| Record ID | marc_columbia/Columbia-extract-20221130-003.mrc:293849173:4766 |
| Source | marc_columbia |
| Download Link | /show-records/marc_columbia/Columbia-extract-20221130-003.mrc:293849173:4766?format=raw |
LEADER: 04766fam a2200493 a 4500
001 1259785
005 20220602004001.0
008 930128s1993 nyu b 001 0 eng c
010 $a 93006841
020 $a0393701573 :$c$29.95
035 $a(OCoLC)27435391
035 $a(OCoLC)ocm27435391
035 $9AGZ4745CU
035 $a(NNC)1259785
035 $a1259785
040 $aDNLM/DLC$cDLC$dDLC$dNNC
050 00 $aRC569.5.B67$bK767 1993
060 0 $aWM 170 K93p 1993
082 00 $a616.85/8520651$220
100 1 $aKroll, Jerome.$0http://id.loc.gov/authorities/names/n85174036
245 10 $aPTSD/Borderlines in therapy :$bfinding the balance /$cJerome Kroll.
260 $aNew York :$bW.W. Norton & Co.,$c1993.
263 $a9306
300 $axxi, 273 pages ;$c25 cm
336 $atext$2rdacontent
337 $aunmediated$2rdamedia
338 $avolume$2rdacarrier
500 $a"A Norton professional book."
504 $aIncludes bibliographical references (p. 253-262) and index.
505 2 $a1. Disconcerting Data: Seven Plus One Pieces of Evidence -- 2. Childhood and Adolescent Sexual Abuse -- 3. Post-Traumatic Stress Disorder and Borderline Personality Disorder: Are They the Same? -- 4. Self-Injurious Behavior: Cross-Cultural and Historical Aspects -- 5. Gratification of Needs -- 6. Replaying Old Patterns and Traumas -- 7. Coming to Terms with the Abuse of the Past -- 8. How the Past Controls the Present -- 9. How the Past Shapes the Transference -- 10. Countertransference Issues -- 11. 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.$0http://id.loc.gov/authorities/subjects/sh2007102101
650 0 $aPost-traumatic stress disorder$xTreatment.$0http://id.loc.gov/authorities/subjects/sh2008109885
650 0 $aAdult child sexual abuse victims$xRehabilitation.$0http://id.loc.gov/authorities/subjects/sh2007100661
650 0 $aPsychotherapy.$0http://id.loc.gov/authorities/subjects/sh85108516
650 2 $aStress Disorders, Post-Traumatic$xtherapy.$0https://id.nlm.nih.gov/mesh/D013313Q000628
650 2 $aChild Abuse, Sexual$xcomplications.
650 2 $aBorderline Personality Disorder$xAdult.
650 2 $aBorderline Personality Disorder$xtherapy.$0https://id.nlm.nih.gov/mesh/D001883Q000628
650 2 $aPsychotherapy$xmethods.$0https://id.nlm.nih.gov/mesh/D011613Q000379
852 00 $bswx$hRC569.5.B67$iK767 1993
852 00 $bswx$hRC569.5.B67$iK767 1993