Integrated Treatment for Co-Occurring Disorders: Personality Disorders and Addiction

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ISBN: 9780789036933 | 0789036932
Cover: Nonspecific Binding
Copyright: 10/7/2008

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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.

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
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Integrated Treatment for Co-Occurring Disorders: Personality Disorders and Addiction

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