Review
"These two companion volumes are an impressive summary of Marsha Linehan's work which is increasingly well-known on both sides of the Atlantic....The book is also an encyclopaedia of all problems ever encountered wih borderline patients, offering usually well thought-out therapeutic strategies....I would warmly recommend these books to anyone who is involved in treating borderline patients or is interested in innovative cognitive-behavioural approaches..." --British Journal of Guidance and Counseling

"...If you decide to expand your knowledge of this interesting linkage [between BPD and family violence], this is the only book you will need to read. Marsha Linehan's Cognitive-Behavioral Treatment of Borderline Personality Disorder is the very best work done on the topic to date. It is extraordinarily well written. The examples are well chosen. The documentation is superb...The last section of the book describes specific therapeutic strategies for structuring the treatment plan. Nothing is forgotten, nor left undone in these sections. It is the most exacting and well thought out treatment plan I have ever seen written for any disorder. From this perspective, it is a useful book to read for guidance or insight on treating any mental health disorder...I have tried to find shortcomings with this book. I can find none. It is one of the best pieces of clinical work ever written. No matter what your clinical or research focus of interest, you will gain immensely from reading Cognitive-Behavioral Treatment of Borderline Personality Disorder." --Journal of Family Violence

"....We highly recommend this text and its companion training manual to those interested in treating the borderline patient." --Bulletin of the Menninger Clinic

"This is a very comprehensive book of over 500 pages and is accompanied by a skills training manual based upon the book and theory.....This approach represents a `gold standard' for treatment of this diagnostic category." --Behavior Research and Therapy

"Linehan's book was assigned to our class as first year doctoral students in clinical psychology as we embarked on our very first clinical experiences....we found the book rich in information useful for a wide variety of clinical issues, including interpersonal validation, case conceptualization, problem solving, contingency procedures, skills training, and communication strategies....Linehan's treatment program is an extremely valuable resource for novice therapists, as well as more experienced clinicians interested in integrating useful and creative strategies in their therapeutic work." --The Scientist Practitioner

"Presents workable concepts concerning the conduct of psychotherapy that are especially applicable to psychopathological behavior that is unusually resistant to change." --American Journal of Psychotherapy

"Dr. Linehan has published a magnum opus here in presenting an amazingly comprehensive, clearly teachable, and learnable treatment approach to difficult patients....A volume that belongs on every therapist's bookshelf." --Voracious Reader

"This book presents a detailed, cognitive-behavioral, biosocial approach to persons impaired by this disorder....Presents a thorough review of BPD, a good general review of cognitive-behavioral interventions, and the specific application of these basic principles to BPD. The author's approach is based on scientific data, and communicates a true appreciation of the person attempting to cope with BPD...Readers of this journal who are in search of a skills-based approach to BPD that is pragmatic, comprehensive, and easily learned should find this book of interest." --Psychosocial Rehabilitation Journal

"Patients with borderline personality disorder have been traditionally difficult to assess and difficult to treat successfully. This text constructs a new treatment paradigm for this disorder (an important symptom of which is suicidal behavior), combining aspects of behavioral, strategic, psychoanalytic, and other treatment modalities into a clinically proven program...." --BIOLOGICAL ABSTRACTS/RRM



British Journal of Guidance and Counseling
These two companion volumes are an impressive summary of Marsha Linehan's work which is increasingly well-known on both sides of the Atlantic....The book is also an encyclopedia of all problems ever encountered with borderline patients, offering usually well thought-out therapeutic strategies....I would warmly recommend these books to anyone who is involved in treating borderline patients or is interested in innovative cognitive-behavioral approaches...


Allen Frances, M.D.
Every once in a very long while in our field, a clinical innovation is introduced that profoundly improves patient care. Marsha Linehan's development of a cognitive-behavioral approach to borderline personality disorder is such a rare innovation....Her techniques are clear, teachable, and learnable, and make good common sense to the therapist and the patient. Dr. Linehan's methods have greatly improved my treatment of borderline individuals and my teaching of others in how best to understand and treat these patients


Voracious Reader
Dr. Linehan has published a magnum opus here in presenting an amazingly comprehensive, clearly teachable, and learnable treatment approach to difficult patients....A volume that belongs on every therapist's bookshelf


Behavior Research and Therapy
This is a very comprehensive book of over 500 pages and is accompanied by a skills training manual based upon the book and theory.....This approach represents a `gold standard' for treatment of this diagnostic category


Bulletin of the Menninger Clinic
....We highly recommend this text and its companion training manual to those interested in treating the borderline patient


Review
"These two companion volumes are an impressive summary of Marsha Linehan's work which is increasingly well-known on both sides of the Atlantic....The book is also an encyclopaedia of all problems ever encountered wih borderline patients, offering usually well thought-out therapeutic strategies....I would warmly recommend these books to anyone who is involved in treating borderline patients or is interested in innovative cognitive-behavioural approaches..." --British Journal of Guidance and Counseling

"...If you decide to expand your knowledge of this interesting linkage [between BPD and family violence], this is the only book you will need to read. Marsha Linehan's Cognitive-Behavioral Treatment of Borderline Personality Disorder is the very best work done on the topic to date. It is extraordinarily well written. The examples are well chosen. The documentation is superb...The last section of the book describes specific therapeutic strategies for structuring the treatment plan. Nothing is forgotten, nor left undone in these sections. It is the most exacting and well thought out treatment plan I have ever seen written for any disorder. From this perspective, it is a useful book to read for guidance or insight on treating any mental health disorder...I have tried to find shortcomings with this book. I can find none. It is one of the best pieces of clinical work ever written. No matter what your clinical or research focus of interest, you will gain immensely from reading Cognitive-Behavioral Treatment of Borderline Personality Disorder." --Journal of Family Violence

