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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Cognitive Therapy for Borderline Personality Disorder, Dr. Mary Anne Layden demonstrates her approach to working with clients with this diagnosis. This therapy focuses on helping the client to substitute the unsuccessful compensatory strategies associated with this disorder with effective life skills. Therapy with clients with borderline personality disorder can be difficult, as the disorder generally involves deep mistrust of other people. In this session, Dr. Layden works with a 40-year-old woman who reveals some potentially suicidal and homicidal thoughts. Through role-playing, Dr. Layden helps her client to learn skills for expressing her anger appropriately. This video features a client portrayed by an actor on the basis of actual case material. Read about precipitating events, stimulus questions, and notes on preceding sessions with the client
Cognitive therapy focuses on transforming three types of cognitions—automatic thoughts, underlying assumptions, and maladaptive schema—and on replacing unsuccessful compensatory strategies with effective life skills. For individuals with borderline personality disorder, the schema level of cognition is the most significant, because these patients usually have deeply held and encompassing trauma-related beliefs that they are defective, unlovable, dependent, incompetent, and entitled and that the world is hostile, untrustworthy, and emotionally depriving. These schema are represented by words and images, may be stored in sensory as well as kinesthetic modes, and evoke extremely painful affective responses.
Mary Anne Layden, PhD, received her doctorate from the University of Wisconsin—Madison in 1981. She taught at Beaver College from 1979 to 1991 and received her postdoctoral training at the Center for Cognitive Therapy at the University of Pennsylvania in 1985. She continued at the center as staff psychologist and then senior consultant. From 1989 to 1990 she also taught cognitive therapy at the Institute of Psychiatry in London. Dr. Layden is currently director of education at the Center for Cognitive Therapy.
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