveness of Cognitive Behavior Therapy for Borderline Personality Disorder: Results From the Borderline Personality Disorder Study of Cognitive Therapy (boscot) Trial", "Outcome of Mentalization-Based and Supportive Psychotherapy in Patients with Borderline Personality Disorder: a Randomized Trial", "Implementation of Outpatient Schema Therapy for Borderline Personality Disorder: Study Design", "Change in Attachment Patterns and Reflective Function in a Randomized Control Trial of Tansference-Focused Psychotherapy for Borderline Personality Disorder", "Predictors of Response to Systems Training for Emotional Predictability and Problem Solving (STEPPS) for Borderline Personality Disorder: An Exploratory Study" and "Omega-3 fatty Acid Treatment of Women with Borderline Personality Disorder: A Double-Blind, Placebo-Controlled Pilot Study".

Literature Review from the year 2016 in the subject Psychology - Clinical Psychology, Psychopathology, Prevention, grade: A, , language: English, abstract: Borderline Personality Disorder (BPD) is a complicated psychological disorder that is more common than many believe, and involves irregular emotion and behavior and a severe lack in mental awareness/reasoning. Due to the vast and acute diagnostic criteria of BPD, patients are viewed as difficult to treat. To date, there is no medication that has been found to effectively treat BPD. For this reason, many clinicians turn away patients with BPD because they are not competent to treat BPD and the often poor prognosis. Not only are clinicians hesitant to take on a patient with BPD, the patient is often unwilling to seek and maintain treatment. It is thought that those with BPD experienced emotional vulnerability at very young ages, which lead to powerful emotional anguish and pain in their adult years. This pain and distress is often followed by passionate and uncontrollable anger, manipulation, and a desire for attention. BDP can be classified mainly as psychosocial instability, meaning that it takes its form in the inability to maintain relationships. Although there is a desire to be loved and accepted, those with BPD reject others because of their fear of being rejected. In the same way, many people who are in relationships, friends, family, or significant others, cannot handle a person suffering from such a complicated personality disorder. Not only are personal relationships hard to maintain, jobs are also hard for a person with BPD to maintain; this often leads to poverty for those with BPD. All of these factors combined can lead to the abuse of drugs and/or alcohol and eating disorders. Also, because of the deep emotional pain that is present, most of the times BPD patients struggle with self-harm, eventually leading to suicide. It is safe to say that BPD symptoms affect all aspects of life.

Providing a cost-effective treatment model that is respectful of patients' needs, their strengths, and their limitations, this book presents the first dynamic and coherent approach to group treatment for the chronically mentally ill. By structuring members' variable attendance, the flexibly bound model, which utilizes group dynamic principles to maximize therapeutic opportunities, respects the actual behavior of many chronically ill persons, making this treatment format available to a broad portion of this population. Illustrated with numerous case vignettes, the book outlines the elements of supportive treatment and therapeutic goals and then describes in detail specific strategies and interventions.

Patients with borderline personality disorder (BPD) or borderline traits are among the most difficult for mental health practitioners to treat. They present an incredible range of symptoms, dysfunctional interpersonal interactions, provocative behavior in therapy, and comorbid psychiatric disturbances. So broad is this array that indeed the disorder constitutes a virtual model for the study of all forms of self-destructive and self-defeating behavior patterns. Psychotherapy With Borderline Patients: An Integrated Approach fills the need for a problem-focused, clinically oriented, and operationalized treatment manual that addresses major ongoing family factors that trigger and reinforce the patient's self-destructive or self-defeating behavior. In it, David Allen draws on the theoretical ideas and techniques of biological, family systems, psychodynamic, and cognitive-behavioral therapists to describe an integrated approach to adults with BPD or borderline traits in individual therapy. Innovative, practical, and specific, the book * helps therapists teach their patients, through the use of various role-playing techniques, strategies to alter the dysfunctional patterns of interaction with their families of origin that reinforce self-destructive behavior or chronic affective symptoms; * explains the nature and origins of the characteristic oscillation of hostile over- and underinvolvement between adults with BPD and those who served as their primary parental figures during childhood; * elucidates the nature and causes of the dysfunctional communication patterns in patients' families that lead to misunderstanding; and * provides concrete, clearly spelled out advice for therapists about how to deal with provocative patient behavior, how to minimize distorted descriptions by patients of significant others, how to avoid patients' misuse of medications, and how to respond to managed care restrictions on patients' insurance coverage. Psychotherapy With Borderline Patients: An Integrated Approach will be welcomed by all clinicians who work with these patients, whatever their training or theoretical orientation.

This book provides a systematic approach to managing countertransference when treating borderline patients. Using detailed accounts of clinical experiences, the authors demonstrate how their own thoughts, feelings, and fantasies enable them to understand their patients' internal worlds.

The most common personality disorder here and abroad, borderline personality disorder is often misdiagnosed or underdiagnosed. Left untreated, it causes marked distress and impairment in social, occupational, and role functioning, with high rates of self-destructive behavior (attempted and completed suicide). Its pervasive pattern of impulsivity and instability of interpersonal relationships, affects, and self-image begins in early adulthood and presents in a variety of contexts. Developed primarily by psychiatrists in active clinical practice, the revised edition of this popular work offers an updated synthesis of current scientific knowledge and rational clinical practice for patients with borderline personality disorder--with the important caveat that clinicians should consider, but not limit themselves to, the treatments recommended here. The summary of treatment recommendations is keyed according to the level of confidence with which each recommendation is made and coded to show the nature of its supporting evidence. Highly informative and easy to use, this eminently practical volume is organized into three major parts: Part A contains treatment recommendations (Section I, treatment summaries; Section II, treatment plans; Section III, special clinical considerations; and Section IV, risk management issues during treatment), Part B presents the evidence underlying these treatment recommendations (Section V, an overview of DSM-IV-TR criteria, prevalence rates, and natural history and course; and Section VI, a review of existing treatment literature), and Part C summarizes those areas in which better research data are needed. Remarkably concise and comprehensive, this practice guideline continues to be an indispensable reference for every clinician who treats patients with this heterogeneous and complex disorder.