Complex cases of personality disorders : metacognitive interpersonal therapy / / Antonino Carcione, Giuseppe Nicolo and Antonio Semerari (editors)

• Pubblicazione: Cham, Switzerland : , : Springer, , [2021]; ©2021
• Descrizione fisica: 1 online resource (260 pages)
• Disciplina: 616.8581
• Soggetto topico: Psychotherapy; Counseling; Personality; Trastorns de la personalitat; Teràpia cognitiva; Assessorament psicològic
• Soggetto genere / forma: Llibres electrònics
• Persona (resp. second.): NicolòGiuseppe; SemerariAntonio <1950->; CarcioneAntonino
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Preface -- Contents -- About the Editors and Contributors -- Editors -- Contributors -- Chapter 1: The Problem of the Diagnosis -- 1.1 The Problem: A Complex Case -- 1.2 The Problem of the Diagnosis: The Crisis of Current Nosography -- 1.2.1 The Two Classifications of Personality Disorders in DSM-5: Advantages and Limitations -- 1.2.2 The Excessive Complication of the Diagnosis -- 1.2.3 Which Dimension to Consider? Personality Traits -- 1.3 From Diagnosis to Treatment -- 1.4 The Diagnosis of Enrico -- Chapter 2: Knowing the Mind -- 2.1 Meta-Representation -- 2.2 Meta-Representation and Psychopathology -- 2.3 Metacognition -- 2.4 Functions in the Domain of Knowing One's Own Mind -- 2.4.1 Monitoring -- 2.4.2 Integration -- 2.4.3 Differentiation -- 2.4.4 Understanding the Mind of Another/Decentration -- 2.4.5 Mastery -- 2.5 Self-directedness and Choice Regulation -- 2.5.1 Goals and Heuristics in Personality Disorders -- 2.5.2 Metacognition and Regulation of Choices -- 2.5.2.1 Regulation Based on Emotions and Desires and Emotional Dysregulation -- 2.5.2.2 Regulation Based on Interpersonal Context: Interpersonal Attunement -- 2.5.2.3 Regulation Based on Norms, Values, and an Ideal Self -- Chapter 3: Metacognition as a General Factor of Personality Pathology -- 3.1 Co-occurring Diagnoses: A Problem or an Opportunity? -- 3.2 General Personality Pathology: Severity, Disorders of the Self and of Relationships -- 3.3 Metacognition Between General Personality Pathology and Phenomenal Manifestations -- 3.3.1 Dysfunctions of Metacognition in Personality Disorders and in Nonpsychotic Clinical Syndrome -- 3.3.2 Dysfunctions of Metacognition and General Personality Pathology -- 3.3.3 Dysfunctions of Metacognition as Predictors of Personality Disorders -- 3.3.4 Metacognition and Treatment Outcomes -- Chapter 4: Treatment Integration. ; 4.1 Toward an Integrated Treatment of Personality Disorders -- 4.2 Procedures and Techniques of Cognitive Therapy -- 4.3 Goals, Procedures, and Techniques of Manualized Therapies for PDs -- 4.4 Treatment Integration and Teamwork -- 4.5 Assessment -- 4.5.1 The Advantages of Organization -- 4.5.2 The Limits of Caregiving -- Chapter 5: The Pretreatment Phase: The Assessment Interview and Communication of the Diagnosis -- 5.1 Conducting the Assessment Interview -- 5.2 How to Begin -- 5.2.1 First Questions -- 5.2.2 Interpersonal Area -- 5.2.3 Identifying Primary and Recurring Problematic Mental States -- 5.3 Communicating the Diagnosis - Pretreatment Phase -- 5.3.1 Communicating the Diagnosis -- 5.3.2 Traits and Personality Diagnoses: SCID-II -- 5.3.3 Symptoms -- 5.3.4 Metacognition: Metacognition Assessment Interview (MAI) - From Communication of the Diagnosis to the Explanation of the Patient's Functioning -- 5.4 Conclusion of the Pretreatment Phase -- 5.5 Explanation of the Therapeutic Rationale -- 5.6 The Therapeutic Contract -- Chapter 6: The Therapeutic Relationship -- 6.1 Problematic Aspects of the Therapeutic Relationship -- 6.2 The Therapeutic Use of the Relationship -- 6.2.1 The Therapeutic Alliance -- 6.2.2 Formation of the Alliance: Collaborative Empiricism and the Therapeutic Contract -- 6.3 An Exemplative Case -- 6.4 Collaborative Atmosphere and Management of Reductions of the Alliance -- 6.4.1 The Therapist's Conversational Style -- 6.5 Interpersonal Cycles -- 6.5.1 Factors Influencing the Content and Development of Interpersonal Cycles -- 6.5.2 Therapeutic Goals -- 6.5.3 Procedures and Techniques in the Management of Cycles -- 6.6 Typical Interpersonal Cycles: Acute Cycles -- 6.6.1 The Invalidating Cycle -- 6.6.2 The Abusive Aggressive Cycle -- 6.6.3 Cycles of Alarm -- 6.7 Typical Interpersonal Cycles: Chronic Cycles. ; 6.7.1 The Detachment Cycle -- 6.7.2 The Competitive Cycle -- Chapter 7: General Treatment Goals and Session Management -- 7.1 Goals, Setting, and Procedures -- 7.2 Principles for the Conduct of the Session -- 7.2.1 Metacognitive Attitude -- 7.2.2 Obstacles to Metacognition -- 7.2.3 Regulating Emotional Tone -- 7.2.4 Reflecting on Moments of Confusion -- Chapter 8: Monitoring and Integration -- 8.1 The Problematic State -- 8.1.1 Criteria for Choosing the Problematic State to Explore -- 8.1.2 Three General Principles for the Monitoring and Integration of Problematic States -- 8.1.3 Problems in Monitoring: Primary Emotions and Intentions -- 8.2 Maintaining the Metacognitive Level Reached in Session: Homework and Reminders -- 8.3 Mastery of Problematic States Tied to Severe Symptoms -- 8.4 Initial Management of At-Risk Problematic States -- 8.4.1 Principles for the Management of Suicide Risk -- 8.4.2 The Different Suicidal Mental States -- 8.4.3 Suicide as an Attempt to End Suffering -- 8.4.4 Suicide in Conditions of Dissociative Detachment -- 8.4.5 Suicide as a Relational Act -- 8.5 The Management of Impulsive Behaviors -- 8.6 Promoting Integration -- 8.7 The Management of Mental States in the Integrative Phase: From Change to Acceptance -- 8.8 Autobiographical Memory -- Chapter 9: Differentiation and Decentration -- 9.1 Differentiation, Critical Distance, and Decentration -- 9.1.1 The Ambiguity of Differentiation -- 9.1.2 Fostering Differentiation in Psychotherapy -- 9.1.3 Beliefs in Personality Disorders -- 9.1.4 Relatively Well-Founded Beliefs and Compensatory Beliefs -- 9.1.5 The Development of Critical Distance -- 9.2 Decentration -- 9.2.1 Decentration, Differentiation, and Critical Distance -- 9.3 Clinical Manifestations of Decentration -- 9.3.1 Differentiation, Decentration, and States of Threat. ; 9.3.2 Differentiation, Decentration, and Sense of Belonging -- 9.3.3 Differentiation, Decentration, and Shame -- 9.4 Differentiation, Decentration, and General Principles of Management -- 9.5 Specific Techniques for Promoting Understanding of the Mind/Decentration -- 9.5.1 Role Playing (Current and Historical) -- Chapter 10: Almost Impossible Cases -- 10.1 The Uncertain Border: The Margin of Treatability -- 10.2 The Egocentric Mind or the Fixity of Intentional Attribution -- 10.2.1 Case I: The Drama of Being Too Visible (Paranoid PD with Traits of Histrionic and Borderline Personality Disorders) -- 10.2.2 Case II: The Drama of Not Being Seen (Histrionic PD) -- 10.3 Weakness of Self and Non-integration -- 10.4 Empathy and Moral Sense -- 10.5 Narcissistic Functioning -- 10.6 How to Treat Severe Forms of Narcissism -- Chapter 11: Group Interventions: Skills Training -- 11.1 Strategic Goals and Procedural Characteristics -- 11.2 The Structure of Skills Training -- 11.3 Indications for Skills-Training Groups: Impulsivity/Chaoticity and Emotional Coarctation/Withdrawal -- 11.3.1 Impulsive/Chaotic Patients -- 11.3.2 Coarctated/Withdrawn Patients -- 11.4 Contraindications to the Skills Training Group -- 11.5 The Metacognitive Module -- 11.6 Skills Training for Interpersonal Abilities -- 11.7 Procedures for Referral of Patients to Groups and the Contract -- 11.7.1 First Interview -- 11.8 Obstacles During the Group and Dropout -- Chapter 12: Pharmacological Treatment of Patients with Personality Disorders -- 12.1 Introduction -- 12.2 When Is Pharmacotherapy Useful? -- 12.3 Psychotherapist and Pharmacologist -- 12.4 Psychiatric Exam Scheme for Patients with Personality Disorder -- 12.5 Pharmacological Treatment of Personality Disorders -- 12.6 Pharmacological Prescriptions for Patients with Borderline Personality Disorder: Our Procedure. ; 12.6.1 In Cases of Prevailing Affective Instability -- 12.6.2 In Cases of Prevailing Impulse Dyscontrol -- 12.6.3 In Cases of Prevailing Cognitive Symptomatology -- 12.7 Other Personality Disorders -- 12.8 The Duration of Pharmacological Treatment -- Chapter 13: A Synthesis: Metacognitive Interpersonal Therapy -- 13.1 Metacognitive Interpersonal Therapy: An Integrated Approach for Complex Cases -- 13.2 The Timing of the Intervention -- 13.3 Developing the Treatment -- 13.4 Checklist for Assessing Adherence to the Treatment Procedure -- References -- Index.
• Titolo autorizzato: Complex cases of personality disorders
• ISBN: 3-030-70455-6
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910488714203321
• Lo trovi qui: Univ. Federico II