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17a - Applying a Cognitive-Behavioral, Principle-Based Approach to the Treatment of Personality Disorders: Commentary on Cognitive Behavioral Approaches

from Part V - Treatment

Published online by Cambridge University Press:  24 February 2020

By
Christopher D. Hughes  and
Shireen L. Rizvi
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

This commentary begins by briefly reviewing and expanding upon some relevant factors of personality disorders that present challenges for clinicians. These factors include: lack of routine screening and assessment of personality disorders in routine clinical care; the vast heterogeneity both between and within personality disorder diagnoses; the high rates of comorbid psychological disorders; and the ego-syntonic nature of many personality disorders, which leads many clients to seek treatment for problems other than their personality disorders. The remainder of the commentary then outlines recommendations for clinicians to follow in their treatment of clients with personality disorders. It provides recommendations for the assessment, case conceptualization, treatment goal and target formation, target hierarchy creation, intervention selection, implementation and evaluation, and the creation and maintenance of rapport and therapeutic alliance when working with personality-disordered clients.

Keywords

principle-driven CBTprocess-based CBTcase conceptualizationdialectical behavior therapyschema focused therapycognitive therapypersonality disorders
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 418 - 421
Publisher: Cambridge University Press
Print publication year: 2020

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References

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