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).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
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.
Beck, A. T. (1989). Cognitive therapy of personality disorders: Introduction. Paper presented at the World Congress of Cognitive Therapy, Oxford, England.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
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.
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.
Bowlby, J. (1982). Attachment and loss, Vol. 1. New York: Basic Books.
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.
Bowlby, J. (1988). Developmental psychiatry comes of age. American Journal of Psychiatry, 145(1), 1–10.
Cantor, N., Smith, E., French, R. D., & Mezzick, J. (1980). Psychiatric diagnosis as a prototype categorization. Journal of Abnormal Psychology, 89, 81–89.
Cloninger, R. (1987). A systematic method for clinical description and classification of personality variants. Archives of General Psychiatry, 44, 573–588.
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.
Fennell, M., & Teasdale, J. (1987). Cognitive therapy for depression: Individual differences and the process of change. Cognitive Therapy and Research, 11, 253–272.
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.
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.
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.
Greenberg, L. S., & Safran, J. D. (1987). Emotions in psychotherapy. New York: Guilford.
Guidano, V. F., & Liotti, G. (1983). Cognitive processes and emotional disorders: A structural approach to psychotherapy. New York: Guilford.
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.
Horowitz, L. M., & Vitkus, J. (1986). The interpersonal basis of psychiatric symptoms. Clinical Psychology Review, 6, 443–470.
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.
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.
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.
Meichenbaum, D. (1977). Cognitive-behavior modification. New York: Plenum.
Michelson, L., & Ascher, L. M. (1987). Anxiety and stress disorders: Cognitive-behavioral assessment and treatment. New York: Guilford.
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.
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.
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.
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.
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.
Safran, J. D. (1984). Assessing the cognitive-interpersonal cycle. Cognitive Therapy and Research, 8, 333–348.
Safran, J. D., & Segal, Z. V. (1990). Cognitive therapy: An interpersonal process perspective. New York: Basic Books.
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.
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.
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.
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.
Turk, D., Meichenbaum, D., & Genest, M. (1983). Pain and behavioral medicine: A cognitive-behavioral perspective. New York: Guilford.
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.
Weishaar, M. E. (1989). Cognitive therapy of histrionic and passive-aggressive personality disorders. Paper presented at the World Congress of Cognitive Therapy, Oxford, England.
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.
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.
Young, J. E. (1987). Schema-focused cognitive therapy for personality disorders. Unpublished manuscript, Columbia University.
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.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights 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