Download e-book for iPad: Personality-Disordered Patients: Treatable and Untreatable by Michael H. Stone

By Michael H. Stone

Settling on the amenability of character issues to psychotherapy -- a patient's ability to profit from verbal methods to therapy -- is necessary in aiding clinicians be certain the treatability of situations. Michael Stone the following stocks the criteria he has saw over lengthy years of perform which may support practitioners overview sufferers, stressing the amenability of a few of the problems to amelioration. by way of targeting which sufferers tend to reply good to healing intervention and for you to end up such a lot resistive, his ebook may help therapists ensure with what forms of sufferers they're going to probably prevail and with which of them failure is sort of a certainty.

Stone establishes the attributes that have an effect on this amenability -- akin to the means for self-reflection, motivation, and lifestyles circumstances's instructions for comparing sufferers, then describes borderline and different personality-disordered sufferers with various degrees of amenability, from excessive to low. This insurance progresses from sufferers belonging to the DSM ''anxious cluster,'' in addition to the depressive-masochistic personality and the hysteric personality, to sufferers who show an intermediate point of amenability to psychotherapy. He introduces the interrelationship among borderline character sickness and dissociative problems and discusses treatability between sure sufferers in Clusters ''A'' and ''C,'' in addition to others with narcissistic, histrionic, depressive issues. ultimate chapters deal with the main serious aberrations of character and the constraints they impose at the efficacy of treatment. Personality-Disordered Patients is stuffed with functional, clinically concentrated details. This guide established publication:

  • Covers all character disorders-including ones now not addressed within the newest DSM akin to sadistic, depressive, hypomanic, and irritable-explosive
  • Identifies either attributes worthwhile for treatability and elements linked to low treatability
  • Pays specific realization to borderline problems, which symbolize the main mentioned stipulations and are one of the so much demanding to psychotherapists
  • Reviews character qualities whose presence, if intense-even if unaccompanied through a definable character disorder-creates critical difficulties for psychotherapy

a variety of case reports in the course of the e-book supply examples that would support therapists verify which in their personal sufferers are probably to learn from their efforts and thereby identify their very own limits of effectiveness. via alerting practitioners to whilst remedy is probably going to fail, those instructions may help them stay away from the pro sadness of being not able to arrive the main intractable sufferers.

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Additional resources for Personality-Disordered Patients: Treatable and Untreatable

Example text

A few other factors worthy of consideration are not immediately related to personality. One of them is the life circumstances of a prospective patient. Some of these circumstances are obvious, and others are paradoxical. Obvious life circumstances include youth and dependency on the family (where the key family members are obstructionistic, destructive, or intrusive), poverty, absence of any work history, dependence on disability payments, lack of either education or marketable skills, and old age.

The treatment staff members often have heavy caseloads, making it difficult to see an individual patient more than once every week or once every other week. Borderline patients, especially those who are seriously depressed or suicidal, would be better served if they were seen twice a week, but such a schedule is rarely possible. Patients may not be able to afford the cost of transportation to and from the clinic, or they may cancel appointments at the last minute because of the frequent crises that punctuate their lives.

Some patients actually acknowledge their jealousy as a serious problem for which they were motivated to seek help. Such traits highlight the tenacity of habits (habits of mind and the corresponding habits of behavior)—and the persistent efforts therapists must make to overturn these habits. Because motivation to change is central to amenability to treatment in the realm of personality, in many cases the proper motivation must be instilled through the art and persuasiveness of the therapist, often with the cooperation of others in the patient’s life who bear the brunt of the undesirable traits.

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