- ISBN: 9780789036933 | 0789036932
- Cover: Nonspecific Binding
- Copyright: 10/7/2008
There have been few dual diagnosis resources focusing specifically on co-occurring personality disorders and addiction. Integrated Treatment for Co-Occurring Disorders: Personality Disorders and Addiction fills that gap. Sharon Ekleberry addresses a complex client population that presents treatment professionals with challenges in assessment, treatment planning, effective intervention, and the provision of recovery-oriented services.
Sharon C. Ekleberry, MSW, LCSW, LSATP, is the Director of Transformation Initiatives for the Fairfax-Falls Church Community Services Board in Fairfax County, Virginia and has over 30 years experience as a clinician, supervisor, and trainer
| Preface | p. xv |
| Foreword | p. xix |
| Integrated Treatment for Individuals with Co-Occurring Personality and Substance Use Disorders | p. 1 |
| Personality Disorders | p. 1 |
| Definition of Personality Disorders | p. 1 |
| Prevalence of Personality Disorders | p. 4 |
| Treatability of Personality Disorders | p. 4 |
| Substance Use Disorders | p. 6 |
| Definition and Criteria for Substance Use Disorders | p. 6 |
| The Power and Appeal of Psychoactive Drugs for Individuals with Personality Disorders | p. 8 |
| Integrated Treatment for Co-Occurring Disorders | p. 8 |
| The Relationship Between Substance Use Disorders and Personality Disorders | p. 8 |
| Personality Disorder as Primary Diagnosis or Secondary to Substance Use Disorders | p. 10 |
| Integrated Treatment for Co-Occurring Personality Disorders and Substance Use Disorders | p. 11 |
| Recovery from Personality and Substance Use Disorders | p. 13 |
| Cluster A: Paranoid Personality Disorder and Substance Use Disorders | p. 15 |
| Paranoid Personality Disorder Defined | p. 15 |
| Essential Features | p. 15 |
| Self-Image | p. 16 |
| View of Others | p. 17 |
| Relationships | p. 17 |
| Issues with Authority | p. 18 |
| Behavior | p. 19 |
| Affect | p. 20 |
| Defenses | p. 20 |
| The Self-Created World (Altered Reality) of PPD | p. 21 |
| Substance Use Disorders and PPD | p. 22 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on PPD | p. 22 |
| Drugs of Choice for PPD | p. 23 |
| Integrated Dual Diagnosis Treatment for PPD | p. 23 |
| Engaging in Treatment | p. 23 |
| Treatment Provider Guidelines | p. 24 |
| Professional Ethics and the Paranoid Personality Disorder | p. 25 |
| Assessment and Treatment | p. 26 |
| Treatment Goals | p. 28 |
| Recovery Activities for Individuals with PPD and Addiction | p. 29 |
| Cluster A: Schizoid Personality Disorder and Substance Use Disorders | p. 31 |
| Schizoid Personality Disorder Defined | p. 31 |
| Essential Features | p. 31 |
| Self-Image | p. 32 |
| View of Others | p. 33 |
| Relationships | p. 33 |
| Issues with Authority | p. 35 |
| Behavior | p. 35 |
| Affect | p. 36 |
| Defenses | p. 36 |
| The Self-Created World (Altered Reality) of SPD | p. 37 |
| Substance Use Disorders and SPD | p. 37 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on SPD | p. 37 |
| Drugs of Choice for SPD | p. 38 |
| Integrated Dual Diagnosis Treatment for SPD | p. 39 |
| Engaging in Treatment | p. 39 |
| Treatment Provider Guidelines | p. 40 |
| Professional Ethics and SPD | p. 41 |
| Assessment and Treatment | p. 41 |
| Treatment Goals | p. 43 |
| Recovery Activities for Individuals with SPD and Addiction | p. 44 |
| Cluster A: Schizotypal Personality Disorder and Substance Use Disorders | p. 47 |
| Schizotypal Personality Disorder Defined | p. 47 |
| Essential Features | p. 47 |
| Self-Image | p. 49 |
| View of Others | p. 49 |
| Relationships | p. 49 |
| Issues with Authority | p. 50 |
| Behavior | p. 51 |
| Affect | p. 52 |
| Defenses | p. 52 |
| The Self-Created World (Altered Reality) of StPD | p. 53 |
| Substance Use Disorders and StPD | p. 53 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on StPD | p. 53 |
| Drugs of Choice for StPD | p. 54 |
| Integrated Dual Diagnosis Treatment for StPD | p. 55 |
| Engaging in Treatment | p. 55 |
| Treatment Provider Guidelines | p. 55 |
| Professional Ethics and StPD | p. 56 |
| Assessment and Treatment | p. 57 |
| Treatment Goals | p. 58 |
