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The Personality Disorders Treatment Planner: Includes DSM-5 Updates
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The Personality Disorders Treatment Planner: Includes DSM-5 Updates
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Overview
The Personality Disorders Treatment Planner, 2nd Edition is fully updated to meet the changing needs of the mental healthcare field. A time-saver for psychologists, counselors, social workers, psychiatrists, and other mental health professionals, this new edition offers the tools you need to develop formal treatment plans that meet the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. Organized around twenty-six presenting problems, the easy-to-use format and over 1,000 prewritten symptom descriptions, treatment goals, objectives, and interventions makes the task of developing an evidence-based treatment plan more efficient than ever. The treatment of mental health disorders is rapidly evolving, and new evidence-based protocols are being adopted by federal and state organizations. You are now required to closely monitor patient progress, and you may feel pressure to stick to standardized care and reporting procedures; however, you can only do so if you have access to the latest in evidence-based treatment plans.
- Updated with new and revised evidence-based Objectives and Interventions
- Integrated DSM-5 diagnostic labels and ICD-10 codes into the Diagnostic Suggestions section of each chapter
- Many more suggested homework assignments integrated into the Interventions
- An Appendix demonstrates the use of the personality disorders Proposed Dimensional System of DSM-5.
- Expanded and updated self-help book list in the Bibliotherapy Appendix
- Revised, expanded and updated Professional Reference Appendix
- New Recovery Model Appendix D listing Objectives and Interventions allowing the integration of a recovery model orientation into treatment plans
Product Details
ISBN-13: | 9781119101765 |
---|---|
Publisher: | Wiley |
Publication date: | 02/04/2016 |
Series: | PracticePlanners |
Sold by: | JOHN WILEY & SONS |
Format: | eBook |
Pages: | 400 |
File size: | 2 MB |
About the Author
JULIA C. SMITH, Psy.D, is a Staff Psychologist for the Department of Veterans Affairs, an Assistant Professor in the Department of Psychiatry at University of Texas Southwestern Medical Center, and the Assistant Training Director for psychology training programs offered through the VA North Texas Health Care System. She specializes in the treatment of PTSD and co-occurring substance use disorders.
ARTHUR E. JONGSMA, Jr., PhD, is the Series Editor for the bestselling Wiley PracticePlanners®. Since 1971, he has provided professional mental health services to both inpatient and outpatient clients. He was the founder and director of Psychological Consultants, a group private practice in Grand Rapids, Michigan for 25 years. He is the author or coauthor of over 50 books and conducts training workshops for mental health professionals around the world.
Read an Excerpt
ANTISOCIAL
BEHAVIORAL DEFINITIONS
- 1. Persistently breaks the law.
- 2. Is deceitful, and uses aliases, lies, or cons people to get what is wanted.
- 3. Acts on impulse, without giving much thought to future consequences.
- 4. Is aggressive and irritable, with a history of fights or assaults.
- 5. Engages in reckless behaviors that create dangerous situations for self or others.
- 6. Is irresponsible with regard to work, financial, and family obligations.
- 7. Lacks remorse, as shown by indifference to (or rationalizing of) harm he/she has caused.
- 8. Has a history of antisocial behaviors (rule breaking, lying, physical aggression, disrespect for others and property, substance abuse, etc.) since adolescence.
LONG-TERM GOALS
- 1. Demonstrate increased sensitivity to the needs of others rather than displaying only selfish concerns.
- 2. Improve impulse control and reduce reckless, shortsighted behavior.
- 3. Decrease excessive anger and irritability while learning to handle everyday anger appropriately.
- 4. Learn to view affection and cooperation positively.
- 5. Exhibit interpersonally responsible conduct.
- 6. Accept that ordinary rules of law and conduct apply to everyone.
DIAGNOSTIC SUGGESTIONS
ANTISOCIAL--MALEVOLENT
BEHAVIORAL DEFINITIONS
- 1. Is belligerent and at times vicious, brutal, and violent.
- 2. Is resentful and distrustful of authority figures.
- 3. Anticipates betrayal and punishment from others.
- 4. Lacks the capacity to experience guilt.
- 5. Is callous, fearless, impulsive, and often commits unlawful acts.
- 6. Displays self-serving, manipulative, deceitful, and uncooperative attitudes and behaviors.
