How to Talk to a Borderline

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ISBN: 9780415876490 | 0415876494
Cover: Hardcover
Copyright: 11/18/2010

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In How to Talk to a Borderline , Joan Lachkar introduces Borderline Personality Disorder (BPD) and outlines the challenges and difficulties it presents to clinicians. She expands current understanding of BPD by outlining eight different kinds of borderline personality disorders and how each of these requires specific communication techniques and methods. Case examples are offered throughout the text and in some cases describe the kinds of partners borderlines attract. This book offers new approaches to communicating, working with, and treating borderline personality disorders while integrating more contemporary treatment methods.

Acknowledgments	p. xiii
Introduction	p. xv
The Borderline: An Overview	p. 1
An Invitation to the Dance	p. 10
Choreographing the Endless Round of Primitive Defenses and Regressive Behaviors	p. 10
The Case of Bill and Sara	p. 10
Primitive Defenses and Psychodynamics	p. 12
Shame Versus Guilt	p. 12
The True and False Self	p. 13
Envy Versus Jealousy	p. 14
Domination Versus Submission	p. 15
Omnipotence Versus Dependency	p. 15
Attachment Versus Detachment	p. 15
Projection and Projective Identification	p. 16
Seeking an Identity	p. 17
My Good Friend, the Borderline: Capacity for Good Object Relations	p. 18
Theoretical Perspectives: Looking to Our Founding Fathers	p. 21
Talking as a Cure	p. 22
Sigmund Freud	p. 23
Melanie Klein	p. 24
Donald Fairbairn	p. 25
Why People Stay in Painful Relationships	p. 25
D. W. Winnicott	p. 26
The Art of Playing With and Enjoying Your Borderline Patient	p. 26
Wilfred Bion	p. 28
James Masterson	p. 29
Heinz Kohut	p. 30
Otto Kernberg	p. 30
Marsha Linehan	p. 31
Mentalization-Based Therapy	p. 32
A. J. Mahari	p. 34
The Borderline Dilemma	p. 34
The Ego and Its Dysfunctionality	p. 37
The Pathological Borderline	p. 39
What Makes the Pathological Borderline So Taxing?	p. 40
Dancing With the Pathological Borderline	p. 41
Pathological Borderlines and the Negative Reactions They Trigger in Others	p. 43
Case of Laura and Benny, the Invisible Husband	p. 43
Case of Julie and Jerry	p. 44
The Wedding and the Borderline Mother	p. 45
Bonding With Pain	p. 46
Mediation	p. 47
The Malignant Borderline	p. 49
Traits and Characteristics of the Malignant Borderline	p. 51
Fantasy Analysis With Mrs. Bernard Madoff	p. 52
The Malignant Borderline as a Domestic Abuser	p. 57
The Role of the V-Spot	p. 58
Case of Bonnie and Joe	p. 60
Case of Maureen and Tony	p. 61
Women Who Choose to Stay With Malignant Borderlines	p. 63
Treating the Severest Forms of Malignant Borderline Syndrome	p. 64
Summary	p. 65
The Depressive Borderline	p. 67
Pressures the Depressive Borderline Places on Others	p. 68
Diagnostic Criteria (DSM-IV, Appendix B)	p. 69
Depressive Borderline	p. 69
Overlap	p. 71
Different Kinds of Depression	p. 71
General Depression	p. 71
Paranoid-Schizoid Position	p. 72
Case Example: Brian and Joanne	p. 72
Discussion	p. 74
The Depressive Position	p. 75
Major Depression	p. 76
The Depleted Depressive	p. 77
Case of Wendy	p. 78
Summary	p. 80
The Obsessive-Compulsive Borderline	p. 81
Diagnostic Features	p. 82
OCD Qualities	p. 83
Pack Rats and Hoarders	p. 83
The Lawyer and His Briefs	p. 85
The Dance of the Obsessive-Compulsive Borderline	p. 87
The Sadistic OCD	p. 88
Case of Judy and Francois	p. 88
Summary	p. 91
The Antisocial Borderline	p. 93
DSM-IV-TR Diagnostic Criteria for Antisocial Personality Disorder (301.7)	p. 95
Overlap	p. 96
Shakespeare's Iago "An Honest Man"	p. 97
Treatment	p. 98
Profile of an Extreme Antisocial Borderline	p. 99
Background on Ted Bundy	p. 99
Fantasy Analysis of Ted Bundy	p. 101
Second Fantasy Analysis of Ted Bundy	p. 103
Fantasy Analysis of Ann Rule	p. 103
Discussion	p. 105
The Dance of the Antisocial Borderline	p. 105
Summary	p. 106
The Passive-Aggressive Borderline: "Promises, Promises!"	p. 109
Introduction	p. 109
A Portrait of the Passive-Aggressive Borderline	p. 110
Overlap	p. 111
Signs of Passive-Aggressive Behavior	p. 111
Treatment	p. 112
The Dance of the Passive-Aggressive Borderline	p. 112
The Third Grade Teacher and Her Aide	p. 113
The Wife in Waiting	p. 115
Summary	p. 117
The Histrionic Borderline	p. 119
How the Histrionic Differs From Other Borderlines	p. 119
Diagnostic Criteria (DSM-IV, Appendix B)	p. 120
Pressures the Histrionic Borderline Places on Others	p. 123
The Dance	p. 124
Case of Bob and Christine	p. 125
Discussion	p. 126
Treatment Techniques	p. 127
Summary	p. 128
The Cross-Cultural Borderline	p. 129
Introduction	p. 129
Psychodynamics and Cross Culture	p. 130
Subjective Experience of Culture	p. 131
Psychohistory and Pathology	p. 132
Is There a Cultural V-Spot?	p. 133
An Orphan Society: Identifying With Traumatized Leaders	p. 134
Treatment and Treatment Techniques	p. 136
Natalie and Abu Omar	p. 136
Child-Rearing Practices	p. 139
The Workplace	p. 140
Summary	p. 140
Final Thoughts	p. 143
Treatment Points and Procedures	p. 144
Crucial Therapeutic Functions	p. 144
Humor Is Essential	p. 145
Communication Suggestions for Therapists	p. 146
Repetitive Themes: Listen to the Words	p. 148
Emotional Bankruptcy	p. 148
A Weighty Problem	p. 149
General Suggestions for Therapists	p. 149
General Suggestions for Teachers/Students/Artists	p. 151
Closing Thoughts	p. 152
Appendix	p. 153
Glossary	p. 157
Bibliography	p. 165
Index	p. 169
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How to Talk to a Borderline

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