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Cognitive-Behavioral Treatment of Borderline Personality Disorder 1st Edition

4.5 out of 5 stars 78 customer reviews
ISBN-13: 978-0898621839
ISBN-10: 0898621836
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  • Cognitive-Behavioral Treatment of Borderline Personality Disorder
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Editorial Reviews

Review

"The bible of DBT. Over two decades later, Linehan’s comprehensive treatment manual still stands without peer as the complete and lucid introduction to DBT as well as the in-depth text for the advanced practitioner. DBT’s skills are effective and potent if delivered in the context of the theory, principles, protocols, and strategies of the treatment, all of which are presented in this book. It is essential reading for therapists delivering the significantly upgraded skills in DBT Skills Training Manual, Second Edition."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts School of Medicine

"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

 


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

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

From the Back Cover

For the average clinician, clinic, or inpatient facility, individuals with borderline personality disorder often represent the most difficult and insoluble cases. The first volume to provide strategies proven effective in controlled clinical trials, this book is a comprehensive, integrated approach to therapy with this population. Marsha Linehan presents specific guidelines that creatively combine the best elements of behavioral, psychoanalytic, strategic, and other commonly employed modalities. A clinical innovator, she has analyzed the aspects of borderline into their component parts and developed a systematized approach to each of them. The first section of the book presents an overview of the disorder and lays out a theoretical framework to guide the therapy. The second describes in detail how to assess borderline patients and how to organize and prioritize treatment goals and behavioral targets. The core of the treatment is the balance of acceptance and change strategies, both within each therapy interaction and over time. For problem solving with borderline personality disorder, the book provides specific strategies for contingency management, exposure, cognitive modification, and skills training. The last component is further elucidated in the companion Skills Training Manual, which programmatically details procedures and includes client handouts for step-by-step implementation. Finally, to enhance interpersonal communication, Dr. Linehan presents three case management sets: consultation to the patient, environmental intervention, and consultation to the therapist. Addressing the most stressful patient behaviors that clinicians encounter, the book includes a step-by-step outlinefor assessing suicide risk, managing suicide threats, and working with chronic suicidal behavior. Integrative approaches for such specific problems as crises, noncompliance, and breakdowns in the therapeutic relationship are also discussed. Lucidly detailing effective techniques that can be replicated in clinical practice, this volume illuminates the internal experience of borderline individuals and provides clinicians with practical clinical tools for working with them. As such, it is an invaluable resource for all professionals who work with this difficult-to-treat population.
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Product Details

  • Series: Diagnosis & Treatment of Mental Disorders (Hardcover)
  • Hardcover: 558 pages
  • Publisher: The Guilford Press; 1 edition (May 14, 1993)
  • Language: English
  • ISBN-10: 0898621836
  • ISBN-13: 978-0898621839
  • Product Dimensions: 6.4 x 1.4 x 9.3 inches
  • Shipping Weight: 2.1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (78 customer reviews)
  • Amazon Best Sellers Rank: #25,848 in Books (See Top 100 in Books)

Customer Reviews

Top Customer Reviews

Format: Hardcover
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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Format: Hardcover
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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Format: Hardcover
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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By A Customer on September 26, 1997
Format: Hardcover
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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Format: Hardcover
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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By K. Brown on December 10, 2006
Format: Hardcover
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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