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Handbook of Good Psychiatric Management for Borderline Personality Disorder

John G. Gunderson, M.D.
With Paul S. Links, M.D., F.R.C.P.C.

  • ISBN 978-1-58562-460-7
  • Item #62460
Video Illustrated!

Description

The diagnosis and treatment of patients with BPD can be fraught with anxiety, uncertainty, and complexity. How welcome, then, is the Handbook of Good Psychiatric Management for Borderline Personality Disorder, which teaches clinicians what to do and how to do it, as well as what not to do and how to avoid it. The author, a renowned researcher and clinician, has developed a new evidence-based treatment, Good Psychiatric Management (GPM) that comfortably utilizes cognitive, behavioral, and psychodynamic interventions that are practical and simple to implement. Because psychoeducation is an important component of GPM, the book teaches clinicians how to educate their patients about BPD, including the role of genetics and the expected course of the disease. This approach offers advantages both to practitioners, who become more adept at honest communication, and to patients, who are encouraged to have realistic hopes and to focus on strategies for coping with BPD in daily life.

The book is structured for maximum learning, convenience, and utility, with an impressive array of features.


  • Section I provides background on BPD, including the myths that sometimes discourage clinicians from treating these patients and that hamper the effective treatment of the disorder.
  • Section II, the GPM Manual, provides a condensed and clear description of the most essential and specific GPM interventions that clinicians can learn from and use in everyday practice.
  • Section III, the GPM Workbook, offers case vignettes which reference chapters from the manual. Each vignette has a number of “decision points where alternative interventions are proposed and discussed.
  • To further facilitate learning, a set of nine interactions is found in a series of online video demonstrations. Here, readers can see in vivo illustrations of the GPM model in practice.
  • Finally, a set of appendices provides critical information, such as a comparison of GPM with other evidence-based treatments of BPD, scaling risk and response strategies, and family guidelines.

Designed to be a basic case management text for all hospital, outpatient clinic, or office-based psychiatrists or mental health professionals who assume primary responsibility for the treatment of those with BPD, the Handbook of Good Psychiatric Management for Borderline Personality Disorder constitutes a breakthrough in the treatment of these often misunderstood patients.

Contents

    Preface
    Acknowledgements
    Section I: Background
    Chapter 1. Introduction to good psychiatric management (GPM)
    Section II: GPM manual: Treatment Guidelines
    Chapter 2. Overall principles
    Chapter 3. Making the diagnosis
    Chapter 4. Getting started
    Chapter 5. Managing suicidality and nonsuicidal self-harm
    Chapter 6. Pharmacotherapy and comorbidity
    Chapter 7. Split treatments
    Section III: GPM Workbook: Case Illustrations
    Chapter 8. Case illustrations
    Section IV: GPM Video Guide: Demonstrations of the Approach
    Chapter 9. Video demonstrations
    Appendix A: Relation of GPM to other evidence-based treatments for BPD
    Appendix B: Common features of evidence-based treatments for BPD
    Appendix C: Safety Planning: An Example
    Appendix D: Guidelines for Families
    References
    Index

About the Authors

John G. Gunderson, M.D., is Professor of Psychiatry, Harvard Medical School, and Director, BPD Center for Treatment, Research and Training, McLean Hospital, Belmont, Massachusetts.

Paul Links, M.D., M.Sc., F.R.C.P.C., is Professor and Chair, Department of Psychiatry, Schulich School of Medicine and Dentistry, The University of Western Ontario, and Chief of Psychiatry, London Health Sciences Centre and St. Joseph’s Health Care, London, Ontario.

The ‘G’ in ‘GPM’ doesn’t stand for ‘good’ or ‘general’, but for ‘genius’. To distill the effective component of thousands of hours of clinical work with borderline patients into a single, readily implemented, evidence-based protocol takes genius. This book is written by two of the most respected psychiatrists in the field, whose combined wisdom will guide clinicians in their work with some of the most challenging patients. The book is not dogmatic, yet provides the most coherent and most empowering set of suggestions for the clinical treatment of BPD today.—Peter Fonagy, Ph.D., FBA, Freud Memorial Professor of Psychoanalysis, University College London; Director of the Mental Health Programme, UCLPartners Academic Health Science Network


This book is for all mental health professionals who encounter people with borderline personality disorder and ask ‘What can I do that is helpful?’. Here you will find the answers. Drawing on a lifetime of experience, John Gunderson skillfully provides information, illustrations, self-assessment tests, and intriguing decision-making clinical examples to lead you towards the realization that you, too, can be an important part of effective treatment.—Anthony W. Bateman, FRCPsych, Visiting Professor, University College London; Honorary Professor in Psychotherapy, University of Copenhagen


Gunderson, the master clinician for borderline patients, has done it again, only better. After multiple editions of his classic monograph, Borderline Personality Disorder, he brings us right into his consulting room with this new Handbook. We join him with patient after patient, following his wise roadmap of decision points along the tricky treatment trail. For clinicians interested in the best way to help borderline patients, it doesn’t get any better than this.—John M. Oldham, M.D., Senior VP and Chief of Staff, The Menninger Clinic; Professor and Executive Vice Chair, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine


This is an excellent book for treating patients with BPD. There are too many useful features to enumerate, but what I found most interesting is the data that most BPD patients get better with good enough treatment and do not need to be managed through high-level tertiary care centers. This book provides clinicians with the guidelines and the confidence to treat borderline patients, including those who have not had training or supervision related to this problem. Of particular importance is that Dr. Gunderson's approach is flexible and pragmatic, in recognition of the fact that each clinical situation is different, and that he addresses many clinicians' fears of liability, suicidality, and hostile/negative borderline patient interaction that almost all of us have experienced. I highly recommend this book for anyone treating patients with borderline personality disorder.—Brett C. Plyler, M.D., Doody's Book Review

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