Synopses & Reviews
Review
"[Linehan is] one of the world's leading experts on BPD."--
Time Magazine "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
Review
"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.'--Allen Frances, MD
"Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients."--Lester Luborsky, PhD
"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny."--Gerald Davison, PhD, University of Southern California
"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results."--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center
"Linehan is a brilliant, compassionate, and rigorous therapist for borderline patients. What's more, and what is most unusual for master therapists, she has proven its efficacy in published randomized, controlled trials. What is fortuitous for borderline patients and their therapists is that she has painstakingly crafted a wise book and user-friendly manual well grounded in principle, detailed in its strategies, and exportable to a wide range of treatment settings. Our hospital has applied Linehan's treatment in several settings over the past five years: acute inpatient, extended inpatient, day treatment, and outpatient. We have primarily worked with borderline clients, but have also had success with some schizophrenics. Patients, families, and staff have received this new approach with enthusiasm; it makes common sense to them and feels very practical. It's a treatment that integrates well with biological, rehabilitative, most psychodynamic, and family treatment modes, and parallels treatments for eating disorders, substance abuse, and PTSD from childhood abuse....Linehan has set a high standard of treatment for borderlines in the 1990s; the patients will be the ultimate beneficiaries."--Charles R. Swenson, MD, New York Hospital, Westchester Division
Review
"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.' --Allen Frances, M.D.
"Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients." --Lester Luborsky, Ph.D.
"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny." --Gerald Davison, Ph.D., University of Southern California
"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results." --Mark Ciocca, Ph.D., Central New Hampshire Community Mental Health Center
"Linehan is a brilliant, compassionate, and rigorous therapist for borderline patients. What's more, and what is most unusual for master therapists, she has proven its efficacy in published randomized, controlled trials. What is fortuitous for borderline patients and their therapists is that she has painstakingly crafted a wise book and user-friendly manual well grounded in principle, detailed in its strategies, and exportable to a wide range of treatment settings.
Our hospital has applied Linehan's treatment in several settings over the past five years: acute inpatient, extended inpatient, day treatment, and outpatient. We have primarily worked with borderline clients, but have also had success with some schizophrenics. Patients, families, and staff have received this new approach with enthusiasm; it makes common sense to them and feels very practical. It's a treatment that integrates well with biological, rehabilitative, most psychodynamic, and family treatment modes, and parallels treatments for eating disorders, substance abuse, and PTSD from childhood abuse....Linehan has set a high standard of treatment for borderlines in the 1990s; the patients will be the ultimate beneficiaries." --Charles R. Swenson, M.D., New York Hospital, Westchester Division
"[Linehan is] one of the world's leading experts on BPD."--Time Magazine "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
Review
"We highly recommend this text and its companion training manual...."--Bulletin of the Menninger Clinic
Review
"...represents a gold standard" for treatment of this diagnostic category."--Behaviour Research and Therapy
Review
"It is the most exacting and well thought out treatment plan I have ever seen written for any 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
Review
"The bible of DBT. Over two decades later, Linehan’s comprehensive treatment manual still stands without peer as the complete and lucid introduction to DBT as well as the in-depth text for the advanced practitioner. DBT’s skills are effective and potent if delivered in the context of the theory, principles, protocols, and strategies of the treatment, all of which are presented in this book. It is essential reading for therapists delivering the significantly upgraded skills in
DBT Skills Training Manual, Second Edition."--Charles R. Swenson, MD, Department of Psychiatry, University of Massachusetts School of Medicine
"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.''--Allen Frances, MD
"Marsha Linehan's tremendously in-depth and informative book and its companion skills-training manual offer a needed guide to the cognitive-behavioral treatment of borderline personality disorder....Her method has become so widely used by clinicians that the experts in psychosocial treatments consider it one of the best....Marsha Linehan's methods are highly eclectic because they are empirically based; they have been fashioned to fit what works best for borderline patients."--Lester Luborsky, PhD
"Linehan is one of our most creative and articulate clinicians....As a true scientist-professional, she has not only been innovating in the treatment of one of the most daunting of disorders--borderline personality--but has successfully subjected her ideas to controlled empirical scrutiny."--Gerald Davison, PhD, University of Southern California
"Dr. Linehan's approach is sensible, pragmatic, and effective. Most importantly, it offers the therapist a humane and sensitive perspective on persons with Borderline Personality Disorder. In short, it treats both the therapist and the client in a fashion that produces results."--Mark Ciocca, PhD, Central New Hampshire Community Mental Health Center
Synopsis
Providing proven effective strategies, this book is a comprehensive, integrated approach to therapy with borderline personality disorder. It presents guidelines that combine the best elements of behavioral, psychoanalytic, strategic, and other modalities. 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 (described at right).
Synopsis
This volume is the authoritative presentation of Dialectical Behavior Therapy (DBT), Linehan's comprehensive, integrated approach to treating individuals with borderline personality disorder. DBT--which has since been adapted for other difficult-to-treat disorders involving emotion dysregulation--combines cognitive and behavioral strategies with elements of psychodynamic, strategic, and other modalities. Delineated are specific strategies for contingency management, exposure, cognitive modification, and skills training.
See also Linehan's DBT Skills Training Manual, Second Edition, which provides essential materials for implementing DBT skills training, plus DBT Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action. Plus related DBT videos: DBT at a Glance: An Introduction to Dialectical Behavior Therapy, DBT at a Glance: The Role of the Psychiatrist on the DBT Team, and Getting a New Client Connected to DBT (Complete Series).
Synopsis
For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems.
Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT® Skills Training Manual, Second Edition, and DBT® Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action. Plus related DBT videos: DBT at a Glance: An Introduction to Dialectical Behavior Therapy, DBT at a Glance: The Role of the Psychiatrist on the DBT Team, and Getting a New Client Connected to DBT (Complete Series).
Description
Includes bibliographical references (p. 527-546) and index.
About the Author
Marsha M. Linehan, PhD, ABPP, is the developer of dialectical behavior therapy (DBT) and Professor of Psychology and of Psychiatry and Behavioral Sciences and Director of the Behavioral Research and Therapy Clinics at the University of Washington. Her primary research interest is in the development and evaluation of evidence-based treatments for populations with high suicide risk and multiple, severe mental disorders.
Dr. Linehan's contributions to suicide research and clinical psychology research have been recognized with numerous awards, including the Gold Medal Award for Life Achievement in the Application of Psychology from the American Psychological Foundation and the James McKeen Cattell Award from the Association for Psychological Science. In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior.
She is a Zen master and teaches mindfulness and contemplative practices via workshops and retreats for health care providers.
Table of Contents
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.