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Journal articles on the topic 'Borderline personality disorder ; psychodynamic psychotherapy'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Higgitt, Anna, and Peter Fonagy. "Psychotherapy in Borderline and Narcissistic Personality Disorder." British Journal of Psychiatry 161, no. 1 (July 1992): 23–43. http://dx.doi.org/10.1192/bjp.161.1.23.

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Psychodynamic concepts about borderline personality disorder are reviewed and the literature concerning psychotherapeutic treatment of this group is examined. The treatment contexts considered include: psychoanalysis and intensive (expressive) psychoanalytic psychotherapy, supportive psychotherapy, group psychotherapy, family therapy, in-patient treatment, the therapeutic community, cognitive–behavioural approaches, and combinations of drugs and psychotherapy. The practical implications of recent follow-up studies for intervention strategies are considered.

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2

Ardiyani, Ina Dewi, and Azimatul Karimah. "Application of Transference Focused Psychotherapy in Borderline Personality Disorders." Jurnal Psikiatri Surabaya 10, no. 2 (September 27, 2021): 66. http://dx.doi.org/10.20473/jps.v10i2.22396.

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Borderline Personality Disorder (BPD) is a condition that is currently commonly found in daily psychiatric practice, and causes serious psychiatric disorders because it has an impact on the emergence of various other comorbid psychiatric disorders. The management of BPD is a challenge, because it is quite difficult and complex. Psychotherapy is an effective first-line therapy for BPD. Transference Focused Psychotherapy (TFP) is psychodynamic based psychotherapy that is specifically designed for BPD and is considered effective based on the specific psychopathology of BPD, namely the lack of identity integration. TFP focuses on the relationship between patient and therapist in sessions which have the aim of facilitating better behavioral control and increasing reflection and influencing regulation so as to produce identity integration that leads to a more coherent identity, better regulatory abilities, less self-destructive behavior. forming a more balanced and constant relationship, and increasing overall functioning.Keywords : Borderline Personality Disorder, Psychodynamic Psychotherapy, Transference Focused Psychotherapy.

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Popiel, Agnieszka. "Borderline personality disorder – current psychotherapy guidelines." Psychiatria i Psychologia Kliniczna 21, no. 1 (May 31, 2021): 36–44. http://dx.doi.org/10.15557/pipk.2021.0004.

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Borderline personality disorder affects about 1–1.5% of the population. It is characterised by chronicity (from adolescence to adulthood) and a significant suicide rate (about 10%). Spontaneous improvement can be observed in some patients; however, it is estimated that specialised therapy accelerates this process several times. Psychotherapy is the recommended treatment for those with borderline personality disorder; however, it is necessary to specify the methods and principles of its application. Data from research on effectiveness (ranging from strong support to modest/controversial results requiring replication) focus on a few psychotherapy methods: dialectical behavioural therapy, schema therapy (belonging to the cognitive-behavioural approach), as well as mentalisation-based therapy and transference-oriented therapy (belonging to the psychodynamic/psychoanalytical approach). The aim of the article is to present the recommended psychotherapy methods for patients with borderline personality disorder included in the guidelines developed by institutions referring to the principles of evidence-based practice – a tripartite approach where the basis of practice is recognising methods whose effectiveness has been demonstrated in empirical studies (evidence-based treatments). We also referred to the recommendations of the American Psychiatric Association, the American Psychological Association, and the National Institute for Health and Clinical Excellence. In the summary, the principles for psychotherapy in borderline personality disorders, common to many recommendations, including the diagnosis, risk management, therapy time planning, structure, discontinuation of psychotherapy and supervision, are also discussed. According to the guidelines (American Psychiatric Association, American Psychological Association and National Institute for Health and Clinical Excellence), pharmacotherapy plays a supportive role in the treatment of borderline personality disorder, but it should be considered in the coherent treatment plan and case management – therefore the main recommendations for pharmacological treatment are also discussed.

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4

Gabbard, Glen O. "Psychodynamic psychotherapy of borderline personality disorder: A contemporary approach." Bulletin of the Menninger Clinic 65, no. 1 (March 2001): 41–57. http://dx.doi.org/10.1521/bumc.65.1.41.18705.

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5

Campo-Redondo, Maria, and Jesus Andrade. "Group psychotherapy and borderline personality disorder: A psychodynamic approach." Psychodynamic Counselling 6, no. 1 (January 2000): 17–30. http://dx.doi.org/10.1080/135333300362837.

