China
Africa
Explore chapters and articles related to this topic
Non-pharmacological treatments
Published in Jonathan P Rogers, Cheryl CY Leung, Timothy RJ Nicholson, Pocket Prescriber Psychiatry, 2019
Jonathan P Rogers, Cheryl CY Leung, Timothy RJ Nicholson
A number of evidence-based therapies are now available specifically for personality disorders. These include Schema Therapy (developed from CBT), Transference-Focused Psychotherapy and Mentalisation-Based Therapy (derived from psychodynamic therapy).
The person with a personality disorder
Published in Chambers Mary, Psychiatric and mental health nursing, 2017
Considerable advances have been made in the last two decades in developing specialist psychosocial treatments for personality disorders and developments have been particularly apparent for Borderline Personality Disorder. NICE-recommended specialist treatments23 include mentalization-based therapy (MBT), dialectical behaviour therapy (DBT), cognitive analytic therapy (CAT), cognitive behavioural therapy (CBT), inter-personal therapy (IPT) and transference-focused psychotherapy (TFP).
Principles of treatment for the mentally disordered offender
Published in John C. Gunn, Pamela J. Taylor, Forensic Psychiatry, 2014
Pamela J Taylor, Peter F Buckley, Gill McGauley, Jen Clarke, Estelle Moore, Elena Carmen Nichita, Paul Rogers, Pamela J Taylor, Fred Browne, Gisli Gudjonsson, John Gunn, Gary Rix, Leslie Sohn, Pamela J Taylor
Although other psychodynamically derived manualized therapies, such as transference-focused psychotherapy (Clarkin et al., 2001) and integrated therapies, such as CAT (Ryle et al., 2000) have shown promising results in the treatment of borderline personality disorder, MBT is mentioned here specifically as its evidence base is supported by an RCT and a meta-analysis (Bateman and Fonagy, 1999, 2001, 2008, 2009; Fonagy and Bateman, 2006). It offers a theoretical basis, supported by empirical evidence, that some forms of violence occur when mentalization fails (Fonagy, 2003) and it has shown early promise in treating people with antisocial personality disorder (Bateman and Fonagy, 2003).
Insecure Attachment and Therapeutic Bond as Mediators of Social, Relational, and Social Distress and Interpersonal Problems in Adult Females with Childhood Sexual Abuse History
Published in Journal of Child Sexual Abuse, 2020
Jeffrey M. Sullivan, David M. Lawson, Sinem Akay-Sullivan
Buchheim et al. (2017) found that clients with borderline personality disorder shifted from insecure attachment to more secure attachments following Transference-Focused Psychotherapy. Another explanation might be that bond is not practically connected to the variables included in this study. Perhaps therapeutic bond is not influenced so much by attachment style or interpersonal problems, but is instead influence by other variables, such as client-counselor attachment compatibility (Diamond et al., 2003), the client’s current stage of change and coping style (Norcross & Wampold, 2011), or familiarity with the overall counseling process, such as the purpose, mechanisms, and expectations of counseling (Tryon & Winograd, 2011). Further research is needed to better understand the factors influencing therapeutic bond and its development throughout treatment.
Expanding the Validity of the Level of Personality Functioning Scale Observer Report and Self-Report Versions Across Psychodynamic and Interpersonal Paradigms
Published in Journal of Personality Assessment, 2018
Michael J. Roche, Nicholas C. Jacobson, Jennifer J. Phillips
The psychodynamic paradigm suggests that self and other impairments are paramount in the understanding of personality dysfunction. For instance, the Psychodynamic Diagnostic Manual (PDM–2; Lingiardi & McWilliams, 2017) provides a psychodiagnostic chart that summarizes one's level of personality organization from healthy to severe. The components of this include one's view of self (e.g., identity), capacity with others (maintaining satisfying relationships), level of defenses organized from the more immature (e.g., projection, splitting) to mature (suppression, humor), and reality testing (see also transference-focused psychotherapy structural diagnosis; Clarkin, Yeomans, & Kernberg, 2006). The attachment literature is often integrated into psychodynamic conceptualizations (Crawford et al., 2007), because both perspectives assume that a template of self–other relationship patterns forms based on past experiences and shapes how a person approaches future relationships (termed internal working models in the attachment literature, object relations in the psychodynamic literature). To capture these elements, we employed self-report measures of identity diffusion and psychological defenses. We further used a brief measure of attachment style that describes one's approach to connecting with a romantic partner, and we also asked participants to rate the personality dysfunction of their parents. Consistent with psychodynamic theory, we hypothesized that the LPFS measures would be positively related to identity diffusion, immature defenses, insecure attachment, and viewing their parents as also having personality dysfunction, along with negative associations with mature defenses.
Clinician-Guided Assessment of Personality Using the Structural Interview and the Structured Interview of Personality Organization (STIPO)
Published in Journal of Personality Assessment, 2018
Susanne Hörz-Sagstetter, Eve Caligor, Emanuele Preti, Barry L. Stern, Chiara De Panfilis, John F. Clarkin
The STIPO has been used to document personality organization changes in an RCT for the treatment of BPD. One hundred and four patients with BPD were randomized to either transference-focused psychotherapy or psychotherapy by experienced community therapists. The overall level of personality organization was examined as an outcome variable. After 1 year of treatment, a significant improvement of personality organization could be found both in the Transference Focused Psychotherapy (TFP) group, and in the comparison group, with a significant superiority for the TFP group (Doering et al., 2010).