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Description

Product Description

For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan''s comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems.

Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan''s DBT Skills Training Manual, Second Edition, and DBT Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan''s instructive skills training videos for clients-- Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.

Review

"The bible of DBT. Over two decades later, Linehan’s comprehensive treatment manual still stands without peer as the complete and lucid introduction to DBT as well as the in-depth text for the advanced practitioner. DBT’s skills are effective and potent if delivered in the context of the theory, principles, protocols, and strategies of the treatment, all of which are presented in this book. It is essential reading for therapists delivering the significantly upgraded skills in DBT Skills Training Manual, Second Edition."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts School of Medicine

"Every once in a very long while in our field, a clinical innovation is introduced that profoundly improves patient care. Marsha Linehan''s development of a cognitive-behavioral approach to borderline personality disorder is such a rare innovation....Her techniques are clear, teachable, and learnable, and make good common sense to the therapist and the patient. Dr. Linehan''s methods have greatly improved my treatment of borderline individuals and my teaching of others in how best to understand and treat these patients.''''--Allen Frances, MD

"Marsha Linehan''s tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan''s methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients."--Lester Luborsky, PhD

"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny."--Gerald Davison, PhD, University of Southern California

"Dr. Linehan''s approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results."--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center

 


"We highly recommend this text and its companion training manual...."
Bulletin of the Menninger Clinic Published On: 1993-05-16

"...represents a gold standard" for treatment of this diagnostic category."
Behaviour Research and Therapy Published On: 1993-05-16

"It is the most exacting and well thought out treatment plan I have ever seen written for any disorder....I have tried to find shortcomings with this book. I can find none. It is one of the best pieces of clinical work ever written. No matter what your clinical or research focus of interest, you will gain immensely from reading Cognitive-Behavioral Treatment of Borderline Personality Disorder."
Journal of Family Violence Published On: 1993-05-16

From the Back Cover

For the average clinician, clinic, or inpatient facility, individuals with borderline personality disorder often represent the most difficult and insoluble cases. The first volume to provide strategies proven effective in controlled clinical trials, this book is a comprehensive, integrated approach to therapy with this population. Marsha Linehan presents specific guidelines that creatively combine the best elements of behavioral, psychoanalytic, strategic, and other commonly employed modalities. A clinical innovator, she has analyzed the aspects of borderline into their component parts and developed a systematized approach to each of them. The first section of the book presents an overview of the disorder and lays out a theoretical framework to guide the therapy. The second describes in detail how to assess borderline patients and how to organize and prioritize treatment goals and behavioral targets. The core of the treatment is the balance of acceptance and change strategies, both within each therapy interaction and over time. For problem solving with borderline personality disorder, the book provides specific strategies for contingency management, exposure, cognitive modification, and skills training. The last component is further elucidated in the companion Skills Training Manual, which programmatically details procedures and includes client handouts for step-by-step implementation. Finally, to enhance interpersonal communication, Dr. Linehan presents three case management sets: consultation to the patient, environmental intervention, and consultation to the therapist. Addressing the most stressful patient behaviors that clinicians encounter, the book includes a step-by-step outlinefor assessing suicide risk, managing suicide threats, and working with chronic suicidal behavior. Integrative approaches for such specific problems as crises, noncompliance, and breakdowns in the therapeutic relationship are also discussed. Lucidly detailing effective techniques that can be replicated in clinical practice, this volume illuminates the internal experience of borderline individuals and provides clinicians with practical clinical tools for working with them. As such, it is an invaluable resource for all professionals who work with this difficult-to-treat population.

About the Author

Marsha M. Linehan, PhD, ABPP, the developer of dialectical behavior therapy (DBT), is Professor Emeritus of Psychology and Director Emeritus of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders. Dr. Linehan''s contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the University of Louisville Grawemeyer Award for Psychology and the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies. She is also a recipient of the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. She is a Zen master.

Excerpt. © Reprinted by permission. All rights reserved.

I. THEORY AND CONCEPTS.
1. Borderline Personality Disorder: Concepts, Controversies, and Definitions. 2. Dialectical and Biosocial Underpinnings of Treatment.
3. Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients.
II. TREATMENT OVERVIEW AND GOALS.
4. Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell.
5. Behavioral Targets in Treatment: Behaviors to Increase and Decrease.
6. Structuring Treatment Around Target Behaviors: Who Treats What and When.
III. BASIC TREATMENT STRATEGIES.
7. Dialectical Treatment Strategies.
8. Core Strategies: Part I. Validation.
9. Core Strategies: Part II. Problem Solving.
10. Change Procedures: Part I. Contingency Procedures (Managing Contingencies and Observing Limits.
11. Change Procedures: Part II. Skill Training, Exposure, Cognitive Modification.
12. Stylistic Strategies: Balancing Communication.
13. Case Management Strategies: Interacting with the Community.
IV. STRATEGIES FOR SPECIFIC TASKS.
14. Structural Strategies.
15. Special Treatment Strategies.

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Customer reviews

4.7 out of 54.7 out of 5
394 global ratings

Top reviews from the United States

Charlie
5.0 out of 5 starsVerified Purchase
Essential for Anyone Wanting to Understand BPD
Reviewed in the United States on June 20, 2014
I am recovering from this disorder. I have been in mental hospitals and spent years in therapy. I have read Masterson, and David P. Celani''s translation of Fairbairn (who corrected Freud''s mistake on object relations theory so it makes practical sense and actually is... See more
I am recovering from this disorder. I have been in mental hospitals and spent years in therapy. I have read Masterson, and David P. Celani''s translation of Fairbairn (who corrected Freud''s mistake on object relations theory so it makes practical sense and actually is helpful in understanding thought processes of trauma victims. Very enlightening). These were my favorite books on the subject until this. Most books about BPD are written by observers from an external perspective. They don''t understand what''s really going on inside and the help they offer isn''t dead on target like Marsha Linehan''s is. She is recovering from BPD herself and spent years of agony before turning it all around to become a therapist who can reach people in pain on THEIR level. She doesn''t talk down and she didn''t get it all out of a book. She knows. I have gotten immeasurable help following the approach in this book.
I also like a complementary book, the autobiography of another recovering borderline, who was helped using the techniques created by Dr. Linehan: "The Buddha and the Borderline" by Kiera Van Gelder. As it is a story and not a psychology book, it is easier to understand.
31 people found this helpful
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Amanda Malak
3.0 out of 5 starsVerified Purchase
Helpful but I really hate Linehan''s writing style
Reviewed in the United States on April 10, 2021
DBT is awesome although it is also much too manualized for me liking. I do not enjoy how all of her books refer to other books and chapters; it is very choppy and hard to read. The skills manual and handouts should also be combined and be in order because you have to flip... See more
DBT is awesome although it is also much too manualized for me liking. I do not enjoy how all of her books refer to other books and chapters; it is very choppy and hard to read. The skills manual and handouts should also be combined and be in order because you have to flip around back and forth and reading a whole section makes much more sense than going one at a time which is time consuming. DBT is very helpful for many and it also is a money-making machine that essentially culturally appropriates Zen Buddhism. Doing full protocol is also extremely time consuming for clinicians and clients, and most patients just don''t have time to do it all.
2 people found this helpful
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tb
5.0 out of 5 starsVerified Purchase
Awesome Author
Reviewed in the United States on July 5, 2021
The author is thorough & has first hand experience & research. While there is some repetition, I found it helpful. This is slow reading with lots to unpack & think about. So far, the best I''ve read on the subject
One person found this helpful
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Karen M Hartman
5.0 out of 5 starsVerified Purchase
Well written and VERY helpful
Reviewed in the United States on June 13, 2015
My therapist recommended this book to me when I came to him with confusion over my relationship with my sister. It is written for clinical therapists so it is over my head as a lay reader. Even so, I am getting so much out of it. I am so grateful to this woman for breaking... See more
My therapist recommended this book to me when I came to him with confusion over my relationship with my sister. It is written for clinical therapists so it is over my head as a lay reader. Even so, I am getting so much out of it. I am so grateful to this woman for breaking the trail as to how to understand and be helpful with these confusing, difficult individuals.
