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Cognitive-Behavioral Treatment of Borderline Personality Disorder [Hardcover]

Marsha Linehan
4.5 out of 5 stars  See all reviews (48 customer reviews)

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Book Description

May 14, 1993 0898621836 978-0898621839 1
This volume is the authoritative presentation of Dialectical Behavior Therapy (DBT), Linehan's comprehensive, integrated approach to treating individuals with borderline personality disorder. DBT--which has since been adapted for other difficult-to-treat disorders involving emotion dysregulation--combines cognitive and behavioral strategies with elements of psychodynamic, strategic, and other modalities. Delineated are specific strategies for contingency management, exposure, cognitive modification, and skills training.

See also Linehan's DBT Skills Training Manual, Second Edition, which provides essential materials for implementing DBT skills training, plus 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. Plus related DBT videos: DBT at a Glance: An Introduction to Dialectical Behavior Therapy, DBT at a Glance: The Role of the Psychiatrist on the DBT Team, and Getting a New Client Connected to DBT (Complete Series).

Frequently Bought Together

Cognitive-Behavioral Treatment of Borderline Personality Disorder + Skills Training Manual for Treating Borderline Personality Disorder + The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation & ... Tolerance (New Harbinger Self-Help Workbook)
Price for all three: $112.80

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Editorial Reviews


"Every once in a very long while in our field, a clinical innovation is introduced that profoundly improves patient care. Marsha Linehan's development of a cognitive-behavioral approach to borderline personality disorder is such a rare innovation....Her techniques are clear, teachable, and learnable, and make good common sense to the therapist and the patient. Dr. Linehan's methods have greatly improved my treatment of borderline individuals and my teaching of others in how best to understand and treat these patients.'--Allen Frances, MD

"Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients."--Lester Luborsky, PhD

"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny."--Gerald Davison, PhD, University of Southern California

"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results."--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center

"Linehan is a brilliant, compassionate, and rigorous therapist for borderline patients. What's more, and what is most unusual for master therapists, she has proven its efficacy in published randomized, controlled trials. What is fortuitous for borderline patients and their therapists is that she has painstakingly crafted a wise book and user-friendly manual well grounded in principle, detailed in its strategies, and exportable to a wide range of treatment settings. Our hospital has applied Linehan's treatment in several settings over the past five years: acute inpatient, extended inpatient, day treatment, and outpatient. We have primarily worked with borderline clients, but have also had success with some schizophrenics. Patients, families, and staff have received this new approach with enthusiasm; it makes common sense to them and feels very practical. It's a treatment that integrates well with biological, rehabilitative, most psychodynamic, and family treatment modes, and parallels treatments for eating disorders, substance abuse, and PTSD from childhood abuse....Linehan has set a high standard of treatment for borderlines in the 1990s; the patients will be the ultimate beneficiaries."--Charles R. Swenson, MD, New York Hospital, Westchester Division

"We highly recommend this text and its companion training manual...."--Bulletin of the Menninger Clinic
(Bulletin of the Menninger Clinic 1993-05-16)

"...represents a gold standard" for treatment of this diagnostic category."--Behaviour Research and Therapy
(Behaviour Research and Therapy 1993-05-16)

"It is the most exacting and well thought out treatment plan I have ever seen written for any disorder....I have tried to find shortcomings with this book. I can find none. It is one of the best pieces of clinical work ever written. No matter what your clinical or research focus of interest, you will gain immensely from reading Cognitive-Behavioral Treatment of Borderline Personality Disorder."--Journal of Family Violence
(Journal of Family Violence 1993-05-16)

About the Author

Marsha M. Linehan, PhD, ABPP, is the developer of dialectical behavior therapy (DBT) and Professor of Psychology and of Psychiatry and Behavioral Sciences and Director 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 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 and teaches Zen mindfulness and contemplative practices via workshops and retreats for health care providers.

