MARC record from Internet Archive

LEADER: 05860cam 2200805 i 4500
001 ocm27435391
003 OCoLC
005 20200518011204.0
008 930128s1993 nyu b 001 0 eng
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060 00 $aWM 170$bK93p 1993
080 $a159.972.1
082 00 $a616.85/8520651$220
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100 1 $aKroll, Jerome,$eauthor.
245 10 $aPTSD/borderlines in therapy :$bfinding the balance /$cJerome Kroll.
250 $aFirst edition.
264 1 $aNew York :$bW.W. Norton & Company, Inc.,$c[1993]
264 4 $c℗♭1993
300 $axxi, 273 pages ;$c24 cm
336 $atext$btxt$2rdacontent
337 $aunmediated$bn$2rdamedia
338 $avolume$bnc$2rdacarrier
500 $a"A Norton professional book."
504 $aIncludes bibliographical references (pages 253-262) and index.
505 0 $aSection 1: Theory, research, and practice. Disconcerting data: seven plus one pieces of evidence -- Childhood and adolescent sexual abuse -- Post-traumatic stress disorder and borderline personality disorder: are they the same? -- Self-injurious behavior: cross-cultural and historical aspects -- Section 2: Psychotherapy goals and the therapeutic balance. Gratification of needs -- Replaying old patterns and traumas -- Section 3: Special considerations in the therapy of abuse victims. Coming to terms with the abuse of the past -- How the past controls the present -- How the past shapes the transference -- Countertransference issues -- Concluding remarks.
520 $aThis book critically examines the relationship between childhood sexual abuse and adult borderline personality disorder, with a particular focus on symptoms of post-traumatic stress disorder (PTSD). Taking into account the many ambiguities in the current understanding of the complex relationship between childhood abuse experiences, formation of self-destructive personality styles, and subsequent psychotherapy for these problems, the author presents a working model that is useful without straitjacketing the practitioner or foreclosing the opportunities for new perspectives.
520 8 $aThe legacy of childhood abuse establishes a pattern in which the past influences the patient's present life in profound ways, from symptoms such as dissociative episodes to relationship styles such as victimization. Kroll describes the PTSD/borderline person as suffering first and foremost from a disorder of the stream of consciousness, "an inability to turn off a stream of consciousness that has become its own enemy, comprised of actual memories of traumatic events, distorted and fragmented memories, intrusive imageries and flashbacks, dissociated memories, unwelcome somatic sensations, negative self-commentaries running like a tickertape through the mind, fantasied and feared elaborations from childhood of abuse experiences, and concomitant strongly dysphoric moods of anxiety and anger."
520 8 $aMuch of the person's behavior is in response to this intolerable stream of memories, sensations, and thoughts. In therapy it is seen in patterns centering around destructive pursuit of gratification of needs and repeated playing out of old hurtful traumas and interactions. The challenges of working with PTSD/borderlines are illustrated in over twenty cases, many of which point out the pitfalls that frequently undermine the therapy of abuse victims. However, whether examining research or presenting his own cases, Kroll remains ever the skeptic, questioning not only the grand "Truths" that curtail useful discussion in the field but also his own small truths. In a style that is provocative and pragmatic, that moves from the grand schemes of theory to the specific nuances of single therapeutic comment, Kroll presents an extraordinarily useful model for working with PTSD/borderlines.
650 0 $aBorderline personality disorder$xTreatment.
650 0 $aPost-traumatic stress disorder$xTreatment.
650 0 $aAdult child sexual abuse victims$xRehabilitation.
650 0 $aPsychotherapy.
650 2 $aBorderline Personality Disorder.
650 2 $aBorderline Personality Disorder$xtherapy.
650 2 $aChild Abuse, Sexual.
650 2 $aPsychotherapy$xmethods.
650 2 $aStress Disorders, Post-Traumatic$xtherapy.
650 22 $aAdult.
650 7 $aAdult child sexual abuse victims$xRehabilitation.$2fast$0(OCoLC)fst00797221
650 7 $aBorderline personality disorder$xTreatment.$2fast$0(OCoLC)fst00836606
650 7 $aPost-traumatic stress disorder$xTreatment.$2fast$0(OCoLC)fst01072780
650 7 $aPsychotherapy.$2fast$0(OCoLC)fst01081755
653 0 $aPersonality disorders$aTherapy.
856 41 $3Table of contents$uhttp://www.gbv.de/dms/bowker/toc/9780393701579.pdf
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