This groundbreaking volume presents a framework for understanding personality disorders in children, distinguishing them from more frequently diagnosed problems, and delivering effective interventions. Efrain Bleiberg draws on extensive clinical experience and cutting-edge neurobiological research to illuminate how specific personality disorders develop when children--and caregivers--become trapped in rigid, maladaptive patterns of feeling, coping, and relating. Strategies are described for integrating individual psychotherapy, family treatment, and pharmacotherapy to provide meaningful help to this highly challenging population. With particular attention to building and maintaining a strong therapeutic alliance, the book includes case vignettes and transcripts that bring each stage of treatment to life.
Winner--Gradiva Award, National Association for the Advancement of Psychoanalysis
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Efrain Bleiberg, MD, is currently Professor and Vice Chairman, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, and Director of the Department's Division of Child and Adolescent Psychiatry. He is also Medical Director of the Menninger Clinic's Professionals in Crisis program and Training and Supervising Psychoanalyst at the Houston-Galveston Institute of Psychoanalysis.
1. Introduction
2. Attachment and Reflective Function
3. Psychological Organization and the World of Mental Representations
4. Trauma, Vulnerability, and the Development of Severe Personality Disorders
5. Antisocial and Narcissistic Children and Adolescents
6. Histrionic and Borderline Children and Adolescents
7. Beginning Treatment: Creating a Secure Base and a Representational Mismatch
8. Early Stages of Treatment: Forming the Alliance and Enhancing Reflective Function
9. Middle and Late Stages of Treatment: Using Connection to Move toward Integration
10. Residential Treatment and the Continuum of Services
11. Pharmacological Treatment
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