Many a therapist, beginning or even an experienced one, has experienced exasperation, frustration, and at times fear when working with the Borderline Personality Disorder patients. Their threatening or acted out at times self-hurting or violent behavior puts a heavy burden on the therapist. The therapist struggles to prevent a calamity and often feels insecure in the effectiveness of the therapeutic approach. This may lead to escalation of the therapeutic attempt, yet, in spite of these, the patient gets worse. Therapists often avoid such patients. But, what if you have to work with such a patient! This book is about helping these patients. Having worked for over thirty years with the diffi cult Borderline Personality Disorder patients, Dr. Albanese has developed an effective therapeutic approach. Understanding the meaning of the patients’ symptoms and behavior allows the therapist to work with these patients with confi dence. All the negative feelings the patient evokes in the therapist can actually be helpful!? The many trainees and colleagues of Dr. Albanese have found her approach very helpful and yet found it requiring the understanding of only a few basic concepts. This book is written with the encouragement of these people and in hope of helping all other therapists working with such patients.

Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.

Borderline Personality Disorder: Tailoring the Psychotherapy to the Patient explores the challenge of treating patients with borderline personality disorder. These patients make up a large segment of the difficult-to-treat population. The instability of their relationships, the intensity of their affective responses, and their proneness to paranoid reactions all contribute to their difficulty in working consistently and constructively in the psychotherapeutic situation. When one adds these difficult patient problems to the therapist's quandary about how expressive or supportive to be, therapists are indeed often confronted with a challenging therapeutic task. The book begins with a review of the clinical and research literature pertaining to the treatment of borderline patients. It presents a unique, empirically based intensive study of three borderline patients, based on transcripts of audiotaped therapy sessions. The research methodology is reviewed, and clinically oriented descriptions of the three patients, their psychotherapy processes, and their outcomes are included. Following an overall summary of results, conclusions regarding the differential indications for supportive versus expressive emphasis in psychotherapy are discussed. In their research, the authors recorded every psychotherapy session and studied a randomly selected group of sessions. Therefore, the reader is provided with increased insight into what is most effective with what kind of patient at a given point in the therapy process.

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.

Individuals with borderline personality disorder are notoriously difficult to treat. John Preston advises professionals on ways to realize short-term goals, such as stabilizing emotions and adapting to daily routines.

This is a 3-book bundle, which addresses various subtopics, including but not limited to these: Book 1: When it comes to Borderline Personality Disorder, many people are left in the dark. They still have questions about what it is, what makes it so attractive to start a relationship with a borderliner, or how it differs in men and women. This guide will not leave you in the dark, however; it will talk about these topics and so much more, such as society’s changing view of the disorder, the ages of a borderliner, how they change identities and how medical diagnoses can vary, and the disorder across different races and the two genders. Let’s learn more about Borderline Personality Disorder and become aware of which elements in such a person’s life play a role in their behavior, their emotions, and their identity. Book 2: What causes someone to have Borderline Personality Disorder? Well, the opinions vary, and each person’s life is different, but to point you in the right direction, we’ll discuss some patterns and common life events and traumas that can contribute to it. Aside from this, we’ll discuss the big question that has often been thrown out there: Is the disorder mostly a feminine disorder or does it happen to men as well? The differences between Borderline and Bipolar Disorder will be indicated also, since many people are confused about those differences. Last but not least, we’ll go into specific diagnosis criteria, and the truths and myths about “curing” the disorder with lots of love and pure attention. Book 3: In this guide, the first thing we’ll point out is how difficult it is to go through life with a mother or father who has Borderline Personality Disorder. We’ll do this by giving multiple examples and discussing them. Second, we’ll touch on anticipatory anxiety and social problems that people with the disorder may have, and the question of whether to openly talk about the disorder with the patients. Third, the matter of attachment will be discussed elaborately, mostly because this is exactly the entire problem that those with traumas and disorders are often being confronted with. We all develop healthy or unhealthy attachments in our youth and form bonds with our family, friends, things, locations, cultural habits, etc. When something goes wrong with the attachment, it messes people up, and it can have dire effects. Learn more about these things now. Get the book!

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.

``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 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 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 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 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.

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.