By Joel Paris MD
Organizing an enormous physique of medical literature, this integral ebook offers the state-of-the-art in knowing borderline character sickness (BPD) and distills key remedy ideas that therapists want to know. instead of advocating a specific procedure, Joel Paris examines various treatments and identifies the middle components of potent intervention. He bargains particular information for assembly the desires of this difficult inhabitants, together with how one can increase prognosis, advertise emotion law and impulse keep watch over, preserve acceptable healing limitations, and care for suicidality and different crises. hugely readable, sensible, and humane, the booklet additionally explains the newest pondering at the factors of BPD and the way it develops.
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Additional info for Treatment of Borderline Personality Disorder: A Guide to Evidence-Based Practice
In summary, dimensions are good at describing the traits that underlie BPD but do not account for its symptoms. And one cannot understand the disorder without understanding its trait domains. In fact, the theory to be developed in this book considers traits to be the fundamental diatheses that develop into disorder when patients are exposed to stressors. But categories are equally essential. They tell you how trait domains cluster together and what kinds of symptom patterns to look for. For this reason, it would be premature to replace the BPD diagnosis with a dimensional profile.
One way to improve the BPD diagnosis is to base it on the domains described by Gunderson and Zanarini and to require that symptoms be present in most, if not all, of those domains. Doing so would narrow the definition of BPD and describe a more homogeneous group of patients who are likely to require the same form of treatment. BPD IN PRACTICE AND IN THE COMMUNITY In the practice of psychotherapy, how common are patients with BPD? Are there many cases, or does it just seem that way (if each case feels like 10)?
Instead, all these symptoms came under control within weeks once Lisa entered psychotherapy and formed a solid therapeutic alliance. Lisa met all DSM criteria for BPD and scored 10/10 on the DIB-R. The next two cases describe patients who were referred to me for BPD but who were better diagnosed with a primary mood disorder. Case 7 Mona was a 30-year-old child care worker completing an undergraduate degree. Eight years previously, Mona had three admissions to the hospital for lengthy psychotic episodes in which she thought she was the object of a plot and that she had a mission in the world.
Treatment of Borderline Personality Disorder: A Guide to Evidence-Based Practice by Joel Paris MD