Personality-Guided Therapy for Depression (Personality-Guided Psychology)

Personality-Guided Therapy for Depression (Personality-Guided Psychology)

Neil R Bockian

Language: English

Pages: 325

ISBN: 1591474108

Format: PDF / Kindle (mobi) / ePub


In Personality-Guided Therapy for Depression, Neil R. Bockian describes a promising new approach to treating complicated depression, cases in which progress is painfully slow, elusive, or followed by relapse. The causes and experience of depression are influenced by personality style, or deeply rooted patterns of functioning in the world. Depression in a person with a dependent style, for example, differs markedly from that in someone with an antisocial personality. This volume demonstrates how, drawing insights from major theoretical orientations, psychotherapy can be tailored to address patients' varying issues and communication styles. As treating personality disorders alleviates depression, and vice versa, this approach offers new hope for progress in both realms. Using Theodore Millon's personality-guided psychology as framework, Dr. Bockian illuminates how specific personality types play into depression, and how taking personality into account enables psychologists to tailor their interventions to the patient and thus improve the prospects for long-term recovery. what promotes and maintains it, how psychological, biological, and social factors contribute to it, and the role of medications and of therapist reactions to the patient. This groundbreaking book offers practitioners, researchers, and students a framework for understanding how personality factors increase vulnerability to depression or help buffer against it.

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according to Tousignant and Maldonaldo (cited in Tsai & Chentsova-Dutton, 2002), pena is an appeal for payment or social reciprocity, for the incurred loss. Unlike depression in the United States, which is viewed as individual psychopathology, pena is part of the social balance in highland Ecuador. Similarly, in New Guinea, the Kaluli people are highly emotionally expressive. Grief reactions, akin to what we might view as sadness or depression in the United States, are integrated into the culture

mind" having sex, and those whose schizoid symptoms are sufficiently mild for them to be in a relationship are typically also sufficiently interested in the other person to go to at least some lengths to try to please him or her. Sex therapy can help enhance pleasure as well as sensitivity to the other person's needs—two areas in which the person with schizoid PD is likely to have problems. Several fine books are available for adjunctive bibliotherapy with sex therapy (e.g., Sexual Awareness

victim begin to think ceaselessly of oblivion, (p. 50) Finally, in a memorable quote regarding suicidal ideation, he stated, Yet in truth, such hideous fantasies, which cause well people to shudder, are to the deeply depressed mind what lascivious daydreams are to persons of robust sexuality, (p. 53) 14 PERSONALfTY-GL/IDED THERAPY FOR DEPRESSION Although his rather supportive views on suicide are not likely to be widely shared in the mental health community—nor do I support them—Styron's

group, 8 of 13 individuals with histri172 PERSONALITY^ UIDED THERAPY FOR DEPRESSION onic PD in their sample (61.5%) achieved remission after 24 weeks of treat' ment, which was statically significant; however, in the sertraline group, only 1 of 9 achieved remission, a statistically nonsignificant decrease. Both the sertraline group and the citalopram group had a mean decrease of 0.2 criterion pre- to posttreatment, which was statistically nonsignificant. Unfortunately, because there was no

and their lack of focus may be neurologically related to attention deficit disorder. In such cases, stimulants (e.g., methylphenidate) or bupropion would be indicated. Joseph's (1997) observations, though insightful and rational, must be backed by science. Empirical studies leading to randomized clinical trials are necessary to verify the appropriateness of various medications for histrionic PD. Psychological Factors Millon's Theory According to Millon's (1996) tripolar model, histrionic PD

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