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 costs 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 empathic 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.
Jeffrey J. Magnavita, Ph.D., ABPP, is the founder of the Connecticut Center for Short-Term Dynamic Psychotherapy and has been in active clinical practice for fifteen years. He trains mental health professionals and lectures on the theory, technique, and science of psychotherapy. Dr. Magnavita was the 1995 recipient of the Distinguished Contribution to the Science of Psychology award given by the Connecticut Psychological Association, for his contributions to the field of psychotherapy. He is a member of the American Psychological Association, Society for Psychotherapy Researchers, Society for Psychotherapy Integration, and the International Society on the Study of Personality Disorders, and is a book reviewer for the journal, Psychotherapy.
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.
"This is a timely and much needed book. The author presents a systematic approach for understanding and treating personality disorders utilizing short-term dynamic psychotherapy. Clinical examples abound and technical strategies are clearly articulated. This book will be useful for every clinician, teacher, and student of brief dynamic psychotherapy." --Arnold Winston, MD, Chairman Dept. of Psychiatry, Beth Israel Medical Center; Professor and Vice Chairman, Albert Einstein College of Medicine "Richly grounded in clinical research and up-to-date in theory, this book offers unique blueprints for the complex clinical challenges presented by personality disordered patients. The book is richly studded with clinical wisdom, which will empower the reader to resolve therapeutic roadblocks. Dr. Magnavita's work provides solid, science-based foundations for therapeutic ambition, and hope to a field in desperate need of such a
breakthrough." --Manuel Trujillo, M.D., New York University Medical
Center and Bellevue Hospital Center
"Although intended as a brief treatment manual for the personality disorders, Magnavita's text is one of the most intelligent and thoughtful books available on psychotherapy for these difficult to treat disorders. This highly readable book provides a systematic model with associated techniques to deal with each of the major clusters of Axis II in the DSM-IV. It is a volume that is both theoretically coherent and eminently usable by clinicians of all persuasions. Guided by a deep appreciation of the psychodynamics that undergird personality pathology, Dr. Magnavita has written an incisive and engaging synthesis of what should be known to treat these patients effectively." --Theodore Millon, Ph.D., DSc., Dean and Scientific Director, Institute for Advanced Studies in Personology and Psychopathology.
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