Book contents
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- Part III Individual Disorders and Clusters
- Part IV Assessment
- Part V Treatment
- 17 Cognitive Behavioral Approaches
- 17a Applying a Cognitive-Behavioral, Principle-Based Approach to the Treatment of Personality Disorders: Commentary on Cognitive Behavioral Approaches
- 17b Implementation Challenges in Real World Settings: Commentary on Cognitive Behavioral Approaches
- 17c Further Considerations about Cognitive Behavioral Therapies and Personality Disorders: Author Rejoinder to Commentaries on Cognitive Behavioral Approaches
- 18 Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18a Contemporary Psychodynamic Treatments: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18b Consideration of Commonalities in Distinct Models of Treatment for Individuals with Borderline Personality Disorder: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18c Further Development of Three Key Issues: Author Rejoinder to Commentaries on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 19 Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19a A Functional Understanding of the Relationship between Personality and Clinical Diagnoses and Implications for Treatment Planning: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19b The Need for Mechanistic Models to Translate Traits from Bench to Bedside: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19c Simplicity and Dynamics of the ICD-11 Trait Qualifiers in Relation to Treatment: Author Rejoinder to Commentaries on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 20 Brief Therapeutic Approaches for Personality Disorders
- 20a What Knowledge Is Lacking on Brief Interventions for Personality Disorders and Why: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20b Short- and Long-Term Personality Disorder Treatment Studies Should Inform One Another: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20c Next Steps: Author Rejoinder to Commentaries on Brief Therapeutic Approaches for Personality Disorders
- 21 Recent Developments in the Pharmacologic Management of Personality Disorders
- 21a New Efforts towards Evidence-Informed Practice and Practice-Informed Research: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21b Considerations Regarding the Pharmacological Management of Personality Disorders: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21c Directions for Future Drug Trial Research: Author Rejoinder to Commentaries on Recent Developments in the Pharmacologic Management of Personality Disorders
- Index
- References
17a - Applying a Cognitive-Behavioral, Principle-Based Approach to the Treatment of Personality Disorders: Commentary on Cognitive Behavioral Approaches
from Part V - Treatment
Published online by Cambridge University Press: 24 February 2020
Book contents
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- Part III Individual Disorders and Clusters
- Part IV Assessment
- Part V Treatment
- 17 Cognitive Behavioral Approaches
- 17a Applying a Cognitive-Behavioral, Principle-Based Approach to the Treatment of Personality Disorders: Commentary on Cognitive Behavioral Approaches
- 17b Implementation Challenges in Real World Settings: Commentary on Cognitive Behavioral Approaches
- 17c Further Considerations about Cognitive Behavioral Therapies and Personality Disorders: Author Rejoinder to Commentaries on Cognitive Behavioral Approaches
- 18 Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18a Contemporary Psychodynamic Treatments: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18b Consideration of Commonalities in Distinct Models of Treatment for Individuals with Borderline Personality Disorder: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18c Further Development of Three Key Issues: Author Rejoinder to Commentaries on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 19 Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19a A Functional Understanding of the Relationship between Personality and Clinical Diagnoses and Implications for Treatment Planning: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19b The Need for Mechanistic Models to Translate Traits from Bench to Bedside: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19c Simplicity and Dynamics of the ICD-11 Trait Qualifiers in Relation to Treatment: Author Rejoinder to Commentaries on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 20 Brief Therapeutic Approaches for Personality Disorders
- 20a What Knowledge Is Lacking on Brief Interventions for Personality Disorders and Why: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20b Short- and Long-Term Personality Disorder Treatment Studies Should Inform One Another: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20c Next Steps: Author Rejoinder to Commentaries on Brief Therapeutic Approaches for Personality Disorders
- 21 Recent Developments in the Pharmacologic Management of Personality Disorders
- 21a New Efforts towards Evidence-Informed Practice and Practice-Informed Research: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21b Considerations Regarding the Pharmacological Management of Personality Disorders: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21c Directions for Future Drug Trial Research: Author Rejoinder to Commentaries on Recent Developments in the Pharmacologic Management of Personality Disorders
- Index
- References
Summary
This commentary begins by briefly reviewing and expanding upon some relevant factors of personality disorders that present challenges for clinicians. These factors include: lack of routine screening and assessment of personality disorders in routine clinical care; the vast heterogeneity both between and within personality disorder diagnoses; the high rates of comorbid psychological disorders; and the ego-syntonic nature of many personality disorders, which leads many clients to seek treatment for problems other than their personality disorders. The remainder of the commentary then outlines recommendations for clinicians to follow in their treatment of clients with personality disorders. It provides recommendations for the assessment, case conceptualization, treatment goal and target formation, target hierarchy creation, intervention selection, implementation and evaluation, and the creation and maintenance of rapport and therapeutic alliance when working with personality-disordered clients.
Keywords
- Type
- Chapter
- Information
- The Cambridge Handbook of Personality Disorders , pp. 418 - 421Publisher: Cambridge University PressPrint publication year: 2020
References
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Beck, J. S. (2011). Cognitive Behavior Therapy: Basics and Beyond. New York: Guilford Press.Google Scholar
Bender, D. S., Dolan, R. T., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H., … Gunderson, J. G. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158(2), 295–302.CrossRefGoogle ScholarPubMed
Kendall, P. C., & Beidas, R. S. (2007). Smoothing the trail for dissemination of evidence-based practices for youth: Flexibility within fidelity. Professional Psychology: Research and Practice, 38(1), 13–20.CrossRefGoogle Scholar
Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 62(6), 553–564.Google Scholar
Lungu, A., & Linehan, M. M. (2016). Dialectical behavior therapy: A comprehensive multi-and transdiagnostic intervention. In Nezu, C. M. & Nezu, A. M. (Eds.), The Oxford Handbook of Cognitive and Behavioral Therapies (pp. 200–214). New York: Oxford University Press.Google Scholar
Lynch, T. R. (2018). Radically Open Dialectical Behavior Therapy: Theory and Practice for Treating Disorders of Overcontrol. Oakland, CA: New Harbinger Publications.Google Scholar
Nock, M. K., Goldman, J. L., Wang, Y., & Albano, A. M. (2004). From science to practice: The flexible use of evidence-based treatments in clinical settings. Journal of the American Academy of Child & Adolescent Psychiatry, 43(6), 777–780.Google Scholar
Rizvi, S. L., & Ritschel, L. A. (2014). Mastering the art of chain analysis in dialectical behavior therapy. Cognitive and Behavioral Practice, 21(3), 335–349.Google Scholar
Sheehan, L., Nieweglowski, K., & Corrigan, P. (2016). The stigma of personality disorders. Current Psychiatry Reports, 18(1), 11.Google Scholar
Tolin, D. F. (2016). Doing CBT: A Comprehensive Guide to Working with Behaviors, Thoughts, and Emotions. New York: Guilford Press.Google Scholar
Tyrer, P., Mitchard, S., Methuen, C., & Ranger, M. (2003). Treatment rejecting and treatment seeking personality disorders: Type R and type S. Journal of Personality Disorders, 17(3), 263–268.CrossRefGoogle ScholarPubMed
Tyrer, P., Reed, G. M., & Crawford, M. J. (2015). Classification, assessment, prevalence, and effect of personality disorder. Lancet, 385(9969), 717–726.Google Scholar