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6

Roncevic-Grzeta, Ika, Mirjana Pernar, and Daniela Petric. "PSYCHODYNAMIC GROUP PSYCHOTHERAPY IN THE TREATMENT OF BORDERLINE PERSONALITY DISORDER." Psihoterapija 34, no. 1 (August 3, 2020): 3–30. http://dx.doi.org/10.24869/psihei.2020.3.

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7

Cailhol, L., M. Jeannot, R. Rodgers, J. D. Guelfi, F. Perez-Diaz, A. Pham-Scottez, M. Corcos, and M. Speranza. "Borderline personality disorder and mental healthcare service use among adolescents." European Psychiatry 26, S2 (March 2011): 1012. http://dx.doi.org/10.1016/s0924-9338(11)72717-1.

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Borderline personality disorder (BPD) is believed to be frequent among adolescents. While several prospective studies have assessed the use of mental health services among adults who suffer from BPD, few studies have provided adolescent data. This paper presents findings from the first assessment point of the European Research Network on Borderline Personality Disorder (EURNET BPD) study. In this study, we described treatment utilization of 85 adolescents with BPD (M = 16.5 years old). In line with adult findings, patients with BPD reported greater mental healthcare service use (outpatient: 98%; inpatient: 79%) compared to controls. Phenothiazine, a sedative neuroleptic, was the most frequently prescribed treatment. 47% of patients received psychotherapy; one-third of these patients received psychodynamic therapy. For all psychopathological variables, patients who received psychotherapy did not differ from those who did not receive psychotherapy; however, psychotherapy was more frequent among females. These data suggest that psychotherapy may be difficult to access for adolescents suffering from BPD, especially males.

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Gonzalez-Torres, Miguel Angel. "Psychodynamic psychotherapies for borderline personality disorders. Current developments and challenges ahead." BJPsych International 15, no. 1 (February 2018): 12–14. http://dx.doi.org/10.1192/bji.2017.7.

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This article summarises the current position of evidence-based psychodynamic psychotherapies aimed at the treatment of borderline personality disorder – mentalisation-based treatment and transference-focused psychotherapy – noting the main challenges they face, especially in the area of dissemination.

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9

Rutkowski, K., E. Dembinska, J. Sobanski, K. Cyranka, A. Citkowska-Kisielewska, and M. Mielimaka. "Hyperprolactinemia Phenomenon in Neurotic and Personality Disorders and Changes in Prolactin Level After the Psychotherapy." European Psychiatry 41, S1 (April 2017): S260. http://dx.doi.org/10.1016/j.eurpsy.2017.02.067.

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IntroductionHyperprolactinemia is a common endocrinological disorder. Some data suggest that psychological factors (e.g. personality traits) may play a role in hyperprolactinemia genesis.ObjectivesIncreased prolactin level (PRL) is described as clinical observations in some patients, usually with a diagnosis of borderline personality disorder. In the international literature there is lack of broader description and information of clinical implications of this phenomenon.AimThe aim of the study is to evaluate the prevalence of hyperprolactinemia in patients with diagnoses F40-F69 according to ICD-10 and an evaluation of the changes in PRL after psychotherapy.MethodsThe study population comprised 64 patients, mainly females (73%), with primary diagnosis of neurotic or personality disorder. Prolactin level was measured during the first and last week of the psychotherapy. Between the measurements patients underwent intensive short-term (12 weeks) group psychotherapy in a day hospital for neurotic and behavioural disorders.ResultsHyperprolactinemia was found in 41% of males and 42.4% of females in the study group. After psychotherapy significant reduction in prolactin level was observed in 80% of woman with hyperprolactinemia.ConclusionsHyperprolactinemia is observed in almost 40% of patients with neurotic and personality disorders. Psychodynamic psychotherapy can be a significant factor improving PRL level in patients with neurotic and personality disorders, specifically women.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Ferrero, Andrea. "The Model of Sequential Brief-Adlerian Psychodynamic Psychotherapy (SB-APP): Specific Features in the Treatment of Borderline Personality Disorder." Research in Psychotherapy: Psychopathology, Process and Outcome 15, no. 1 (October 13, 2012): 32–45. http://dx.doi.org/10.4081/ripppo.2012.93.