| Recovery Activities for Individuals with StPD and Addiction | p. 60 |
| Cluster B: Antisocial Personality Disorder and Substance Use Disorders | p. 63 |
| Antisocial Personality Disorder Defined | p. 63 |
| Essential Features | p. 63 |
| Self-Image | p. 64 |
| View of Others | p. 64 |
| Relationships | p. 65 |
| Issues with Authority | p. 65 |
| Behavior | p. 66 |
| Affect | p. 66 |
| Defenses | p. 67 |
| The Self-Created World (Altered Reality) of APD | p. 67 |
| Substance Use Disorders and APD | p. 68 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on APD | p. 68 |
| Drugs of Choice for APD | p. 69 |
| Integrated Dual Diagnosis Treatment for APD | p. 70 |
| Engaging in Treatment | p. 70 |
| Treatment Provider Guidelines | p. 70 |
| Professional Ethics and APD | p. 72 |
| Assessment and Treatment | p. 73 |
| Treatment Goals | p. 75 |
| Recovery Activities for Individuals with APD and Addiction | p. 76 |
| Cluster B: Borderline Personality Disorder and Substance Use Disorders | p. 79 |
| Borderline Personality Disorder Defined | p. 79 |
| Essential Features | p. 79 |
| Self-Image | p. 80 |
| View of Others | p. 81 |
| Relationships | p. 81 |
| Issues with Authority | p. 82 |
| Behavior | p. 82 |
| Affect | p. 84 |
| Defenses | p. 84 |
| The Self-Created World (Altered Reality) of BPD | p. 85 |
| Substance Use Disorders and BPD | p. 85 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on BPD | p. 85 |
| Drugs of Choice for BPD | p. 86 |
| Integrated Dual Diagnosis Treatment for BPD | p. 86 |
| Engaging in Treatment | p. 86 |
| Treatment Provider Guidelines | p. 87 |
| Professional Ethics and BPD | p. 88 |
| Assessment and Treatment | p. 89 |
| Treatment Goals | p. 92 |
| Recovery Activities for Individuals with BPD and Addiction | p. 93 |
| Cluster B: Histronic Personality Disorder and Substance Use Disorders | p. 95 |
| Histrionic Personality Disorder Defined | p. 95 |
| Essential Features | p. 95 |
| Self-Image | p. 96 |
| View of Others | p. 97 |
| Relationships | p. 98 |
| Issues with Authority | p. 99 |
| Behavior | p. 100 |
| Affect | p. 100 |
| Defenses | p. 101 |
| The Self-Created World (Altered Reality) of HPD | p. 101 |
| Substance Use Disorders and HPD | p. 102 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on HPD | p. 102 |
| Drugs of Choice for HPD | p. 103 |
| Integrated Dual Diagnosis Treatment for HPD | p. 104 |
| Engaging in Treatment | p. 104 |
| Treatment Provider Guidelines | p. 104 |
| Professional Ethics and HPD | p. 105 |
| Assessment and Treatment | p. 106 |
| Treatment Goals | p. 108 |
| Recovery Activities for Individuals with HPD and Addiction | p. 109 |
| Cluster B: Narcissistic Personality Disorder and Substance Use Disorders | p. 111 |
| Narcissistic Personality Disorder Defined | p. 111 |
| Essential Features | p. 111 |
| Self-Image | p. 112 |
| View of Others | p. 113 |
| Relationships | p. 113 |
| Issues with Authority | p. 114 |
| Behavior | p. 115 |
| Affect | p. 116 |
| Defenses | p. 116 |
| The Self-Created World (Altered Reality) of NPD | p. 117 |
| Substance Use Disorders and NPD | p. 117 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on NPD | p. 117 |
| Drugs of Choice for NPD | p. 118 |
| Integrated Dual Diagnosis Treatment for NPD | p. 119 |
| Engaging in Treatment | p. 119 |
| Treatment Provider Guidelines | p. 119 |
| Professional Ethics and NPD | p. 121 |
| Assessment and Treatment | p. 122 |
| Treatment Goals | p. 124 |
| Recovery Activities for Individuals with NPD and Addiction | p. 124 |
| Cluster C: Avoidant Personality Disorder and Substance Use Disorders | p. 127 |
| Avoidant Personality Disorder Defined | p. 127 |
| Essential Features | p. 127 |
| Self-Image | p. 128 |
| View of Others | p. 129 |
| Relationships | p. 130 |
| Issues with Authority | p. 131 |
| Behavior | p. 132 |
| Affect | p. 132 |
| Defenses | p. 133 |
| The Self-Created World (Altered Reality) of AvPD | p. 134 |
| Substance Use Disorders and AvPD | p. 134 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on AvPD | p. 134 |
| Drugs of Choice for AvPD | p. 135 |
| Integrated Dual Diagnosis Treatment for AvPD | p. 136 |
| Engaging in Treatment | p. 136 |
| Treatment Provider Guidelines | p. 136 |
