Schema Therapy for Borderline Personality Disorder

Schema Therapy for Borderline Personality Disorder......Page 5
Table of Contents......Page 7
About the Authors......Page 13
Preface......Page 15
Acknowledgements......Page 17
Introduction......Page 19
What is Borderline Personality Disorder?......Page 21
Prevalence and Comorbidity......Page 22
Development of BPD......Page 23
The Development of Schema Therapy for Borderline Personality Disorder......Page 25
Research Results......Page 26
(Contra-) Indications......Page 27
Rationale of Treatment/Theories Supporting Treatment......Page 28
Schema Modes......Page 29
The detached protector......Page 32
The abandoned/abused child......Page 34
The angry/impulsive child......Page 35
The punitive parent......Page 36
The healthy adult......Page 37
Summary......Page 38
3: Treatment......Page 39
Structure of Treatment......Page 40
Starting Phase and Case Conceptualization......Page 42
Developing a relationship and gathering information......Page 43
Measurements......Page 44
Treating Axis-I Symptoms......Page 45
Treating Childhood Traumas......Page 46
Ending Therapy......Page 47
Limited Reparenting......Page 49
Giving direction......Page 51
Empathic confrontation......Page 53
Role playing and role reversal......Page 54
Setting limits......Page 55
Therapists’ Schemas and Self-Disclosure......Page 59
Cognitive Techniques and the Therapeutic Relationship......Page 62
Behavioural Techniques and the Therapeutic Relationship......Page 64
Summary......Page 65
Applications and aims of imagery......Page 67
Imagery of a safe place......Page 69
Imagery Rescripting......Page 72
Phase 1: Imagining the original situation......Page 73
Phase 2: Rescripting by the therapist......Page 75
Imagery Rescripting in the Second Part of Treatment......Page 79
Phase 2: Rescripting by the patient as a healthy adult......Page 80
Phase 3: Rescripting experienced by the child......Page 81
Imagery Rescripting: Changing Behaviour Patterns......Page 83
Problems with Using I magery Rescripting......Page 85
Role Play......Page 88
Historical role play......Page 89
Phase 1: The original situation......Page 90
Phase 2: Role switching......Page 91
Phase 3: Rescripting......Page 93
Common problems with historical role play......Page 95
Role play of a current situation......Page 96
Two-chair technique for the punitive parent......Page 97
Problems with using the two-chair technique with the punitive parent......Page 101
The two-chair technique with the detached protector......Page 102
Problems with using the two-chair technique with the detached protector......Page 103
Multiple-chair technique......Page 104
Experiencing and Expressing Emotions......Page 105
Anger......Page 106
Experiencing and expressing other emotions......Page 108
Letter writing......Page 109
6: Cognitive Techniques......Page 111
Evaluation on a Visual Analogue Scale......Page 115
Multidimensional Evaluation......Page 118
Two-Dimensional Reproductions of Supposed Connections......Page 120
Pie Chart......Page 121
Courthouse Method......Page 122
Flashcards......Page 123
Positive Logbook......Page 124
7: Behavioural Techniques......Page 127
Skills Training and Role Play......Page 128
Discussing Dangerous Behaviours......Page 129
Discussing New Behaviours......Page 130
Homework......Page 133
Pharmacological Therapy......Page 135
Crisis......Page 136
Self-injury and other self-destructive behaviours......Page 138
Suicide......Page 139
Trauma Processing......Page 140
Problems with processing traumas......Page 141
9: Methods per Mode......Page 143
Feeling......Page 144
Doing......Page 145
Pharmacotherapy......Page 146
Obstacles......Page 147
Feeling......Page 148
Doing......Page 149
Obstacles......Page 150
Therapeutic relationship......Page 151
Doing......Page 152
Obstacles......Page 153
Feeling......Page 154
Thinking......Page 155
Obstacles......Page 156
Therapeutic relationship......Page 157
Doing......Page 158
A Simultaneous Chess Play in a Pinball Machine......Page 159
Behavioural Pattern-Breaking......Page 163
Ending Therapy......Page 164
11: Conclusion......Page 165
Appendix A: Brochure for Patients: Schema Therapy for People with Borderline Personality Disorder......Page 167
Appendix B: Cognitive Logbook for Modes......Page 173
Appendix C: Positive Logbook......Page 175
Appendix D: Historical Testing......Page 177
Appendix E: Experiments......Page 179
Appendix F: Homework Form......Page 183
Appendix G: Problem Solving......Page 185
Appendix H: Changing Behavioural Patterns......Page 187
Appendix I: Eighteen Schemas (Young et al., 2003)......Page 189
Appendix J: Coping Strategies......Page 197
References......Page 199
Further Reading......Page 203
Index......Page 209