By Frederick, PsyD, ABPP Rotgers, Michael, PsyD Maniacci
Sufferers with delinquent character disease (APD) have normally been thought of tricky ot deal with, or maybe untreatable, with psychotherapy. contemporary medical and examine advancements, notwithstanding, have all started to alter this view. during this ebook. either skilled and beginner clinicians will achieve an knowing of the advancements during this zone of psychotherapy. Rotgers and Maniacci current specialists within the box of assorted versions of remedy, between them Adlerian, biosocial-learning, motivational interviewing, Rogerian and psychopharmacological, to spot remedy ambitions, opt for overview instruments, conceptualize development, pinpoint pitfalls, strengthen thoughts, and flow towards a profitable healing of entirety. by means of offering a quick evaluation of APD, discussing the continued controversies concerning the build of APD, and assessing the responses to a similar set of questions posed to every professional, the authors deals a glimpse into the tricky international of delinquent character affliction.
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Additional info for Antisocial Personality Disorder: A Practitioner's Guide to Comparative Treatments (Comparative Treatments for Psychological Disorders)
What would they be? The special techniques necessary for work with any client presenting with severe character pathology such as Frank’s are mainly specific to the beginning phase of therapy when Frank would be at his most abrasive. The techniques’ purposes are to intervene in the cycle of narcissistic injury: to protect the therapist from acting on his or her anger and to reduce Frank’s reliance on enraging and distancing people. The five main types of narcissistic assault therapists experience when working with clients with antisocial/narcissistic personality disorder are: arrogant and contemptuous behavior designed to make the therapist feel inadequate and stupid, chronic lying, constant attempts to get the therapist to violate boundaries (demandingness, entitlement, and grandiosity), the client’s extreme self-absorption, and the potential for serious acting-out behavior.
He married a woman much younger than he, told her little about himself, and when he became enraged, destroyed a valued possession of hers. However, his marriage also can be seen as a strength. Frank has been able to maintain a relationship with his wife such that she never reported feeling physically unsafe. She felt comfortable pressuring him both to go to therapy and to permit the interviewer to obtain background information. Given his history, this is remarkable. It indicates enormous control on his part, trust in her, as well as a significant commitment to maintaining his marriage.
The second scenario is that Frank will use his narcissistic skills to appear to take in and learn what is being presented to him. In this way, he will convince the therapist of his progress; he can continue to act out in the community; and, depending upon how good he is at it, he might even be able to convince the therapist to advocate for him when he inevitably gets in trouble (neutral but ineffectual). The third scenario is that Frank will succeed in humiliating and upsetting the therapist but he or she will feel it necessary to continue to work with him.
Antisocial Personality Disorder: A Practitioner's Guide to Comparative Treatments (Comparative Treatments for Psychological Disorders) by Frederick, PsyD, ABPP Rotgers, Michael, PsyD Maniacci