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Restructuring Personality Disorders

A Short-Term Dynamic Approach
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Therapists working with personality-disordered clients must contend with both the complex and often treatment refractory nature of the Axis II disorders themselves and the growing reluctance of third-party payers to assume the cost of extended treatment. Presenting a flexible short-term dynamic model, this book shows how to conduct successful therapies with this population. The author synthesizes the work of pioneers in the field of short-term therapy and adds components from a range of other approaches, emphasizing active defense analysis and emphatic affirmation of the client's core self. With step-by-step guidelines and extensive case material, the volume demonstrates how to bring about rapid and enduring changes in personality-disordered clients.
Part 1 The framework: quantum change for personality disordered patients; the STRP model - process, theory, and constructs; assessment and treatment planning; how to formulate core issues; techniques of STRP; the use of anxiety and maximizing the therapeutic alliance; comprehensive restructuring of the personality; overview of the treatment process. Part 2 Process and technique in treatment of personality disorders; the cluster C disorders - the treatment-responsive group; the cluster B disorders - the mixed-results groups; the cluster A disorders - the treatment-refractory group; treatment pitfalls; termination and follow- up; measuring therapeutic effectiveness; future challenges.
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