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Sequential Briefâ€“Adlerian Psychodynamic Psychotherapy (SB-APP) is a time-limited (40 weekly sessions) psychotherapy for a wide range of psychic disorders, deliv-ered in sequential and repeatable module (in each module a different therapist is in-volved). Its specific features in the treatment of Borderline Personality Disorder (BPD) are presented, concerning setting, technique and therapist's emotional attitude. Four Personality Functioning Levels (PFLs) are focused, in order to provide targeted interven-tions for more homogeneous subsets of BPD patients. PFLs are assessed by evaluating symptoms, quality of interpersonal relationships, overall social behaviours, cognitive and emotional patterns, and defense mechanisms. Two clinical vignettes describe how SB-APP strategies vary according to patient's PFLs, also with respect to the predetermined treatment end. Preliminary reports of SB-APP effectiveness in the treatment of BPD are summarized and discussed.

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Gunderson, John G., Anthony Bateman, and Otto Kernberg. "Alternative Perspectives on Psychodynamic Psychotherapy of Borderline Personality Disorder: The Case of “Ellen”." American Journal of Psychiatry 164, no. 9 (September 2007): 1333–39. http://dx.doi.org/10.1176/appi.ajp.2007.07050727.

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Clarkin, John F., Eve Caligor, and Julia Sowislo. "TFP Extended: Development and Recent Advances." Psychodynamic Psychiatry 49, no. 2 (June 2021): 188–214. http://dx.doi.org/10.1521/pdps.2021.49.2.188.

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Recent advances in the understanding of personality pathology have contributed to an emphasis on the core of personality pathology as deficits in self-functioning and interpersonal functioning at different levels of severity that must be assessed for clinical intervention. In concert with these conceptual and empirical advances, transference-focused psychotherapy (TFP), an empirically supported psychodynamic treatment for borderline personality disorder, has been in constant development with extensive clinical use. This article describes an object relations model for conceptualizing and assessing levels of personality organization, a transdiagnostic approach to personality pathology, and related treatment modifications, thus expanding the utilization of TFP beyond borderline personality disorder to the full range of personality dysfunction. The core of this treatment approach is a sequential interpretive process between patient and therapist. This process takes place within the context of a structured treatment frame tailored to the unique individual with problems in self-functioning and interpersonal functioning in his/her particular environment.

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McCommon, Benjamin, and Richard Hersh. "Good Psychiatric Management and Transference-Focused Psychotherapy for Borderline Personality Disorder: A Spectrum of Psychodynamically Informed Treatments." Psychodynamic Psychiatry 49, no. 2 (June 2021): 296–321. http://dx.doi.org/10.1521/pdps.2021.49.2.296.

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Good psychiatric management for borderline personality disorder (GPM) and transference-focused psychotherapy (TFP) are evidence-supported treatments that may be used in a complementary, flexible manner to provide a spectrum of psychodynamically informed care. In this article, we provide overviews of TFP and GPM, describing GPM's eclectic approach that includes psychodynamically informed supportive psychotherapy, case management, and medication management, informed by a model of hypersensitivity to rejection, comparing it with TFP's focus on identity integration and modification of standard psychodynamic techniques for use in treating patients with borderline personality disorder. We outline convergences and divergences between TFP and GPM in assessment, establishment of treatment goals and a treatment agreement, family involvement, and moment-to-moment psychotherapeutic interventions. The options for integration of TFP and GPM theoretical principles, as well as for models of treatment sequencing, are explored. Clinical vignettes are provided that illustrate sequential uses of GPM and TFP as part of psychodynamically informed long-term clinical management.

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Haliburn, Joan, Janine Stevenson, and Shaun Halovic. "Integration in the Psychodynamic Psychotherapy of Severe Personality Disorders: The Conversational Model." Journal of Personality Disorders 32, no. 1 (February 2018): 70–86. http://dx.doi.org/10.1521/pedi_2017_31_290.

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The psychotherapy of commonly occurring severe personality disorders—borderline, narcissistic, avoidant, dependent, obsessive compulsive, and schizoid—presents the therapist with a unique therapeutic challenge, as each personality disorder rarely occurs alone. Integration of what is most useful and what works in each model is being proposed to enable a more successful approach to the diversity of presentations. We describe the conversational model, some outcome research, and descriptive studies to illustrate this. Based in psychoanalytic theory, the conversational model is integrated with trauma theory, findings in memory research, linguistics, neurophysiological data, and, above all, on the observations of clinical experiences. Our emphasis in this article is on the treatment principles, methods, and techniques, along with case examples to illustrate what we mean. Case material is taken from audio recordings for which written informed consent was obtained for presentations and journal articles. Some changes have been made to maintain confidentiality.

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Andreoli, A., Y. Burnand, M. F. Cochennec, D. Marie, T. Di Clemente, and P. Ohlendorf. "Psychoanalytic Psychotherapy and Venlafaxine Among Acutely sSuicidal Borderline Patients: A Randomized Clinical Study." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70326-8.

