Interpersonal Reconstructive Therapy Promoting Change in Nonresponders

For individuals with chronic, complex problems that include multiple Axis I disorders comorbid with personality disorders, the barriers to change are significant. This book presents a powerful therapeutic approach that integrates psychodynamic, cognitive-behavioral, client-centered, and other techniques to empower patients to overcome these barriers by fostering change in personality. Interpersonal Reconstructive Therapy (IRT) is grounded in an innovative case formulation method that systematically links symptoms to maladaptive patterns in attachment relationships. IRT offers a step-by-step framework for structuring interventions to promote learning of new, healthier patterns, while blocking problem behaviors and building a strong therapeutic alliance. A new preface in the paperback edition addresses current developments in IRT research and practice.

1. Introduction and Overview2. Case Formulation3. Choosing Interventions4. Structural Analysis of Social Behavior: The Clarifying Lens5. Step 1: Collaboration 6. Step 2: Learning about Patterns, Where They Are From, and What They Are For7. Step 3: Blocking Maladaptive Patterns8. Step 4: Enabling the Will to Change9. Step 5: Learning New Patterns10. Interpersonal Reconstructive Therapy in Clinical and Research Contexts

Lorna Smith Benjamin, PhD, is Professor Emerita of Psychology at the University of Utah and Founder of the Interpersonal Reconstructive Therapy Clinic at the University of Utah Neuropsychiatric Institute (UNI). She has a small private practice, serves as a consultant at UNI, and gives workshops on psychotherapy with difficult cases.