"....We highly recommend this text and its companion training manual to those interested in treating the borderline patient." --Bulletin of the Menninger Clinic

"This is a very comprehensive book of over 500 pages and is accompanied by a skills training manual based upon the book and theory.....This approach represents a `gold standard' for treatment of this diagnostic category." --Behavior Research and Therapy

"Linehan's book was assigned to our class as first year doctoral students in clinical psychology as we embarked on our very first clinical experiences....we found the book rich in information useful for a wide variety of clinical issues, including interpersonal validation, case conceptualization, problem solving, contingency procedures, skills training, and communication strategies....Linehan's treatment program is an extremely valuable resource for novice therapists, as well as more experienced clinicians interested in integrating useful and creative strategies in their therapeutic work." --The Scientist Practitioner

"Presents workable concepts concerning the conduct of psychotherapy that are especially applicable to psychopathological behavior that is unusually resistant to change." --American Journal of Psychotherapy

"Dr. Linehan has published a magnum opus here in presenting an amazingly comprehensive, clearly teachable, and learnable treatment approach to difficult patients....A volume that belongs on every therapist's bookshelf." --Voracious Reader

"This book presents a detailed, cognitive-behavioral, biosocial approach to persons impaired by this disorder....Presents a thorough review of BPD, a good general review of cognitive-behavioral interventions, and the specific application of these basic principles to BPD. The author's approach is based on scientific data, and communicates a true appreciation of the person attempting to cope with BPD...Readers of this journal who are in search of a skills-based approach to BPD that is pragmatic, comprehensive, and easily learned should find this book of interest." --Psychosocial Rehabilitation Journal

"Patients with borderline personality disorder have been traditionally difficult to assess and difficult to treat successfully. This text constructs a new treatment paradigm for this disorder (an important symptom of which is suicidal behavior), combining aspects of behavioral, strategic, psychoanalytic, and other treatment modalities into a clinically proven program...." --BIOLOGICAL ABSTRACTS/RRM



Book Info
University of Washington. Diagnosis and Treatment of Mental Disorders Series. Text for clinical psychologists or psychiatrists giving an overview of borderline personality disorder and presenting the author's preferred form of treatment, dialectical behavior therapy (DBT).


About the Author
Marsha M. Linehan, PhD, is a professor of psychology and an adjunct professor of psychiatry and behavioral sciences at the University of Washington. She is also Principal Investigator and Director of the Suicidal Behaviors Research Clinic, a federally financed research program for evaluating treatments of suicidal behaviors. She has an on-going clinical practice and is active in clinical consultation, supervision, and training of mental health professionals in the United States and Europe.



Excerpted from Cognitive-Behavioral Treatment of Borderline Personality Disorder by Marsha Linehan. Copyright © 1993. Reprinted by permission. All rights reserved.
I. THEORY AND CONCEPTS.
1. Borderline Personality Disorder: Concepts, Controversies, and Definitions. 2. Dialectical and Biosocial Underpinnings of Treatment.
3. Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients.
II. TREATMENT OVERVIEW AND GOALS.
4. Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell.
5. Behavioral Targets in Treatment: Behaviors to Increase and Decrease.
6. Structuring Treatment Around Target Behaviors: Who Treats What and When.
III. BASIC TREATMENT STRATEGIES.
7. Dialectical Treatment Strategies.
8. Core Strategies: Part I. Validation.
9. Core Strategies: Part II. Problem Solving.
10. Change Procedures: Part I. Contingency Procedures (Managing Contingencies and Observing Limits.
11. Change Procedures: Part II. Skill Training, Exposure, Cognitive Modification.
12. Stylistic Strategies: Balancing Communication.
13. Case Management Strategies: Interacting with the Community.
IV. STRATEGIES FOR SPECIFIC TASKS.
14. Structural Strategies.
15. Special Treatment Strategies.

ANNOTATION

This book contains black-and-white illustrations.

FROM THE PUBLISHER

For the average clinician, clinic, or inpatient facility, individuals with borderline personality disorder often represent the most difficult and insoluble cases. The first volume to provide strategies proven effective in controlled clinical trials, this book is a comprehensive, integrated approach to therapy with this population. Marsha Linehan presents specific guidelines that creatively combine the best elements of behavioral, psychoanalytic, strategic, and other commonly employed modalities. A clinical innovator, she has analyzed the aspects of borderline into their component parts and developed a systematized approach to each of them. The first section of the book presents an overview of the disorder and lays out a theoretical framework to guide the therapy. The second describes in detail how to assess borderline patients and how to organize and prioritize treatment goals and behavioral targets. The core of the treatment is the balance of acceptance and change strategies, both within each therapy interaction and over time. For problem solving with borderline personality disorder, the book provides specific strategies for contingency management, exposure, cognitive modification, and skills training. The last component is further elucidated in the companion Skills Training Manual, which programmatically details procedures and includes client handouts for step-by-step implementation. Finally, to enhance interpersonal communication, Dr. Linehan presents three case management sets: consultation to the patient, environmental intervention, and consultation to the therapist. Addressing the most stressful patient behaviors that clinicians encounter, the book includes a step-by-step outline for assessing suicide risk, managing suicide threats, and working with chronic suicidal behavior. Integrative approaches for such specific problems as crises, noncompliance, and breakdowns in the therapeutic relationship are also discussed. Lucidly detailing effective techniques

ACCREDITATION