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Background:Psychoanalytic psychotherapy was found superior to usual treatment among borderline patients and should be further investigated in subject samples with adequate adherence to effective treatment and careful evaluation of psychotherapy process and its relationship to outcome. According to this rationale we tested the comparative cost-effectiveness of an innovative model of time limited psychoanalytic psychotherapy aimed at working-out conflicting mourning process associated with traumatic abandonment from a romantic partner.Methods:Eighty patients aged 18-60, who had been referred to medical emergency room with self-intoxication, DSMIV-R major depression and DSMIV-R borderline personality disorder were investigated in a 3-month randomized clinical trial. At general hospital discharge consecutive subjects were allocated to time-limited mourning focused psychoanalytic psychotherapy and venlafaxine and psychodynamic crisis intervention and venlafaxine. Reliable evaluations were conducted at intake, treatment discharge and 6-month follow-up on a battery of standardized instruments. Service consume was assessed via the computerized case register of the Geneva state health services system.Results:Intensive psychoanalytic psychotherapy was found a cost-effective treatment choice among borderline patients in a suicidal crisis.Comment:A combination of ambulatory psychoanalytic psychotherapy and venlafaxine protocol is a feasible, safe and cost-effective treatment for acutely suicidal borderline patients.

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Andreoli, A. "Psychodynamically Oriented Crisis Hospitalisation and Ambulatory Combination Treatement for Borderline Patients: An Introduction." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70257-3.

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The following educational topics will be carefully addressed:a.to establish a coherent model of the borderline syndrome as a complex, heterogeneous reaction resulting from the interaction of psychobiological vulnerabilities, psychosocial stressors and abnormal mental processes;b.to teach how new data from recent investigations of the clinical course of the borderline crisis are changing our view of both the scopes and the limitations of mental health policies for borderline patients;c.to review the several issues associated with adequate acute service provision for borderline patients in order to define a set of well structured recommendations for good quality, comprehensive emergency services organisation and acute treatment delivery;d.to teach a well structured, simple, cost-effective, easy to implement psychodynamic crisis intervention program with specific accent on: case management, risk management, facilitating an alliance, inactivating pathological personality traits triggered from acute traumatic experiences, empathic exploration of distressing feelings, conveying insight on repetitive patterns of ego syntonic masochistic behaviour, active support for problem solving;e.to teach the main aspects of an innovative brief psychodynamic psychotherapy program (mourning focused psychodynamic psychotherapy) model and its relevance to increased cost-effectiveness of psychiatric treatment among acute patients with borderline emotional crisis triggered from traumatic abandonment and other stressful life events.The course is intended for people with an experience in the field of personality disorders and an interest in combining psychobiological science and psychotherapeutic wisdom to improve acute treatment and psychiatric services.

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Gregory, Robert J., Susan Chlebowski, David Kang, Anna L. Remen, Maureen G. Soderberg, Jason Stepkovitch, and Subhdeep Virk. "A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder." Psychotherapy: Theory, Research, Practice, Training 45, no. 1 (March 2008): 28–41. http://dx.doi.org/10.1037/0033-3204.45.1.28.

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Ogunc, Nazan Emil, and Nurhan Eren. "Effects of the psychodynamic group psychotherapy process on object relations for patients with borderline personality disorder." Journal of Psychiatric Nursing 3, no. 1 (2012): 30–37. http://dx.doi.org/10.5505/phd.2012.20591.

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Subhas, Natasha, Jiann Lin Loo, and Brian Kong Wai Ho. "Ethnoreligious identity conflict in a Malaysian patient with borderline personality disorder, a psychodynamic psychotherapy case report." Telangana Journal of Psychiatry 6, no. 2 (February 15, 2021): 179–82. http://dx.doi.org/10.18231/j.tjp.2020.036.

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Lee, Chang-Hun. "Integration Good Psychiatric Management to Psychodynamic Psychotherapy for Fresh Psychotherapists with Treatment of Borderline Personality Disorder." Psychoanalysis 32, no. 3 (July 31, 2021): 74–88. http://dx.doi.org/10.18529/psychoanal.2021.32.3.74.

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Tanzilli, Annalisa, Guido Giovanardi, Eleonora Patriarca, Vittorio Lingiardi, and Riccardo Williams. "From a Symptom-Based to a Person-Centered Approach in Treating Depressive Disorders in Adolescence: A Clinical Case Formulation Using the Psychodynamic Diagnostic Manual (PDM-2)’s Framework." International Journal of Environmental Research and Public Health 18, no. 19 (September 27, 2021): 10127. http://dx.doi.org/10.3390/ijerph181910127.

