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Schema Therapy for Borderline Personality Disorder

  • ID: 2383106
  • Book
  • 212 Pages
  • John Wiley and Sons Ltd
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Borderline Personality Disorder (BPD) has often been seen as an untreatable mental disorder. However, recent research has convincingly demonstrated that schema therapy (ST) has superior response and recovery rates.
Schema Therapy for Borderline Personality Disorder offers a conceptual model of BPD, a treatment model and an array of practical techniques for treating patients. ARNOUD ARNTZ and HANNIE VAN GENDEREN cover treatment planning, the therapeutic relationship, cognitive and behavioural techniques, specific strategies, behavioural pattern–breaking and therapy termination. They also present a wealth of case examples which show how to apply methods in practice. Integrating techniques, mode detection and phase of treatment, this practical book is supported by a range of useful patient handouts including a biographical diary and a positive self–statement log.Schema Therapy for Borderline Personality Disorder is translated from the original Dutch Language version by Jolijn Drost.
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About the Authors.



1. Introduction.

2. Borderline Personality Disorder.

What is Borderline Personality Disorder?

Prevalence and Comorbidity.

Development of BPD.

3. Schema Focused Therapy for the Borderline Personality Disorder.

The Development of Schema Focused Therapy for Borderline Personality Disorder.

Research Results.

(Contra–) Indications.

Rationale of Treatment / Theories Supporting Treatment.

Schema Modes.

The Detached Protector.

The Abandoned / Abused child.

The Angry / Impulsive child.

The Punitive Parent.

The Healthy Adult.


4. Treatment.

Structure of Treatment.

Phases in Treatment.

Starting Phase and Case Conceptualisation.

Developing a Relationship and Gathering Information.


Explaining the Treatment Rationale.

Treating Axis I–Symptoms.

Crisis Management.

Therapeutic Interventions with Schema Modes.

Treating Childhood Traumas.

Changing Behavioural Patterns.

Ending Therapy.

5. The Therapeutic Relationship.

Limited Reparenting.

Good Care.

Giving Direction.

Empathetic Confrontation.

Role Playing and Role Reversal.

Setting Limits.

Therapists Schemas and Self–Disclosure.

Cognitive Techniques and the Therapeutic Relationship.

Behavioural Techniques and the Therapeutic Relationship.


6. Experiential Techniques.

Imagery Rescripting.

Role Play.

Two–or–More Chair Technique.

Experiencing and Expressing Emotions.

7. Cognitive Techniques.

The Socratic Dialogue.

Evaluation on a Visual Analogue Scale / Charting on the Adaptive Continuum ).

Multidimensional Evaluation / Constructing Criteria Continua.

Two Dimensional Reproductions of Supposed Connections / Two Dimensional Charting of Continua .

Pie Diagram.

Courthouse Method.

Historical Testing.

Flashcards .

Positive Logbook / Positive DataLog.

8. Behavioural Techniques.


Skills Training and Role Play.


Discussing Dangerous Behaviours.

Discussing New Behaviours.

9. Specific Methods and Techniques.


Pharmacological Therapy.


Suicide and Self–Injury.

Trauma Assimilation/Processing.

10. Methods per Mode.

Treatment Methods for the Protector.

Treatment Methods for the Abandoned and Abused Child.

Treatment Methods for the Angry / Impulsive Child.

Treatment Methods for the Punitive Parent.

Treatment Methods for the Healthy Adult.

A Simultaneous Chess Play in a Pinball Machine.

11. Final Phase of Therapy.

Behavioural Pattern–Breaking / Breaking of Behavioural Patterns.

Ending Therapy.

12. Conclusion.


Appendix 1: Leaflet for Patients: Schema Directed Cognitive Therapy for Patients with Borderline Personality Disorder.

Appendix 2: Cognitive Diary for Modes.

Appendix 3: Positive Diary.

Appendix 4: Historical Testing.

Appendix 5: Experiments.

Appendix 6: Homework Form.

Appendix 7: Problem–Solving .

Appendix 8: Changing Behavioural Patterns.

Appendix 9: Eighteen Schemas (Young, 2003).

Appendix 10: Coping Strategies.



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Arnoud Arntz
Hannie van Genderen
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