Utilizing cognitive-behavioral techniques in psychodynamic practice with clients diagnosed as borderline |
| |
Authors: | Nina R Heller PhD Terry B Northcut PhD |
| |
Institution: | (1) School of Social Work, University of Connecticut, 1798 Asylum Ave., 06117-2698 West Hartford, CT;(2) 2901 East Drachman St., 85716 Tucson, AZ |
| |
Abstract: | Many factors, including theoretical controversies, treatment constraints, and an increasing awareness of the high incidence of childhood trauma, compel practitioners to reevaluate both theory and practice in the treatment of clients diagnosed as borderline. Our purpose in this paper is to encourage clinicians who practice primarily from a psychodynamic perspective to reconsider the judicious use of relevant cognitive/behavioral techniques with this population. We focus on the rationale of utilizing relevant cognitive/behavioral techniques in out-patient settings, and discuss specific problem areas where these techniques might be useful. These problem areas include (1) cognitive and affective splitting, (2) affective dysregulation, and (3) faulty attributions. Each problem area is discussed with clinical illustrations of appropriate cognitive/behavioral interventions. The vignettes also illustrate the essential role the therapeutic relationship plays in order for cognitive/behavioral interventions to be effective. |
| |
Keywords: | borderline cognitive-behavioral psychodynamic |
本文献已被 SpringerLink 等数据库收录! |
|