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Background: Depressive disorders in adolescence are among the most challenging clinical syndromes to diagnostically identify and treat in psychotherapy. The Psychodynamic Diagnostic Manual, Second Edition (PDM-2) proposes an integration between nomothetic knowledge and an idiographic understanding of adolescent patients suffering from depression to promote a person-centered approach. This single-case study was aimed at describing and discussing the clinical value of an accurate diagnostic assessment within the PDM-2 framework. Method: Albert, a 16-year-old adolescent with a DSM-5 diagnosis of major depressive disorder, was assessed using instruments from various perspectives: the Structured Clinical Interview for DSM-5; the Psychodynamic Chart-Adolescent of the PDM-2, and other clinician-report instruments; and the Shedler–Westen Assessment Procedure for Adolescents and Defense Mechanisms Rating Scale Q-sort, coded by external observers. Results: Albert’s assessment revealed impairments in various mental capacities, especially in regulating self-esteem. He presented a borderline personality organization at a high level and an emerging narcissistic personality syndrome. Conclusions: The case discussion showed the importance of providing clinically meaningful assessments to plan for effective treatments in youth populations. Especially, it is necessary to understand the adolescent’s unique characteristics in terms of mental and personality functioning and consider the developmental trajectories and adaptation processes that characterize this specific developmental period.

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Savov, Svetoslav, and Nikola Atanassov. "Deficits of Affect Mentalization in Patients with Drug Addiction: Theoretical and Clinical Aspects." ISRN Addiction 2013 (November 11, 2013): 1–6. http://dx.doi.org/10.1155/2013/250751.

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Traditionally treated with wariness, drug addictions have provoked a serious interest in psychodynamically oriented clinicians in recent decades. This paper discusses the development of contemporary psychodynamic conceptualizations of addictions, focusing specifically on mentalization-based theories. The concept of mentalization refers to a complex form of self-regulation which includes attribution of psychological meaning to one’s own behavior and affective states, as well as those of the others. We hypothesize that drug-addicted patients have severe impairments in mentalizing, associated with developmental deficits, characteristic for the borderline personality disorder and psychosomatic conditions. Psychodynamic models of mentalization and their corresponding research operationalizations are reviewed, and implications for a contemporary understanding of drug addictions and psychotherapy are drawn. The authors propose that mentalization-oriented theories provide an adequate conceptualization, which is open to empirical testing and has clear and pragmatic guidelines for treatment.

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Gregory, Robert J., Anna L. Remen, Maureen Soderberg, and Robert J. Ploutz-Snyder. "A Controlled Trial of Psychodynamic Psychotherapy for Co-Occurring Borderline Personality Disorder and Alcohol Use Disorder: Six-Month Outcome." Journal of the American Psychoanalytic Association 57, no. 1 (February 2009): 199–205. http://dx.doi.org/10.1177/00030651090570011006.

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Kalleklev, Jens, and Sigmund Karterud. "A comparative study of a mentalization-based versus a psychodynamic group therapy session." Group Analysis 51, no. 1 (February 22, 2018): 44–60. http://dx.doi.org/10.1177/0533316417750987.

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Aims: The purpose of this study was to explore how mentalization-based group therapy (MBT-G) for patients with borderline personality disorder may be both different and similar to a more traditional psychodynamic group psychotherapy approach. Material and methods: The study is a comparative case-study examining a supposedly representative clinical example of MBT-G and a supposedly representative clinical example of a psychodynamic group (PDG). Both groups were composed mainly of patients with borderline personality disorder. The study used a mixed methodological approach with quantitative research methods, including MBT-G Adherence and Quality Scale and Reflective Functioning Scale (RF-scale), and qualitative content analysis. Results: 1) The MBT-G therapists focused consistently on mental states and emotions. This was reflected both in a significantly higher intervention frequency, and in a higher proportion of theoretically assumed mentalizing-promoting interventions. 2) We observed an increase in mentalizing (defined as RF) among some patients in the MBT-G group. In the PDG session, RF development were less systematic, and had lesser impact. 3) Interventions with ‘demand’ characteristics might play an important role in developing a mentalizing group discourse. 4) In both groups, therapists and patients actively structured the sessions, but the MBT-G session more explicitly engaged in ‘meta’ discussions about it, i.e. discussing whether a topic should or should not be put on the agenda. Conclusion: Despite similarities between the approaches, differences in choice of therapeutic focus and consistency suggest that the two methods engage patients in different therapy processes. The results warrant studies that include more sessions in order to validate or falsify the resulting hypotheses.

