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This book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called "dynamic psychotherapy for higher level personality pathology" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a hands-on approach to a treatment method that offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. The authors provide a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of treatment. Taking a diagnosis-driven approach, the book describes goals, strategies, tactics, and techniques, demonstrating the flexibility of the approach across a relatively long course of treatment. Finally, the authors provide a sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment. American Psychiatric Publishing

Offering a sophisticated introduction to a contemporary psychodynamic model of the mind and treatment, this book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called "dynamic psychotherapy for higher level personality pathology" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Based on psychodynamic object relations theory, DPHP is an outgrowth of transference-focused psychotherapy (TFP) and is part of an integrated approach to psychodynamic treatment of personality pathology across the spectrum of severity -- from higher level personality pathology, described in this volume, to severe personality pathology, described in a companion volume, Psychotherapy for Borderline Personality: Focusing on Object Relations. Together, they provide a comprehensive description of an object relations theory-based approach to treatment of personality disorders, embedded in an integrated model of personality.

As a guide to treatment, Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. The authors offer a comprehensive description of psychodynamic consultation that includes sharing the diagnostic impression, establishing treatment goals, discussing treatment options, obtaining informed consent, and establishing treatment frame. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of the treatment. Among the book's benefits: • Takes a diagnosis-driven approach, presenting a clear model of both the psychopathology and its treatment;• Explains underlying theory and basic elements of DPHP for those first learning dynamic therapy;• Offers an integrated, innovative synthesis of contemporary psychodynamic approaches to personality pathology and psychodynamic psychotherapy;• Describes goals, strategies, tactics, and techniques of the treatment to demonstrate its flexibility over a relatively long course of treatment;• Provides sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment.

DPHP offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides experienced clinicians with a hands-on approach to that method, and is also useful as a primary textbook in courses focusing on the technique of dynamic psychotherapy or in courses on psychodynamics.

Offering a sophisticated introduction to a contemporary psychodynamic model of the mind and treatment, this book provides an approach to understanding and treating higher level personality pathology. It describes a specific form of treatment called "dynamic psychotherapy for higher level personality pathology" (DPHP), which was designed specifically to treat the rigidity that characterizes that condition. Based on psychodynamic object relations theory, DPHP is an outgrowth of transference-focused psychotherapy (TFP) and is part of an integrated approach to psychodynamic treatment of personality pathology across the spectrum of severity — from higher level personality pathology, described in this volume, to severe personality pathology, described in a companion volume, Psychotherapy for Borderline Personality: Focusing on Object Relations. Together, they provide a comprehensive description of an object relations theory-based approach to treatment of personality disorders, embedded in an integrated model of personality. As a guide to treatment, Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides a clear, specific, and comprehensive description of how to practice DPHP from beginning to end, presented in jargon-free exposition using extensive clinical illustrations. The authors offer a comprehensive description of psychodynamic consultation that includes sharing the diagnostic impression, establishing treatment goals, discussing treatment options, obtaining informed consent, and establishing treatment frame. Throughout, the book emphasizes fundamental clinical principles that enable the clinician to think through clinical decisions moment-to-moment and also to develop an overall sense of the trajectory and goals of the treatment. Among the book's benefits: • Takes a diagnosis-driven approach, presenting a clear model of both the psychopathology and its treatment;• Explains underlying theory and basic elements of DPHP for those first learning dynamic therapy;• Offers an integrated, innovative synthesis of contemporary psychodynamic approaches to personality pathology and psychodynamic psychotherapy;• Describes goals, strategies, tactics, and techniques of the treatment to demonstrate its flexibility over a relatively long course of treatment;• Provides sophisticated discussion of integrating dynamic psychotherapy with medication management and other forms of treatment. DPHP offers a broad range of patients the opportunity to modify maladaptive personality functioning in ways that can permanently enhance their quality of life. Handbook of Dynamic Psychotherapy for Higher Level Personality Pathology provides experienced clinicians with a hands-on approach to that method, and is also useful as a primary textbook in courses focusing on the technique of dynamic psychotherapy or in courses on psychodynamics. Contents......Page 6 Preface......Page 8 About the Authors......Page 12 1 Introduction and Overview......Page 14 PART I: Theoretical Understanding of Higher Level Personality Pathology......Page 22 2 A Psychodynamic Approach to Personality Pathology......Page 24 3 Internal Object Relations, Mental Organization, and Subjective Experience in Personality Pathology......Page 50 PART II: Psychotherapeutic Treatment of Higher Level Personality Pathology......Page 72 4 The Basic Elements of DPHP......Page 74 5 The Strategies of DPHP and the Treatment Setting......Page 98 6 The Techniques of DPHP, Part 1: Listening to the Patient......Page 124 7 The Techniques of DPHP, Part 2: Intervening......Page 138 8 The Tactics of DPHP......Page 162 PART III: Patient Assessment, Phases of Treatment, and Combining DPHP With Other Treatments......Page 186 9 Patient Assessment and Differential Treatment Planning......Page 188 10 The Phases of Treatment......Page 216 11 Combining DPHP With Medication Management and Other Forms of Treatment......Page 244 12 Concluding Comments......Page 260 References......Page 264 B......Page 270 C......Page 271 D......Page 272 F......Page 275 I......Page 276 M......Page 278 P......Page 279 S......Page 281 T......Page 283 W......Page 284 Y......Page 285 Psychotherapy Contents 6 Preface 8 About the Authors 12 1 Introduction and Overview 14 PART I: Theoretical Understanding of Higher Level Personality Pathology 22 2 A Psychodynamic Approach to Personality Pathology 24 3 Internal Object Relations, Mental Organization, and Subjective Experience in Personality Pathology 50 PART II: Psychotherapeutic Treatment of Higher Level Personality Pathology 72 4 The Basic Elements of DPHP 74 5 The Strategies of DPHP and the Treatment Setting 98 6 The Techniques of DPHP, Part 1: Listening to the Patient 124 7 The Techniques of DPHP, Part 2: Intervening 138 8 The Tactics of DPHP 162 PART III: Patient Assessment, Phases of Treatment, and Combining DPHP With Other Treatments 186 9 Patient Assessment and Differential Treatment Planning 188 10 The Phases of Treatment 216 11 Combining DPHP With Medication Management and Other Forms of Treatment 244 12 Concluding Comments 260 References 264 Index 270 A 270 B 270 C 271 D 272 E 275 F 275 G 276 H 276 I 276 K 278 L 278 M 278 N 279 O 279 P 279 Q 281 R 281 S 281 T 283 U 284 V 284 W 284 Y 285 # Hardcover: 284 pages # Publisher: American Psychiatric Publishing (February 23,2007) # Language: English # ISBN-10: 1585622125 # ISBN-13: 978-1585622122 TABLE OF CONTENTS: A psychodynamic approach to personality pathology -- Internal object relations, mental organization, and subjective experience in personality pathology -- The basic elements of DPHP -- The strategies of DPHP and the treatment setting -- The techniques of DPHP, part 1: listening to the patient -- The techniques of DPHP, part 2: intervening -- The tactics of DPHP -- Patient assessment and differential treatment planning -- The phases of treatment -- Combining DPHP with medication management and other forms of treatment