Cognitive Therapy for Personality Disorders

by Young, Jeffrey E.

• ISBN13: 9781568870472
• ISBN10: 1568870477
• Edition: 3rd
• Format: Paperback
• Copyright: 1999-04-01
• Publisher: PROFESSIONAL RESOURCE PRESS

Summary

An excellent guide to treating the most difficult cases in your practice: personality disorders and other chronic, self-defeating problems. The author describes how he adapted traditional cognitive therapy techniques to more effectively treat patients with narcissistic, borderline, passive-aggressive, dependent, and other personality disorders, as well as chronic dysthymic and anxious patients. Contains rationale, theory, practical applications, and active cognitive behavioral techniques. Presents an extended case example, and updated versions of the Young Schema Questionnaire, a Client's Guide to this approach, and schema listings.

Table of Contents

ACKNOWLEDGEMENTS	iii	(2)
SERIES PREFACE	v	(2)
ABSTRACT	vii
Part I -- SCHEMA-FOCUSED THERAPY: RATIONALE AND THEORY	1	(26)
RATIONALE	1	(6)
Introduction	1	(1)
Assumptions in Short-Term Cognitive Therapy	2	(3)
Personality Disorders and Cognitive Therapy	5	(2)
Rigidity	5	(1)
Avoidance	6	(1)
Interpersonal Difficulties	6	(1)
SCHEMA THEORY	7	(20)
Early Maladaptive Schemas	8	(8)
Schema Domains and the Origins of Schemas	16	(5)
Biology and Temperament	17	(1)
Disconnection and Rejection	17	(1)
Impaired Autonomy and Performance	18	(1)
Impaired Limits	19	(1)
Other-Directedness	19	(1)
Overvigilance and Inhibition	20	(1)
Schema Processes	21	(6)
Schema Maintenance	21	(1)
Schema Avoidance	22	(1)
Schema Compensation	23	(4)
Part II -- SCHEMA-FOCUSED THERAPY: CASE CONCEPTUALIZATION AND PATIENT ASSESSMENT	27	(16)
OVERVIEW	27	(16)
The Evaluation	28	(1)
Questionnaires	29	(1)
Educating Patients About Schemas	30	(2)
Triggering Schemas	32	(4)
Imagery	32	(1)
Current Events	33	(1)
Past Memories	33	(1)
Therapeutic Relationship	34	(1)
Books and Movies	34	(1)
Group Therapy	35	(1)
Dreams	35	(1)
Homework	35	(1)
Confronting Schema Avoidance	36	(2)
Identifying Schema-Driven Behavior	38	(1)
Conceptualizing the Patient in Schema Terms	39	(4)
Part III -- SCHEMA-FOCUSED THERAPY: STRATEGIES FOR CHANGES	43	(14)
OVERVIEW	43	(1)
COGNITIVE TECHNIQUES	44	(7)
Review Evidence in Support of the Schemas	44	(1)
Critically Examine the Supporting Evidence	45	(2)
Review Evidence Contradicting the Schema	47	(1)
Illustrate How the Patient Discounts Contradictory Evidence	48	(2)
Develop Flashcards that Contradict the Schemas	50	(1)
Challenge the Schema Whenever it is Activated During the Therapy Session or Outside the Session	51	(1)
EXPERIENTAL TECHNIQUES	51	(1)
INTERPERSONAL TECHNIQUES	52	(2)
BEHAVIORAL TECHNIQUES	54	(3)
CONCLUSION	57	(2)
Appendix A: YOUNG SCHEMA QUESTIONNAIRE (Long Form, Second Edition)	59	(12)
Appendix B: CLIENT'S GUIDE TO SCHEMA-FOCUSED THERAPY	71	(10)
REFERENCES	81