- 7. Is irresponsible, failing to live up to obligations such as providing child care or fulfilling job obligations.
- 8. Lies to avoid taking responsibility for behavior or to gain own ends at others' expense.
- 9. Has a childhood history of family chaos, abuse, and neglect.
- 10. Breaks laws and rules without guilt or remorse, regardless of the pain inflicted on others.
LONG-TERM GOALS
- 1. Reduce hostile, aggressive, belligerent behavior, including both verbal and physical abuse.
- 2. Maintain lawful and/or responsible behavior.
- 3. Improve ability to tolerate authority relationships appropriately.
- 4. Increase capacity to delay gratification in order to achieve long-term objectives.
- 5. Improve capacity to see how own behaviors are harmful to others.
- 6. Establish at least one relationship that involves, at minimum, a modest degree of trust.
DIAGNOSTIC SUGGESTIONS
ANTISOCIAL--REPUTATION DEFENDING
BEHAVIORAL DEFINITIONS
- 1. Expresses need to be thought of as unflawed.
- 2. Presents an image of being tough, indomitable, and formidable.
- 3. Becomes angry and defensive when status is questioned.
- 4. Is highly overreactive to slights.
- 5. Is irritable and aggressive.
- 6. Is extremely concerned with or obsessed with enhancing or defending his/her own or his/her family's reputation.
- 7. Consistently presses to be in the dominant position in relationships and/or work settings.
- 8. Lacks remorse, as shown by indifference to (or rationalizing of) the harm he/she has caused.
LONG-TERM GOALS
- 1. Reduce the need to be dominant in all circumstances.
- 2. Increase flexibility and acceptance of a variety of roles, including equal and subordinate relationships.
- 3. Soften tough, indomitable image.
- 4. Reduce defensiveness regarding slights.
- 5. Decrease aggressiveness and irritability.
- 6. Increase acceptance of own flaws.
DIAGNOSTIC SUGGESTIONS
AVOIDANT
BEHAVIORAL DEFINITIONS
- 1. Avoids others due to fears of criticism, disapproval, or rejection.
- 2. Does not get involved with people unless certain of being liked.
- 3. Is afraid of being shamed or ridiculed in intimate relationships.
- 4. Is extremely fearful of criticism and rejection.
- 5. Is quiet during interpersonal situations due to feelings of inadequacy.
- 6. Views self as inferior and socially awkward.
- 7. Inhibits activities due to fear of embarrassment.
LONG-TERM GOALS
- 1. Reduce social withdrawal and loneliness due to social anxiety.
- 2. Improve conversational behaviors and other interpersonal skills, thereby decreasing social isolation.
- 3. Improve self-esteem and reduce self-criticism.
- 4. Increase active focus on pleasurable stimuli and decrease focus on painful stimuli.
- 5. Increase willingness to take risks in interpersonal contexts.
- 6. Reduce fears and ruminations regarding rejection and humiliation.
- 7. Improve intimacy in relationships.
DIAGNOSTIC SUGGESTIONS
Table of Contents
Foreword xiAcknowledgments xiii
Introduction 1
Sample Treatment Plan 18
Aggressive/Sadistic 22
Antisocial* 35
Antisocial—Malevolent 48
Avoidant* 59
Avoidant—Conflicted 70
Avoidant—Hypersensitive 81
Borderline* 92
Borderline—Petulant 107
Borderline—Self-Destructive 121
Dependent* 135
Dependent—Selfless 148
Depressive* 160
Histrionic* 173
Histrionic—Disingenuous 185
Intropunitive/Guilty 197
Narcissistic* 212
Narcissistic—Compensatory 225
Narcissistic—Unprincipled 237
Obsessive-Compulsive* 249
Obsessive-Compulsive—Bedeviled 261
Paranoid* 273
Paranoid—Fanatic 286
Paranoid—Malignant 297
Passive-Aggressive (Negativistic)* 308
Schizoid* 320
Schizotypal* 331
Appendix A Proposed Dimensions for Personality Disorders Applied to Presenting Problem Behavioral Definitions (Symptoms) for Selected Chapters 343
Appendix B Bibliotherapy/Self-Help References 365
Appendix C Professional References 370
Appendix D Recovery Model Objectives and Interventions 374