Treating Personality Disorders in Children and Adolescents
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This groundbreaking volume presents a framework for understanding personality disorders in children, distinguishing them from more frequently diagnosed problems, and delivering effective interventions. Efrain Bleiberg draws on extensive clinical experience and cutting-edge neurobiological research to illuminate how specific personality disorders develop when children - and caregivers - become trapped in rigid, maladaptive patterns of feeling, coping, and relating. Strategies are described for integrating individual psychotherapy, family treatment, and pharmacotherapy to provide meaningful help to this highly challenging population. With particular attention to building and maintaining a strong therapeutic alliance, the book includes case vignettes and transcripts that bring each stage of treatment to life.
UPDATED NOV. 2003: Efrain Bleiberg, MD, is currently Professor and Vice Chairman, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, and Director of the Department's Division of Child and Adolescent Psychiatry. He is also Medical Director of the Menninger Clinic's Professionals in Crisis program and Training and Supervising Psychoanalyst at the Houston/n-/Galveston Institute of Psychoanalysis.
UPDATED NOV. 2003: Efrain Bleiberg, MD, is currently Professor and Vice Chairman, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, and Director of the Department's Division of Child and Adolescent Psychiatry. He is also Medical Director of the Menninger Clinic's Professionals in Crisis program and Training and Supervising Psychoanalyst at the Houston/n-/Galveston Institute of Psychoanalysis.
"Bleiberg has produced a brilliant, comprehensive, and genuinely innovative work. Presenting an integrated framework for treatment of a complex population of young people, this book retains the most important aspects of the old while presenting exhilarating new perspectives and powerful technical innovations. It offers a rare combination of originality, breadth, conceptual coherence, and clinical wisdom. An immensely valuable and lasting contribution."--Peter Fonagy, PhD, FBA, University of London and The Menninger Clinic "Drawing on the clinical wisdom of psychoanalysis, and blending it with current progress in developmental science, this book reminds us that personality can become disordered at a very early age, with devastating consequences. Treatment requires the skillful blending of a multiplicity of intervention approaches, centered on the therapeutic relationship. This book demonstrates--in the best Menninger tradition--how we can approach such problems effectively from a modern developmental perspective."--Hans Steiner, MD, Stanford University School of Medicine "This rewarding text offers practical strategies for clinical work with children and adolescents imprisoned by severe personality disturbances. Bleiberg provides a unique synthesis and application of current thinking about development and interpersonal relationships, incorporating attachment research as well as exciting recent neurobiological findings. In doing so, he lays the foundations for psychotherapeutic and psychopharmacological interventions that can help young people achieve a more reflective and interpersonally rewarding way of living. The book is comprehensive in its discussion of the phases of treatment, and offers insightful perspectives on crucial countertransference issues. Bleiberg has made an important contribution to theory and practice. I highly recommend this book."--Daniel J. Siegel, MD, Department of Psychiatry, UCLA School of Medicine
"Bleiberg has produced a brilliant, comprehensive, and genuinely innovative work. Presenting an integrated framework for treatment of a complex population of young people, this book retains the most important aspects of the old while presenting exhilarating new perspectives and powerful technical innovations. It offers a rare combination of originality, breadth, conceptual coherence, and clinical wisdom. An immensely valuable and lasting contribution."--Peter Fonagy, PhD, FBA, University of London and The Menninger Clinic "Drawing on the clinical wisdom of psychoanalysis, and blending it with current progress in developmental science, this book reminds us that personality can become disordered at a very early age, with devastating consequences. Treatment requires the skillful blending of a multiplicity of intervention approaches, centered on the therapeutic relationship. This book demonstrates--in the best Menninger tradition--how we can approach such problems effectively from a modern developmental perspective."--Hans Steiner, MD, Stanford University School of Medicine "This rewarding text offers practical strategies for clinical work with children and adolescents imprisoned by severe personality disturbances. Bleiberg provides a unique synthesis and application of current thinking about development and interpersonal relationships, incorporating attachment research as well as exciting recent neurobiological findings. In doing so, he lays the foundations for psychotherapeutic and psychopharmacological interventions that can help young people achieve a more reflective and interpersonally rewarding way of living. The book is comprehensive in its discussion of the phases of treatment, and offers insightful perspectives on crucial countertransference issues. Bleiberg has made an important contribution to theory and practice. I highly recommend this book."--Daniel J. Siegel, MD, Department of Psychiatry, UCLA School of Medicine
"...thought-provoking and evocative....it is the honest, self-effacing clinical discussions of the author's therapeutic relationship and counter-transference issues with these patients that are at the heart of this life work's book."--Canadian Academy of Child and Adolescent Psychiatry "...a feast of ideas and possibilities, and any therapist who works with children with serious problems--are there any child therapists left who do not, in this sorry age?--will be enriched by reading it."--Psychologist-Psychoanalyst "...it can help clinicians concerned with the care of very seriously disturbed young people."--Journal of Child Psychology and Psychiatry "This excellent book provides insight into the formation of personality disorders in children. It is useful for the clinician, providing techniques to use in therapy to help the child or adolescent develop meaningful relationships."--Doody's Electronic Journal "This thought-provoking and evocative book....follows a developmental approach to severe personality disorders interweaving current genetic and neuroimaging research but in a holistic psychological framework....It is the honest, self-effacing clinical discussions of the author's therapeutic relationship and counter-transference issues with these patients that are at the heart of this life work's book....The clinical challenge of these children and adolescents may be daunting, but as this book shows the rewards and insights are life lasting."--Canadian Child and Adolescent Psychiatry Review
