Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Systemic Treatment of BPD

description
by

Dustin Tibbitts

on 4 February 2014

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Systemic Treatment of BPD

Systemic Treatment of BPD
Perspective
Identity
Goldstein and Jones have categorized
FOUR GROUPS of BPD adolescents
based on systemic behavioral manifestations
At least three of the criteria for BPD in the DSM IV (8) directly pertain to interpersonal relationships:
1. efforts to avoid abandonment,
2. unstable and intense interpersonal relationships, and
3. inappropriate, intense anger or difficulty controlling anger.
1. Childhood Trauma
2. Early parental separation and loss
3. Disturbed family environment and abnormal parental bonding (Paris, 1994, 1999; Zanarini & Frankenburg, 1997).
Systemic
View
OR
Relationships
Oscillations of Attachment
Object Constancy
Countertransference
identify the countertransference: 4 parts
experiential activity to highlight triangles
parallel process
joking
countertransference training
button pushing response (worksheet)
personal scrutiny (worksheet)
shorten session; longer wrap-up
Attachment group, DBT group
Linehan: give her your phone number
Cummings' emergency policy
Routine shifts of groups of staff
Clarification skills
validate emotion yet hold accountable
remain in here-and-now
avoid misappropriating responsibility
Rick Biesinger, Psy.D., InnerChange and Dustin Tibbitts, LMFT, New Haven
needs vs. wants
compromise (negotiation) skills
"Benevolent Disengagement"
Clarify "non-negotiables"
Kernberg's "Pilot's List" of priorities
assign one staff per shift to be primary contact
Normal Personality Organization
I. Healthy Relationships
2. Stable Identity
Relationship "check-in" every session (SRS)
Thanks for Attending!
Allow strategic phone contact
Allow strategic visits
frequency, activities, neutral ground
Word choice and metaphor
Email rule
Treatment Team attendance
Challenge inconsistencies across contexts
Affect identification/management
Parallel journaling
Identity Worksheets
Share progress or case notes
Values prioritization
Core issue work in front of child
Spirituality
Scrapbooks
childhood pics
timelines
genograms
extended family histories
Full transcript