Daniel J. Fox – Antisocial, Borderline, Narcissistic and Histrionic: Effective Treatment for Cluster B Personality Disorders

Outline

The Personality Mystique

• DSM-5® criteria
• Treatment errors and misdiagnoses
• Core and/or surface structure and the role of the clinical disorders
• Differential diagnoses
• Five central components to accurate diagnosis
• Insulate your clients against risk factors

Antisocial Spectrum

• Oppositional defiance to psychopath
• Attachment
• Manage and avoid in-session violence and threats
• Secondary gains, suicide attempts and threats
• Overcome blockades – manipulation, threats, power struggles and more
• Symptom presentation and risk analysis to self and other
• Interpersonal theory techniques for compliance
• Balance transference and countertransference
• Lessen destructive behaviors
• Cognitive-behavioral experiential techniques to lessen pathology
• Psychotropic medications
• Case studies and treatment exercises

Narcissistic Spectrum

• Narcissistic presentation and the environmental context
• Attachment and pathological narcissism
• Tackle the veneer of perfectionism
• Overcome blockades – power struggle, absent empathy, excessive criticism
• The narcissistic/borderline client
• Interpersonal strategies for empathy engagement
• CBT techniques to clarify behaviors, values and goals
• Tactics to avoid arguing
• Motivational Interviewing to overcome resistance
• Prevent sabotage
• Build a sense of true self
• Case studies and treatment exercises

Histrionic Spectrum

• Moody to excited to histrionic: the erratic client
• Attachment
• Coquettish behavior, avoidance drama, inauthenticity
• Dangers of the histrionic client
• Link between emotions and behavior
• Interpersonal strategies to encourage expression of true self
• Enhance sense of self and lessen the “spotlight”
• Motivational Interviewing techniques
• DBT techniques
• Interpersonal strategies to build positive relationships
• Strengthen self-initiative and independent action
• Psychotropic medications
• Case studies and treatment exercises

Borderline Spectrum

• Symptom presentation along the spectrum
• Attachment
• Feeling identification and behavioral control
• Manage self-harm and suicidality
• Rage-ful outbursts, self-mutilation, boundary violations
• Create stability and build therapeutic collaboration
• Develop true sense of self and lessen maladaptive need for attention
• Facilitate pattern recognition
• Lessen the impact of maladaptive patterns
• Underlying wishes and fears
• Build DBT core mindfulness skills
• DBT techniques to dissolve the distraction and focus on the “genuine relationship”
• Calm interpersonal upheavals with DBT
• DBT emotion regulation skills
• Psychopharmacology and applicability
• Case studies and treatment exercises