A developmental psychopathology approach

Journal/Book: Cogn Behav Pract. 1999; 6: 305 7Th Ave #16a, New York, NY 10001-6008, USA. Assoc Adv Behavior Therapy. 78-83.

Abstract: This paper recounts my work with Anna, a 26-year-old married woman working in two part-time jobs, who presented with major depression. The high prevalence rates of depression, the comorbidity of depression with personality disorders (see Farmer & Nelson-Gray, 1990), and the long-term and destructive course of borderline personality disorder (BPD) present a formidable challenge both to mental health professionals and clinical researchers (A. T. Beck, Freeman, & Associates, 1990; Gunderson & Zanarini, 1987; Linehan, 1993; Ryle, Leighton, & Pollock, 1997). Two main thanes will be emphasized. First, the last la years has seen a burgeoning of clinical accounts, theoretical expositions, and clinical research of comorbid depression and personality disorders in the cognitive-behavioral tradition. This paper seeks to draw on this literature in describing and explaining the case of Anna. Second, a developmental psychopathology! cognitive-behavioral approach is adopted in conceptualization and treatment planning.

Note: Editorial Kuyken W, Univ Penn, Dept Psychiat, Ctr Cognit Therapy, Sch Med, 3600 Market St, Philadelphia,PA 19104 USA

Keyword(s): BORDERLINE PERSONALITY-DISORDER; COGNITIVE THERAPY; INTERPERSONAL THEORY; DEPRESSION; PERCEPTIONS; INPATIENTS; REFINEMENT; LIGHT

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