Product Details

  • Series: Diagnosis & Treatment of Mental Disorders
  • Hardcover: 558 pages
  • Publisher: The Guilford Press; 1 edition (May 14, 1993)
  • Language: English
  • ISBN-10: 0898621836
  • ISBN-13: 978-0898621839
  • Product Dimensions: 9.3 x 6.4 x 1.4 inches
  • Shipping Weight: 2.1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (48 customer reviews)
  • Amazon Best Sellers Rank: #11,506 in Books (See Top 100 in Books)

More About the Author

Marsha M. Linehan, PhD, is a professor of psychology and an adjunct professor of psychiatry and behavioral sciences at the University of Washington. She is also Principal Investigator and Director of the Suicidal Behaviors Research Clinic, a federally financed research program for evaluating treatments of suicidal behaviors. She has an on-going clinical practice and is active in clinical consultation, supervision, and training of mental health professionals in the United States and Europe.

Customer Reviews

Most Helpful Customer Reviews
160 of 174 people found the following review helpful
5.0 out of 5 stars This is THE MOST EFFECTIVE psychotherapy method September 24, 2001
As soon as our county mental health clinic applied Dialectical Behavioral Therapy (DBT), our re-hospitalizations, crisis contacts, suicidal behavior and recidivism rates for our DBT patients went close to ZERO. This is the book I recommend as the start for anyone wanting to be effective in doing psychotherapy - including Psychiatrists, Psychologists, Social Workers, Marriage Family Therapists and Nurses. It empowers the therapist by giving him/her the skills to help severely mentally ill and difficult patients - not just ones with borderline personality disorder. For many, if not most, mental health programs, people with borderline personality disorder are traditionally frustrating, maddening, and looked on with disgust by therapists and medical staff. They are often rejected by staff and treated with anger because of the lack of adequate treatments for the disorder. Yet this is one of the most common mental illnesses. And persons with the disorder repeatedly are hospitalized for suicidal behavior - at large cost to the counties involved. Or worse, they are rejected for hospitalization and allowed to continue to be self-destructive. With DBT this is no longer the case. Therapists who understand DBT are confident and assured when helping seriously ill, constantly hospitalized patients. Therapist who don't often are frustrated, and rejecting of them. No other textbook in therapy is as detailed and well-delineated as this book. It is applicable to inpatient, outpatient, and emergency room settings. DBT works effectively in emergencies, with actively suicidal patients, to reduce the acuity of the situation. It is effective even in short (< 7 day) hospital stays. It takes about ONE YEAR to moderately understand Dialectical Behavioral Therapy. Read more ›
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67 of 70 people found the following review helpful
5.0 out of 5 stars Fascinating! January 19, 2004
I found this book to be so fascinating and eye opening. Although this book is written for those who TREAT borderline personality disorder, I think it will be very helpful to those who have the disorder. I know it has been a great learning tool for me, and I suffer from BPD. Marsha Linehan shows an amazingly compassionate understanding towards the mind of a person with this disorder. I found myself astonished at her incredible ability to understand the way I think. I think the author is nothing short of a genius. The book is great...but it is complicated and it is not a good book for those who don't enjoy intensely intellectual reading. If you are looking for a book to give you quick facts, this is not the book for you. You must enjoy reading to get into this book.
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77 of 82 people found the following review helpful
5.0 out of 5 stars Respectful to BPD individuals. Techniques used pragmatic September 23, 2001
By A Customer
As a person with Bipolar Disorder my psychiatrist recommended this book. I devoured it. For a text the reason it was actually enjoyable was because so many of the techniques of therapy I could incorporate on my own. The Dialectical Behavioral Therapy (DBT) is not limited to BPD. The Cognitive-Behavioral Treatment of which DBT is alongside, can be put into use immediately. Also, Linehan is respectful in her writing style toward patients/clients, with BPD. She is not quick to prescribe medications, (that being only a brief mention). Linehan's style is to focus on environmental reasons a person becomes BPD but not to the point where the client feels helpless to change. She respects people where they're at but wants to take them where they want to be-and that's by integrating positive thoughts about themselves into positive actions-skills training-to have steadier relationships in work and life. I highly recommend this book to anyone diagnosed with any mood or personality disorder.
