SCHEMA THERAPY FOR BORDERLINE PERSONALITY DISORDER

The book was first published in Dutch by Uitgeverij Nieuwezijds - this book is an English language translation, translated from the original Dutch Language version by Jolijn Drost. The book offers a conceptual model of BPD, a treatment model and an array of methods and techniques for treating BPD clients. It covers treatment planning, the therapeutic relationships, cognitive and behavioural techniques, specific strategies, behavioural pattern breaking and the termination of therapy. The appendices contain handouts for patients including a biographical diary, forms for homework assignments and problem solving and a positive self statement log.

Arnoud Arntz, PhD, is a full professor of Clinical Psychology and Experimental Psychopathology at Maastricht University. He is Scientific Director of the University’s Research Institute of Experimental Psychopathology and director of the Postgraduate Clinical Psychology Programme in the south of the Netherlands. He is also associated as a psychotherapist with the Maastricht Community Mental Health Centre. He was project leader of the Dutch multi-centre trial comparing schema therapy with transference-focused psychotherapy. One of his main research interests is Borderline Personality Disorder (BPD).
Hannie van Genderen, MPhil, is Clinical Psychologist, Psychotherapist and supervisor of the Dutch Association for Behavioural and Cognitive Therapy. She is a psychotherapist at the Maastricht Community Mental Health Centre and has been involved in the treatment of personality disorders for more than 15 years. She has taught cognitive behaviour therapy in postgraduate programmes for more than 20 years and has developed specialized courses in schema therapy for BPD and other personality disorders.

"Schema Therapy for Borderline Personality Disorder is well translated, clearly written, and easy to read. The straightforward instructions for using this method are broken down into chapters describing the therapeutic relationship; experiential, cognitive, and behavioral techniques; and specific methods for treating the various schema modes, which include detached protector, abandoned/abused child, angry/impulsive child, punitive parent, and healthy adult. The techniques are well illustrated throughout." (PsycCRITIQUES, March 2010)
"This is an excellent and comprehensive guide." (Therapy Today, November 2009)
"For practitioners who want the most thorough, up-to-date treatment for Borderline Personality Disorder, this book is a must-read. An outstanding, very practical guide with a detailed description of all the treatment techniques, including extended case descriptions and transcripts."
--Jeffrey Young, Department of Psychiatry, Columbia University and Director, Schema Therapy Institute of New York
"Schema Therapy’s effectiveness has been demonstrated in a randomized controlled trial. It is an important step forward that this book is now available in English. It will speed up the dissemination of Schema Therapy and is a milestone for further scientific evaluations of its effectiveness."
--Klaus Lieb, Professor of Psychiatry and Psychotherapy, University of Mainz and Editor of the Cochrane Collaboration on Personality Disorders
"Schema Therapy is a promising and novel treatment for borderline personality disorder. Written by members of the team who developed Schema Therapy, this book tells you exactly how it is conducted. Clinicians will find this volume to be of practical use."
-- Joel Paris, Professor of Psychiatry, McGill University

About the Authors.
Preface.
Acknowledgements.
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.
Summary.
4. Treatment.
Structure of Treatment.
Phases in Treatment.
Starting Phase and Case Conceptualisation.
Developing a Relationship and Gathering Information.
Measurements.
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.
Summary.
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.
Experiments.
Skills Training and Role Play.
Problem-Solving.
Discussing Dangerous Behaviours.
Discussing New Behaviours.
9. Specific Methods and Techniques.
Homework.
Pharmacological Therapy.
Crisis.
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.
Appendices.
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.
References.
Index.