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- Bookeditors, Brian Palmer, Brandon Unruh.Summary: This book brings together a series of experts and experienced clinicians to describe and discuss a series of BPD cases in a manner that emphasizes core descriptive and diagnostic features, principles and techniques, and key take-home messages for clinicians at all levels of experience. The book emphasizes consideration for the disorder from multiple perspectives to help identify effective responses to common clinical challenges and decision points. Written by experts in the field, each chapter uses a consistent format to present a common clinical challenge along with an effective therapeutic response and discussion of relevant theoretical and empirically validated principles. Each chapter title contains a patient's (fictionalized) name and a subheading identifying the clinical dilemma or approach to be illustrated. The text includes key points and chapter summaries to help pull together the most important takeaways as quick reference. Borderline Personality Disorder is a vital resource for psychiatrists, psychologists, psychiatric nurses, general internists, social workers, and all medical professions working with patients suffering from Borderline Personality Disorder.
Contents:
Organizing and shaping a treatment toward change
Stimulating Reflection and Curiosity
Approach to suicidal behaviors in BPD patients
Navigating Intersession Contact
Managing mistrust, paranoia, and relationship rupture
BPD in the Emergency Department
Principles of Inpatient BPD Management
Caring for a Patient with BPD on the Inpatient Medical Service
BPD and Substance Use
Medical Problems and Comorbidities
Managing Co-Morbidities and Appropriate Use of Psychopharmacology
Engaging family to be productive participants in a BPD treatment
Addressing narcissistic problems in treatment for BPD
Narcissistic personality disorder with borderline features
Providing consultation to determine level of care and organize treatment
Early Diagnosis and Intervention in Adolescents
When less may be more: scaling limited treatment resources using a stepped-care model. - ArticleMatsumoto T, Yoshida D, Mizusaki S, Okamoto H.Mutat Res. 1978 Jan;56(3):281-8.Pyrolyzates of 10 peptides, 10 proteins and 5 naturally-occurring materials were tested for mutagenicity in the histidine-requiring mutants Salmonella typhimurium TA98 and TA100. Significant mutagenic activity was detected with pyrolyzates of most of these materials. The pyrolyzates requred a liver microsomal fraction, as representative of mammalian metabolism, for their detection as mutagens. Among the pyrolyzates tested, the highest mutagenic activity was observed with that of a tryptophan-containing peptide. The pyrolyzate of protein obtained from tobacco leaf also showed mutagenicity. The higher the protein content in the leaf the higher the mutagenic activity of the pyrolyzate. Protein in a tobacco leaf may be the principal precursor of mutagens in tobacco-smoke condensate.