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Bucci, Wilma. "The Referential Process as a Common Factor Across Treatment Modalities." Research in Psychotherapy: Psychopathology, Process and Outcome 16, no. 1 (August 17, 2013): 16–23. http://dx.doi.org/10.4081/ripppo.2013.86.

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The paper emphasizes the need for a process component in psychotherapy re-search, and the need for a theoretical framework within which process measures may be designed and validated. The referential process, defined in the context of multiple code theory, provides a general psychological framework for understand-ing the mechanisms of therapeutic change in different treatment modalities. The referential process includes three major phases: arousal/activation; narra-tive/symbolizing and reorganizing/reflection. The paper reviews the theoretical roots of psychodynamic treatments, and several forms of cognitive behavioral treatments, including schema therapy for borderline personality disorder and expo-sure treatments for post-traumatic stress disorder, and shows how the phases of the referential process provide common mechanisms of change in each of these ap-proaches. Computerized measures of the referential process, in English and Italian versions, which have been applied and validated in clinical and experimental studies, are discussed.

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Gaztambide, Daniel Jose. "Lines of Advance in Treating People of Color with Borderline Personality Disorder: Alloying the “gold” of Vocational Rehabilitation with the “Copper” of Psychodynamic Psychotherapy." Psychoanalytic Social Work 26, no. 1 (January 2, 2019): 50–68. http://dx.doi.org/10.1080/15228878.2019.1590213.

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de Lara, A. Cohen, M. Guinard, E. Lacaze, F. Pinton, J. Chambry, and C. Billard. "A Longitudinal Study of Children Diagnosed with Attention Deficit Hyperactivity Disorder: Child Psychiatry, Neurological and Psychoanalytic Viewpoints." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70624-8.

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We shall present the development of a cohort of 40 children aged from 6 to 11 who were initially diagnosed with ADHD (T0) and then reassessed after two years of treatment with multimodal treatment in addition to stimulant medication. At the outset of the study (T0) the children underwent a complete assessment which included a child psychiatric examination, a neuropsychological evaluation of attention skills and a psychodynamic psychological assessment using the T.A.T. and Rorschach projective tests interpreted from a psychoanalytic viewpoint. An identical protocol was used for the reassessment of the children two years later (T2).Clinically, and from a strictly behavioral point of view, it is clear that there was a calming down of the symptoms associated with the ADHD. Can the same be said for the results of the neuro-psychological and projective tests as well as for the overall psychic functioning of the children?At this point in our research, and taking into account that T 2 just ended, we can affirm that the children who were assessed with neurotic disorders (according to the classification of psychopathological disorders in childhood) were those who showed the clearest signs of improvement. We shall then study in depth the majority of the population who were assessed with borderline personality disorders (BPD). As these children received a multimodal treatment over the two years time of the study which involved either individual, group or family psychotherapy, we shall use brief clinical case studies for a comparative approach to our research results.

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Nentjes, L., and D. Bernstein. "The effectiveness of schema focused therapy; Indirect, experimental measures of emotional change in forensic patients." European Psychiatry 26, S2 (March 2011): 2105. http://dx.doi.org/10.1016/s0924-9338(11)73808-1.

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According to recent literature, 50 to 90 percent of criminal offenders have personality disorders (PDs), with cluster B PDs being the most prevalent in forensic settings. The latter type of PD is associated with an increased risk of violence and recidivism. Among forensic patients with a cluster B diagnosis, psychopathic offenders are at particularly high risk for re-offending. Psychopaths are believed to be untreatable, but evidence for this view is weak.The current study aims at determining the effectiveness of Schema Focused Therapy (SFT) versus ‘treatment as usual’ in male forensic patients (including psychopaths) with Antisocial, Borderline, Narcissistic, and Paranoid PDs, within a 3-year multi-center randomized clinical trial. SFT is an integrative form of psychotherapy combining cognitive, behavioral, psychodynamic object relations, and humanistic/existential approaches, and was developed as a treatment for PDs and other longstanding problems. SFT aims at changing early maladaptive schema modes, thereby producing changes on a structural, emotional level.The goal of a second study that runs within the same project is to objectively determine the nature of the emotional deficiencies that are thought to be central to psychopathy. By administering forensic patients an extensive test battery that assesses various affective capacities (e.g., moral emotion, emotional expressive behavior, cognitive and emotional empathy), we aim at constructing an integrative picture of psychopaths’ emotional functioning. Within the SFT effectiveness study, patients are tested twice (with a one year interval), to see whether these affective capacities are subject to change in the context of therapy.