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47 of 50 people found the following review helpful
By A Customer
This book provides an invaluable resource for a person who is trying to understand a person with BPD,or get help for them. Linehan's method has undergone randomized clinical trials and demonstrated its worth. Nevertheless,it is quite common for therapists to insist they can treat BPD with other methods. Stick with Linehan's Dialectical Behavior Therapy(DBT). The book will arm you well to deal with both therapists,and patient(or yourself if you are the patient.) Accept no substitutes.
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37 of 39 people found the following review helpful
5.0 out of 5 stars Also good for family members September 26, 1997
By A Customer
While this book is primarily for therapists treating this disorder, it can also be very educational for and quite comforting to family members of people with this disorder. People with BPD can be incredibly upsetting to family members, and not being able to understand why someone is like this can be very frustrating. To read a very detailed explanation of the disorder can be an incredible relief. While the writing style is laced with Psychological jargon (as it should be) a layperson can still understand most all of the concepts in the book. I highly recommend it.
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19 of 19 people found the following review helpful
5.0 out of 5 stars A Godsend December 10, 2006
I've just started reading the book and have skimmed the workbook. She is, as one reviewer stated, very compassionate. I myself am a borderline individual, recently discovering it as of last week from a caring boyfriend. I went to the library and checked this book out. Never have I been blown away by how this book describes my feelings and pains so accurately. I never, for all these years, understood what was wrong with me, assuming it was everyone else. Ms. Linehan has definately helped my outlook on life. I'm very grateful for this book.
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Most Recent Customer Reviews
5.0 out of 5 stars Essential for Anyone Wanting to Understand BPD
I am recovering from this disorder. I have been in mental hospitals and spent years in therapy. I have read Masterson, and David P. Read more
Published 19 days ago by Charlie
4.0 out of 5 stars Excellent textbook
Excellent textbook, an absolute basic for training and practice. Very useful formulation and theoretical foundation. However, it is dry to read.
Published 19 days ago by ML
5.0 out of 5 stars I got this book because of interest in Cognitive Behavioral Therapy.
This book was one of more than a few I purchased because I stumbled across Cognitive Behavioral Therapy. I since found a therapist who specializes in this treatment. Read more
Published 24 days ago by Summerlover97
5.0 out of 5 stars Not Just for Borderline "Mental" Disorder
Marsha Linehan is the Queen Bee of Dialectical Behavior Therapy (DBT), this book provides some of that, but on a more broad sense.
Published 26 days ago by Cindy
5.0 out of 5 stars very detailed read....
Good stuff. If you want to learn all of the theoretical background on Dialectical Behavioral Therapy-then this is the book for you. Read more
Published 1 month ago by ~Sunshine~
5.0 out of 5 stars Excellent text
I'm a social worker and have used this more times than I can count. Very accurate and informative, with plenty of examples and ideas.
Published 6 months ago by hanah
5.0 out of 5 stars Excellent.
I absolutely love this book. It is full of insightful and useful information on treating BPD and includes many fantastic worksheets and handouts that help illustrate important... Read more
Published 6 months ago by Tegan Breeze
5.0 out of 5 stars Learn how to work with BPD in a weekend
Okay, maybe that's a slight exaggeration, but read the first 2 chapters of this book and you'll have a much better understanding of borderline personality disorder, its proposed... Read more
Published 6 months ago by DG
5.0 out of 5 stars Really Helpful
We have ordered this book several dozen times and it's a hit with all the providers at our clinic, they love and recommend this book to everyone.
Published 7 months ago by DWilliams
5.0 out of 5 stars Summer and Peer Review of CBT Tx of the BPD
Written by a pioneer in the field with authority and experience, Marsha Linehan's book is an "absolute must" for any practitioner, regardless of mental health discipline I... Read more
Published 8 months ago by Joe Davis, Ph.D.
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