Borderline personality disorder : a practical guide to treatment / Roy Krawitz, Christine Watson.
Material type: TextPublication details: Oxford : Oxford University Press, 2003.Description: xvi, 201 p. : forms ; 22 cmISBN:- 9780198520672 (pbk.) :
- 0198520670
- 616.858 KRA
- RC569.5.B67
Item type | Current library | Call number | Copy number | Status | Date due | Barcode | |
---|---|---|---|---|---|---|---|
Long Loan | TUS: Midlands, Main Library Athlone Nursing Collection | 616.858 KRA (Browse shelf(Opens below)) | 1 | Available | 202325 | ||
Long Loan | TUS: Midlands, Main Library Athlone Nursing Collection | 616.858 KRA (Browse shelf(Opens below)) | 1 | Available | 202326 |
Summary: Borderline personality disorder is a multidimensional disorder best considered as severe personality dysfunction. Around 2% of the population are thought to meet the criteria for the disorder, with approximately 1 in 10,000 people experiencing the most severe difficulties. This book provides an accessible and practical summary of the options for clinical management and treatment of this, once considered untreatable, disorder.
Includes bibliographical references (p. 175-196) and index.
Introduction--PART 1: Background to Treatment:- Origins of the label borderline personality disorder--History of treatment--Epidemiology--Diagnosis--Comorbidity--Clinical boundaries--Aetiology Prognosis--Morbidity and mortality--Morbidity--Mortality--Health resource usage--Health resource use after effective treatment--Different treatment models- Psychodynamics and psychoanalytically informed psychotherapy--Self psychology--Relationship management--Cognitive analytical therapy (CAT)--Cognitive-behavioural therapies--Dialectical behavior therapy (DBT)--Commonalities between different models--Multimodel approach--An organizing clinical framework for mental health clinicians --Outcome studies:- Psychosocial treatments--Serotonergic agents--Pharmacological treatments--Neuroleptic agents--Anticonvulsants--Older agents (tricyclic antidepressants, older MAOIs)--Other agents--Prescribing in the acute situation--In summary--PART 2: Treatment issues and clinical pathways:- Introduction--Assessment--Risk assessment--Differentiating acute and chronic suicidal and self-harm patterns--Crisis assessment--Interventions--Client-clinician relationship--Team/system culture--Clinical plan--Duration of treatment--Prioritizing interventions--Empathy and validation--Containment/holding--Transitional people and items--Self-harm--Contracts--Crisis work--Regression at times of crisis--Some anti-suicidal interventions--Acute inpatient services--Client-controlled brief acute admissions--Pragmatic conceptual frameworks guiding treatment--Cognitive behavioural strategies--Behaviour chain and solution analysis--Teams--Team structure--Investing value and status in the key clinician role--Specialist teams--Systems--Responsiveness of the organization to clinician needs--Staff differences--Residential treatment--Relatives and friends--Principles of effective treatment--In summary--PART 3: Stigma, language, clinician feeling and resourcing:- Stigma and discrimination--Language - negative terminology-- Clinician values and feelings--Resourcing--In summary--PART 4: The legal environment:- Medicolegal framework--Duty of care and institutional responsibilities--Professionally indicated risk-taking--Clinical appropriateness of the use of mental health legislation--In summary--PART 5: Maintaining enthusiasm:- Limit-setting--Preventing clinician burn-out--Supervision--Words of hope from clients--In summary--References.
Around two per cent of the population are thought to meet the criteria for borderline personality disorder, with this group placing a disproportionate burden on mental health services. Drawing on research and clinical experience, this book summarizes clinical management and treatment options.