Borderline personality disorder PDF
Preview Borderline personality disorder
thefacts Borderline personality disorder 60 P ublished and forthcoming titles in thefacts series Eating disorders: thefacts Panic disorder: thefacts FIFTH EDITION SECOND EDITION Abraham Rachman Sexually transmitted Tourette syndrome: thefacts infections: thefacts Robertson SECOND EDITION Barlow Adhd: thefacts Selikowitz Thyroid disease: thefacts FOURTH EDITION Dyslexia and other learning Vanderpump and Tunbridge diffi culties: thefacts SECOND EDITION Living with a long-term Selikowitz illness: thefacts Campling Schizophrenia: thefacts SECOND EDITION Prenatal tests: thefacts Tsuang De Crespigny Depression: thefacts Obsessive-compulsive Wassermann disorder: thefacts THIRD EDITION Polycystic ovary syndrome: de Silva thefacts Elsheikh and Murphy The pill and other forms of hormonal contraception: thefacts Autism and Asperger syndrome: SIXTH EDITION thefacts Guillebaud Baron-Cohen Myotonic dystrophy: thefacts Motor neuron disease: thefacts Harper Talbot and Marsden Ankylosing spondylitis: thefacts Lupus: thefacts Khan SECOND EDITION Isenberg and Manzi Prostate cancer: thefacts Mason Stroke: thefacts Lindley Multiple sclerosis: thefacts FOURTH EDITION Muscular dystrophy: thefacts Matthews Emery Essential tremor: thefacts Cosmetic surgery: thefacts Plumb Waterhouse thefacts Borderline personality disorder ROY KRAWITZ Consultant Psychiatrist Waikato District Health Board, and Honorary Clinical Senior Lecturer Auckland University New Zealand WENDY JACKSON Freelance Health Auditor, Quality Manager, Consumer Advisor, and a Person who has Recovered from Borderline Personality Disorder Auckland, New Zealand 1 1 Great Clarendon Street, Oxford OX2 6DP Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide in Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offi ces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries Published in the United States by Oxford University Press Inc., New York © Oxford University Press, 2008 The moral rights of the author have been asserted Database right Oxford University Press (maker) First published 2008 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above You must not circulate this book in any other binding or cover and you must impose this same condition on any acquirer British Library Cataloguing in Publication Data Data available Library of Congress Cataloguing in Publication Data Data available ISBN 978-0-19-920296-6 (Pbk.) 10 9 8 7 6 5 4 3 2 1 Typeset in Plantin by Cepha Imaging Pvt. Ltd., Bangalore, India Printed in Great Britain on acid-free paper by Clays Ltd., Bungay, Suffolk While every effort has been to ensure that the contents of this book are as complete, accurate and up-to-date as possible at the date of writing, Oxford University Press is not able to give any guarantee or assurance that such is the case. Readers are urged to take appropriately qualifi ed medical advice in all cases. The information in this book is intended to be useful to the general reader, but should not be used as a means of self-diagnosis or for the prescription of medication. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this book. Contents Essential notes before reading this book ix Foreword xi Acknowledgements xv Introduction xvii Information about the authors xxiii Language xxv Abbreviations xxvii Section 1 Borderline personality disorder information 1 History 3 2 How many people have borderline personality disorder? 5 3 What is borderline personality disorder? 7 4 Understanding borderline personality disorder 11 5 Other problems or diagnoses found in association with borderline personality disorder 25 6 What causes borderline personality disorder? 31 7 Understanding self-harm 37 8 P rognosis: do people with borderline personality disorder get beter? 41 9 Is treatment efective? 43 v Borderline personality disorder · thefacts Section 2 Recovery frameworks 10 Change 49 1 Psychological treatments 63 12 What to expect from treatment 73 13 First contact with health profesionals 77 14 C hoosing a therapist (where such a choice exists) 83 15 Developing a therapy agrement 89 16 Suport network 93 17 Asesment 9 18 Treatment goals and treatment plan 105 19 Therapy relationship 109 20 Taking charge of your recovery 115 21 Power struggles and beyond 119 22 Prioritizing your therapy focus 121 23 Preparing for crises 127 24 Medication 135 25 Hospitalization 141 Section 3 Recovery specifi cs 26 I s it our awareness that makes a difference? (Self-refl ection, chain analysis, and mindfulness) 151 27 Is it what we do that makes a difference? 161 28 Is it what we think that makes a difference? 165 29 Is it what we feel that makes a difference? 171 30 I s it what we do with emotions of anger, guilt, and regret that makes a difference? 177 31 Is it what we do with impulsive urges that makes a diference? 183 vi Contents 32 Is it taking charge of our personal boundaries that makes a diference? 185 33 Is it how we clarify our values and identity that makes a diference? 193 34 I s it how we relate to ourselves that makes a diference? 199 35 I s it how we relate to others that makes a diference? 203 36 Is it how we create pleasure that makes a difference? 211 37 I s it how we deal with ‘fl ashbacks’ that makes a diference? 215 38 Is it how we deal with crises that makes a difference? 219 39 I s it how we manage our physical health that makes a diference? 225 40 I s it our relationship with something ‘larger than ourselves’ that makes a diference? 231 41 Notes to family and friends 233 42 Concluding comments to the reader 239 Glosary 241 References 245 Index 247 vii This page intentionally left blank Essential notes before reading this book This book is intended to be read in the context of receiving qualifi ed profes- sional help and should not be used for stand alone self-diagnosis or self- treatment. Readers are urged to seek out appropriate qualifi ed professional help. While this book may contribute to your recovery, it is not a substitute for professional treatment. If you are in distress please make contact with an appropriate mental health professional. If you are in danger of self-harm, please seek out professional assistance. If you have thoughts of ending your life, immediately call your therapist, doctor, emergency service, or hospital. These professionals are trained to help you in a crisis. ix
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