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Beatson, Josephine, and Sathya Rao. "Psychotherapy for borderline personality disorder." Australasian Psychiatry 22, no. 6 (October 15, 2014): 529–32. http://dx.doi.org/10.1177/1039856214555531.

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Zanarini, M. C. "Psychotherapy of borderline personality disorder." Acta Psychiatrica Scandinavica 120, no. 5 (November 2009): 373–77. http://dx.doi.org/10.1111/j.1600-0447.2009.01448.x.

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Rizeanu, Steliana. "Psychotherapy of borderline personality disorder." Romanian Journal of Experimental Applied Psychology 7, no. 3 (August 15, 2016): 76–81. http://dx.doi.org/10.15303/rjeap.2016.v7i3.a7.

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TAYLOR, MICHAEL ALAN. "Psychotherapy and Borderline Personality Disorder." American Journal of Psychiatry 150, no. 5 (May 1993): 847. http://dx.doi.org/10.1176/ajp.150.5.847.

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Stern, Barry L., and Frank Yeomans. "The Psychodynamic Treatment of Borderline Personality Disorder." Psychiatric Clinics of North America 41, no. 2 (June 2018): 207–23. http://dx.doi.org/10.1016/j.psc.2018.01.012.

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Buie, Stephen E. "Supportive Psychodynamic Therapy for Borderline Personality Disorder." Contemporary Psychology: A Journal of Reviews 39, no. 12 (December 1994): 1117. http://dx.doi.org/10.1037/034281.

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Fonagy, Peter, Patrick Luyten, and Anthony Bateman. "Treating Borderline Personality Disorder With Psychotherapy." JAMA Psychiatry 74, no. 4 (April 1, 2017): 316. http://dx.doi.org/10.1001/jamapsychiatry.2016.4302.

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Giesen-Bloo, Josephine, Richard van Dyck, Philip Spinhoven, Willem van Tilburg, Carmen Dirksen, Thea van Asselt, Ismay Kremers, Marjon Nadort, and Arnoud Arntz. "Outpatient Psychotherapy for Borderline Personality Disorder." Archives of General Psychiatry 63, no. 6 (June 1, 2006): 649. http://dx.doi.org/10.1001/archpsyc.63.6.649.

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Bateman, Anthony W. "Interpersonal Psychotherapy for Borderline Personality Disorder." Clinical Psychology & Psychotherapy 19, no. 2 (February 20, 2012): 124–33. http://dx.doi.org/10.1002/cpp.1777.

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D'Abate, Ludovica, Giuseppe Delvecchio, Valentina Ciappolino, Adele Ferro, and Paolo Brambilla. "Borderline personality disorder, metacognition and psychotherapy." Journal of Affective Disorders 276 (November 2020): 1095–101. http://dx.doi.org/10.1016/j.jad.2020.07.117.

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Ayre, Karyn, Gareth S. Owen, and Paul Moran. "Mental capacity and borderline personality disorder." BJPsych Bulletin 41, no. 1 (February 2017): 33–36. http://dx.doi.org/10.1192/pb.bp.115.052753.

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SummaryThe use of the Mental Capacity Act 2005 in assessing decision-making capacity in patients with borderline personality disorder (BPD) is inconsistent. We believe this may stem from persisting confusion regarding the nosological status of personality disorder and also a failure to recognise the fact that emotional dysregulation and characteristic psychodynamic abnormalities may cause substantial difficulties in using and weighing information. Clearer consensus on these issues is required in order to provide consistent patient care and reduce uncertainty for clinicians in what are often emergency and high-stakes clinical scenarios.

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Yeomans, Frank E. "Transference-focused Psychotherapy in Borderline Personality Disorder." Psychiatric Annals 34, no. 6 (June 1, 2004): 449–54. http://dx.doi.org/10.3928/0048-5713-20040601-13.

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Weiner, Alan S., Karin Ensink, and Lina Normandin. "Psychotherapy for Borderline Personality Disorder in Adolescents." Psychiatric Clinics of North America 41, no. 4 (December 2018): 729–46. http://dx.doi.org/10.1016/j.psc.2018.07.005.

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Markowitz, John C., Kathryn Bleiberg, Hayley Pessin, and Andrew E. Skodol. "Adapting interpersonal psychotherapy for borderline personality disorder." Journal of Mental Health 16, no. 1 (January 2007): 103–16. http://dx.doi.org/10.1080/09638230601182060.

