Skip to main content

The Application of Cognitive Therapy to Patients with Personality Disorders

  • Chapter
The Challenge of Cognitive Therapy

Part of the book series: Applied Clinical Psychology ((NSSB))

Abstract

The demonstrated efficacy of cognitive therapy in the treatment of affective disorders (Hollon & Najavits, 1989; Murphy, Simons, Wetzel, & Lustman, 1984), anxiety disorders (Michelson & Ascher, 1987), eating disorders (Garner & Bemis, 1985; Wilson, 1986), and chronic pain (Turk, Meichenbaum, & Genest, 1983) has done much to legitimize cognitive therapy as a form of psychotherapy. As cognitive therapy has become more widely practiced, the types of patients referred to cognitive therapists have become more diverse. No longer is it true that cognitive therapists function largely in research or specialized treatment units. One of the more challenging issues faced by cognitive therapists is working with patients meeting the criteria for personality disorder (DSM-III-R; American Psychiatric Association, 1987).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.

    Google Scholar 

  • Beck, A. T. (1989). Cognitive therapy of personality disorders: Introduction. Paper presented at the World Congress of Cognitive Therapy, Oxford, England.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Beck, A. T., Hollon, S. D., Young, J. P., Bedrosian, R. C., & Budenz, D. (1985). Treatment of depression with cognitive therapy and amitriptyline. Archives of General Psychiatry, 42, 142–148.

    Article  PubMed  Google Scholar 

  • Blackburn, I. M., Bishop, S., Glen, A. I. M., Whalley, L. T., & Christie, J. E. (1981). The efficacy of cognitive therapy in depression: A treatment trial using cognitive therapy and pharmacotherapy, each alone, and in combination. British Journal of Psychiatry, 139, 181–189.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1982). Attachment and loss, Vol. 1. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1985). The role of childhood experience in cognitive disturbance. In M. Mahoney & A. Freeman (Eds.), Cognition and Psychotherapy (pp. 181–200). New York: Plenum.

    Chapter  Google Scholar 

  • Bowlby, J. (1988). Developmental psychiatry comes of age. American Journal of Psychiatry, 145(1), 1–10.

    PubMed  Google Scholar 

  • Cantor, N., Smith, E., French, R. D., & Mezzick, J. (1980). Psychiatric diagnosis as a prototype categorization. Journal of Abnormal Psychology, 89, 81–89.

    Article  Google Scholar 

  • Cloninger, R. (1987). A systematic method for clinical description and classification of personality variants. Archives of General Psychiatry, 44, 573–588.

    Article  PubMed  Google Scholar 

  • Eysenck, H. (1970). A dimensional system of psychodiagnostics. In A. Maher (Ed.), New approaches to personality classifications (pp. 169–207). New York: Columbia University Press.

    Google Scholar 

  • Fennell, M., & Teasdale, J. (1987). Cognitive therapy for depression: Individual differences and the process of change. Cognitive Therapy and Research, 11, 253–272.

    Article  Google Scholar 

  • Frances, A., & Widiger, T. (1986). Methodological issues in personality disorder diagnosis. In T. Millon & G. Klerman (Eds.), Contemporary directions in psychopathology: Towards the DSM-IV (pp. 381–400). New York: Guilford.

    Google Scholar 

  • Garfield, S. L. (1986). Problems in diagnostic classification. In T. Millon & G. Klerman (Eds.), Contemporary directions in psychopathology: Toward the DSM-IV (pp. 99–114). New York: Guilford.

    Google Scholar 

  • Garner, D. M., & Bemis, K. M. (1985). Cognitive therapy for anorexia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of psychotherapy for anorexia and bulimia (pp. 107–146). New York: Guilford.

    Google Scholar 

  • Greenberg, L. S., & Safran, J. D. (1987). Emotions in psychotherapy. New York: Guilford.

    Google Scholar 

  • Guidano, V. F., & Liotti, G. (1983). Cognitive processes and emotional disorders: A structural approach to psychotherapy. New York: Guilford.

    Google Scholar 

  • Hollon, S. D., & Najavits, L. (1989). Review of empirical studies on cognitive therapy. In A. Frances & R. Hales (Eds.), Review of psychiatry: Volume 7 (pp. 643–666). New York: American Psychiatric Press.

    Google Scholar 

  • Horowitz, L. M., & Vitkus, J. (1986). The interpersonal basis of psychiatric symptoms. Clinical Psychology Review, 6, 443–470.

    Article  Google Scholar 

  • Jacobson, N. S. (1989). The therapist-client relationship in cognitive behavior therapy: Implications for treating depression. Journal of Cognitive Psychotherapy: An International Quaterly, 3, 85–96.

    Google Scholar 

  • Linehan, M. M. (1989). Cognitive and behavior therapy for borderline personality disorder. Annual review of psychiatry, Vol. 8 (pp. 84–102). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Mahoney, M. J. (1989). The cognitive sciences and psychotherapy: Patterns in a developing relationship. In K. S. Dobson (Ed.), Handbook of cognitive behavioral therapies (pp. 357–386). New York: Guilford.

