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Stepped care for borderline personality disorder
making treatment brief, effective, and accessible
Synthesizing the latest research and treatment developments, Stepped Care for Borderline Personality Disorder: Making Treatment Brief, Effective, and Accessible aims to make treatment for borderling personality disorder (BPD) more accessible by providing clinicians with innovative brief and targeted intervention methods. Focusing on integrative treatment models, it offers clinicians a vital guide to the management of patients who are difficult to treat. Acknowleding the early developmental roots of BPD, the book includes sections on BPD in adolescence, childhood precursors of the disorder, and a broad range of etiological factors. It looks at the pitfalls clinicians face when trying to treat BPD, and offers a roadmap to avoiding them.
Title page; Table of Contents; Copyright; Dedication; Foreword; Acknowledgments; Introduction; The Purpose of This Book; The Unique Challenge of Borderline Personality Disorder; Principles of Evidence-Based and Integrated Treatment; Evidence-Based, Integrated, and Accessible Treatment; The Plan of This Book; References; Part I: Research on BPD; Chapter One. Diagnosis; Abstract; History of the BPD Diagnosis; Temperament, Traits, and BPD; The Onset of BPD in Adolescence; Childhood Precursors; Comorbidity; Differential Diagnosis; Implications of Diagnosis for Treatment; A Tentative Conclusion.
BPD As a Public Health ProblemThe Variety of Clinical Presentations in BPD; References; Further Reading; Chapter Two. Etiology; Abstract; Interactive Models; Genetic and Neurobiological Factors; Psychological Factors; Social Factors; Differential Susceptibility to the Environment; Gene-Environment Interactions in BPD; The Variety of Etiological Pathways to BPD; References; Further Reading; Chapter Three. Outcome; Abstract; Long-Term Outcome of BPD: Retrospective Studies; Long-Term Outcome: Prospective Studies; Mechanisms of Recovery; Is it Possible to Predict Suicide in BPD?
Can Suicide Be Prevented?The Variety of Outcomes in BPD; References; Chapter Four. Treatment; Abstract; Dialectical Behavior Therapy and Emotion Regulation; Evidence for Other Methods of Psychotherapy; Psychopharmacology in BPD; Summary; References; Further Reading; Part II: Applying a Stepped Care Model; Chapter Five. An Integrative Model; Abstract; Are Psychotherapies for BPD Unique?; What Efficacious Treatments for BPD Have in Common; Divergences Between Therapies; Applying Psychotherapy Integration to BPD; The Social Element in Psychotherapy; References; Further Reading.
Chapter Six. AccessibilityAbstract; Access as a Public Health Principle; Brief and Long-Term Psychotherapies; Costing Psychotherapy; How Psychotherapy Became Lengthy; When Less Is More; Shortening Psychotherapy; Making the Case for Accessibility; References; Chapter Seven. Stepped Care; Abstract; Stepped Care in Medicine and Psychiatry; Stepped Care in BPD; Origins of Our Stepped Care Program; Evaluation; Short-Term Treatment; Results of the Short-Term Program; Extended Care; Conclusions; References; Further Reading; Chapter Eight. Adjusting the Plan to the Patient; Abstract; Basic Concepts.
Referring Patients to the Right StepComorbidities; Sociocultural Issues; On the Edge of Treatability; References; Chapter Nine. Clinical Problems; Abstract; Establishing the Structure of Treatment; Managing Chronic Suicidality; The Use and Misuse of Hospitalization; Coming to Terms with the Past; Terminating Psychotherapy; References; Further Reading; Chapter Ten. Unsolved Problems; Abstract; Defining BPD; Outcome; Etiology; Treatment; References; Index.
Includes bibliographical references and index.