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Koenigsberg, Harold W. "Psychotherapy of patients with borderline personality disorder." Current Opinion in Psychiatry 8, no. 3 (May 1995): 157–60. http://dx.doi.org/10.1097/00001504-199505000-00005.

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Marziali, Elsa, and Heather Munroe-Blum. "Interpersonal group psychotherapy for borderline personality disorder." In Session: Psychotherapy in Practice 4, no. 2 (1998): 91–107. http://dx.doi.org/10.1002/(sici)1520-6572(199822)4:2<91::aid-sess6>3.0.co;2-b.

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PLAKUN, ERIC M. "Transference-focused Psychotherapy for Borderline Personality Disorder." Journal of Psychiatric Practice 23, no. 4 (July 2017): 306–7. http://dx.doi.org/10.1097/pra.0000000000000243.

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Saveanu, Radu V. "Transference-Focused Psychotherapy for Borderline Personality Disorder." Journal of Nervous and Mental Disease 204, no. 2 (February 2016): 161. http://dx.doi.org/10.1097/nmd.0000000000000437.

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Broadbear, Jillian H., Julian Nesci, Rosemary Thomas, Katherine Thompson, Josephine Beatson, and Sathya Rao. "Evaluation of changes in prescription medication use after a residential treatment programme for borderline personality disorder." Australasian Psychiatry 24, no. 6 (July 10, 2016): 583–88. http://dx.doi.org/10.1177/1039856216654391.

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Objective: Residential patients diagnosed with borderline personality disorder were evaluated to determine whether borderline personality disorder-focused psychotherapy reduced prescribing, personality disorder and co-morbid symptom severity. Method: Psychotropic prescriptions were measured at admission, discharge and 1 year later in 74 female participants with one or more personality disorder diagnosis and co-morbid mood disorders. Changes in pharmacotherapy were examined in the context of improvements in borderline personality disorder and/or co-morbid disorder symptom severity. Residential treatment included individual and group psychotherapy for borderline personality disorder. The Structured Clinical Interview for DSM-IV was used to confirm the borderline personality disorder diagnosis and associated co-morbid conditions. The Beck Depression Inventory was completed at each time point. Results: A significant reduction in the incidence and severity of self-rated depression as well as clinician assessed personality disorder, including borderline personality disorder, was accompanied by a reduction in prescription of psychoactive medications. Conclusions: Three to six months of intensive borderline personality disorder-specific psychotherapy showed lasting benefit with regard to symptom severity of personality disorders (borderline personality disorder in particular) as well as depressive symptoms. This improvement corresponded with a reduction in prescriptions for psychoactive medications, which is consistent with current thinking regarding treatment for borderline personality disorder.

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Zhiwei, Ouyang. "Psychodynamic Correction Strategies of Prisoners with Borderline Personality Disorder." Theory and Practice of Psychological Counseling 2, no. 7 (2020): 396–405. http://dx.doi.org/10.35534/tppc.0207030.

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Rao, Sathya, and Jillian Broadbear. "Borderline personality disorder and depressive disorder." Australasian Psychiatry 27, no. 6 (October 1, 2019): 573–77. http://dx.doi.org/10.1177/1039856219878643.

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Objective: Borderline personality disorder (BPD) is frequently accompanied by low mood, the features of which may satisfy the diagnostic criteria for major depressive disorder (MDD). Treatment of depressive symptoms in the absence of BPD-appropriate treatment is less effective and may cause iatrogenic harm. This paper briefly reviews the co-occurrence of BPD and depressive disorder and suggests ways of differentiating these disorders and optimising treatment within the Australian Mental Health context. Conclusions: Depressive symptoms are present in the majority of people with BPD. To address the difficulty differentiating clinically distinct MDD from depressive symptoms that are integral to BPD psychopathology, it is suggested that depressive symptoms arising from a primary diagnosis of BPD (i) may exhibit transience and be stress reactive, (ii) lack a robust clinical response to antidepressant medication and/or electroconvulsive treatment and (iii) are responsive to BPD-appropriate psychotherapy.

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Bruce-Jones, William, and Jeremy Coid. "Identity Diffusion Presenting as Multiple Personality Disorder in a Female Psychopath." British Journal of Psychiatry 160, no. 4 (April 1992): 541–44. http://dx.doi.org/10.1192/bjp.160.4.541.

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A female psychopath presented multiple forms of psychopathology, including features of ‘multiple personality disorder’. It is proposed that a diagnosis of borderline personality disorder, or the psychodynamic features of borderline personality organisation, should be the exclusion criteria for this condition.British Journal of Psychiatry (1992), 160, 541–544

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