Schema Therapy for Borderline Personality Disorder

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.

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.