Cognitive Therapy of Personality Disorders, Second Edition

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9781572308565: Cognitive Therapy of Personality Disorders, Second Edition
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This landmark work was the first to present a cognitive framework for understanding and treating personality disorders. Part I lays out the conceptual, empirical, and clinical foundations of effective work with this highly challenging population, reviews cognitive aspects of Axis II disorders, and delineates general treatment principles. In Part II, chapters detail the process of cognitive-behavioral therapy for each of the specific disorders, review the clinical literature, guide the therapist through diagnosis and case conceptualization, and demonstrate the nuts and bolts of cognitive intervention.

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About the Author:

Aaron T. Beck, MD, is the founder of cognitive therapy, University Professor Emeritus of Psychiatry at the University of Pennsylvania, and President Emeritus of the Beck Institute for Cognitive Behavior Therapy. Dr. Beck is the recipient of numerous awards, including the Albert Lasker Clinical Medical Research Award, the American Psychological Association (APA) Lifetime Achievement Award, the American Psychiatric Association Distinguished Service Award, the Robert J. and Claire Pasarow Foundation Award for Research in Neuropsychiatry, and the Institute of Medicine's Sarnat International Prize in Mental Health and Gustav O. Lienhard Award.
Arthur Freeman, EdD, ABPP, ACT, is Visiting Professor at Governors State University, University Park, Illinois, and Clinical Professor at the Philadelphia College of Osteopathic Medicine. He has been the president of the Association for Advancement of Behavior Therapy and of the International Association for Cognitive Psychotherapy. He is a Distinguished Founding Fellow of the Academy of Cognitive Therapy and has earned diplomates in Clinical Psychology, Behavioral Psychology, and Family Psychology from the American Board of Professional Psychology. Dr. Freeman’s research and clinical interests include marital and family therapy, and cognitive-behavioral treatment of depression, anxiety, and personality disorders.
 
Denise D. Davis, PhD, is a Founding Fellow of the Academy of Cognitive Therapy and has collaborated with Drs. Beck and Freeman and other associates of the Beck Center since completing an extramural postdoctoral fellowship there in 1984. A contributor to the first edition of this volume as well as to numerous other chapters, articles, and workshops on cognitive therapy, Dr. Davis was a founding editor of the journal Cognitive and Behavioral Practice. She currently serves as Assistant Director of Clinical Training in Psychology at Vanderbilt University and has also maintained an independent practice of cognitive therapy for 20 years.

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CONTENTS

Part I. History, Theory, and Research
Chapter 1: Overview of Cognitive Therapy of Personality Disorders
The Cognitive-Behavioral Approach to Personality Disorders
Clinical Studies and Empirical Research
The Validity of Cognitive Conceptualization of Personality Disorder
The Effectiveness of Cognitive Therapy with Personality Disorders
The Effects of Co-Morbid Personality Disorder on Treatment of Axis I Disorders
Uncontrolled Studies of Cognitive-Behavioral Treatment of Axis II Disorders
Formal Outcome Studies of Cognitive-Behavioral Treatment of Axis II Disorders
Comparisons With Other Treatment Approaches
The Effects of Personality Disorders on "Real Life" Clinical Practice
Implications for Clinical Practice

Chapter 2: Theory of Personality Disorders
Characteristics of Schemas
The Evolution of Interpersonal Strategies
Interaction between the Genetic and Interpersonal
Origin of Dysfunctional Beliefs
Information Processing and Personality
Characteristics of Schemas
The Role of Affect in Personalities
From Perception to Behavior
The Internal Control System
Transition to Axis II Disorder
The Cognitive Shift
Cognitive Profiles
Thinking Styles
Summary of Characteristics

Chapter 3: Assessment of Personality Disorders
Conceptual and Metholodogical Issues
Assessment Strategies
Cognitive Measures of Personality Pathology
Specific Cognitive Profiles
Summary of Cognitive Profiles
Conclusion

Chapter 4: General Principles and Specialized Techniques
Conceptualization of the Case
Identification of Schemas
Specification of Underlying Goals
Emphasis on Therapist-Patient Relationship
Collaboration
Guided Discovery
Use of Transference Reactions
Specialized Techniques
Cognitive Strategies and Techniques
The Cognitive Probes
Confronting Schemas
Making Decisions
Behavioral Techniques
Use of Role Play
Reliving Childhood Experiences
Use of Imagery

Chapter 5: The Cognitive Therapy Relationship With Personality-Disordered Patients
Expanding the Interpersonal Domain
Non-Collaboration
Conceptual Understanding of Non-Collaboration
Emotions in the Therapeutic Relationship: Cognitive Conceptualization of Transference and Counter-Transference
Patient Emotions
Therapist Emotions
Summary

Part II. Clinical Applications
Chapter 6: Paranoid Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 7: Schizoid and Schizotypal Personality Disorders
Schizoid Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion
Schizotypal Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 8: Antisocial Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 9: Borderline Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 10: Histrionic Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 11: Narcissistic Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 12: Dependent Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 13: Avoidant Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 14: Obsessive--Compulsive Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 15: Passive--Aggressive Personality Disorder
Historical Perspectives
Research and Empirical Data
Differential Diagnosis
Conceptualization
Treatment Approach
Collaboration Strategy
Specific Interventions
Maintaining Progress
Conclusion

Chapter 16: Synthesis and Prospects for the Future
Assessment
Clinical Issues
Conclusion

References
Index

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