"...thought-provoking and evocative....it is the honest, self-effacing clinical discussions of the author's therapeutic relationship and counter-transference issues with these patients that are at the heart of this life work's book."--Canadian Academy of Child and Adolescent Psychiatry "This excellent book provides insight into the formation of personality disorders in children. It is useful for the clinician, providing techniques to use in therapy to help the child or adolescent develop meaningful relationships."--Doody's Electronic Journal "...a feast of ideas and possibilities, and any therapist who works with children with serious problems--are there any child therapists left who do not, in this sorry age?--will be enriched by reading it."--Psychologist-Psychoanalyst "...it can help clinicians concerned with the care of very seriously disturbed young people."--Journal of Child Psychology and Psychiatry "This thought-provoking and evocative book....follows a developmental approach to severe personality disorders interweaving current genetic and neuroimaging research but in a holistic psychological framework....It is the honest, self-effacing clinical discussions of the author's therapeutic relationship and counter-transference issues with these patients that are at the heart of this life work's book....The clinical challenge of these children and adolescents may be daunting, but as this book shows the rewards and insights are life lasting."--Canadian Child and Adolescent Psychiatry Review "I would...strongly recommend this book to anyone who wishes to gain some 'insight' into the world of an extreme damaged group of youngsters--be brave, make the leap, it's worth it."--Pediatric Rehabilitation
"...thought-provoking and evocative....it is the honest, self-effacing clinical discussions of the author's therapeutic relationship and counter-transference issues with these patients that are at the heart of this life work's book."--Canadian Academy of Child and Adolescent Psychiatry "This excellent book provides insight into the formation of personality disorders in children. It is useful for the clinician, providing techniques to use in therapy to help the child or adolescent develop meaningful relationships."--Doody's Electronic Journal "...a feast of ideas and possibilities, and any therapist who works with children with serious problems--are there any child therapists left who do not, in this sorry age?--will be enriched by reading it."--Psychologist-Psychoanalyst "...it can help clinicians concerned with the care of very seriously disturbed young people."--Journal of Child Psychology and Psychiatry "This thought-provoking and evocative book....follows a developmental approach to severe personality disorders interweaving current genetic and neuroimaging research but in a holistic psychological framework....It is the honest, self-effacing clinical discussions of the author's therapeutic relationship and counter-transference issues with these patients that are at the heart of this life work's book....The clinical challenge of these children and adolescents may be daunting, but as this book shows the rewards and insights are life lasting."--Canadian Child and Adolescent Psychiatry Review "I would...strongly recommend this book to anyone who wishes to gain some 'insight' into the world of an extreme damaged group of youngsters--be brave, make the leap, it's worth it."--Pediatric Rehabilitation
This groundbreaking volume presents a framework for understanding personality disorders in children, distinguishing them from more frequently diagnosed problems, and delivering effective interventions.
While personality disorders traditionally have been conceptualized only in adults, it is not uncommon to encounter children and adolescents with the classic diagnostic signs. Youngsters with personality disorders may come across as strikingly arrogant, defiant, and manipulative, yet their demeanor typically masks devastating experiences of vulnerability and pain. This groundbreaking volume offers a framework to make sense of childhood personality disorders, distinguish them from more frequently diagnosed childhood conditions, and respond appropriately to the challenges this population presents. Interweaving neurobiological, psychodynamic, and developmental perspectives, Efrain Bleiberg presents an effective treatment model grounded in research and extensive clinical experience. All therapists working with children and adolescents will find vital insights and strategies in this lucidly written book. The author first explores the nature and clinical presentation of childhood personality disorders. Diverse theoretical and empirical literatures are integrated to show how a combination of constitutional vulnerability, attachment difficulties, and trauma may impair the child's capacity to interpret and respond to the world in human, meaningful terms. Elucidated are the processes by which specific personality disorders develop when children--and caregivers--become trapped in rigid, maladaptive patterns of feeling, coping, and relating. The book then takes the clinician step-by-step through offering multimodal interventions that incorporate individual psychotherapy, family treatment, and pharmacotherapy. Compelling case vignettes and transcripts bring to life the inner worlds of these frightened young people and the clinicians who work with them, showing how treatment can help achieve intrapsychic change, free inhibited development, and modify the child's family context. Emphasizing the importance of the therapeutic alliance, the book gives particular attention to ways that therapists can understand and work with their own emotional reactions in highly charged clinical situations. Providing a unique, research-based approach to working with a notably difficult-to-treat population, this book belongs on the desks of psychologists, psychiatrists, social workers, and other clinicians working with children and adolescents. Rendering complex ideas accessible, it will also be an invaluable resource for graduate-level students and trainees in these fields.
