Practical Management of Personality Disorder by W. John Livesley MD PhD

By W. John Livesley MD PhD

This quantity takes a multi-level method of knowing and treating character sickness, selecting center signs and difficulties that many sufferers percentage and offering a finished framework for medical intervention. instead of featuring a specific version of treatment, W. John Livesley indicates how a wide selection of empirically supported interventions can be utilized to control particular elements of an built-in remedy plan. Drawing on etiological wisdom in addition to consequence learn, the booklet identifies potent techniques for addressing key components of the patient's psychosocial and organic functioning. The clinician learns tips to conceptualize the levels of remedy and use the stages-of-change version as a consultant for sequencing and choosing acceptable interventions. Pragmatic and versatile, the research-based options offered listed here are appropriate in diversified settings, in treatments starting from quandary intervention to long term remedy.

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Extra resources for Practical Management of Personality Disorder

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This definition, derived from evolutionary psychology and normal 20 PRACTICAL MANAGEMENT OF PERSONALITY DISORDER personality theory, is remarkably compatible with clinical concepts. The clinical literature suggests that personality disorder involves two related problems: severe and chronic difficulties with interpersonal relationships, and problems with a sense of self or identity. Rutter (1987), for example, argued that personality disorder primarily involves chronic interpersonal dysfunction.

Both descriptions are simply lists of preferences with little awareness of personal characteristics or organized understanding of the self. Lack of clarity about personal qualities leads to reliance on context and input from others to define the self, leaving the individual open to exploitation and control. One patient noted: “I am like a chameleon; I change my color according to what other people expect. ” Another patient said, “I am not sure what I want or who I am. ” This is the quality that Deutsch (1942) referred to as the “as-if” personality.

29) Although Horwitz and colleagues were discussing a combination of psychoanalytic approaches, not a combination of interventions from different schools, their comment indicates growing recognition that the complexity and range of psychopathology associated with personality disorder demand a combination of approaches. Piper and Joyce (2001), reviewing the literature on treatment outcome, concluded that the best results occurred when treatment was individually tailored and the patient and therapist agreed on a specific contract.

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