    Google Scholar 

  • Meichenbaum, D. (1977). Cognitive-behavior modification. New York: Plenum.

    Book  Google Scholar 

  • Michelson, L., & Ascher, L. M. (1987). Anxiety and stress disorders: Cognitive-behavioral assessment and treatment. New York: Guilford.

    Google Scholar 

  • Millon, T. (1986a). Personality prototypes and their diagnostic criteria. In T. Millon & G. Klerman (Eds.), Contemporary directions in psychopathology: Towards the DSM-IV (pp. 671–712) New York: Guilford.

    Google Scholar 

  • Millon, T. (1986b). A theoretical derivation of pathological personalities. In T. Millon & G. Klerman (Eds.), Contemporary directions in psychopathology: Towards the DSM-IV (pp. 639–669). New York: Guilford.

    Google Scholar 

  • Murphy, G. E., Simons, A. D., Wetzel, R. D., & Lustman, P. J. (1984). Cognitive therapy and pharmacotherapy, singly and together in the treatment of depression. Archives of General Psychiatry, 41, 33–41.

    Article  PubMed  Google Scholar 

  • Persons, J. B., Burns, D. D., & Perloff, J. M. (1988). Predictors of dropout and outcome in cognitive therapy for depression in a private practice setting. Cognitive Therapy and Research, 12, 557–576.

    Article  Google Scholar 

  • Rush, A. J., Beck, A. T., Kovacs, M., & Hollon, S. D. (1977). Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed out-patients. Cognitive Therapy and Research, 1, 17–37.

    Article  Google Scholar 

  • Safran, J. D. (1984). Assessing the cognitive-interpersonal cycle. Cognitive Therapy and Research, 8, 333–348.

    Article  Google Scholar 

  • Safran, J. D., & Segal, Z. V. (1990). Cognitive therapy: An interpersonal process perspective. New York: Basic Books.

    Google Scholar 

  • Safran, J. D., Vallis, T. M., Segal, Z. V., & Shaw, B. F. (1986). Assessment of core cognitive processes in cognitive therapy. Cognitive Therapy and Research, 10, 509–526.

    Article  Google Scholar 

  • Safran, J. D., Segal, Z. V., Shaw, B. F., & Vallis, T. M. (1990). Patient selection for short-term cognitive therapy. In J. D. Safran & Z. V. Segal, Interpersonal processes in cognitive therapy. New York: Basic Books.

    Google Scholar 

  • Safran, J. D., Segal, Z. V., Vallis, T. M., & Shaw, B. T. (1990). Suitability for short-term cognitive interpersonal therapy: Interview and rating scales. In J. D. Safran & Z. V. Segal, Interpersonal processes in cognitive therapy. New York: Basic Books.

    Google Scholar 

  • Turk, D., & Salovey, P. (1985). Cognitive structures, cognitive processes, and cognitive-behavior modification: II. Judgements and inferences of the clinician. Cognitive Therapy and Research, 9, 19–34.

    Article  Google Scholar 

  • Turk, D., Meichenbaum, D., & Genest, M. (1983). Pain and behavioral medicine: A cognitive-behavioral perspective. New York: Guilford.

    Google Scholar 

  • Turner, S. M. (1989). Case study evaluations of a bio-cognitive-behavioral approach for the treatment of borderline personality disorder. Behavior Therapy, 20, 477–489.

    Article  Google Scholar 

  • Weishaar, M. E. (1989). Cognitive therapy of histrionic and passive-aggressive personality disorders. Paper presented at the World Congress of Cognitive Therapy, Oxford, England.

    Google Scholar 

  • Widiger, T., Trull, T., Hurt, S., Clarkin, J., & Frances, A. (1987). A multidimensional scaling of the DSM-III personality disorders. Archives of General Psychiatry, 44, 557–563.

    Article  PubMed  Google Scholar 

  • Wilson, G. T. (1986). Cognitive-behavioral and pharmacological therapies for bulimia. In K. D. Brownell & J. P. Foreyt (Eds.), Handbook of eating disorders: Physiology, psychology, and treatment of obesity, anorexia, and bulimia (pp. 450–475). New York: Basic Books.

    Google Scholar 

  • Young, J. E. (1987). Schema-focused cognitive therapy for personality disorders. Unpublished manuscript, Columbia University.

    Google Scholar 

  • Young, J. E. (1989). The role of interpersonal strategies in schema-focused cognitive therapy for personality disorders. Paper presented at the World Congress of Cognitive Therapy, Oxford, England.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Rothstein, M.M., Vallis, T.M. (1991). The Application of Cognitive Therapy to Patients with Personality Disorders. In: Vallis, T.M., Howes, J.L., Miller, P.C. (eds) The Challenge of Cognitive Therapy. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0649-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0649-6_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0651-9

  • Online ISBN: 978-1-4899-0649-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics