Borderline Personality Disorder: A Clinical Guide

Front Cover
American Psychiatric Press, 2001 - Medical - 329 pages

Borderline personality disorder is easily the most widely and commonly used diagnosis for personality disorders in clinical practice today-affecting about 2%--3% of the general population, 25% of the inpatient population, and 15% of the outpatient population.

This sequel to Gunderson's 1984 "Borderline Personality Disorder" reflects the explosion of information, expertise, and specialization in borderline personality disorder, covering all recognized treatments for the clinical care of borderline patients. Integrating scientific advances with clinical lore, it offers a sophisticated-and uniquely comprehensive-look at treatment literature, clinical perspectives, and treatment modalities.

Areas covered in detail include the diagnosis itself; the author's empirically and clinically anchored theory on the sequencing of goals, processes of change, and modalities best suited for a patient's changing needs; the critical role of the primary clinician as a result of managed care; the desirability-not just the necessity-of splitting treatment between professionals; the four levels of care (hospitalization, day care, intensive outpatient programs, and outpatient); psychopharmacology; cognitive-behavioral therapies, including dialectical behavior therapy; family involvement; interpersonal group treatment; and psychoanalytic psychotherapy. Firmly grounded in today's healthcare environment, the author includes cost-effectiveness and feasibility in his discussion of every recognized treatment.

Enhanced by both case reports and sidebars that detail newsworthy, timely-and controversial-topics found nowhere else in the literature, this captivating text concludes with a refreshingly optimistic look at the future of effectively treating borderline patients. It will prove an invaluable reference for clinicians, patients' families, health care administrators, and instructors in psychotherapy, psychopathology, and integrated treatment.

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