10 people found this helpful
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Brian K. Pulsipher
5.0 out of 5 starsVerified Purchase
Great insight! After reading this book
Reviewed in the United States on August 17, 2016
Great insight! After reading this book, please read "Doing Dialectical Behavior Therapy: A Practical Guide" by Kelly Koerner. I found Koerner''s book helpful in simplifying and consolidating the concepts in this book so as to make them easier to understand. Still,... See more
Great insight! After reading this book, please read "Doing Dialectical Behavior Therapy: A Practical Guide" by Kelly Koerner. I found Koerner''s book helpful in simplifying and consolidating the concepts in this book so as to make them easier to understand. Still, this is a great book for any clinician and can be used to compliment many other therapy models.
9 people found this helpful
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Amazon Customer
5.0 out of 5 starsVerified Purchase
DBT Manual for practitioners
Reviewed in the United States on January 3, 2020
I used this to learn and review for best fidelity to the DBt model.
2 people found this helpful
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Brett Anderson
5.0 out of 5 starsVerified Purchase
This book takes the struggle out of working with BPD
Reviewed in the United States on March 17, 2001
This book is designed for use in skill training groups for BPD. The author offers advice on adapting it to be used in individual therapy however. Linehan is forging a place in the mental health field as the foremost clinican in dealing with BPD. The reader is immediately... See more
This book is designed for use in skill training groups for BPD. The author offers advice on adapting it to be used in individual therapy however. Linehan is forging a place in the mental health field as the foremost clinican in dealing with BPD. The reader is immediately aware of the extensive amount of research that went into this book. The author is not writing about opinion, she is writing about the results of years of extensively scrutinzing the work of herself and others. On the downside the book has the amount and quality of information one would expect from a textbook. This is not light reading, it is however a page turner (as far as academic texts go) if you have ever felt inadequate when dealing with BPD. After applying the ideas in this book I found that BPD was not the same beast in treating than in the past.
46 people found this helpful
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E. Lacy
5.0 out of 5 starsVerified Purchase
The Text for treatment of BPD
Reviewed in the United States on August 23, 2009
What can I say? If you''re going to learn Dialectical Behavioral Therapy for BPD- you have to have this text. You should also buy the Skills Manual since there are references to it. I''ve used some of these skills/techniques with patients who have some of these traits... See more
What can I say? If you''re going to learn Dialectical Behavioral Therapy for BPD- you have to have this text. You should also buy the Skills Manual since there are references to it.
I''ve used some of these skills/techniques with patients who have some of these traits but not BPD - there are great strategies for Behavior Analysis and determining intervention strategies, not to mention validation techniques.
On the other hand - if you are going to treat BPD - make sure to also have a clinical supervisor - it''s a very complex population. There are actually on-line courses at Behavioral Tech (Marsha Linehan''s Institute) where you can learn on an interactive site, as well.
4 people found this helpful
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Top reviews from other countries

Prof. A.
5.0 out of 5 starsVerified Purchase
CBT is not JCB
Reviewed in the United Kingdom on October 15, 2020
I again thought this was a book about earth moving equipment and whilst I have learnt a lot about Cognitive-Behavioral Treatment of Borderline Personality Disorder I have yet to work out hoe to change the oil in my old JCB digger in the yard :(
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Amazon Customer
5.0 out of 5 starsVerified Purchase
Five Stars
Reviewed in the United Kingdom on December 11, 2016
The original text... Essential for anyone interested in gaining a sound insight into DBT!
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Suzy Watson
5.0 out of 5 starsVerified Purchase
Good buy
Reviewed in the United Kingdom on December 22, 2016
Great item, speedy delivery, will use again, thank you!
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anamizm
5.0 out of 5 starsVerified Purchase
Fine
Reviewed in the United Kingdom on December 22, 2018
Fine
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D. Belcher
5.0 out of 5 starsVerified Purchase
Five Stars
Reviewed in the United Kingdom on December 26, 2017
good
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