Book contents
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- Part III Individual Disorders and Clusters
- Part IV Assessment
- Part V Treatment
- 17 Cognitive Behavioral Approaches
- 17a Applying a Cognitive-Behavioral, Principle-Based Approach to the Treatment of Personality Disorders: Commentary on Cognitive Behavioral Approaches
- 17b Implementation Challenges in Real World Settings: Commentary on Cognitive Behavioral Approaches
- 17c Further Considerations about Cognitive Behavioral Therapies and Personality Disorders: Author Rejoinder to Commentaries on Cognitive Behavioral Approaches
- 18 Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18a Contemporary Psychodynamic Treatments: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18b Consideration of Commonalities in Distinct Models of Treatment for Individuals with Borderline Personality Disorder: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18c Further Development of Three Key Issues: Author Rejoinder to Commentaries on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 19 Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19a A Functional Understanding of the Relationship between Personality and Clinical Diagnoses and Implications for Treatment Planning: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19b The Need for Mechanistic Models to Translate Traits from Bench to Bedside: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19c Simplicity and Dynamics of the ICD-11 Trait Qualifiers in Relation to Treatment: Author Rejoinder to Commentaries on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 20 Brief Therapeutic Approaches for Personality Disorders
- 20a What Knowledge Is Lacking on Brief Interventions for Personality Disorders and Why: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20b Short- and Long-Term Personality Disorder Treatment Studies Should Inform One Another: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20c Next Steps: Author Rejoinder to Commentaries on Brief Therapeutic Approaches for Personality Disorders
- 21 Recent Developments in the Pharmacologic Management of Personality Disorders
- 21a New Efforts towards Evidence-Informed Practice and Practice-Informed Research: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21b Considerations Regarding the Pharmacological Management of Personality Disorders: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21c Directions for Future Drug Trial Research: Author Rejoinder to Commentaries on Recent Developments in the Pharmacologic Management of Personality Disorders
- Index
- References
17b - Implementation Challenges in Real World Settings: Commentary on Cognitive Behavioral Approaches
from Part V - Treatment
Published online by Cambridge University Press: 24 February 2020
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- Part III Individual Disorders and Clusters
- Part IV Assessment
- Part V Treatment
- 17 Cognitive Behavioral Approaches
- 17a Applying a Cognitive-Behavioral, Principle-Based Approach to the Treatment of Personality Disorders: Commentary on Cognitive Behavioral Approaches
- 17b Implementation Challenges in Real World Settings: Commentary on Cognitive Behavioral Approaches
- 17c Further Considerations about Cognitive Behavioral Therapies and Personality Disorders: Author Rejoinder to Commentaries on Cognitive Behavioral Approaches
- 18 Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18a Contemporary Psychodynamic Treatments: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18b Consideration of Commonalities in Distinct Models of Treatment for Individuals with Borderline Personality Disorder: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 18c Further Development of Three Key Issues: Author Rejoinder to Commentaries on Psychoanalytic/Psychodynamic Approaches to Personality Disorders
- 19 Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19a A Functional Understanding of the Relationship between Personality and Clinical Diagnoses and Implications for Treatment Planning: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19b The Need for Mechanistic Models to Translate Traits from Bench to Bedside: Commentary on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 19c Simplicity and Dynamics of the ICD-11 Trait Qualifiers in Relation to Treatment: Author Rejoinder to Commentaries on Using DSM-5 and ICD-11 Personality Traits in Clinical Treatment
- 20 Brief Therapeutic Approaches for Personality Disorders
- 20a What Knowledge Is Lacking on Brief Interventions for Personality Disorders and Why: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20b Short- and Long-Term Personality Disorder Treatment Studies Should Inform One Another: Commentary on Brief Therapeutic Approaches for Personality Disorders
- 20c Next Steps: Author Rejoinder to Commentaries on Brief Therapeutic Approaches for Personality Disorders
- 21 Recent Developments in the Pharmacologic Management of Personality Disorders
- 21a New Efforts towards Evidence-Informed Practice and Practice-Informed Research: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21b Considerations Regarding the Pharmacological Management of Personality Disorders: Commentary on Recent Developments in the Pharmacologic Management of Personality Disorders
- 21c Directions for Future Drug Trial Research: Author Rejoinder to Commentaries on Recent Developments in the Pharmacologic Management of Personality Disorders
- Index
- References
Summary
This commenatry on Rosenthal, Wyatt, and McMahon’s review of cognitive and behavioral therapies (CBTs) for personality disorders (PDs) discusses implementation challenges to cognitive and behavioral approaches in real world settings. Multiple interventions show some empirical support for the treatment of PDs, including dialectical behavior therapy (DBT), schema-focused therapy (SFT), cognitive therapy for personality disorders, emotion regulation group therapy (ERGT), and systems training for emotional predictability and problem solving (STEPPS). Most of this work is restricted to borderline personality disorder (BPD) and DBT, whereas strong empirical support for other PDs is lacking. Here the authors discuss possible factors that may account for differential research support for the treatment of BPD relative to other PDs. For example, the BPD diagnosis includes suicidal and self-injurious behaviors among its criteria and is associated with DBT and its relevant training organizations and adaptations across multiple levels of care. Additionally, they provide examples in which interventions have been implemented ahead of the science. Finally, they discuss challenges to implementing CBTs for PDs in real world settings, such as diagnostic heterogeneity, comorbid presentations, and dual diagnosis, as well as the longstanding nature of problems associated with PDs.
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- The Cambridge Handbook of Personality Disorders , pp. 422 - 424Publisher: Cambridge University PressPrint publication year: 2020