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Understanding Mechanisms of Change in Psychotherapies for Personality Di

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This book presents a holistic approach to treating patients with personality disorders that seeks to inspire psychotherapists and encourage innovation. Focusing on core mechanisms of change that span different therapeutic approaches, this book invites clinicians and researchers to join a dialogue with the authors, as they examine personality disorders from different theoretical perspectives, including dialectical behavior therapy, transference-focused therapy, plan analysis, clarification-oriented, and emotion-focused therapies. The authors explore five functional domains that underlie assessment and treatment for personality disorders: emotion dysregulation, disturbed social interaction, identity problems, impulsivity, and cognitive disturbances. Each domain is analyzed through an in-depth case example, with case conceptualizations and the careful evaluation of clinical decisions that must be made at key points in therapy. The authors then compare their different approaches, emphasizing commonalities among them while also pointing out notable differences. They also offer clear and compelling recommendations for maintaining and strengthening the therapeutic alliance. The final chapter synthesizes key takeaways from across the book to create a clear path towards enhancing clinical practice.
Introduction. Synthesizing Diverse Perspectives on Personality Disorders Chapter 1. The Importance of Developing a Focus on Mechanisms of Change in Psychotherapy Chapter 2. Personality Disorders: A Conceptualization in Functional Domains Chapter 3. The First Session of Psychotherapy and Getting Started in Treatment Chapter 4. Moving From Emotional Dysregulation to Emotional Balance Chapter 5. Moving From Problematic Social Interactions to Interpersonal Effectiveness Chapter 6. Moving From Identity Diffusion to an Integrated Sense of Self Chapter 7. Moving From Impulsive Behavior to Self-Reflection Chapter 8. Moving From Cognitive-Perceptual Disturbances to Coherent and Reality-Based Narratives Chapter 9. Challenges in the Therapeutic Relationship and How to Use Them Productively in Psychotherapy Chapter 10. Discussing Mechanisms of Change in Psychotherapies for Personality Disorders References Index About the Authors
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