While personality disorders traditionally have been conceptualized only in adults, it is not uncommon to encounter children and adolescents with the classic diagnostic signs. Youngsters with personality disorders may come across as strikingly arrogant, defiant, and manipulative, yet their demeanor typically masks devastating experiences of vulnerability and pain. This groundbreaking volume offers a framework to make sense of childhood personality disorders, distinguish them from more frequently diagnosed childhood conditions, and respond appropriately to the challenges this population presents. Interweaving neurobiological, psychodynamic, and developmental perspectives, Efrain Bleiberg presents an effective treatment model grounded in research and extensive clinical experience. All therapists working with children and adolescents will find vital insights and strategies in this lucidly written book. The author first explores the nature and clinical presentation of childhood personality disorders. Diverse theoretical and empirical literatures are integrated to show how a combination of constitutional vulnerability, attachment difficulties, and trauma may impair the child's capacity to interpret and respond to the world in human, meaningful terms. Elucidated are the processes by which specific personality disorders develop when children--and caregivers--become trapped in rigid, maladaptive patterns of feeling, coping, and relating. The book then takes the clinician step-by-step through offering multimodal interventions that incorporate individual psychotherapy, family treatment, and pharmacotherapy. Compelling case vignettes and transcripts bring to life the inner worlds of these frightened young people and the clinicians who work with them, showing how treatment can help achieve intrapsychic change, free inhibited development, and modify the child's family context. Emphasizing the importance of the therapeutic alliance, the book gives particular attention to ways that therapists can understand and work with their own emotional reactions in highly charged clinical situations. Providing a unique, research-based approach to working with a notably difficult-to-treat population, this book belongs on the desks of psychologists, psychiatrists, social workers, and other clinicians working with children and adolescents. Rendering complex ideas accessible, it will also be an invaluable resource for graduate-level students and trainees in these fields.
1. Introduction 2. Attachment and Reflective Function 3. Psychological Organization and the World of Mental Representations 4. Trauma, Vulnerability, and the Development of Severe Personality Disorders 5. Antisocial and Narcissistic Children and Adolescents 6. Histrionic and Borderline Children and Adolescents 7. Beginning Treatment: Creating a Secure Base and a Representational Mismatch 8. Early Stages of Treatment: Forming the Alliance and Enhancing Reflective Function 9. Middle and Late Stages of Treatment: Using Connection to Move toward Integration 10. Residential Treatment and the Continuum of Services 11. Pharmacological Treatment
Introduction. Attachment and Reflective Function. Psychological Organization and the World of Mental Representations. Trauma, Vulnerability, and the Development of Severe Personality Disorders. Antisocial and Narcissistic Children and Adolescents. Histrionic and Borderline Children and Adolescents. Beginning Treatment: Creating a Secure Base and a Representational Mismatch. Early Stages of Treatment: Forming the Alliance and Enhancing Reflective Function. Middle and Late Stages of Treatment: Using Connection to Move toward Integration. Residential Treatment and the Continuum of Services. Pharmacological Treatment.
작가정보
저자(글) Bleiberg, Efrain
목차
Introduction p. 1 Attachment and Reflective Function p. 18 Psychological Organization and the World of Mental Representations p. 43 Trauma, Vulnerability, and the Development of Severe Personality Disorders p. 76 Antisocial and Narcissistic Children and Adolescents p. 103 Histrionic and Borderline Children and Adolescents p. 130 Beginning Treatment: Creating a Secure Base and a Representational Mismatch p. 150 Early Stages of Treatment: Forming the Alliance and Enhancing Reflective Function p. 174 Middle and Late Stages of Treatment: Using Connection to Move toward Integration p. 198 Residential Treatment and the Continuum of Services p. 222 Pharmacological Treatment p. 265 References p. 297 Index p. 341 Table of Contents provided by Syndetics. All Rights Reserved.
기본정보
ISBN | 9781593850180 ( 1593850182 ) |
---|---|
발행(출시)일자 | 2004년 02월 10일 |
쪽수 | 348쪽 |
크기 |
155 * 225
* 25
mm
/ 458 g
|
총권수 | 1권 |
언어 | 영어 |
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