| Professional Ethics and AvPD | p. 137 |
| Assessment and Treatment | p. 138 |
| Treatment Goals | p. 140 |
| Recovery Activities for Individuals with AvPD and Addiction | p. 140 |
| Cluster C: Dependent Personality Disorder and Substance Use Disorders | p. 143 |
| Dependent Personality Disorder Defined | p. 143 |
| Essential Features | p. 143 |
| Self-Image | p. 144 |
| View of Others | p. 145 |
| Relationships | p. 145 |
| Issues with Authority | p. 147 |
| Behavior | p. 147 |
| Affect | p. 148 |
| Defenses | p. 148 |
| The Self-Created World (Altered Reality) of DPD | p. 148 |
| Substance Use Disorders and DPD | p. 149 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on DPD | p. 149 |
| Drugs of Choice for DPD | p. 150 |
| Integrated Dual Diagnosis Treatment for DPD | p. 151 |
| Engaging in Treatment | p. 151 |
| Treatment Provider Guidelines | p. 151 |
| Professional Ethics and DPD | p. 152 |
| Assessment and Treatment | p. 153 |
| Treatment Goals | p. 155 |
| Recovery Activities for Individuals with DPD and Addiction | p. 156 |
| Cluster C: Obsessive-Compulsive Personality Disorder and Substance Use Disorders | p. 159 |
| Obsessive-Compulsive Personality Disorder Defined | p. 159 |
| Essential Features | p. 159 |
| Self-Image | p. 160 |
| View of Others | p. 161 |
| Relationships | p. 161 |
| Issues with Authority | p. 162 |
| Behavior | p. 162 |
| Affect | p. 164 |
| Defenses | p. 165 |
| The Self-Created World (Altered Reality) of OCPD | p. 166 |
| Substance Use Disorders and OCPD | p. 167 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on OCPD | p. 167 |
| Drugs of Choice for OCPD | p. 168 |
| Integrated Dual Diagnosis Treatment for OCPD | p. 169 |
| Engaging in Treatment | p. 169 |
| Treatment Provider Guidelines | p. 169 |
| Professional Ethics and OCPD | p. 171 |
| Assessment and Treatment | p. 171 |
| Treatment Goals | p. 172 |
| Recovery Activities for Individuals with OCPD and Addiction | p. 173 |
| Depressive Personality Disorder and Substance Use Disorders: Appendix B in the DSM-IV-TR | p. 175 |
| Depressive Personality Disorder Defined | p. 175 |
| Essential Features | p. 175 |
| Self-Image | p. 178 |
| View of Others | p. 179 |
| Relationships | p. 179 |
| Issues with Authority | p. 180 |
| Behavior | p. 180 |
| Affect | p. 181 |
| Defenses | p. 181 |
| The Self-Created World (Altered Reality) of DpPD | p. 182 |
| Substance Use Disorders and DpPD | p. 182 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on DpPD | p. 182 |
| Drugs of Choice for DpPD | p. 183 |
| Integrated Dual Diagnosis Treatment for DpPD | p. 183 |
| Engaging in Treatment | p. 183 |
| Treatment Provider Guidelines | p. 184 |
| Professional Ethics and DpPD | p. 184 |
| Assessment and Treatment | p. 185 |
| Treatment Goals | p. 187 |
| Recovery Activities for Individuals with DpPD and Addiction | p. 187 |
| Passive-Aggressive (Negativistic) Personality Disorder and Substance Use Disorders: Appendix B in the DSM-IV-TR | p. 189 |
| Passive-Aggressive (Negativistic) Personality Disorder Defined | p. 189 |
| Essential Features | p. 189 |
| Self-Image | p. 191 |
| View of Others | p. 192 |
| Relationships | p. 192 |
| Issues with Authority | p. 193 |
| Behavior | p. 194 |
| Affect | p. 195 |
| Defenses | p. 196 |
| The Self-Created World (Altered Reality) of PAPD | p. 196 |
| Substance Use Disorders and PAPD | p. 197 |
| Co-Occurring Substance Use Disorders and the Impact of Drugs on PAPD | p. 197 |
| Drugs of Choice for PAPD | p. 197 |
| Integrated Dual Diagnosis Treatment for PAPD | p. 198 |
| Engaging in Treatment | p. 198 |
| Treatment Provider Guidelines | p. 199 |
| Professional Ethics and PAPD | p. 200 |
| Assessment and Treatment | p. 200 |
| Treatment Goals | p. 202 |
| Recovery Activities for Individuals with PAPD and Addiction | p. 203 |
| Final Thoughts and Future Directions | p. 205 |
| Personality Disorders and Addiction | p. 205 |
| Service Provider Guidelines | p. 206 |
| Integrated Treatment for Co-Occurring Disorders | p. 207 |
| Recovery | p. 208 |
| Future Directions | p. 208 |
| References | p. 211 |
| Index | p. 223 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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